住院护士的偏好和决定与风险信息可视化和可视化
Alvin D Jeffery1,2,3, Carrie Reale4,5, Janelle Faiman4,5
1School of Nursing, Vanderbilt University, Nashville, TN 37240, United States.
Journal of the American Medical Informatics Association : JAMIA
|October 30, 2023
概括
护士们更喜欢在临床决策支持系统中的风险信息的概率格式. 用趋势图表将风险呈现为概率,改善了护士的决策一致性.
科学领域:
- 医疗信息学 医疗信息学
- 护理信息学 护理信息学
- 人与计算机的交互
背景情况:
- 临床决策支持系统 (CDSS) 对于管理急性临床恶化至关重要.
- 在CDSS中有效地呈现风险信息对于准确的临床决策至关重要.
- 护士的偏好和对风险数据的理解显著影响CDSS的可用性和有效性.
研究的目的:
- 评估四种不同的风险信息格式对住院护士在急性临床恶化的偏好和决策的影响.
- 确定向护士提供量化风险数据的最佳方法,以提高临床判断力.
主要方法:
- 在模拟环境中进行了比较可用性评估.
- 使用大声思考方法收集了定性数据.
- 通过评估护士对三个患者场景的反应,以不同的风险信息格式呈现的行为来收集定量数据.
主要成果:
- 大多数护士 (n=6) 更喜欢概率格式,而不是相对风险比率 (n=2),绝对差异 (n=2) 和每100人中的人数 (n=0).
- 护士们喜欢带有平均线和一致的颜色编码的趋势图,而不喜欢过度的文本和自信间隔.
- 与其他格式相比,概率格式在护士的决策中显示出更大的一致性.
结论:
- 以概率形式呈现风险信息,并补充趋势图,为设计有效的住院护士CDSS提供了宝贵的见解.
- 未来针对护士的CDSS开发应该优先考虑基于概率的风险显示和图形趋势表示,以改善临床决策支持.
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