ArticleNursing research
Toward Meaningful Care Plan Clinical Decision Support: Feasibility and Effects of a Simulated Pilot Study.
Article in Nursing research. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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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
10 citing papers in PubMed.
- Examining Care Planning Efficiency and Clinical Decision Support Adoption in a System Tailoring to Nurses' Graph Literacy: National, Web-Based Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Conducting a representative national randomized control trial of tailored clinical decision support for nurses remotely: Methods and implications.Contemporary clinical trials · 2022Trial
- Multi-center disease-specific management system: toward standardized and harmonized clinical pathways in integrated care networks.Frontiers in public health · 2026Article
- Capabilities of computerized decision support systems supporting the nursing process in hospital settings: a scoping review.BMC nursing · 2025Article
- The use of imputation in clinical decision support systems: a cardiovascular risk management pilot vignette study among clinicians.European heart journal. Digital health · 2024Article
- Competencies of the nurses in the limitation of therapeutic effort in the intensive care unit: An integrative review.International journal of nursing sciences · 2024Review
- The relationship between electronic health records user interface features and data quality of patient clinical information: an integrative review.Journal of the American Medical Informatics Association : JAMIA · 2023Review
- Clinical Decision Support Systems for Palliative Care Management: A Scoping Review.Journal of pain and symptom management · 2023Article
- Assessing the Usability of a Clinical Decision Support System: Heuristic Evaluation.JMIR human factors · 2022Article
- Clinical Decision Support Functions and Digitalization of Clinical Documents of Electronic Medical Record Systems.Healthcare informatics research · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
backgroundClinical decision support (CDS) tools-with easily understood and actionable information, at the point of care-are needed to help registered nurses (RNs) make evidence-based decisions. Not clear are the optimal formats of CDS tools. Thorough, preclinical testing is desirable to avoid costly errors associated with premature implementation in electronic health records.
objectiveThe aims of this study were to determine feasibility of the protocol designed to compare multiple CDS formats and evaluate effects of numeracy and graph literacy on RN adoption of best practices and care planning time in a simulated environment.
methodsIn this pilot study, 60 RNs were randomly assigned to one of four CDS conditions (control, text, text + graph, and text + table) and asked to adjust the plan of care for two patient scenarios over three shifts. Fourteen best practices were identified for the two patients and sent as suggestions with evidence to the three CDS groups. Best practice adoption rates, care planning time, and their relationship to the RN's numeracy and graph literacy scores were assessed.
resultsCDS groups had a higher adoption rate of best practices (p < .001) across all shifts and decreased care planning time in shifts 2 (p = .01) and 3 (p = .02) compared with the control group. Higher numeracy and graph literacy were associated with shorter care planning times under text + table (p = .05) and text + graph (p = .01) conditions. No significant differences were found between the three CDS groups on adoption rate and care planning time. DISCUSSION: This pilot study shows the feasibility of our protocol. Findings show preliminary evidence that CDS improves the efficiency and effectiveness of care planning decisions and that the optimal format may depend on individual RN characteristics. We recommend a study with sufficient power to compare different CDS formats and assess the impact of potential covariates on adoption rates and care planning time.
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