Hovde Birgit, Jensen Kari H, Alexander Gregory L, Fossum Mariann
University of Agder, Grimstad, Norway Innlandet Hospital Trust, Norway
University of Agder, Grimstad, Norway.
West J Nurs Res. 2015 Jul;37(7):877-98. doi: 10.1177/0193945915577430. Epub 2015 Mar 27.
Computerized clinical guidelines are frequently used to translate research into evidence-based behavioral practices and to improve patient outcomes. The purpose of this integrative review is to summarize the factors influencing nurses' use of computerized clinical guidelines and the effects of nurses' use of computerized clinical guidelines on patient safety improvements in hospitals. The Embase, Medline Complete, and Cochrane databases were searched for relevant literature published from 2000 to January 2013. The matrix method was used, and a total of 16 papers were included in the final review. The studies were assessed for quality with the Critical Appraisal Skills Program. The studies focused on nurses' adherence to guidelines and on improved patient care and patient outcomes as benefits of using computerized clinical guidelines. The nurses' use of computerized clinical guidelines demonstrated improvements in care processes; however, the evidence for an effect of computerized clinical guidelines on patient safety remains limited.
计算机化临床指南经常被用于将研究转化为基于证据的行为实践，并改善患者预后。本综合综述的目的是总结影响护士使用计算机化临床指南的因素，以及护士使用计算机化临床指南对提高医院患者安全的效果。检索了Embase、Medline Complete和Cochrane数据库中2000年至2013年1月发表的相关文献。采用矩阵法，最终纳入综述的共有16篇论文。使用批判性评估技能计划对这些研究进行质量评估。这些研究关注护士对指南的遵守情况，以及使用计算机化临床指南带来的改善患者护理和患者预后的益处。护士使用计算机化临床指南显示护理过程有所改善；然而，计算机化临床指南对患者安全产生影响的证据仍然有限。
