Evidence map›Paper›PMID 26361268›Full record

Trial reportComputers, informatics, nursing : CIN2015

Use of Simulation to Study Nurses' Acceptance and Nonacceptance of Clinical Decision Support Suggestions.

Vanessa E C Sousa, Karen Dunn Lopez, Alessandro Febretti, Janet Stifter, Yingwei Yao, Andrew Johnson, Diana J Wilkie, Gail M Keenan

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Computers, informatics, nursing : CIN, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Participatory design of probability-based decision support tools for in-hospital nurses.Journal of the American Medical Informatics Association : JAMIA · 2017
    Article
  11. Article
  12. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Vanessa E C SousaAuthor Affiliations: College of Nursing, Department of Health System Science (Drs Sousa, Lopez, and Stifter), and Department of Computer Science (Mr Febretti and Dr Johnson), University of Illinois at Chicago, IL; and College of Nursing (Drs Yao, Wilkie, and Keenan), University of Florida, Gainesville.
Karen Dunn Lopez
Alessandro Febretti
Janet Stifter
Yingwei Yao
Andrew Johnson
Diana J Wilkie
Gail M Keenan

Funding

Describing, Contrasting, and Visualizing End-of-Life Care in the 21st CenturyR01NR012949 · NINR · UNIVERSITY OF ILLINOIS AT CHICAGO · PI ANSARI, RASHID, KEENAN, GAIL M · 2011 to 2014
$2.0M
NINR NIH HHS 1R01 NR012949NINR NIH HHS R01 NR012949
6 · The paper itself

Abstract

Our long-term goal was to ensure nurse clinical decision support works as intended before full deployment in clinical practice. As part of a broader effort, this pilot project explored factors influencing acceptance/nonacceptance of eight clinical decision support suggestions displayed in an electronic health record-based nursing plan of care software prototype. A diverse sample of 21 nurses participated in this high-fidelity clinical simulation experience and completed a questionnaire to assess reasons for accepting/not accepting the clinical decision support suggestions. Of 168 total suggestions displayed during the experiment (eight for each of the 21 nurses), 123 (73.2%) were accepted, and 45 (26.8%) were not accepted. The mode number of acceptances by nurses was seven of eight, with only two of 21 nurses accepting all. The main reason for clinical decision support acceptance was the nurse's belief that the suggestions were good for the patient (100%), with other features providing secondary reinforcement. Reasons for nonacceptance were less clear, with fewer than half of the subjects indicating low confidence in the evidence. This study provides preliminary evidence that high-quality simulation and targeted questionnaires about specific clinical decision support selections offer a cost-effective means for testing before full deployment in clinical practice.

Indexed as

Attitude to ComputersNursing InformaticsAdultAgedAttitude of Health PersonnelClinical CompetenceDecision Support Systems, ClinicalElectronic Health RecordsFemaleHumansMaleMiddle AgedNursing Methodology ResearchNursing Staff, HospitalPilot ProjectsSimulation Training

Identifiers

PMID26361268
PMCPMC4607642

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.