Objective: To evaluate the utilization of computer decision support software by nurse practitioners and the effect on functional outcomes for patients with low back pain.
Design: The DNP project used a cohort study design utilizing a convenience sample of patients with nonspecific low back pain to evaluate the intervention. The study was divided into two phases. During each phase the patients completed the functional tools on initial treatment and then again at approximately six weeks. The initial phase measured outcomes following the clinicians’ current treatment model without benefit of support software. During the second phase, the computerized clinical decision support software was introduced and implemented. The results were compared of Phase I outcomes were compared to the results of Phase II to determine if the software indeed improved functionality with the patient.
Measurements: A change in the patient’s functional outcomes judged whether the treatment plan was effective. The functional tools utilized in the study were the Oswestry Disability Index and the Roland-Morris Questionnaire. The computer decision support software utilized was iOutcomes.
Results: There were 249 patients verbally consenting for this study with 104 individuals electronically signing consent. Of the 249 participants, 104 individuals completed the written consent. Of the 104 individuals giving written consent, only 94 completed the entire registration process. Of the 94 individuals completing the registration process, only 37 completed the initial functional tools assessment. Of the 37 individuals completing the initial functional tools, only 34 completed the 6-week follow up functional tools.
The findings of the pre-treatment and post-treatment did not demonstrate a statistically significant difference with the introduction of the computer decision support software. The mean for the difference in the ODI and the difference of the RDQ was -1.65 (p = 0.177, SD = 6.96). There was no improvement demonstrated between Phase I and Phase II in regards to the introduction of the computer decision support software.
|Advisor:||Lee, O. Danny|
|Commitee:||Tucker, Athena, Wolf, Erich W.|
|School:||Southeastern Louisiana University|
|School Location:||United States -- Louisiana|
|Source:||DAI-B 78/05(E), Dissertation Abstracts International|
|Subjects:||Information Technology, Nursing|
|Keywords:||Best clinical practice, Competence, Computer decision support software, Evidence-based practice, Functional outcomes, Low back pain|
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