2.50
Hdl Handle:
http://hdl.handle.net/10755/155600
Type:
Presentation
Title:
Using a Theoretical Framework to Build a Decision Support System
Abstract:
Using a Theoretical Framework to Build a Decision Support System
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:O'Neill, Eileen S., RN, PhD
P.I. Institution Name:University of MA-Dartmouth
Title:professor
Co-Authors:Nancy M. Dluhy, RN, PhD
Purpose: The N-CODES Project (Novice Computer Decision Support) is developing a point-of-care system to assist novice nurses while making clinical judgments. Unlike prior approaches, N-CODES is guided by a theoretical understanding of nurses’ decision-making including the manner by which novices develop this skill. This paper introduces the theoretical framework that directs the project. Grounding a DSS in a theoretical model of novice nurse decision-making will strengthen the utility and acceptance of the DSS. Framework: Decision-making theory guided the Nurse Decision Making framework (NNDM). The framework is composed of a clinical decision making model and a second nested model depicting clinical reasoning development of the novice. Research Question: How do novice nurses develop and refine their ability to make clinical decisions in the acute care environment? How can knowledge of this process be used in the construction of a decision-support system? Method: The framework is based on an analysis and synthesis of over 100 studies on clinical decision-making. Guided by the framework, the project team is constructing explicit knowledge representations for the computer that fit nurses’ working models. Results: The paper discusses disciple-specific knowledge including the use of pre-encounter data and working memory in making clinical decisions. The analytical, rule-based thinking of the novice are highlighted. Emphasis is placed on the process by which novices identify patterns and develop a sense of saliency in the clinical environment. The framework highlights key steps in decision making such as identifying risk, generating hypotheses, and determining the importance of a clinical observations. Implications: The paper will be of interest to informatics nurses, nurse managers, nurse educators, and nurse scientists interested in improving clinical decision-making. Previous attempts to build comprehensive clinical decision support systems have disregarding important theoretical considerations hindering the success of these projects. Supported by NSF Grant # EIA-0218909
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUsing a Theoretical Framework to Build a Decision Support Systemen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155600-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Using a Theoretical Framework to Build a Decision Support System</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">O'Neill, Eileen S., RN, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of MA-Dartmouth</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">eoneill1@verizon.net</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Nancy M. Dluhy, RN, PhD</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The N-CODES Project (Novice Computer Decision Support) is developing a point-of-care system to assist novice nurses while making clinical judgments. Unlike prior approaches, N-CODES is guided by a theoretical understanding of nurses&rsquo; decision-making including the manner by which novices develop this skill. This paper introduces the theoretical framework that directs the project. Grounding a DSS in a theoretical model of novice nurse decision-making will strengthen the utility and acceptance of the DSS. Framework: Decision-making theory guided the Nurse Decision Making framework (NNDM). The framework is composed of a clinical decision making model and a second nested model depicting clinical reasoning development of the novice. Research Question: How do novice nurses develop and refine their ability to make clinical decisions in the acute care environment? How can knowledge of this process be used in the construction of a decision-support system? Method: The framework is based on an analysis and synthesis of over 100 studies on clinical decision-making. Guided by the framework, the project team is constructing explicit knowledge representations for the computer that fit nurses&rsquo; working models. Results: The paper discusses disciple-specific knowledge including the use of pre-encounter data and working memory in making clinical decisions. The analytical, rule-based thinking of the novice are highlighted. Emphasis is placed on the process by which novices identify patterns and develop a sense of saliency in the clinical environment. The framework highlights key steps in decision making such as identifying risk, generating hypotheses, and determining the importance of a clinical observations. Implications: The paper will be of interest to informatics nurses, nurse managers, nurse educators, and nurse scientists interested in improving clinical decision-making. Previous attempts to build comprehensive clinical decision support systems have disregarding important theoretical considerations hindering the success of these projects. Supported by NSF Grant # EIA-0218909</td></tr></table>en_GB
dc.date.available2011-10-26T13:59:37Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T13:59:37Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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