ArticleApplied clinical informatics2011
An evaluation of the usability of a computerized decision support system for nursing homes.
Article in Applied clinical informatics, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Exploring the role of professional identity in the implementation of clinical decision support systems-a narrative review.Implementation science : IS · 2024Pooled it
- Systematic review of applied usability metrics within usability evaluation methods for hospital electronic healthcare record systems: Metrics and Evaluation Methods for eHealth Systems.Journal of evaluation in clinical practice · 2021Pooled it
- An appraisal of published usability evaluations of electronic health records via systematic review.Journal of the American Medical Informatics Association : JAMIA · 2017Pooled it
- A Systematic Review of Factors Affecting Utilization of Decision Support Systems: The Interplay Between Technology, Users, and the Healthcare Environment.Health science reports · 2026Review
- Barriers to Adoption of a Child-Abuse Clinical Decision Support System in Emergency Departments.The western journal of emergency medicine · 2024Article
- Multitasking during Medication Management in a Nursing Home: A Time Motion Study.Applied clinical informatics · 2024Article
- Global Scientific Research Landscape on Medical Informatics From 2011 to 2020: Bibliometric Analysis.JMIR medical informatics · 2022Article
- Utilizing a Human-Computer Interaction Approach to Evaluate the Design of Current Pharmacogenomics Clinical Decision Support.Journal of personalized medicine · 2021Article
- District nurses' experiences of using a clinical decision support system and an assessment tool at elderly care units in primary health care: a qualitative study.Primary health care research & development · 2021Article
- Clinical Decision Support Systems for Pressure Ulcer Management: Systematic Review.JMIR medical informatics · 2020Review
- Staff perspectives on the usability of electronic patient records for planning and delivering dementia care in nursing homes: a multiple case study.BMC medical informatics and decision making · 2020Article
- Live Usability Testing of Two Complex Clinical Decision Support Tools: Observational Study.JMIR human factors · 2019Article
- Nurses' perceptions of a novel health information technology: A qualitative study in the pediatric intensive care unit.International journal of human-computer interaction · 2017Article
- Provider Use of a Novel EHR display in the Pediatric Intensive Care Unit. Large Customizable Interactive Monitor (LCIM).Applied clinical informatics · 2016Article
- Can smartphones and tablets improve the management of childhood illness in Tanzania? A qualitative study from a primary health care worker's perspective.BMC health services research · 2015Article
- Health workers' knowledge of and attitudes towards computer applications in rural African health facilities.Global health action · 2014Article
- Nursing Home Implementation of Health Information Technology: Review of the Literature Finds Inadequate Investment in Preparation, Infrastructure, and Training.Inquiry : a journal of medical care organization, provision and financingReview
- Improving InterRAI care processes in long-term care homes: A constructivist grounded theory.Digital healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundComputerized decision support systems (CDSSs) have the potential to significantly improve the quality of nursing care of older people by enhancing the decision making of nursing personnel. Despite this potential, health care organizations have been slow to incorporate CDSSs into nursing home practices.
objectiveThis study describes facilitators and barriers that impact the ability of nursing personnel to effectively use a clinical CDSS for planning and treating pressure ulcers (PUs) and malnutrition and for following the suggested risk assessment guidelines for the care of nursing home residents.
methodsWe employed a qualitative descriptive design using varied methods, including structured group interviews, cognitive walkthrough observations and a graphical user interface (GUI) usability evaluation. Group interviews were conducted with 25 nursing personnel from four nursing homes in southern Norway. Five nursing personnel participated in cognitive walkthrough observations and the GUI usability evaluation. Text transcripts were analyzed using qualitative content analysis.
resultsGroup interview participants reported that ease of use, usefulness and a supportive work environment were key facilitators of CDSS use. The barriers identified were lack of training, resistance to using computers and limited integration of the CDSS with the facility's electronic health record (EHR) system. Key findings from the usability evaluation also identified the difficulty of using the CDSS within the EHR and the poorly designed GUI integration as barriers.
conclusionOverall, we found disconnect between two types of nursing personnel. Those who were comfortable with computer technology reported positive feedback about the CDSS, while others expressed resistance to using the CDSS for various reasons. This study revealed that organizations must invest more resources in educating nursing personnel on the seriousness of PUs and poor nutrition in the elderly, providing specialized CDSS training and ensuring that nursing personnel have time in the workday to use the CDSS.
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