Nurses' use of computerised decision support systems affects drug monitoring in nursing homes

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.