title: Evaluating a Clinical Decision Support Interface for End-of-Life Nurse Care.
abstract: Clinical Decision Support Systems (CDSS) are tools that assist healthcare personnel in the decision-making process for patient care. Although CDSSs have been successfully deployed in the clinical setting to assist physicians, few CDSS have been targeted at professional nurses, the largest group of health providers. We present our experience in designing and testing a CDSS interface embedded within a nurse care planning and documentation tool. We developed four prototypes based on different CDSS feature designs, and tested them in simulated end-of-life patient handoff sessions with a group of 40 nurse clinicians. We show how our prototypes directed nurses towards an optimal care decision that was rarely performed in unassisted practice. We also discuss the effect of CDSS layout and interface navigation in a nurse's acceptance of suggested actions. These findings provide insights into effective nursing CDSS design that are generalizable to care scenarios different than end-of-life.
authors.affiliation: Electronic Visualization Lab, University of Illinois at Chicago, 824 W. Taylor St., Chicago, IL 60607 USA.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Febretti
authors.affiliation: College of Nursing, University of Illinois at Chicago, 845 S. Damen Ave., Chicago, IL 60612 USA.
authors.forename: Janet
authors.initials: J
authors.lastname: Stifter
authors.affiliation: College of Nursing, University of Illinois at Chicago, 845 S. Damen Ave., Chicago, IL 60612 USA.
authors.forename: Gail M
authors.initials: GM
authors.lastname: Keenan
authors.affiliation: College of Nursing, University of Illinois at Chicago, 845 S. Damen Ave., Chicago, IL 60612 USA.
authors.forename: Karen D
authors.initials: KD
authors.lastname: Lopez
authors.affiliation: Electronic Visualization Lab, University of Illinois at Chicago, 824 W. Taylor St., Chicago, IL 60607 USA.
authors.forename: Andrew
authors.initials: A
authors.lastname: Johnson
authors.affiliation: College of Nursing, University of Illinois at Chicago, 845 S. Damen Ave., Chicago, IL 60612 USA.
authors.forename: Diana J
authors.initials: DJ
authors.lastname: Wilkie
keywords: Clinical Decision Support; Electronic Health Records; Human Computer Interaction; Nursing