Nurses' use of computerised decision support systems affects drug monitoring in nursing homes.
OBJECTIVE
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.


METHODS
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 in drug 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.


CONCLUSIONS
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.


CONCLUSIONS
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.
School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Rose-Marie
RM
Johansson-Pajala
School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Lena-Karin
LK
Gustafsson
School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Kerstin
K
Jorsäter Blomgren
Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
Johan
J
Fastbom
School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Lene
L
Martin
D000328:Adult; D020000:Decision Support Systems, Clinical / Q000706:statistics & numerical data*; D016903:Drug Monitoring / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D009735:Nursing Homes / Q000458:organization & administration*; D048108:Nursing Informatics / Q000295:instrumentation / Q000379:methods; D036301:Qualitative Research
computerised decision support systems; drug management; nurses; patient safety; phenomenography