Development and Implementation of the Clinical Decision Support System for Patients With Cancer and Nurses' Experiences Regarding the System.

ABSTRACT

PURPOSE: The purpose of this study was to develop and implement the clinical decision support system (CDSS) for oncology nurses in the care of patients with cancer and to explore the nurses' experiences about the system. METHODS: The study was conducted using a mixed-methods research design with 14 nurses working at a gynecological oncology clinic at a university hospital in Turkey. FINDINGS: The nurses stated that they did not experience any problems during the implementation of the CDSS, and its usage facilitated the assessment of patients' needs and care management. CONCLUSIONS: The results indicated that the CDSS supported the nurses' decision-making process about patients' needs and preparation of individual care plans. PRACTICE IMPLICATIONS The CDSS should be developed and implemented by the nurses working with patients with cancer. AMAÇ Amaç kanser hastalarinin bakimina yönelik klinik karar destek sistemi olusturmak, uygulamak (KKDS) ve sistemi kullanan hemsirelerin deneyimlerini incelemektir. YÖNTEM Çalisma kalitatif ve kantitatif arastirma yöntemleri kullanilarak Türkiyede'ki bir üniversite hastanesinin jinekolojik onkoloji servisinde çalisan 14 hemsire ile yürütülmüstür. BULGULAR Hemsireler KKDS'ni kullanirken herhangi bir sorun yasamadiklarini ve sistemin hasta gereksinimlerini degerlendirmeyi ve bakim yönetimini kolaylastirdigini belirtmislerdir. SONUÇ Bulgular hastanin gereksinimlerine karar verme sürecinde ve bireysel bakim planlari hazirlamada KKDS'nin hemsireleri destekledigini göstermektedir. HEMSIRELIK UYGULAMALARI IÇIN ÖNERILER Kanserli hastalarin bakimina yönelik KKDS gelistirilebilir ve hemsireler tarafindan klinikte kullanilabilir.