Evidence map›Paper›PMID 28637180›Full record

ArticleJournal of the American Medical Informatics Association : JAMIA2017

Participatory design of probability-based decision support tools for in-hospital nurses.

Alvin D Jeffery, Laurie L Novak, Betsy Kennedy, Mary S Dietrich, Lorraine C Mion

Open access · hybridAbstract read
In one paragraph

Article in Journal of the American Medical Informatics Association : JAMIA, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
3.5field-weighted citation impact, top 7% of its field
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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. A Concept Analysis of Nurses' Clinical Decision Making: Implications for Korea.International journal of environmental research and public health · 2022
    Pooled it
  3. Article
  4. Article
  5. Nurses' perceptions of the design, implementation, and adoption of machine learning clinical decision support: A descriptive qualitative study.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2024
    Article
  6. Inpatient nurses' preferences and decisions with risk information visualization.Journal of the American Medical Informatics Association : JAMIA · 2023
    Article
  7. Article
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  13. Disappearing expertise in clinical automation: Barcode medication administration and nurse autonomy.Journal of the American Medical Informatics Association : JAMIA · 2021
    Article
  14. Article
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  16. Article
  17. Prognostic models will be victims of their own success, unless….Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  18. User stories as lightweight requirements for agile clinical decision support development.Journal of the American Medical Informatics Association : JAMIA · 2019
    Article
  19. Usability Evaluation of a Dashboard for Home Care Nurses.Computers, informatics, nursing : CIN · 2019
    Article
  20. Informatics Solutions for Application of Decision-Making Skills.Critical care nursing clinics of North America · 2018
    Review
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

5 authors at 3 institutions in 1 country.

Alvin D JefferyUS Department of Veterans Affairs, Tennessee Valley Healthcare System, Nashville, TN, USA.
Laurie L NovakDepartment of Biomedical Informatics, Vanderbilt University, Nashville, TN, USA.
Betsy KennedySchool of Nursing, Vanderbilt University, Nashville, TN, USA.
Mary S DietrichSchool of Nursing, Vanderbilt University, Nashville, TN, USA.
Lorraine C MionCollege of Nursing, The Ohio State University, Columbus, OH, USA.
Vanderbilt University · USThe Ohio State University · USVA Tennessee Valley Healthcare System · US

Funding

The Vanderbilt Institute for Clinical and Translational Research (VICTR)UL1TR000445 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI BERNARD, GORDON RAPHAEL · 2012 to 2016
$41.4M
NCATS NIH HHS UL1 TR000445
6 · The paper itself

Abstract

objectiveTo describe nurses' preferences for the design of a probability-based clinical decision support (PB-CDS) tool for in-hospital clinical deterioration.

methodsA convenience sample of bedside nurses, charge nurses, and rapid response nurses (n = 20) from adult and pediatric hospitals completed participatory design sessions with researchers in a simulation laboratory to elicit preferred design considerations for a PB-CDS tool. Following theme-based content analysis, we shared findings with user interface designers and created a low-fidelity prototype.

resultsThree major themes and several considerations for design elements of a PB-CDS tool surfaced from end users. Themes focused on "painting a picture" of the patient condition over time, promoting empowerment, and aligning probability information with what a nurse already believes about the patient. The most notable design element consideration included visualizing a temporal trend of the predicted probability of the outcome along with user-selected overlapping depictions of vital signs, laboratory values, and outcome-related treatments and interventions. Participants expressed that the prototype adequately operationalized requests from the design sessions.

conclusionsParticipatory design served as a valuable method in taking the first step toward developing PB-CDS tools for nurses. This information about preferred design elements of tools that support, rather than interrupt, nurses' cognitive workflows can benefit future studies in this field as well as nurses' practice.

Indexed as

Clinical Decision-MakingDecision Support Systems, ClinicalDecision Support TechniquesNursing Staff, HospitalHumansModels, StatisticalNursing Methodology ResearchPatient SimulationProbabilityUser-Computer Interfaceclinical decision-makingcomputer-assisteddecision support systemsmodelsnursingstatistical

Identifiers

PMID28637180
PMCPMC6580937
OpenAlexW2684733610

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.