Knowledge content of advance practice nurse and physician experts: A cognitive evaluation of clinical practice guideline comprehension

Wm Dan Roberts, Vimla L. Patel, Patricia W. Stone, Suzanne Bakken

Research output: Chapter in Book/Report/Conference proceedingConference contribution

4 Scopus citations

Abstract

Clinical practice guidelines (CPGs) are intended to provide evidence based knowledge for decision making for patient care. However, these guidelines have been poorly adopted by healthcare providers. One reason for this may be the static paper-based formats, isolated from the point of care. Biomedical informatics has provided a solution to this limitation through Computer Interpretable Guidelines (CIGs). An essential component of this process is CPG translation to a computer interpretable model. From the guideline modeling literature, the translators of CPGs typically are physicians. It is not known if other healthcare providers (i.e., Advance Practice Nurses [APNs]) comprehend CPGs similarly. This descriptive study utilized novice and expert APN and physician participants (varied by level of expertise) in a CPG comprehension task. Demographic data, verbal protocols, and recall model drawings were obtained and analyzed by description, protocol analysis, discourse analysis, and content analysis. The findings of this study indicate similar comprehension by the expert APNs and physicians suggesting that either type of expert may be utilized for modeling CPGs.

Original languageEnglish (US)
Title of host publicationConsumer-Centered Computer-Supported Care for Healthy People - Proceedings of NI 2006
Subtitle of host publicationThe 9th International Congress on Nursing Informatics
PublisherIOS Press
Pages476-480
Number of pages5
ISBN (Print)158603622X, 9781586036225
StatePublished - Jan 1 2006
Event9th International Congress on Nursing Informatics, NI 2006 - Seoul, Korea, Republic of
Duration: Jun 9 2006Jun 21 2006

Publication series

NameStudies in Health Technology and Informatics
Volume122
ISSN (Print)0926-9630
ISSN (Electronic)1879-8365

Other

Other9th International Congress on Nursing Informatics, NI 2006
CountryKorea, Republic of
CitySeoul
Period6/9/066/21/06

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Keywords

  • Advance Practice Nurse
  • Clinical Practice Guideline
  • Comprehension
  • Content Analysis
  • Protocol Analysis

ASJC Scopus subject areas

  • Biomedical Engineering
  • Health Informatics
  • Health Information Management

Cite this

Roberts, W. D., Patel, V. L., Stone, P. W., & Bakken, S. (2006). Knowledge content of advance practice nurse and physician experts: A cognitive evaluation of clinical practice guideline comprehension. In Consumer-Centered Computer-Supported Care for Healthy People - Proceedings of NI 2006: The 9th International Congress on Nursing Informatics (pp. 476-480). (Studies in Health Technology and Informatics; Vol. 122). IOS Press.