The Impact of Electronic Knowledge-Based Nursing Content and Decision-Support on Nursing-Sensitive Patient Outcomes

Abstract

Background: Advances in health information technology (HIT) and the use of evidence-based (EB), clinical decision support (CDS) tools in electronic health records (EHR) hold great promise. Researchers report that EHR technology may be an effective vehicle for providing EB information to clinicians, but little is known about how electronic innovations work to support nurses to know and use best practices to achieve optimal patient outcomes. Objective: This study was designed to evaluate the impact of the Knowledge-Based Nursing (KBN) innovation, a customized design featuring actionable EB recommendations embedded into policy and the content and CDS tools in the EHR to support nurses to use best practices for six phenomena (pain, medication adherence, depression/suicide, fall risk, pressure ulcer risk/actual, and delirium) to improve patient outcomes. The study was guided by the Dissemination and Implementation of Evidence-based Policy Framework (adapted from Dodson, Brownson, & Weiss, 2012) to evaluate the impact of the innovation under usual deployment conditions and to see if unit-based implementation strategies could improve the effectiveness of the innovation over time.

Open PDF

Document Details

Document Type
Technical Report
Publication Date
Feb 01, 2016
Accession Number
ADA636998

Entities

People

  • Mary L. Hook

Organizations

  • Aurora Health Care

Tags

DTIC Thesaurus Topics

  • Abstracts
  • Best Practices
  • Department Of Defense
  • Deployment
  • Education
  • Electronic Mail
  • Health Care
  • Health Services
  • Information Systems
  • Institutional Review Board
  • Medical Personnel
  • Organizational Structure
  • Patient Care
  • Personnel Management
  • Skin Diseases
  • Students
  • Training

Fields of Study

  • Medicine

Readers

  • Medical or Health Care Field.
  • Organizational Process Management (OPM).

Technology Areas

  • Microelectronics