Dissertation/Thesis Abstract

Measuring active clinical decision support influence on nursing research utilization
by Cortez, Susan, Ph.D., University of Phoenix, 2014, 193; 3583281
Abstract (Summary)

The focus of the research was to test the effect of Clinical Decision support on nursing evidence-based practice. The research method was quantitative with a longitudinal cluster randomized design. The study measured the effect of active clinical decision support on oncology nursing evidence-based practice in four oncology clinics associated with an academic medical center. The quasi-experimental study design contained an intervention and control group. The study intervention was active clinical decision support in the form of evidence-based drop down boxes in the nursing electronic documentation system. The total sample observations were 600, derived from a baseline sample of 200, post-education sample of 200, and a post-intervention sample of 200 observations. Electronic algorithms pulled the study sample observations randomly from the nursing documentation system database. The sample observations were nurse documented interventions for cancer-related symptoms. The interventions were scored as evidence-based or not evidence-based according to the Oncology Nursing Society (ONS) Putting Evidence Into Practice (PEP) guidelines. The study length was 11 weeks. Mixed model linear statistical analysis resulted in an F statistic for the interaction effect of study group and cycle (F(df=2,593)= 1.37, p= .255) which was not statistically significant. The average research utilization rate at baseline for both groups was 27%. After education, the average nursing evidence-based practice rate increased to 36.5% and then decreased back to 26% in the post-intervention sample. The active clinical decision support intervention did not influence an increase in nursing evidence-based practice rates.

Indexing (document details)
Advisor: Kozik, Teri
Commitee:
School: University of Phoenix
Department: Nursing
School Location: United States -- Arizona
Source: DAI-B 75/10(E), Dissertation Abstracts International
Source Type: DISSERTATION
Subjects: Health sciences, Nursing, Health care management
Keywords: CDS, Clinical decision support, EBP, Evidence based practice, Mixed model analysis
Publication Number: 3583281
ISBN: 9781321131079
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