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A national survey of computerised decision support systems available to nurses in England

A national survey of computerised decision support systems available to nurses in England
A national survey of computerised decision support systems available to nurses in England
Aim: to examine the characteristics of computerized decision support systems (CDSS) currently available to nurses working in the National Health Service (NHS) in England.
Method: a questionnaire survey sent to a stratified random sample of 50% of all NHS care providers (Trusts) in England, asking respondents to provide information on CDSS currently used by nurses.
Results: responses were received from 108 of the 277 Trusts included in the sample. Electronic patient record systems were the most common type of CDSS reported by Trusts (n = 61) but they were least likely to have features that have been associated with improved clinical outcomes.
Conclusions: the availability of CDSS with features that have been associated with improved patient outcomes for nurses in the NHS in England is limited. There is some evidence that the nature of the Trust affects whether or not nurses have access to CDSS to assist their decision making. Implications for nursing management The implementation of CDSS is increasing throughout the NHS. Many CDSS are introduced without adequate evidence to support its introduction and there is little evaluation of the benefits once they are implemented. Policy makers and nursing management should consider whether the introduction of CDSS aids nurse decision making and benefits patient outcomes.
computerized decision support systems, nursing, survey methodology
0966-0429
772-780
Mitchell, Natasha
9b515c2d-f8fc-476f-a159-2f2cf8d79495
Randell, Rebecca
279766d0-fab7-4351-83da-54d7541f572e
Foster, Rebecca
Dowding, Dawn
6cce5277-971f-4300-afb9-6939a8eef892
Lattimer, Valerie
5aa2c9a5-13cb-4776-9b0d-c618e6913f5b
Thompson, Carl
41a6f8c0-2d37-4978-9231-c806706cf9cb
Cullum, Nicky
86588b7d-c3dc-48a2-a1fb-f9e240e0e7dd
Summers, Ron
8cb0cfa9-a243-461b-958d-7ff58d1ad3de
Mitchell, Natasha
9b515c2d-f8fc-476f-a159-2f2cf8d79495
Randell, Rebecca
279766d0-fab7-4351-83da-54d7541f572e
Foster, Rebecca
Dowding, Dawn
6cce5277-971f-4300-afb9-6939a8eef892
Lattimer, Valerie
5aa2c9a5-13cb-4776-9b0d-c618e6913f5b
Thompson, Carl
41a6f8c0-2d37-4978-9231-c806706cf9cb
Cullum, Nicky
86588b7d-c3dc-48a2-a1fb-f9e240e0e7dd
Summers, Ron
8cb0cfa9-a243-461b-958d-7ff58d1ad3de

Mitchell, Natasha, Randell, Rebecca, Foster, Rebecca, Dowding, Dawn, Lattimer, Valerie, Thompson, Carl, Cullum, Nicky and Summers, Ron (2009) A national survey of computerised decision support systems available to nurses in England. Journal of Nursing Management, 17 (7), 772-780. (doi:10.1111/j.1365-2834.2009.00986.x).

Record type: Article

Abstract

Aim: to examine the characteristics of computerized decision support systems (CDSS) currently available to nurses working in the National Health Service (NHS) in England.
Method: a questionnaire survey sent to a stratified random sample of 50% of all NHS care providers (Trusts) in England, asking respondents to provide information on CDSS currently used by nurses.
Results: responses were received from 108 of the 277 Trusts included in the sample. Electronic patient record systems were the most common type of CDSS reported by Trusts (n = 61) but they were least likely to have features that have been associated with improved clinical outcomes.
Conclusions: the availability of CDSS with features that have been associated with improved patient outcomes for nurses in the NHS in England is limited. There is some evidence that the nature of the Trust affects whether or not nurses have access to CDSS to assist their decision making. Implications for nursing management The implementation of CDSS is increasing throughout the NHS. Many CDSS are introduced without adequate evidence to support its introduction and there is little evaluation of the benefits once they are implemented. Policy makers and nursing management should consider whether the introduction of CDSS aids nurse decision making and benefits patient outcomes.

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More information

Published date: November 2009
Keywords: computerized decision support systems, nursing, survey methodology

Identifiers

Local EPrints ID: 72252
URI: http://eprints.soton.ac.uk/id/eprint/72252
ISSN: 0966-0429
PURE UUID: 559ec853-ce24-433d-950e-97bea62ff411

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Date deposited: 03 Feb 2010
Last modified: 07 Oct 2020 07:46

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Contributors

Author: Natasha Mitchell
Author: Rebecca Randell
Author: Rebecca Foster
Author: Dawn Dowding
Author: Valerie Lattimer
Author: Carl Thompson
Author: Nicky Cullum
Author: Ron Summers

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