Collective agency in the implementation of computerized clinical decision support: an interpretive description study.
Introduction: Digital health interventions, such as computerized clinical decision support systems (CDSSs), often falter due to resource constraints, misaligned workflows, and limited engagement from key users and stakeholders. Little is known about how research-to-practice professionals navigate th...
| Publicado en: | JBI Evidence Implementation Vol. 24; no. 3; pp. 574 - 590 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195416595&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195416595 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26913321 MO0F jtl: JBI Evidence Implementation issn: 26913321 maglogo: N pubinfo: dt: Jul2026 vid: 24 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 195416595 195416595 195416595 10.1097/XEB.0000000000000561 195416595 ppf: 574 ppct: 16 formats: tig: atl: Collective agency in the implementation of computerized clinical decision support: an interpretive description study. aug: au: Fernando, Manasha Naicker, Sundresan Abell, Bridget McPhail, Steven M. Tyack, Zephanie affil: Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Qld, Australia sug: subj: Decision Support Systems, Clinical Utilization Systems Implementation Attitude of Health Personnel Evaluation Health Services Research Health Informatics Implementation Science Digital Health Human Descriptive Research Funding Source Australia United Kingdom United States New Zealand Canada Convenience Sample Purposive Sample Snowball Sample Male Female Stakeholder Participation Semi-Structured Interview Focus Groups Constant Comparative Method Collaboration Male Female ab: Introduction: Digital health interventions, such as computerized clinical decision support systems (CDSSs), often falter due to resource constraints, misaligned workflows, and limited engagement from key users and stakeholders. Little is known about how research-to-practice professionals navigate these challenges. Aim: This study sought to understand how CDSSs can be integrated into routine clinical practice and the contextual factors that influence translation. Methods: Using interpretive description methodology, we conducted semi-structured interviews with 32 participants and three focus groups involving 11 participants to explore perspectives and experiences of translating implementation knowledge into practice. Participants included experts in health services research, implementation science, and health informatics. Convenience, purposive, and snowball sampling were used to recruit participants. Results: The findings describe how CDSS implementation is a socially driven process. Success was framed in terms of harnessing collective agency—building trust, fostering collaboration, and empowering people to work toward shared understanding. This process involved (1) laying the groundwork by engaging those affected; (2) making implementation accessible by adapting theories into usable tools; and (3) breaking slow progress by learning from past efforts and strengthening clinical–academic partnerships. Conclusions: The findings highlight opportunities for developing accessible tools and partnerships and embedding experiential knowledge. Practice recommendations are offered to support CDSS implementation teams, including setting up regular feedback channels, using memoranda of understanding, and checklists for implementation. http://links.lww.com/IJEBH/A501 pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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