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首页> 外文期刊>BMC Medical Informatics and Decision Making >Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients
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Perceived barriers of heart failure nurses and cardiologists in using clinical decision support systems in the treatment of heart failure patients

机译：心力衰竭护士和心脏病专家在使用临床决策支持系统治疗心力衰竭患者时的感知障碍

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Background Clinical Decision Support Systems (CDSSs) can support guideline adherence in heart failure (HF) patients. However, the use of CDSSs is limited and barriers in working with CDSSs have been described as a major obstacle. It is unknown if barriers to CDSSs are present and differ between HF nurses and cardiologists. Therefore the aims of this study are; 1. Explore the type and number of perceived barriers of HF nurses and cardiologists to use a CDSS in the treatment of HF patients. 2. Explore possible differences in perceived barriers between two groups. 3. Assess the relevance and influence of knowledge management (KM) on Responsibility/Trust (R&T) and Barriers/Threats (B&T). Methods A questionnaire was developed including; B&T, R&T, and KM. For analyses, descriptive techniques, 2-tailed Pearson correlation tests, and multiple regression analyses were performed. Results The response- rate of 220 questionnaires was 74%. Barriers were found for cardiologists and HF nurses in all the constructs. Sixty-five percent did not want to be dependent on a CDSS. Nevertheless thirty-six percent of HF nurses and 50% of cardiologists stated that a CDSS can optimize HF medication. No relationship between constructs and age; gender; years of work experience; general computer experience and email/internet were observed. In the group of HF nurses a positive correlation (r .33, PB=.55, P=B=.50, P= Conclusions Both cardiologists and HF-nurses perceived barriers in working with a CDSS in all of the examined constructs. KM has a strong positive correlation with perceived barriers, indicating that increasing knowledge about CDSSs can decrease their barriers.
机译：背景临床决策支持系统（CDSS）可以支持心力衰竭（HF）患者的指南依从性。但是，CDSS的使用受到限制，使用CDSS的障碍已被描述为主要障碍。目前尚不清楚是否存在CDSS障碍，并且高频护士和心脏病医生之间是否存在障碍。因此，本研究的目的是： 1.探索心衰护士和心脏病医生使用CDSS治疗心衰患者的障碍的类型和数量。 2.探索两组之间在感知障碍方面可能存在的差异。 3.评估知识管理（KM）对责任/信任（R＆T）和障碍/威胁（B＆T）的相关性和影响。方法编制问卷，包括： B＆T，R＆T和KM。为了进行分析，进行了描述性技术，2尾Pearson相关检验和多元回归分析。结果220份问卷的答复率为74％。在所有结构中都发现了对心脏病医生和HF护士的障碍。 65％的人不希望依赖CDSS。尽管如此，仍有36％的HF护士和50％的心脏病专家表示CDSS可以优化HF药物治疗。结构与年龄之间没有关系;性别;多年工作经验;观察到一般的计算机体验和电子邮件/互联网。在HF护士组中，存在正相关（r .33，PB = .55，P = B = .50，P =结论）心脏病专家和HF护士均察觉到在所有检查过的结构中使用CDSS的障碍。与感知障碍有很强的正相关关系，这表明增加对CDSS的了解可以减少障碍。

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