The Effect of Using Clinical Decision Support System in Pressure Injury Risk Management Teaching

The Effect of Using Clinical Decision Support System in Pressure Injury Risk Management Teaching of Nursing Students: A Randomized Controlled Study

The goal of this randomized controlled study is to compare the changes in cognitive, attitudinal and psychomotor domains for pressure injury between nursing students who take model-based structured pressure injury risk management teaching by examining risk factors and plan nursing interventions through sample cases with Clinical Decision Support System (CDSS) integrated software, and nursing students who plan nursing interventions through sample cases on the software by receiving standard teaching. The hypothesis are:

H1: The knowledge of the students who received the model-based structured pressure injury risk management teaching with the CDSS integrated method is different from the control group who received the standard training.

H1a: The attitudes of the students who received the model-based structured pressure injury risk management instruction with the CDSS integrated method to prevent injuries are different from the control group who received the standard training.

H1b: The nursing interventions planned by the students who received the model-based structured pressure injury risk management education with the CDSS integrated method are different from the control group who received the standard education.

The goal of this randomized controlled study is to compare the changes in cognitive, attitudinal and psychomotor domains for pressure injury between nursing students who take model-based structured pressure injury risk management teaching by examining risk factors and plan nursing interventions through sample cases with Clinical Decision Support System (CDSS) integrated software, and nursing students who plan nursing interventions through sample cases on the software by receiving standard teaching.

Method: This randomized controlled trial was planned with two years of nursing students. The study's eligibility criteria are the nursing student must have completed the Fundamentals of Nursing course and clinical practice of this course. The study consists of preparation and implementation phases. The preparation phase consists of the preparation of the training content and software. Researchers will prepare training content and send them to academicians and clinicians who are experts in their fields. Researchers collaborate with software developers to develop the software. After the researchers listed the students who accepted to participate in the study, Students will be randomly assigned to 2 control and two intervention groups by a third researcher who was not involved in the study. The implementation phase of the research will begin with establishing control and intervention groups.

The researchers will first apply the " Pressure Ulcer Prevention Knowledge Assessment Instrument, "Attitude Towards Pressure Ulcer Prevention Instrument " and test case (the pre-tests) to the control 1 group. After that, they will give formal training to both control groups for four weeks and apply the post-tests in the fifth week. They will prepare the nursing care plan, one of the last tests, by analyzing the case via software. After the training of the control groups, the training of the intervention groups will begin. First of all, the intervention 1 group will apply the "Pressure Ulcer Prevention Knowledge Assessment Instrument," "Attitude Towards Pressure Ulcer Prevention Instrument" and the test case (the pre-tests). Afterward, four-week structured training will be given to intervention groups, and post-tests will be applied in the fifth week. They will prepare the nursing care plan, one of the last tests, by analyzing the case through the software integrated with Clinical Decision Support System.

Inclusion Criteria:

• The nursing student must be completed Fundamentals of Nursing course and its clinical practices.

Exclusion Criteria:

• The nursing student cannot be a part of this study, if she/he graduated high school/associate degree about health department and work as a health professional.