Difference between revisions of "Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients"

From Clinfowiki
Jump to: navigation, search
(Created page with "The following is a review of the article, “HIT plants SEEDS in healthcare education" <ref name="Connors"> Connors, H., Warren, J., & Weaver, C. (2007). HIT plants SEEDS in ...")
 
 
(13 intermediate revisions by 3 users not shown)
Line 1: Line 1:
−
The following is a review of the article, “HIT plants SEEDS in healthcare education" <ref name="Connors"> Connors, H., Warren, J., & Weaver, C. (2007). HIT plants SEEDS in healthcare education.  Nursing Administration Quarterly, 31(2), 129-133 </ref> and how it addresses the impact of teaching EHR to nursing students.
+
The following is a review of the article, “Perceived Barriers of Heart Failure Nurse and Cardiologists in using Clinical Decision Support Systems in the Treatment of Heart Failure Patients" <ref name="de Vrie"> de Vrie, A., van der Wal, M., Nieuwenhuis, M., de Jong, R., van Dijk, R., Jaarsma, T., Hillege, H., & Jorna, R. (2013). Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients.  BMC Medical Informatics and Decision Making, 13(54), 1-8 </ref>.
  
  
 
== Abstract ==
 
== Abstract ==
 
 
 
 
−
Nursing students learn how to properly document their patient's assessments when they are in school.  The authors of the article propose adding a curriculum for undergraduate nursing students that teaches the students how to navigate the clinical information system (CIS).  
+
One of the health problems that is related to aging is heart failure.  Inadequate care of elderly patients with heart failure increases the chances of frequent hospital re-admissions and mortality rate (de Vries, van der Wal, Nieuwenhuis, de Jong, van Dijk, Jaarsma, Hillege, & Jorna, 2013, p. 1).  The authors believe that the use of clinical decision support systems [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS] may help cardiac nurses and cardiologists prevent frequent hospital re-admissions and decrease mortality rate in elderly patients with history of heart failure.  The authors believe that cardiac nurses and cardiologists are not utilizing the [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS] because of perceived barriers associated with the implementation of  [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS] in the treatment of heart failure patients and the lack of knowledge and management of [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ Clinical Decision Support System (CDSS)].
  
 
==Methods==
 
==Methods==
  
−
The curriculum was named Simulated E-health Delivery System (SEEDS).  The students were using a modified version of Cerner's electronic health record known as PowerChart.  The students were taught how to document on PowerChart during their skills laboratory course.  During their skills laboratory course, they learned physical examination techniques and clinical procedures.  According to Connors, Warren, and Weaver (2007), nursing curriculums that incorporated the use of EHRs will develop the students' informatic skills (p. 132).
+
The authors developed a questionnaire that “consists of 49 items, focusing on perceived barriers using a 5-point Likert type rating scale” (de Vries et al., 2013, p. 2).  Because the authors were based in the Netherlands, the questionnaires were sent to heart failure clinics in the Netherlands.  The questionnaires were answered by 36 cardiologists and 126 cardiac nurses.  30% of the questionnaire responders had experience in working with [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS] because they used telemonitoring systems that had [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS] functions.
  
 
== Results ==
 
== Results ==
  
−
An evaluation of the SEEDS curriculum from the nursing students showed that there were "increased satisfaction with learning skills useful for practice and improved critical thinking ability" (Connors et al., 2007, p. 132).  The electronic health record (EHR) helped the students by providing cues to what needed to be documented.  Also, the EHR helped the students ask more thorough questions when assessing their patients because the EHR's structured data entry screens helped them to determine what was relevant and what was not relevant.  The authors encourage more health sciences schools to incorporate clinical information system into their curriculum to enhance their students' understanding of CIS.
+
The authors were able to conclude that for cardiologists, factors such as age, gender, and experience with computers were not a barrier in the implementation of [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS].  However, for cardiac nurses, experiences with computers were a strong barrier in the implementation of [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS].  The authors suggested that clinicians increase their training of the functions of [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS] in order to gain more experience with [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS].  This will lead the clinicians to develop stronger knowledge and management skills of the functions of [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS].  With more experience with the [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS], there will be fewer barriers with [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS]. 
  
  
 
== Comments ==
 
== Comments ==
  
−
This article serves as a good guidance in teaching the importance of documenting on an EHR.  Student nurses rarely understand how to properly work the [[CPOE]] when looking up physician orders. A majority of a student nurse’s training with CPOE’s are developed when he/she begin practicing on it early in their skill developing stage.  Although there exists different EHR companies that offer different formats, it is essential for the nursing student to have a basic understanding of how to navigate and become aware of how CPOE can affect the care of their patients.
+
This article serves as a good guidance in teaching the importance of training staffers well when implementing [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS]. It can be a powerful tool, however, when there are barriers against it, it becomes limited in its potential.  Continual training on the functions of [http://searchhealthit.techtarget.com/definition/clinical-decision-support-system-CDSS/ CDSS] is one way to make the user experience more effective. Other studies suggest that use of [[Evaluation of Medication Alerts in Electronic Health Records for Compliance with Human Factors Principles|human factors design principles]] may improve receptiveness to alerts.
  
 
== References ==
 
== References ==
Line 23: Line 23:
  
 
[[Category: Reviews]]
 
[[Category: Reviews]]
−
[[Category: EHR]]
+
[[Category: CDSS]]
−
[[Category: CPOE, healthcare education]]
+

Latest revision as of 22:27, 1 December 2015

The following is a review of the article, “Perceived Barriers of Heart Failure Nurse and Cardiologists in using Clinical Decision Support Systems in the Treatment of Heart Failure Patients" [1].


Abstract

One of the health problems that is related to aging is heart failure. Inadequate care of elderly patients with heart failure increases the chances of frequent hospital re-admissions and mortality rate (de Vries, van der Wal, Nieuwenhuis, de Jong, van Dijk, Jaarsma, Hillege, & Jorna, 2013, p. 1). The authors believe that the use of clinical decision support systems CDSS may help cardiac nurses and cardiologists prevent frequent hospital re-admissions and decrease mortality rate in elderly patients with history of heart failure. The authors believe that cardiac nurses and cardiologists are not utilizing the CDSS because of perceived barriers associated with the implementation of CDSS in the treatment of heart failure patients and the lack of knowledge and management of Clinical Decision Support System (CDSS).

Methods

The authors developed a questionnaire that “consists of 49 items, focusing on perceived barriers using a 5-point Likert type rating scale” (de Vries et al., 2013, p. 2). Because the authors were based in the Netherlands, the questionnaires were sent to heart failure clinics in the Netherlands. The questionnaires were answered by 36 cardiologists and 126 cardiac nurses. 30% of the questionnaire responders had experience in working with CDSS because they used telemonitoring systems that had CDSS functions.

Results

The authors were able to conclude that for cardiologists, factors such as age, gender, and experience with computers were not a barrier in the implementation of CDSS. However, for cardiac nurses, experiences with computers were a strong barrier in the implementation of CDSS. The authors suggested that clinicians increase their training of the functions of CDSS in order to gain more experience with CDSS. This will lead the clinicians to develop stronger knowledge and management skills of the functions of CDSS. With more experience with the CDSS, there will be fewer barriers with CDSS.


Comments

This article serves as a good guidance in teaching the importance of training staffers well when implementing CDSS. It can be a powerful tool, however, when there are barriers against it, it becomes limited in its potential. Continual training on the functions of CDSS is one way to make the user experience more effective. Other studies suggest that use of human factors design principles may improve receptiveness to alerts.

References

  1. ↑ de Vrie, A., van der Wal, M., Nieuwenhuis, M., de Jong, R., van Dijk, R., Jaarsma, T., Hillege, H., & Jorna, R. (2013). Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients. BMC Medical Informatics and Decision Making, 13(54), 1-8
Retrieved from "http://clinfowiki.org/wiki/index.php?title=Perceived_barriers_of_heart_failure_nurses_and_cardiologists_in_using_clinical_decision_support_systems_in_the_treatment_of_heart_failure_patients&oldid=30625"