A Qualitative Study Examining Clinical Decision Support System Adoption Among Hospital Clinicians

N/AActive Not RecruitingNCT07398235

Medway NHS Foundation Trust12 enrolled

Overview

A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems

Qualitative study looking at clinical decision support system adoption among clinicians in a district general hospital. This will involve semi-structured interviews of various clinical staff in the emergency department, looking at work-habits regarding clinical decision support tool use.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Clinical Decision Support System (CDSS)

Interventions

Semi-structured interviewOTHER

A 20-30 minute semi-structured interview using the pre-defined topic sheet

Eligibility

Sex: ALLHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Employed by Medway NHS Foundation Trust at the time of recruitment * Working clinically within the Emergency Department * Clinical grade of FY1, FY2, SHO/CTF, SAS/Registrar, Consultant, Nurse, Advanced Clinical practitioner, Physician Assistant, or Clinical Support Worker * Involved in the assessment and management of adult emergency department patients * Have routine access to the Trust electronic patient record system (Sunrise EPR) during clinical duties * Able to provide informed consent to participate * Aged 18 years or older Exclusion Criteria: * Bank, agency, or locum staff who are not permanently or regularly employed by the department. * Staff currently on leave, secondment, or not actively practising in the ED during the data collection period. * Clinicians currently involved in the design, management, or evaluation of the CDSS system under study.

Locations (1)

Medway NHS Foundation Trust

Gillingham, Kent, United Kingdom

Outcomes

Primary Outcomes

Saturation of Themes Related to Barriers to CDSS Adoption

The primary outcome examines the barriers to clinical decision support system adoption, such as hardware issues, governance concerns, user-interface problems, and trusted information. These themes will be examined during interviews with open-ended questions to allow user experiences to be recorded. This study will use purposive sampling with maximum variation to ensure representation across key categories of Emergency Department clinicians who use clinical decision support systems (CDSS). Participants will be selected to capture a range of roles and experiences, including Advanced Clinical Practitioners (ACPs), Physician Associates (PAs), Clinical Support Workers (CSWs), nurses, and doctors at different levels (Foundation Year 1-2, Senior House Officers, Registrars, and Consultants). Recruitment will continue until data saturation of themes related to CDSS adoption is achieved within and across these categories, anticipated at approximately one to two participants per role group.

Time frame: The study ran between 10th January 2026 until 31 January 2026. The study was considered complete once all planned participant interviews have been conducted or recruitment has formally ceased following achievement of data saturation.

Data from ClinicalTrials.gov

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