Adoption and sustainability of decision support for patients facing health decisions: an implementation case study in nursing
2006

Nurses' Adoption of Decision Support Protocols

Sample size: 31 publication 10 minutes Evidence: moderate

Author Information

Author(s): Stacey Dawn, Pomey Marie-Pascale, O'Connor Annette M, Graham Ian D

Primary Institution: University of Ottawa

Hypothesis

What factors influence the adoption and sustainability of decision support protocols by call center nurses?

Conclusion

Most nurses adopted the decision support protocol, but sustainability requires addressing barriers in the practice environment.

Supporting Evidence

  • Twenty-five of 31 nurses responded to the survey measuring adoption of decision support in practice.
  • Eleven of the 25 nurses used the decision support protocol within one month of the intervention.
  • Ninety-two percent of nurses intended to use the protocol within the next three months.
  • Nurses reported improved recognition of callers needing decision support.

Takeaway

Nurses learned to help patients make better health decisions using a new support protocol, but they need more help to keep using it.

Methodology

Exploratory case study using surveys, focus groups, and interviews to assess nurses' adoption of a decision support protocol.

Potential Biases

Self-report bias in survey responses.

Limitations

Potential for non-response bias and self-report bias; short evaluation period.

Participant Demographics

Participants included 31 nurses from a Canadian call center, predominantly female with varied nursing experience.

Statistical Information

P-Value

p<0.05

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1748-5908-1-17

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