World Library  

Add to Book Shelf
Flag as Inappropriate
Email this Book

Impacts of Clinical Decision Support Technology on Nursing and Medical Practice in U.S. Critical Car

By Weber, Scott

Click here to view

Book Id: WPLBN0003761370
Format Type: PDF eBook :
File Size:
Reproduction Date: 2015

Title: Impacts of Clinical Decision Support Technology on Nursing and Medical Practice in U.S. Critical Car  
Author: Weber, Scott
Language: English
Subject: Programming, Medical, Nursing
Collections: Technical eBooks and Manuals Collection, Technical Books Center Collection
Publication Date:
Publisher: University of Pittsburgh School of Nursing


APA MLA Chicago

Weber, S. (n.d.). Impacts of Clinical Decision Support Technology on Nursing and Medical Practice in U.S. Critical Car. Retrieved from

Description: Intensive care units (ICUs) are settings in which ethical and other practice dilemmas often arise. This conflicted work environment has the potential to powerfully impact staff. In fact, 45% of ICU nurses reported having left or considered leaving a position because of distress over professional decision-making and ethical practice (Hamric & Blackhall, 2007). Healthcare professionals rate situations in which they are essured to prolong aggressive care as one of the most distressing (Hamric & Blackhall, 2007). Similarly, nurses and physicians cite uncertainty over matters such as “do not resuscitate” orders as problematic (Brett, 2002). Some family members have unrealistic expectations for the survival or recoveries of their loved ones. One study demonstrated that unrealistic family expectations are related to increased resource utilization without significant survival benefit (Berge, et al., 2005). Finally, another issue is the fact that nurses and physicians rate the ommunication between providers, patients and families as poor (Brett, 2002). At the point of care level, many U.S. hospitals have implemented one type of information technology called a clinical decision support system (CDSS). Some of these systems are designed to assist clinicians, patients and families in making difficult treatment decisions. The goal of the plementation of such systems is to provide clinicians with an additional source of objective information for clinical decision-making. Although there is evidence on the accuracy and implementation of these systems, little exists in the literature about how nurses and physicians use or experience the system, especially in critical, life and death patient care decisions. Unit culture can also affect timing of end of life decision-making and use of technologies (Baggs, et al., 2007). Therefore understanding the pattern of CDSS use within the unit is also important in understanding individual clinician use of CDSS output in decision- aking with families and patients.


Click To View

Additional Books

  • Nursing Lecture Notes (by )
  • An Online Stress Management Training Pro... (by )
  • Handbook for Advanced Practice Nurse Ser... (by )
  • Obstetric and Gynecological Nursing (by )
  • The Canadian Nurse Volume 2 (by )
  • Clinical Neuroanatomy for Undergraduates (by )
  • I know a nurse (by )
  • Child Abuse and Neglect (by )
  • Computer Systems: a Programmer’s Perspec... (by )
  • Tar Heel Nurse [serial] Volume: 16 (1954) (by )
  • Nursing Student Utilization of Clinical ... (by )
  • The Design of Approximation Algorithms (by )
Scroll Left
Scroll Right


Copyright © World Library Foundation. All rights reserved. eBooks from World eBook Library on the Kindle are sponsored by the World Library Foundation,
a 501c(4) Member's Support Non-Profit Organization, and is NOT affiliated with any governmental agency or department.