Nurses' Perspectives on Clinical Decision Support Systems: Knowledge, Barriers, and Opportunities

Abstract

Aim; The aim of this study was to explore the knowledge, barriers, and opportunities of nurses regarding nursing informatics and clinical decision support systems (CDSS). Method; This cross-sectional descriptive study was conducted with the participation of 114 nurses at Manisa Celal Bayar University Hospital. Data were collected through face-to-face interviews using a 20-question form prepared by researchers based on a structured literature review. Results; Of the 114 participating nurses, 69.3% worked in inpatient services, and 63.1% held undergraduate or higher degrees, with a mean age of 28.41±2.15 years. While 73.6% reported familiarity with nursing informatics, only 26.3% were aware of CDSS, and 75.4% had not received any related training. Common applications of CDSS included drug identification and administration (22.1%) and nutritional assessments and scale calculations (13.5%). Lack of knowledge and training was cited by 71.3% as a primary barrier to effective CDSS use. Nurses rated CDSS as moderately effective for certification processes, patient safety, operational efficiency, and usability. Conclusion; Although nurses possess considerable knowledge of nursing informatics, their awareness and use of CDSS remain limited. Integrating targeted in-service training and system enhancements is crucial for improving their engagement and effectiveness with CDSS.

Keywords

• Clinical Decision Support Systems
• Healthcare Efficiency
• Nursing Informatics
• Nurse Training

Supporting Institution

None

Ethical Statement

The study received ethical approval from the Ege University Medical Research Ethics Committee (Approval No: 23-8T/59). Institutional permission was obtained from the hospital with the official letter numbered E-61804347-100-601494. The study was conducted in accordance with the principles of the Helsinki Declaration.

Thanks

The authors would like to thank all the nurses who participated in this study.

Hemşirelerin Klinik Karar Destek Sistemlerine Bakış Açıları: Bilgi, Engeller ve Fırsatlar

Abstract

Giriş ve Amaç: Bu çalışmanın amacı, hemşirelerin hemşirelik bilişimi ve klinik karar destek sistemleri (KKDS) hakkındaki bilgi düzeylerini, karşılaştıkları engelleri ve fırsatları incelemektir. Gereç ve Yöntemler: Bu kesitsel tanımlayıcı çalışma, Manisa Celal Bayar Üniversitesi Hastanesi'nde 114 hemşirenin katılımıyla gerçekleştirilmiştir. Veriler, araştırmacılar tarafından yapılandırılmış literatür taramasına dayanarak hazırlanan 20 soruluk bir form kullanılarak yüz yüze görüşmeler yoluyla toplanmıştır. Bulgular: Araştırmaya katılan hemşirelerin %69,3'ü yatan hasta servislerinde çalışırken, %63,1'i lisans veya daha yüksek dereceye sahipti ve yaş ortalamaları 28,41±2,15 yıldı. Hemşirelerin %73,6'sı hemşirelik bilişimi konusunda bilgi sahibi olduğunu ifade ederken, KKDS farkındalığı yalnızca %26,3 düzeyinde kalmıştır. Ayrıca, hemşirelerin %75,4'ünün KKDS ile ilgili herhangi bir eğitim almadığı saptanmıştır. KKDS'nin en yaygın kullanım alanları arasında ilaç tanımlama ve uygulama (%22,1) ile beslenme değerlendirmeleri ve ölçek hesaplamaları (%13,5) yer aldı. Katılımcıların %71,3'ü, KKDS'nin etkin kullanımındaki temel engelin bilgi ve eğitim eksikliği olduğunu belirtti. Hemşireler, KKDS'yi sertifikasyon süreçleri, hasta güvenliği, operasyonel verimlilik ve kullanılabilirlik açısından orta düzeyde etkili olarak değerlendirdi. Sonuç: Hemşirelerin hemşirelik bilişimi konusunda önemli bir bilgi birikimine sahip olmalarına rağmen, KKDS farkındalıkları ve kullanımı sınırlıdır. KKDS ile etkili bir etkileşim sağlamak için hedefe yönelik hizmet içi eğitimlerin ve sistem iyileştirmelerinin entegre edilmesi kritik öneme sahiptir.

Keywords

• Klinik Karar Destek Sistemleri
• Sağlık Hizmetlerinde Verimlilik
• Hemşirelik Bilişimi
• Hemşire Eğitimi

Supporting Institution

Yoktur

Ethical Statement

Çalışma Ege Üniversitesi Tıbbi Araştırmalar Etik Kurulu'ndan etik onay almıştır (Onay No: 23-8T/59). Hastaneden E-61804347-100-601494 sayılı resmi yazı ile kurum izni alınmıştır. Çalışma Helsinki Bildirgesi ilkelerine uygun olarak yürütülmüştür.

Thanks

Yazarlar bu çalışmaya katılan tüm hemşirelere teşekkür eder.

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