Factors Influencing the Decision-making of Healthcare Providers Regarding the Transition of Patients from the Intensive Care Unit to the General Ward in Iran: A Qualitative Study

The Effect of Clinical Decision Support Systems on Patients, Nurses, and Work Environment in ICUs

“…Two studies found that using CDSS in clinical simulations, education, and reflective interviewing augmented the critical-thinking skills of intensive care nurses and improved the level of correct decision-making 37,42 . Moreover, it was determined that ICU nurses mostly act intuitively in decision-making processes related to critical patient care, and the need for standardized and evidence-based protocols, algorithms, and guidelines and the use of CDSS were mentioned 19,26,31,35,36,44,46 …”

“…Therefore, a standardized CDSS is needed to improve the decision quality. 35,36 This review has shown that CDSS supports ICU nurses in evidence-based and autonomous decision-making, improving critical-thinking skills. In the field of critical care, some aspects, such as time pressure, complex and scattered medical information, and distribution of care over a team of caregivers, are likely to contribute to errors and biases in decision-making.…”

“…Ghorbanzadeh et al 35 determined that some ICU nurses made more intuitive decisions concerning patient care. Therefore, a standardized CDSS is needed to improve the decision quality 35,36 .…”

“…More studies (41%) were carried out in the United States compared with other countries. [9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24] Five studies were conducted in the United Kingdom, [25][26][27][28][29] four studies in Australia, [30][31][32][33] three studies in Iran, [34][35][36] two studies in Canada, 37,38 two studies in Italy, 39,40 and one study in each of the following countries: Austria, 41 Bosnia and Herzegovina, 42 Turkey, 43 South Africa, 44 Korea, 45 Norway, 46 and China. 47 The studies were conducted during the period between the years 2007 and 2022.…”

“…37,42 Moreover, it was determined that ICU nurses mostly act intuitively in decision-making processes related to critical patient care, and the need for standardized and evidence-based protocols, algorithms, and guidelines and the use of CDSS were mentioned. 19,26,31,35,36,44,46…”