Understanding the role of clinical decision support systems among hospital nurses using the FITT (Fit Between Individuals, Tasks, and Technology) framework: qualitative study

Authors Matthijs Berkhout, Koen Smit, Danielle Sent, Rob Kusters, Johan Versendaal, Thijs van Houwelingen
Published in Journal of medical internet research
Publication date 2025
Research groups Betekenisvol Digitaal Innoveren, Technologie voor Zorginnovaties, Artificial Intelligence
Type Article

Summary

Clinical decision support systems (CDSSs) have gained prominence in health care, aiding professionals in decision-making and improving patient outcomes. While physicians often use CDSSs for diagnosis and treatment optimization, nurses rely on these systems for tasks such as patient monitoring, prioritization, and care planning. In nursing practice, CDSSs can assist with timely detection of clinical deterioration, support infection control, and streamline care documentation. Despite their potential, the adoption and use of CDSSs by nurses face diverse challenges. Barriers such as alarm fatigue, limited usability, lack of integration with workflows, and insufficient training continue to undermine effective implementation. In contrast to the relatively extensive body of research on CDSS use by physicians, studies focusing on nurses remain limited, leaving a gap in understanding the unique facilitators and barriers they encounter. This study aimed to explore the facilitators and barriers influencing the adoption and use of CDSSs by nurses in hospitals, using an extended Fit Between Individuals, Tasks, and Technology (FITT) framework.

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Language Engels
Published in Journal of medical internet research
Key words clinical decision support systems, CDSS, nursing, technology adoption, qualitative research, FITT framework, usability, hospital nursing
Digital Object Identifier 10.2196/76025
Page range 1-15

Matthijs Berkhout

Matthijs Berkhout | onderzoeker | lectoraat Betekenisvol Digitaal Innoveren

Matthijs Berkhout

  • PhD candidate
  • Research group: Betekenisvol Digitaal Innoveren