Perceived added value of a decision support App for formal caregivers in community‐based dementia care

Abstract

This study underpins the need of nurses and case managers for decision support with regard to problem assessment and providing advices on possible solutions to facilitate ageing in place of PwD. There results also show the importance of listening to users experience and their perceived added value of decision support tools as this helps to explain the lack of statistically significant effects on quantitative outcome measure in contrast to a high willingness to use the App in a previous study.

Clinical Decision Support and Implications for the Clinician Burnout Crisis

“…The 75 non-review, non-opinion articles used a variety of metrics to evaluate the usability and acceptability of their CDS tools, with many using more than one metric. The most common evaluation was via interviews (n=29) 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 , followed by surveys or questionnaires (n=16) 27 29 50 53 55 56 57 58 59 60 61 62 63 64 65 66 . Other qualitative feedback responses were obtained by focus groups or workshops (n=5) 43 57 61 67 68 .…”

“…Only a minority of surveyed studies here explicitly evaluated the effectiveness of the CDS tools. Some studies identified the importance but did not undertake evaluation of effectiveness [36]. One study of a CDS tool for deprescribing found that only 1.2% of alerts resulted in medication discontinuation, which was overall branded ineffective [45].…”

“…Several publications noted that nurses and nurse practitioners are also stakeholders who should be involved in CDS design [17,18,27]. Feedback before iteration was emphasized in multiple studies [42,47,68,74,93] and "the importance of listening to user experience" was explicitly highlighted [36]. Also important was the idea that implementation does not end with roll-out, but that CDS is an ongoing process of monitoring, feedback, and iteration [52,60,62,65,72].…”

Adopting mobile health applications by nurses: a scoping review

“…The results indicate that nurses use mobile health applications with the aim of learning and improving knowledge (Table 1). Nurses use these applications in order to access evidence-based scientific knowledge (Ferguson et al, 2019), support evidence-based decision-making (Jindal et al, 2018), enhance performance skills (Choi et al, 2018), train nursing students (Thoma-Lürken et al, 2019), and for problem-based methods of teaching (Johansson et al, 2013).…”

“…Therefore, feasibility and functionality are among crucial factors and if the application does not have these features, it will not be successful. Factors such as familiarity, fun feature customisation, interaction design of the app, lack of clarity of some icons, layout, conducive menu, easy-to-use interface, guided instruction, having a guided tour, navigation, and user interface and user satisfaction are also mentioned in the literature as factors that nurses consider when working with mobile health applications, (Ankem et al, 2019;Choi et al, 2004Choi et al, , 2018De La Vega et al, 2014;Ehrler et al, 2018a;Jindal et al, 2018;Lee and Kim, 2018;Lehto et al, 2018;Praveen et al, 2014;Thoma-Lürken et al, 2019) which we classified in the design and useinterface group. Thus, it can be stated that an appropriate and alluring design and an easy-to-use interface are one of the effective factors in nurses' selection of mobile health applications.…”