Nurses' use of computerised decision support systems affects drug monitoring in nursing homes
2017 (English)In: Journal of Nursing Management, ISSN 0966-0429, E-ISSN 1365-2834, Vol. 25, no 1, 56-64 p.Article in journal (Refereed) Published
Aim: To describe variations in nurses' perceptions of using a computerised decision support system (CDSS) in drug monitoring. Background: There is an increasing focus on incorporating informatics into registered nurses' (RNs) clinical practice. Insight into RNs’ perceptions of using a CDSS in drug monitoring can provide a basis for further development of safer practices in drug management. Method: A qualitative interview study of 16 RNs. Data were analysed using a phenomenographic approach. Results: The RNs perceived a variety of aspects of using a CDSS indrug monitoring. Aspects of ‘time’ were evident, as was giving a ‘standardisation’ to the clinical work. There were perceptions of effects of obtained knowledge and ‘evidence’ and the division of ‘responsibilities’ between RNs and physicians of using the CDSS. Conclusion: The RNs perceived a CDSS as supportive in drug monitoring, in terms of promoting standardised routines, team-collaboration and providing possibilities for evidence-based clinical practice. Implications: Implementing a CDSS seems to be one feasible strategy to improve RNs’ preconditions for safe drug management. Nurse managers’ engagement and support in this process are vital for a successful result.
Place, publisher, year, edition, pages
2017. Vol. 25, no 1, 56-64 p.
Medical and Health Sciences Health Sciences
IdentifiersURN: urn:nbn:se:mdh:diva-34691DOI: 10.1111/jonm.12430ISI: 000393687500007ScopusID: 2-s2.0-84994045637OAI: oai:DiVA.org:mdh-34691DiVA: diva2:1067749