Development and Alpha Testing the Self-Management to Prevent (STOP) Stroke Tool

2.50
Hdl Handle:
http://hdl.handle.net/10755/156070
Type:
Presentation
Title:
Development and Alpha Testing the Self-Management to Prevent (STOP) Stroke Tool
Abstract:
Development and Alpha Testing the Self-Management to Prevent (STOP) Stroke Tool
Conference Sponsor:Sigma Theta Tau International
Conference Year:2009
Author:Willson, Pamela, RN, PhD, FNP, BC
P.I. Institution Name:Elsevier Publishing
Title:Director of Research
Co-Authors:Jane A. Anderson, PhD
[Research Presentation] The Self-management To Prevent (STOP) Stroke Tool is a clinical decision support system that guides nurse practitioners and other clinicians in evidence-based secondary stroke prevention. The tool prompts clinicians on secondary stroke prevention clinical practice guidelines (CPGs), and links to printable patient education materials and self-management action plans. Purpose: The purpose of this study was to complete Alpha testing on the tool. Multiple iterative testing cycles with end-user evaluation were completed. Testing was designed to validate the functionality of each component of the tool and to determine overall usability among a sample of multidisciplinary clinicians. Methods: A before/after design and descriptive methods were utilized. The predominant functionality feature tested was automated prompting and documentation of secondary stroke prevention CPGs in the electronic medical record. To test this functionality, provider documentation of CPGs was compared among a sample of multidisciplinary providers (N=15) using test case scenarios and two documentation systems, standard vs. the STOP Stroke Tool. Usability was evaluated with an investigator-developed questionnaire and one open-ended question. Nonparametric and descriptive statistics were used to analyze the data. Results: The STOP Stroke Tool prompted a significant increase (p less than or equal to .05) in providers' documentation for 6 of 11 CPGs (55%) as compared to baseline documentation while using the standard system. Out of a possible 56 points, usability was scored high (M = 48.9, SD = 6.8). No significant differences were found among provider types on total usability scores indicating a consensus for high usability of the tool across all provider types. Conclusion: This research supports the effectiveness of providing CDSS within the electronic medical record to provide clinicians immediate access to evidence-based recommendations. Clinicians are more apt to use and apply the recommendations for evidence-based care when automatic decision support is incorporated as part of their established workflow.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDevelopment and Alpha Testing the Self-Management to Prevent (STOP) Stroke Toolen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156070-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Development and Alpha Testing the Self-Management to Prevent (STOP) Stroke Tool</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">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Willson, Pamela, RN, PhD, FNP, BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Elsevier Publishing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pawillson@elsevier.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Jane A. Anderson, PhD</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] The Self-management To Prevent (STOP) Stroke Tool is a clinical decision support system that guides nurse practitioners and other clinicians in evidence-based secondary stroke prevention. The tool prompts clinicians on secondary stroke prevention clinical practice guidelines (CPGs), and links to printable patient education materials and self-management action plans. Purpose: The purpose of this study was to complete Alpha testing on the tool. Multiple iterative testing cycles with end-user evaluation were completed. Testing was designed to validate the functionality of each component of the tool and to determine overall usability among a sample of multidisciplinary clinicians. Methods: A before/after design and descriptive methods were utilized. The predominant functionality feature tested was automated prompting and documentation of secondary stroke prevention CPGs in the electronic medical record. To test this functionality, provider documentation of CPGs was compared among a sample of multidisciplinary providers (N=15) using test case scenarios and two documentation systems, standard vs. the STOP Stroke Tool. Usability was evaluated with an investigator-developed questionnaire and one open-ended question. Nonparametric and descriptive statistics were used to analyze the data. Results: The STOP Stroke Tool prompted a significant increase (p less than or equal to .05) in providers' documentation for 6 of 11 CPGs (55%) as compared to baseline documentation while using the standard system. Out of a possible 56 points, usability was scored high (M = 48.9, SD = 6.8). No significant differences were found among provider types on total usability scores indicating a consensus for high usability of the tool across all provider types. Conclusion: This research supports the effectiveness of providing CDSS within the electronic medical record to provide clinicians immediate access to evidence-based recommendations. Clinicians are more apt to use and apply the recommendations for evidence-based care when automatic decision support is incorporated as part of their established workflow.</td></tr></table>en_GB
dc.date.available2011-10-26T14:25:32Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T14:25:32Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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