Evaluation of computer-generated guidelines for companions of paediatric patients undergoing chemotherapy

Vagner José Lopes1, Marcos Augusto Hochuli Shmeil1

  • 1Pontifícia Universidade Católica do Paraná (PUCPR), Programa de Pós-Graduação em Tecnologia em Saúde. Curitiba, Paraná, Brasil.

Insights

Computer-generated guidelines, aided by a Clinical Decision Support System (CDSS), significantly improved caregiver support for children undergoing chemotherapy. The software enhanced guideline concordance, offering valuable qualitative support for nurses.

Area of Science:

  • Oncology nursing
  • Clinical Decision Support Systems
  • Pediatric oncology

Background:

  • Caregivers of children undergoing chemotherapy require robust support.
  • Clinical Decision Support Systems (CDSS) offer potential to enhance patient care guidelines.

Purpose of the Study:

  • To compare the effectiveness of computer-generated guidelines with and without a CDSS for caregivers of pediatric chemotherapy patients.
  • To evaluate the impact of a CDSS on the quality of care information provided to caregivers.

Main Methods:

  • A quantitative, descriptive, and evaluative study was conducted.
  • 58 participants were divided into two groups: one using standard guidelines, the other using guidelines supplemented by a CDSS (Oncology Care and Healthcare for Chemotherapy Patients).
  • Data were analyzed using the Mann-Whitney U test.

Main Results:

  • A statistically significant difference (p<0.05) was observed.
  • Group 2, utilizing the CDSS, demonstrated a higher average concordance with the guidelines compared to Group 1.

Conclusions:

  • Computer-generated guidelines, particularly when integrated with a CDSS, serve as a valuable qualitative support tool for nurses.
  • The use of a CDSS enhances the effectiveness of guidelines in supporting caregivers of children undergoing chemotherapy.
Abstract

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