How organisational factors and clinical decision support system affect nurses' knowledge for decisions in triage

被引：0

作者：

Ippolito, Adelaide ^{[1
]}

Barbera-Marine, Maria Gloria ^{[2
]}

Zollo, Giuseppe ^{[3
]}

Cannavacciuolo, Lorella ^{[3
]}

机构：

[1] Univ Telemat Pegaso, Informat Sci & Technol, Ctr Direz Isola F2, I-80143 Naples, Italy

[2] Univ Rovira & Virgili, Business Management, Reus, Tarragona, Spain

[3] Univ Napoli Federico II, Ind Engn, Naples, Italy

来源：

KNOWLEDGE MANAGEMENT RESEARCH & PRACTICE | 2025年 / 23卷 / 03期

关键词：

Cognitive heuristic; Clinical Decision Support Systems; organisational factors; triage; nurses' knowledge; HEURISTICS; FRUGAL; STRATEGIES; JUDGMENT; RATIONALITY; UNCERTAINTY; CHALLENGES; MANAGEMENT; EXPERT; MODEL;

D O I：

10.1080/14778238.2024.2377973

中图分类号：

G25 [图书馆学、图书馆事业]; G35 [情报学、情报工作];

学科分类号：

1205 ; 120501 ;

摘要：

This paper delves into heuristic decision-making by nurses during the triage process, aiming to elucidate how organisational factors influence nurses' decision-making regarding the assignment of priority codes to patients, and to assess the effectiveness of Clinical Decision Support Systems (CDSS) in this context. Drawing on an experimental dataset of 25 triage cases evaluated by 35 nurses via interviews, the study was conducted in two Spanish Emergency Departments using CDSS. Findings indicate that organisational factors predominantly influence decisions in cases with complete and coherent information. However, in cases where information is incoherent or missing, individual nurse characteristics guide decision-making. Furthermore, it suggests that CDSS should be tailored to nurses' clinical reasoning to serve as effective support for individual decision-making processes.

引用

页码：249 / 262

页数：14

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