Use of Health Information Systems for Evidence-based Practice Implementation: Literature review

다국어 초록 (Multilingual Abstract)

INTRODUCTION METHODS RESULTS AND DISCUSSION CONCLUSION

목차 (Table of Contents)

• Purpose: Use of health information systems is a requisite to activate evidence-based practice (EBP) and there have been diverse attempts at implementation, but EBP remains a challenge. Little attention was paid to that different uses of health information systems would bring a difference in EBP implementation. This study aimed to explore the practical applications of health information systems for EBP implementation at the point of care. Methods: Studies published between 1995 and 2010 were retrieved using databases of Medline, CINAHL, and EMBASE. The search terms used were ‘nursing, evidence- based practice, information system’ and ‘nursing, evidence, a decision support system. Of 296 studies retrieved, twenty seven studies meeting the inclusion criteria were analyzed. Results: Use of health information systems designed for EBP implementation were divided to two categories: health information systems that provide electronic links to numerous evidence resources (9 studies) and health information systems that provide structured electronic formats embedding evidence systematically filtered and preprocessed from evidence resources (18 studies). The former was rarely useful for EBP implementation in clinical situations where organizational and individual barriers were common. These barriers made it difficult to handle plentiful evidence provided from evidence resources In contrast, the latter was useful for immediate use of evidence for EBP implementation. Electronic formats were embedding evident contents for assessments, diagnoses, care plans, outcome evaluation, and alerts. Conclusion: A strong culture for EBP implementation is required and it is necessary to improve use of health information systems for EBP implementation at the frontline nurse level.