Features of Computerized Clinical Decision Support Systems Supportive of Nursing Practice

Abstract

This study aimed to organize the system features of decision support technologies targeted at nursing practice into assessment, problem identification, care plans, implementation, and outcome evaluation. It also aimed to identify the range of the five stage-related sequential decision supports that computerized clinical decision support systems provided. MEDLINE, CINAHL, and EMBASE were searched. A total of 27 studies were reviewed. The system features collected represented the characteristics of each category from patient assessment to outcome evaluation. Several features were common across the reviewed systems. For the sequential decision support, all of the reviewed systems provided decision support in sequence for patient assessment and care plans. Fewer than half of the systems included problem identification. There were only three systems operating in an implementation stage and four systems in outcome evaluation. Consequently, the key steps for sequential decision support functions were initial patient assessment, problem identification, care plan, and outcome evaluation. Providing decision support in such a full scope will effectively help nurses' clinical decision making. By organizing the system features, a comprehensive picture of nursing practice-oriented computerized decision support systems was obtained; however, the development of a guideline for better systems should go beyond the scope of a literature review.

Simplifying the care plan documentation procedure – An interview study with nurses at a medical ward at a university hospital in Sweden

“…[33] Moreover, PCC is grounded from an ethical perspective [10] that is in line with the code of ethics for nurses, [6] PCC is one way to promote health, prevent illness and alleviate suffering that is in line with people's rights and self-determination (i.e., to adapt to patient's needs, resources and conditions). [1,2,4] The results of the present study show that care plans need conditions for patient involvement by using simple everyday language and a systematic visible structure in medical records that harmonizes with earlier research; [16,19,34] these studies point out that IT support and teamwork are crucial aspects. Moreover, support of an ethical approach that forms the basis of PCC [1,2,11] can guide and improve teamwork for all involved parties (staff, patient, and relatives) using all available resources, including patients.…”

“…[23,45] One suggestion is to include both teaching and examination-based elements focused on documentation of care plans supported by computerized clinical nursing practice support systems. [34] This goal is expressed in terms of skill and the ability to plan orally and in written report form and to discuss measures and treatment results with interested parties in accordance with relevant regulations, routines, best practice and so on. However, nurses' experiences with obstacles during work make it difficult for them to plan, document and update care plans in a manner that ensures patient safety.…”

Evaluation of User-Interface Alert Displays for Clinical Decision Support Systems for Sepsis

“…40 However, fewer published studies 41–43 have been assessments of attitudes and perception toward clinical alerts and CDS systems. Feblowitz et al 44 found that among health care providers, alert acceptance was 38.1% (interquartile ratio, 14.8%–54.4%), indicating the mass complexities of alerts.…”

Development and Implementation of the Clinical Decision Support System for Patients With Cancer and Nurses' Experiences Regarding the System

“…The nurses had frequently expressed the advantages of the CDSS both for themselves and the patients as identified in the literature (Ahmadian et al., ; Anderson & Wilson, ; Lee, ). Randell and Dowding () listed the factors affecting the success of the decision support system as the system properties, ongoing training, and supportive environment.…”