2.50
Hdl Handle:
http://hdl.handle.net/10755/163317
Category:
Abstract
Type:
Presentation
Title:
Improving Clinical Practice through Outcomes-Focused Knowledge Translation
Author(s):
Doran, Diane Marie; Dipietro, Tammie; Cranley, Lisa
Author Details:
Diane Marie Doran, RN, PhD, FCAHS, University of Toronto, Toronto, Ontario, Canada, email: diane.doran@utoronto.ca; Tammie Dipietro, RN, MN; Lisa Cranley, RN, MN
Abstract:
Purpose: The study evaluated the effectiveness of a point-of-care decision support intervention for improving nurses' clinical decision-making and evidence-based practice. Theoretical Framework: The Outcomes-Focused Knowledge Translation framework (Doran & Sidani) guided the design of the intervention. It involves four components: 1) patient outcomes measurement and real-time feedback about outcomes achievement; 2) best-practice guidelines, imbedded in decision support tools; 3) clarification of patients' preferences for care; and 4) facilitation. Nurses used handheld computers to simultaneously document patients' responses to treatment, obtain real-time feedback about patient outcomes, and access electronic resources, such as drug references and best-practice guidelines, to support clinical decision-making. Methods (Design, Sample, Setting, Measures, Analysis): A randomized cross-over design was used to compare the usability of the PDA system with a bedside computer and to assess its impact on nurses' clinical decision making. Nurse subjects were presented with a task that involved assessing a standardized patient in a laboratory setting. The sample consisted of 42 nurses. Outcome measures included: i) debriefing with interview; ii) usability questionnaire; and iii) timing between the onset of the patient's problem and the corrective action taken. Descriptive statistics of questionnaire data and content analysis of video and debriefing data were conducted. Results: On a scale of 1 to 9, the highest-rated items from the usability questionnaire were ease of entering patient information (7.8), screen image (7.7), amount of information on screen (7.6), and screen layout (7.5). There was no difference in clinical decision making time between the PDA and laptop users. Interview data indicated the PDAs provided nurses with greater access to mobile information in closer proximity to the patient. Conclusions and Implications: The prototype system has the potential to improve ease of health information documentation and health information utilization. Field testing is currently underway to evaluate the generalizability of the findings to real world settings.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
19th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
Providence, Rhode Island, USA
Description:
Conference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImproving Clinical Practice through Outcomes-Focused Knowledge Translationen_GB
dc.contributor.authorDoran, Diane Marieen_US
dc.contributor.authorDipietro, Tammieen_US
dc.contributor.authorCranley, Lisaen_US
dc.author.detailsDiane Marie Doran, RN, PhD, FCAHS, University of Toronto, Toronto, Ontario, Canada, email: diane.doran@utoronto.ca; Tammie Dipietro, RN, MN; Lisa Cranley, RN, MNen_US
dc.identifier.urihttp://hdl.handle.net/10755/163317-
dc.description.abstractPurpose: The study evaluated the effectiveness of a point-of-care decision support intervention for improving nurses' clinical decision-making and evidence-based practice. Theoretical Framework: The Outcomes-Focused Knowledge Translation framework (Doran & Sidani) guided the design of the intervention. It involves four components: 1) patient outcomes measurement and real-time feedback about outcomes achievement; 2) best-practice guidelines, imbedded in decision support tools; 3) clarification of patients' preferences for care; and 4) facilitation. Nurses used handheld computers to simultaneously document patients' responses to treatment, obtain real-time feedback about patient outcomes, and access electronic resources, such as drug references and best-practice guidelines, to support clinical decision-making. Methods (Design, Sample, Setting, Measures, Analysis): A randomized cross-over design was used to compare the usability of the PDA system with a bedside computer and to assess its impact on nurses' clinical decision making. Nurse subjects were presented with a task that involved assessing a standardized patient in a laboratory setting. The sample consisted of 42 nurses. Outcome measures included: i) debriefing with interview; ii) usability questionnaire; and iii) timing between the onset of the patient's problem and the corrective action taken. Descriptive statistics of questionnaire data and content analysis of video and debriefing data were conducted. Results: On a scale of 1 to 9, the highest-rated items from the usability questionnaire were ease of entering patient information (7.8), screen image (7.7), amount of information on screen (7.6), and screen layout (7.5). There was no difference in clinical decision making time between the PDA and laptop users. Interview data indicated the PDAs provided nurses with greater access to mobile information in closer proximity to the patient. Conclusions and Implications: The prototype system has the potential to improve ease of health information documentation and health information utilization. Field testing is currently underway to evaluate the generalizability of the findings to real world settings.en_GB
dc.date.available2011-10-27T11:05:20Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:05:20Z-
dc.conference.date2007en_US
dc.conference.name19th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationProvidence, Rhode Island, USAen_US
dc.descriptionConference theme: Building Communities of Scholarship and Research, held April 12-14, 2007 at The Westin Providence.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.