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Information technology from novice to expert: implementation implications
Karen L Courtney1, Gregory L Alexander, George Demiris
1School of Nursing, University of Pittsburgh, Pittsburgh, PA 15261, USA. courtk@pitt.edu
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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