BMC Med Inform Decis Mak - Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients.

Tópicos

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Resumo

CKGROUND: Clinical Decision Support Systems (CDSSs) can support guideline adherence in heart failure (HF) patients. However, the use of CDSSs is limited and barriers in working with CDSSs have been described as a major obstacle. It is unknown if barriers to CDSSs are present and differ between HF nurses and cardiologists. Therefore the aims of this study are; 1. Explore the type and number of perceived barriers of HF nurses and cardiologists to use a CDSS in the treatment of HF patients. 2. Explore possible differences in perceived barriers between two groups. 3. Assess the relevance and influence of knowledge management (KM) on Responsibility/Trust (R&T) and Barriers/Threats (B&T).METHODS: A questionnaire was developed including; B&T, R&T, and KM. For analyses, descriptive techniques, 2-tailed Pearson correlation tests, and multiple regression analyses were performed.RESULTS: The response- rate of 220 questionnaires was 74%. Barriers were found for cardiologists and HF nurses in all the constructs. Sixty-five percent did not want to be dependent on a CDSS. Nevertheless thirty-six percent of HF nurses and 50% of cardiologists stated that a CDSS can optimize HF medication. No relationship between constructs and age; gender; years of work experience; general computer experience and email/internet were observed. In the group of HF nurses a positive correlation (r .33, P<.01) between years of using the internet and R&T was found. In both groups KM was associated with the constructs B&T (B=.55, P=<.01) and R&T (B=.50, P=<.01).CONCLUSIONS: Both cardiologists and HF-nurses perceived barriers in working with a CDSS in all of the examined constructs. KM has a strong positive correlation with perceived barriers, indicating that increasing knowledge about CDSSs can decrease their barriers.

Resumo Limpo

ckground clinic decis support system cdsss can support guidelin adher heart failur hf patient howev use cdsss limit barrier work cdsss describ major obstacl unknown barrier cdsss present differ hf nurs cardiologist therefor aim studi explor type number perceiv barrier hf nurs cardiologist use cdss treatment hf patient explor possibl differ perceiv barrier two group assess relev influenc knowledg manag km responsibilitytrust rt barriersthreat btmethod questionnair develop includ bt rt km analys descript techniqu tail pearson correl test multipl regress analys performedresult respons rate questionnair barrier found cardiologist hf nurs construct sixtyf percent want depend cdss nevertheless thirtysix percent hf nurs cardiologist state cdss can optim hf medic relationship construct age gender year work experi general comput experi emailinternet observ group hf nurs posit correl r p year use internet rt found group km associ construct bt b p rt b pconclus cardiologist hfnurs perceiv barrier work cdss examin construct km strong posit correl perceiv barrier indic increas knowledg cdsss can decreas barrier

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