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CIN: Computers, Informatics, Nursing:
doi: 10.1097/01.NCN.0000437379.78178.14

Features of Computerized Clinical Decision Support Systems Supportive of Nursing Practice: A Literature Review

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Back to Top | Article Outline


GENERAL PURPOSE: To familiarize the nurse with a literature review designed to organize the features of clinical decision support systems (CDSSs) useful for nursing practice.

LEARNING OBJECTIVES: After reading this article and taking this test, the nurse will be able to:

1. Describe the importance of CDSSs for nursing practice.

2. Discuss the methodology, results, and implications of the literature review.

1. According to the Institute of Medicine, information systems are essential not only to enhance quality and efficiency of patient care but also to support clinical

a. technologies.

b. decision making.

c. knowledge.

d. outcomes.

2. CDSSs assist nurses in using

a. government standards.

b. their own knowledge.

c. institution-based decision making.

d. standardized rule-driven decision making.

3. CDSS predesigned forms help decision making for nurses because they

a. focus on relevant assessment components.

b. provide for ease of documentation.

c. present the full scope of components that should be included.

d. eliminate biases and intuition.

4. Features of CDSSs useful for nursing practice include all except

a. cost analysis.

b. care plans.

c. assessment.

d. outcome evaluation.

5. Inclusion criteria for the literature review included studies that

a. were published in peer-reviewed journals.

b. were presented at scientific conferences.

c. included at least three study features.

d. included all study features.

6. How many studies were included in the literature review?

a. 17

b. 27

c. 37

d. 47

7. How many of the studies reviewed were system development studies?

a. 10

b. 17

c. 20

d. 27

8. Which sequential decision support functions of CDSSs were addressed in all of the studies reviewed?

a. assessment and care plans

b. assessment and implementation

c. problem identification and care plans

d. implementation and outcome evaluation

9. Who initiated the electronic assessment form in most of the CDSSs reviewed?

a. admissions clerk

b. physician

c. nurse

d. patient

10. Which was an identified benefit of the CDSSs to patients and nurses?

a. improved patient outcomes

b. simplified nurses’ work

c. improved nurses’ documentation

d. complemented nurses’ skills

11. An identified problem of the CDSSs was

a. inability to access the computer.

b. program integration.

c. integration with nurses’ workflow.

d. system documentation.

12. Features of CDSSs used for nursing practice that were common among all of the CDSSs reviewed included availability at the point of care and use for

a. a clinical routine.

b. a clinical protocol.

c. documentation.

d. patient care assignments.

13. Decision support in the implementation step was grounded on

a. evidence from the literature.

b. patient assessment data.

c. the performance of nurses.

d. physician orders.

14. Which nursing care function was not included in most of the CDSSs reviewed?

a. problem identification

b. care plan

c. implementation

d. outcome evaluation

15. As grounded in the review, the first key step of a CDSS for sequential decision support was

a. patient assessment.

b. problem identification.

c. care plan.

d. outcome evaluation.

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