Clinical decision support systems in nursing: synthesis of the science for evidence-based practice.
The aim of this article is to present a synthesis of the research literature on the state of nursing science regarding the development, use, and application of clinical decision support systems for the implementation of evidence-based practice in nursing. The authors sought to answer three specific questions in this metasynthesis: (1) What progress has nursing science made regarding the development and use of clinical decision support systems?; (2) What research methods and theoretical models are being applied by nurse researchers in this area?; and (3)Are there evidence-adaptive clinical decision support systems designed specifically to aid nurses' decisions related to evidence-based practice? Of 183 articles, 17 were included in the final analysis, and six were specific for clinical decision support systems to aid nurses in evidence-based practice. Implications for practice are considered, and recommendations for future research are made.
Anderson
Jane A
JA
Stroke Center, Michael E. DeBakey Veterans Affairs Medical Center, Houston, TX 77030, USA. jane.anderson@med.va.gov
Willson
Pamela
P
D020000:Decision Support Systems, Clinical; D019317:Evidence-Based Medicine; D048108:Nursing Informatics; D014218:Triage / Q000379:methods