Aims This paper explores how the Novice-to-Expert Nursing Practice framework
can illuminate the challenges of and opportunities in implementing information
technology (IT), such as clinical decision support systems (CDSS), in nursing
practice.
Background IT implementation in health care is increasing; however, substantial
costs and risks remain associated with these projects.
Evaluation The theoretical framework of Novice-to-Expert Nursing Practice was
applied to current design and implementation literature for CDSS.
Key issues Organizational policies and CDSS design affect implementation and
user adoption.
Conclusions Nursing CDSS can improve the overall quality of care when designed
for the appropriate end-user group and based on a knowledge base reflecting
nursing expertise.
Implications for nursing management Nurse administrators can positively influence
CDSS function and end-user acceptance by participating in and facilitating staff
nurse involvement in IT design, planning and implementation. Specific steps for
nurse administrators and managers are included in this paper.
Keywords: clinical, decision support systems, expert systems, Novice-to-Expert nursing
practice, nursing administration, nursing informatics
Accepted for publication: 19 September 2007