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Pathways to Utilisation: Structural Equation Models Comparing Intranet Guidelines and a CDSS.

Florian Kücking1, Hanna Burkhalter2, Ann-Kristin Rotegård3

  • 1Research Centre of Health and Social Informatics, Osnabrück University of Appl. Sci., Osnabrück, Germany.

Studies in Health Technology and Informatics
|October 3, 2025
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Summary
This summary is machine-generated.

Implementing clinical decision support systems (CDSS) requires organizational support and social influence. Successful adoption also needs trust and knowledge to reduce perceived effort and enhance healthcare practice.

Keywords:
Clinical Decision Support SystemsEvidence-based practiceTechnology Acceptance

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Area of Science:

  • Healthcare Informatics
  • Nursing Practice
  • Technology Adoption

Background:

  • Evidence-based practice implementation faces challenges in healthcare.
  • This study examines factors influencing system use during the transition from an intranet folder system (IFS) to a Clinical Decision Support System (CDSS).

Purpose of the Study:

  • To investigate how factors influencing system use change during the transition from an IFS to a CDSS.
  • To identify key determinants of system utilization in healthcare settings.

Main Methods:

  • A two-wave survey was conducted among nursing staff at a Swiss hospital.
  • Data included system utilization, Evidence-Based Nursing (EBN) factors, Unified Theory of Acceptance and Use of Technology (UTAUT) variables, and demographics.
  • Structural equation modeling was used to analyze the data.

Main Results:

  • Facilitating Conditions and Social Influence significantly impacted utilization for both IFS and CDSS.
  • Evidence-Based Nursing factors, specifically Trust and Knowledge, influenced Effort Expectancy only in the CDSS model.
  • Organizational and social factors consistently promote system use.

Conclusions:

  • Successful CDSS adoption requires building trust in the technology and expanding knowledge to reduce perceived effort.
  • Targeted training, structural support, and social endorsement are crucial for effective CDSS implementation in clinical practice.