Does involving clinicians in decision support development facilitate system use over time?: A systematic review

Nicki Newton; Adeola Bamgboje-Ayodele; Rowena Forsyth; Amina Tariq; Melissa T. Baysari

doi:10.3233/SHTI230359

Does involving clinicians in decision support development facilitate system use over time? A systematic review

Nicki Newton, Adeola Bamgboje-Ayodele, Rowena Forsyth, Amina Tariq, Melissa T. Baysari

Research output: Chapter in Book/Report/Conference proceeding › Conference proceeding contribution › peer-review

4 Citations (Scopus)

32 Downloads (Pure)

Abstract

Involving clinician users in the design and development of Clinical Decision Support (CDS) systems is touted to improve the fit between system and user needs. However, the impact of clinician involvement on CDS acceptance and use in practice has not been systematically studied. This review aimed to identify the approaches taken to involve clinicians in CDS development and understand the impact of these approaches on barriers and facilitators to acceptance and use in hospital settings over time. Twenty-three studies met full inclusion criteria. Clinician involvement was rarely described in depth and no comparative studies were identified. Despite frequently reporting perceived ease of use, included studies still reported barriers to acceptance and use shortly after CDS implementation and years later. Future studies should report clinician involvement in adequate detail to enable understanding of its impact on CDS acceptance and use over time. Additional recommendations for future research, including conducting comparative studies and maintaining clinician involvement beyond implementation, are described.

Original language	English
Title of host publication	Context Sensitive Health Informatics and the Pandemic Boost
Subtitle of host publication	All Systems Go!
Editors	Adeola Bamgboje-Ayodele, Mirela Prgomet, Craig E. Kuziemsky, Peter Elkin, Christian Nøhr
Place of Publication	Amsterdam
Publisher	IOS Press
Pages	11-15
Number of pages	5
ISBN (Electronic)	9781643683997
ISBN (Print)	9781643683980
DOIs	https://doi.org/10.3233/SHTI230359
Publication status	Published - 22 Jun 2023
Externally published	Yes
Event	Context Sensitive Health Informatics Conference - The University of Sydney, Sydney, Australia Duration: 5 Jul 2023 → 6 Jul 2023 https://www.cshi-imia.org/

Publication series

Name	Studies in Health Technology and Informatics
Publisher	IOS Press
Volume	304
ISSN (Print)	0926-9630
ISSN (Electronic)	1879-8365

Conference

Conference	Context Sensitive Health Informatics Conference
Abbreviated title	CSHI 2023
Country/Territory	Australia
City	Sydney
Period	5/07/23 → 6/07/23
Internet address	https://www.cshi-imia.org/

Bibliographical note

Copyright the Author(s) and IOS Press 2023. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

clinical decision support
clinician involvement
system use
user acceptance
user involvement

Access to Document

10.3233/SHTI230359Licence: CC BY-NC

Publisher version (open access)Final published version, 165 KBLicence: CC BY-NC

Cite this

Newton, N., Bamgboje-Ayodele, A., Forsyth, R., Tariq, A., & Baysari, M. T. (2023). Does involving clinicians in decision support development facilitate system use over time? A systematic review. In A. Bamgboje-Ayodele, M. Prgomet, C. E. Kuziemsky, P. Elkin, & C. Nøhr (Eds.), Context Sensitive Health Informatics and the Pandemic Boost: All Systems Go! (pp. 11-15). (Studies in Health Technology and Informatics; Vol. 304). IOS Press. https://doi.org/10.3233/SHTI230359

Newton, Nicki ; Bamgboje-Ayodele, Adeola ; Forsyth, Rowena et al. / Does involving clinicians in decision support development facilitate system use over time? A systematic review. Context Sensitive Health Informatics and the Pandemic Boost: All Systems Go!. editor / Adeola Bamgboje-Ayodele ; Mirela Prgomet ; Craig E. Kuziemsky ; Peter Elkin ; Christian Nøhr. Amsterdam : IOS Press, 2023. pp. 11-15 (Studies in Health Technology and Informatics).

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abstract = "Involving clinician users in the design and development of Clinical Decision Support (CDS) systems is touted to improve the fit between system and user needs. However, the impact of clinician involvement on CDS acceptance and use in practice has not been systematically studied. This review aimed to identify the approaches taken to involve clinicians in CDS development and understand the impact of these approaches on barriers and facilitators to acceptance and use in hospital settings over time. Twenty-three studies met full inclusion criteria. Clinician involvement was rarely described in depth and no comparative studies were identified. Despite frequently reporting perceived ease of use, included studies still reported barriers to acceptance and use shortly after CDS implementation and years later. Future studies should report clinician involvement in adequate detail to enable understanding of its impact on CDS acceptance and use over time. Additional recommendations for future research, including conducting comparative studies and maintaining clinician involvement beyond implementation, are described.",

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note = "Copyright the Author(s) and IOS Press 2023. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.; Context Sensitive Health Informatics Conference, CSHI 2023 ; Conference date: 05-07-2023 Through 06-07-2023",

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Newton, N, Bamgboje-Ayodele, A, Forsyth, R, Tariq, A & Baysari, MT 2023, Does involving clinicians in decision support development facilitate system use over time? A systematic review. in A Bamgboje-Ayodele, M Prgomet, CE Kuziemsky, P Elkin & C Nøhr (eds), Context Sensitive Health Informatics and the Pandemic Boost: All Systems Go!. Studies in Health Technology and Informatics, vol. 304, IOS Press, Amsterdam, pp. 11-15, Context Sensitive Health Informatics Conference, Sydney, Australia, 5/07/23. https://doi.org/10.3233/SHTI230359

Does involving clinicians in decision support development facilitate system use over time? A systematic review. / Newton, Nicki; Bamgboje-Ayodele, Adeola; Forsyth, Rowena et al.
Context Sensitive Health Informatics and the Pandemic Boost: All Systems Go!. ed. / Adeola Bamgboje-Ayodele; Mirela Prgomet; Craig E. Kuziemsky; Peter Elkin; Christian Nøhr. Amsterdam: IOS Press, 2023. p. 11-15 (Studies in Health Technology and Informatics; Vol. 304).

Research output: Chapter in Book/Report/Conference proceeding › Conference proceeding contribution › peer-review

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Newton N, Bamgboje-Ayodele A, Forsyth R, Tariq A, Baysari MT. Does involving clinicians in decision support development facilitate system use over time? A systematic review. In Bamgboje-Ayodele A, Prgomet M, Kuziemsky CE, Elkin P, Nøhr C, editors, Context Sensitive Health Informatics and the Pandemic Boost: All Systems Go!. Amsterdam: IOS Press. 2023. p. 11-15. (Studies in Health Technology and Informatics). doi: 10.3233/SHTI230359