Difference between revisions of "Does CPOE support nurse-physician communication in the medication order process"

From Clinfowiki
Jump to: navigation, search
(Created page with "The following is a review of the article, “Does CPOE support nurse-physician communication in the medication order process? A nursing perspective" <ref name="Saddik"> Saddi...")
 
Line 2: Line 2:
  
  
== Abstract ==
+
== Abstract =
+
The authors of this article understand the major role that computerized physician order entry (CPOE) have in the future of health careThere are many journey articles that document the benefits of using CPOE to improve clinician performance.  The two major healthcare providers who will be utilizing CPOE will be physicians and nurses.  This article will focus on the effects of CPOE on nurse-physician communication.  
One of the health problems that is related to aging is heart failure.  Inadequate care of elderly patients with heart failure increases the chances of frequent hospital re-admissions and mortality rate (de Vries, van der Wal, Nieuwenhuis, de Jong, van Dijk, Jaarsma, Hillege, & Jorna, 2013, p. 1)The authors believe that the use of clinical decision support systems (CDSS) may help cardiac nurses and cardiologists prevent frequent hospital re-admissions and decrease mortality rate in elderly patients with history of heart failure.  The authors believe that cardiac nurses and cardiologists are not utilizing the CDSS because of perceived barriers associated with the implementation of CDSS in the treatment of heart failure patients and the lack of knowledge and management of CDSS.
+
  
 
==Methods==
 
==Methods==
 
+
146 nurses who worked in different inpatient units at a 112 bed hospital in Saudi Arabia were included in the study.  A questionnaire was used to gather the data on the nurses’ opinions of CPOE in the medication order process. The first section of the questionnaire included the demographic data such as age, gender, position, and work experienceThe second section of the questionnaire included the nurses’ views on the relation between the CPOE and the medication order such as efficiency of the medication order process, drug prescriptions written correctly, and clarity of written drug ordersThe third section of the questionnaire included the nurses’ views on the nurse-physician communication such as follow up with physicians, frequency of physician contact, and inaccessibility of physicians.  The nurses’ answers were based on a 5-point Likert scale that ranged from strongly agree to strongly disagree.   
The authors developed a questionnaire that “consists of 49 items, focusing on perceived barriers using a 5-point Likert type rating scale” (de Vries et al., 2013, p. 2)Because the authors were based in the Netherlands, the questionnaires were sent to heart failure clinics in the Netherlands.  The questionnaires were answered by 36 cardiologists and 126 cardiac nurses30% of the questionnaire responders had experience in working with CDSS because they used telemonitoring systems that had CDSS functions.   
+
  
 
== Results ==
 
== Results ==
 
+
The study was able to establish that nurses have a positive attitude towards CPOEOver half of the nurses agreed with the benefits of CPOE such as clear written drug orders and efficient drug orders that were carried out in a timely manner.  The study also showed that CPOE did not help with communication between physicians and nurses.  The nurses felt that the implementation of CPOE caused them to increase their communication with physiciansCPOE did not improve physician and nurse cooperation. The nurses frequently needed to follow up with the physicians to clarify the orders that were written ambiguously.  
The authors were able to conclude that for cardiologists, factors such as age, gender, and experience with computers were not a barrier in the implementation of CDSSHowever, for cardiac nurses, experiences with computers were a strong barrier in the implementation of CDSS.  The authors suggested that clinicians increase their training of the functions of CDSS in order to gain more experience with CDSSThis will lead the clinicians to develop stronger knowledge and management skills of the functions of CDSS. With more experience with the CDSS, there will be fewer barriers with CDSS.
+
  
  
 
== Comments ==
 
== Comments ==
 
+
This article serves as a good reminder that communication is paramount in providing quality patient careCPOE has a lot of advantages in aiding physicians and nurses in writing and implementing the orderUnderstanding the order still requires communication skills that CPOE cannot provide.  All health care providers need to realize that communication is still vital in the usage of CPOE.   
This article serves as a good guidance in teaching the importance of training staffers well when implementing CDSSCDSS can be a powerful tool, however, when there are barriers against it, it becomes limited in its potentialContinual training on the functions of CDSS is one way to make the user experience more effective.   
+
  
 
== References ==
 
== References ==
Line 23: Line 19:
  
 
[[Category: Reviews]]
 
[[Category: Reviews]]
[[Category: CDSS]]
+
[[Category: CPOE]]
[[Category: barriers, heart failure]]
+
[[Category: nurse, physician, communication]]

Revision as of 03:53, 23 March 2015

The following is a review of the article, “Does CPOE support nurse-physician communication in the medication order process? A nursing perspective" [1].


= Abstract

The authors of this article understand the major role that computerized physician order entry (CPOE) have in the future of health care. There are many journey articles that document the benefits of using CPOE to improve clinician performance. The two major healthcare providers who will be utilizing CPOE will be physicians and nurses. This article will focus on the effects of CPOE on nurse-physician communication.

Methods

146 nurses who worked in different inpatient units at a 112 bed hospital in Saudi Arabia were included in the study. A questionnaire was used to gather the data on the nurses’ opinions of CPOE in the medication order process. The first section of the questionnaire included the demographic data such as age, gender, position, and work experience. The second section of the questionnaire included the nurses’ views on the relation between the CPOE and the medication order such as efficiency of the medication order process, drug prescriptions written correctly, and clarity of written drug orders. The third section of the questionnaire included the nurses’ views on the nurse-physician communication such as follow up with physicians, frequency of physician contact, and inaccessibility of physicians. The nurses’ answers were based on a 5-point Likert scale that ranged from strongly agree to strongly disagree.

Results

The study was able to establish that nurses have a positive attitude towards CPOE. Over half of the nurses agreed with the benefits of CPOE such as clear written drug orders and efficient drug orders that were carried out in a timely manner. The study also showed that CPOE did not help with communication between physicians and nurses. The nurses felt that the implementation of CPOE caused them to increase their communication with physicians. CPOE did not improve physician and nurse cooperation. The nurses frequently needed to follow up with the physicians to clarify the orders that were written ambiguously.


Comments

This article serves as a good reminder that communication is paramount in providing quality patient care. CPOE has a lot of advantages in aiding physicians and nurses in writing and implementing the order. Understanding the order still requires communication skills that CPOE cannot provide. All health care providers need to realize that communication is still vital in the usage of CPOE.

References

  1. Saddik, B. & Al-Mansour, S. (2014). Does CPOE support nurse-physician communication in the medication order process? A nursing perspective. Studies in Health Technology and Informatics, 204, 149-155