Johansson-Pajala Rose-Marie, Gustafsson Lena-Karin, Jorsäter Blomgren Kerstin, Fastbom Johan, Martin Lene
School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Aging Research Center, Karolinska Institutet and Stockholm University, Stockholm, Sweden.
J Nurs Manag. 2017 Jan;25(1):56-64. doi: 10.1111/jonm.12430. Epub 2016 Sep 13.
To describe variations in nurses' perceptions of using a computerised decision support system (CDSS) in drug monitoring.
There is an increasing focus on incorporating informatics into registered nurses' (RNs) clinical practice. Insight into RNs' perceptions of using a CDSS in drug monitoring can provide a basis for further development of safer practices in drug management.
A qualitative interview study of 16 RNs. Data were analysed using a phenomenographic approach.
The RNs perceived a variety of aspects of using a CDSS in drug monitoring. Aspects of 'time' were evident, as was giving a 'standardisation' to the clinical work. There were perceptions of effects of obtained knowledge and 'evidence' and the division of 'responsibilities' between RNs and physicians of using the CDSS.
The RNs perceived a CDSS as supportive in drug monitoring, in terms of promoting standardised routines, team-collaboration and providing possibilities for evidence-based clinical practice.
Implementing a CDSS seems to be one feasible strategy to improve RNs' preconditions for safe drug management. Nurse managers' engagement and support in this process are vital for a successful result.
