Nurses' responses to differing amounts and information content in a diagnostic computer-based decision support application

Computers, Informatics, Nursing : CIN
InSook ChoIhnsook Park

Abstract

Nurses often need to make quick decisions with incomplete diagnostic information while they are under time pressure. The use of a data-driven, computerized decision support approach in daily work activities has great potential to facilitate precise and context-sensitive use of the information implicit in nursing diagnoses. This study explored optimal information amounts and levels of information content for designing and implementing a diagnostic nursing decision support system. Specifically, the use of probability data for likely nursing problems and the preferred number of displayed nursing problems were presented to expert and novice nurses. The study used a counterbalanced, repeated-measures, and factorial design. The authors developed two scenarios: (1) a pneumonia patient with diabetes mellitus complications and (2) a patient with controlled diabetes who also had a bone fracture. A previously developed prototype for a diagnostic nursing decision support system was used to display the information. Eighteen novice and expert nurses from two hospitals in Korea participated. Results for the differing levels of content did not differ significantly with level of expertise, but the preferred amount of information was significant...Continue Reading

References

Oct 1, 1979·ANS. Advances in Nursing Science·C A Matthews, A L Gaul
Jul 1, 1995·Nursing Diagnosis : ND : the Official Journal of the North American Nursing Diagnosis Association·B O'Connell
Jul 1, 1995·Journal of Professional Nursing : Official Journal of the American Association of Colleges of Nursing·E S O'Neill
Jan 1, 1995·Nursing Diagnosis : ND : the Official Journal of the North American Nursing Diagnosis Association·K Martin
Aug 1, 1997·Research in Nursing & Health·S M Narayan, S Corcoran-Perry
Aug 1, 1997·Journal of Korean Medical Science·J H Cho, M Noguchi
Jul 1, 1997·Nursing Diagnosis : ND : the Official Journal of the North American Nursing Diagnosis Association·V M KingT Elliot
Dec 3, 2003·International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International·Margaret Lunney
Apr 20, 2006·Journal of the American Medical Informatics Association : JAMIA·InSook Cho, Hyeoun-Ae Park
Nov 23, 2006·International Journal of Nursing Terminologies and Classifications : the Official Journal of NANDA International·Donald D KautzRandy L Williams

Citations

Feb 24, 2015·International Journal of Medical Informatics·Jacqueline Moss, Eta S Berner
Jun 23, 2016·Journal of the American Medical Informatics Association : JAMIA·Karen Dunn LopezJoanna Abraham
Sep 6, 2012·Journal of Wound, Ostomy, and Continence Nursing : Official Publication of the Wound, Ostomy and Continence Nurses Society·Bonnie AlveyHaelie Heard

Related Concepts

Staff Attitude
Attitude to Computers
Computer Literacy
Factor Analysis, Statistical
Nursing Diagnoses
Nursing Records
Nursing Staff, Hospital
Virtual Systems
Nursing Evaluation Research
Nursing Methodological Issues Research

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