Nurses' perceptions of the design, implementation, and adoption of machine learning clinical decision support: A descriptive qualitative study.

Introduction: The purpose of this study was to explore nurses' perspectives on Machine Learning Clinical Decision Support (ML CDS) design, development, implementation, and adoption. Design: Qualitative descriptive study. Methods: Nurses (n = 17) participated in semi‐structured interviews. Data were...

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Publicado en:Journal of Nursing Scholarship Vol. 57; no. 1; pp. 82 - 95
Autores principales: Wieben, Ann M., Alreshidi, Bader G., Douthit, Brian J., Sileo, Marisa, Vyas, Pankaj, Steege, Linsey, Gilmore‐Bykovskyi, Andrea
Formato: pictorial research tables/charts Journal Article
Publicado: Wiley-Blackwell Jan2025
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jan2025
      vid: 57
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/jnu.13001
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        atl: Nurses' perceptions of the design, implementation, and adoption of machine learning clinical decision support: A descriptive qualitative study.
      aug:
        au:
          Wieben, Ann M.
          Alreshidi, Bader G.
          Douthit, Brian J.
          Sileo, Marisa
          Vyas, Pankaj
          Steege, Linsey
          Gilmore‐Bykovskyi, Andrea
        affil: University of Wisconsin‐Madison School of Nursing, Madison Wisconsin,, USA
      sug:
        subj:
          Nurse Attitudes
          Machine Learning Methods
          Decision Support Systems, Clinical Utilization
          Artificial Intelligence
          Nursing Staff, Hospital Psychosocial Factors
          Database Design
          Implementation Science
          Adaptation, Physiological
          Human
          Funding Source
          Female
          Adult
          Middle Age
          Qualitative Studies
          Descriptive Research
          Semi-Structured Interview
          Thematic Analysis
          Questionnaires
          Health Personnel Psychosocial Factors
          Attitude of Health Personnel
          Usability Study
          Nursing Informatics
          Change Management
          Clinical Reasoning
          Technology, Medical
          Decision Making, Computer Assisted Methods
          Professional Autonomy
          Descriptive Statistics
          Comparative Studies
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Female
      ab: Introduction: The purpose of this study was to explore nurses' perspectives on Machine Learning Clinical Decision Support (ML CDS) design, development, implementation, and adoption. Design: Qualitative descriptive study. Methods: Nurses (n = 17) participated in semi‐structured interviews. Data were transcribed, coded, and analyzed using Thematic analysis methods as described by Braun and Clarke. Results: Four major themes and 14 sub‐themes highlight nurses' perspectives on autonomy in decision‐making, the influence of prior experience in shaping their preferences for use of novel CDS tools, the need for clarity in why ML CDS is useful in improving practice/outcomes, and their desire to have nursing integrated in design and implementation of these tools. Conclusion: This study provided insights into nurse perceptions regarding the utility and usability of ML CDS as well as the influence of previous experiences with technology and CDS, change management strategies needed at the time of implementation of ML CDS, the importance of nurse‐perceived engagement in the development process, nurse information needs at the time of ML CDS deployment, and the perceived impact of ML CDS on nurse decision making autonomy. Clinical Relevance: This study contributes to the body of knowledge about the use of AI and machine learning (ML) in nursing practice. Through generation of insights drawn from nurses' perspectives, these findings can inform successful design and adoption of ML Clinical Decision Support.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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