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Nurses' experiences of using a computer-based triage decision support system in the emergency department
Songül Bişkin Çetin1, Fatma Cebeci2
1Department of Surgical Nursing, Akdeniz University, Antalya, Turkey.
Nursing in Critical Care
|February 5, 2024
Summary
Emergency department nurses find computer-based triage decision support systems helpful for decision-making and professional development. However, system performance and user interface improvements are needed for optimal efficiency.
Area of Science:
- Nursing Informatics
- Healthcare Decision Support Systems
- Emergency Medicine
Background:
- Emergency department (ED) triage is a critical decision-making process.
- Limited understanding exists regarding nurses' experiences with triage decision support systems (TDSS) in EDs.
Purpose of the Study:
- To examine emergency department nurses' experiences with a computer-based triage decision support system.
Main Methods:
- Qualitative phenomenological study involving 14 triage nurses.
- Data collected via semi-structured interviews, recorded, transcribed, and analyzed using inductive content analysis.
Main Results:
- Nurses reported TDSS facilitated decision-making, aided in dilemmas, enhanced collaboration, and reduced errors.
- The system supported professionalism by aiding teaching, maintaining autonomy, and promoting evidence-based practice.
- Areas for improvement included reducing screen clicks, optimizing system performance, and refining clinical descriptors within the algorithm.
Conclusions:
- Triage decision support systems are perceived as beneficial, supporting nurses' clinical judgment and autonomy.
- The system can aid in educating new triage nurses.
- Technical improvements are necessary to enhance system efficiency and user experience.
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