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Nurses' use of computerised decision support systems affects drug monitoring in nursing homes
Author(s) -
JohanssonPajala RoseMarie,
Gustafsson LenaKarin,
Jorsäter Blomgren Kerstin,
Fastbom Johan,
Martin Lene
Publication year - 2017
Publication title -
journal of nursing management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.925
H-Index - 76
eISSN - 1365-2834
pISSN - 0966-0429
DOI - 10.1111/jonm.12430
Subject(s) - informatics , clinical decision support system , health informatics , medicine , health informatics tools , nursing , perception , decision support system , variety (cybernetics) , safer , knowledge management , psychology , computer science , artificial intelligence , neuroscience , electrical engineering , engineering , public health , computer security
Aim To describe variations in nurses' perceptions of using a computerised decision support system ( CDSS ) in drug monitoring. Background There is an increasing focus on incorporating informatics into registered nurses' ( RN s) clinical practice. Insight into RN s’ perceptions of using a CDSS in drug monitoring can provide a basis for further development of safer practices in drug management. Method A qualitative interview study of 16 RN s. Data were analysed using a phenomenographic approach. Results The RN s perceived a variety of aspects of using a CDSS in drug monitoring. Aspects of ‘time’ were evident, as was giving a ‘standardisation’ to the clinical work. There were perceptions of effects of obtained knowledge and ‘evidence’ and the division of ‘responsibilities’ between RN s and physicians of using the CDSS . Conclusion The RN s perceived a CDSS as supportive in drug monitoring, in terms of promoting standardised routines, team‐collaboration and providing possibilities for evidence‐based clinical practice. Implications Implementing a CDSS seems to be one feasible strategy to improve RN s’ preconditions for safe drug management. Nurse managers’ engagement and support in this process are vital for a successful result.