IDEAS home Printed from https://ideas.repec.org/a/taf/tkmrxx/v23y2025i3p249-262.html
   My bibliography  Save this article

How organisational factors and clinical decision support system affect nurses’ knowledge for decisions in triage

Author

Listed:
  • Adelaide Ippolito
  • Maria Gloria Barberà-Mariné
  • Giuseppe Zollo
  • Lorella Cannavacciuolo

Abstract

This paper delves into heuristic decision-making by nurses during the triage process, aiming to elucidate how organisational factors influence nurses’ decision-making regarding the assignment of priority codes to patients, and to assess the effectiveness of Clinical Decision Support Systems (CDSS) in this context. Drawing on an experimental dataset of 25 triage cases evaluated by 35 nurses via interviews, the study was conducted in two Spanish Emergency Departments using CDSS. Findings indicate that organisational factors predominantly influence decisions in cases with complete and coherent information. However, in cases where information is incoherent or missing, individual nurse characteristics guide decision-making. Furthermore, it suggests that CDSS should be tailored to nurses’ clinical reasoning to serve as effective support for individual decision-making processes.

Suggested Citation

  • Adelaide Ippolito & Maria Gloria Barberà-Mariné & Giuseppe Zollo & Lorella Cannavacciuolo, 2025. "How organisational factors and clinical decision support system affect nurses’ knowledge for decisions in triage," Knowledge Management Research & Practice, Taylor & Francis Journals, vol. 23(3), pages 249-262, May.
    • Handle: RePEc:taf:tkmrxx:v:23:y:2025:i:3:p:249-262
    DOI: 10.1080/14778238.2024.2377973
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1080/14778238.2024.2377973
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1080/14778238.2024.2377973?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:taf:tkmrxx:v:23:y:2025:i:3:p:249-262. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Longhurst (email available below). General contact details of provider: http://www.tandfonline.com/tkmr .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.