JMIR Publications

ABSTRACT

Background:

The integration of clinical practice guidelines (CPGs) into the nursing care plan and documentation systems aims to translate evidence into practice, improve safety and quality of care, and standardize care processes.

Objective:

In this study, we evaluated nurses’ perceptions of the usability of a nursing care plan solution with 234 CPGs.

Methods:

One hundred nurses from 4 adult intensive care units responded to a survey measuring nurses’ perceptions of the system usability. The survey included 37 rated-items and 3 open-ended questions.

Results:

Nurses’ perceptions were favorable with more than 60% (60/100) agreement on 12 features of the system and negative to moderate with 20%-59% (20/100 to 59/100) agreement on 19 features. The majority of the nurses (80% [80/100] to 90% [90/100]) agreed on 4 missing safety features within the system. More than half of the nurses believed they would benefit from refresher classes on system use. Overall satisfaction with the system was just above average (54%, 54/100). Common positive themes from the narrative data were related to the system serving as a reminder for complete documentation and individualizing patient care. Common negative aspects were related to duplicate charting, difficulty locating CPGs, missing unit-specific CPGs, irrelevancy of information, and lack of perceived system value on patient outcomes. No relationship was found between years of system use or ICU experience and satisfaction with the system (P = .10 - .25).

Conclusions:

Care plan systems in ICUs should be easy to navigate, support efficient documentation, present relevant, unit-specific and easy to find information, endorse interdisciplinary communication, and improve safety and quality of care.