AIMS: This paper explores how the Novice-to-Expert Nursing Practice framework can illuminate the challenges of and opportunities in implementing information technology (IT), such as clinical decision support systems (CDSS), in nursing practice. BACKGROUND: IT implementation in health care is increasing; however, substantial costs and risks remain associated with these projects. EVALUATION: The theoretical framework of Novice-to-Expert Nursing Practice was applied to current design and implementation literature for CDSS. KEY ISSUES: Organizational policies and CDSS design affect implementation and user adoption. CONCLUSIONS: Nursing CDSS can improve the overall quality of care when designed for the appropriate end-user group and based on a knowledge base reflecting nursing expertise. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse administrators can positively influence CDSS function and end-user acceptance by participating in and facilitating staff nurse involvement in IT design, planning and implementation. Specific steps for nurse administrators and managers are included in this paper.
AIMS: This paper explores how the Novice-to-Expert Nursing Practice framework can illuminate the challenges of and opportunities in implementing information technology (IT), such as clinical decision support systems (CDSS), in nursing practice. BACKGROUND: IT implementation in health care is increasing; however, substantial costs and risks remain associated with these projects. EVALUATION: The theoretical framework of Novice-to-Expert Nursing Practice was applied to current design and implementation literature for CDSS. KEY ISSUES: Organizational policies and CDSS design affect implementation and user adoption. CONCLUSIONS: Nursing CDSS can improve the overall quality of care when designed for the appropriate end-user group and based on a knowledge base reflecting nursing expertise. IMPLICATIONS FOR NURSING MANAGEMENT: Nurse administrators can positively influence CDSS function and end-user acceptance by participating in and facilitating staff nurse involvement in IT design, planning and implementation. Specific steps for nurse administrators and managers are included in this paper.
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