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Updated: Apr 1, 2026

Using Learning Outcome Measures to assess Doctoral Nursing Education
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Technology and the issues facing nursing assessment.

Helen Ansell1, Alannah Meyer2, Shona Thompson3

  • 1Nurse Educator, Hawke's Bay District Health Board, Hawke's Bay, New Zealand.

British Journal of Nursing (Mark Allen Publishing)
|October 1, 2015
PubMed
Summary
This summary is machine-generated.

Technology and early warning systems impact nurse decision-making during patient assessments, potentially limiting critical thinking. Nurse autonomy often conflicts with hospital policies and algorithms.

Keywords:
Early warning systemsNurse autonomyTechnology

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Area of Science:

  • Nursing
  • Health Informatics
  • Healthcare Management

Background:

  • Nursing assessment is crucial for patient care.
  • Technology integration in healthcare presents both opportunities and challenges.
  • Understanding nurses' experiences with new technologies is vital.

Purpose of the Study:

  • To investigate the impact of technology on nursing assessment.
  • To explore the challenges nurses face in technology-enabled healthcare environments.
  • To examine the influence of early warning systems and nurse autonomy.

Main Methods:

  • Qualitative, descriptive research design.
  • Semi-structured interviews with ten ward nurses in New Zealand.
  • Thematic analysis of interview data.

Main Results:

  • Technology and Early Warning Scores significantly influence clinical decision-making in nursing assessments.
  • Nurses' critical thinking may be compromised in complex, technology-driven environments.
  • A conflict exists between theoretical nurse autonomy and practical hospital risk-management policies.

Conclusions:

  • Technological integration requires careful consideration of its effect on nursing practice and autonomy.
  • Hospital policies and prescriptive algorithms can restrict nurses' ability to exercise autonomous judgment.
  • Further research is needed to balance technological advancements with professional nursing autonomy.