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DOI: 10.1055/a-2088-2893
Data Science Implementation Trends in Nursing Practice: A Review of the 2021 Literature
Funding Dr. Jeffery received support for this work from the Agency for Healthcare Research and Quality and the Patient-Centered Outcomes Research Institute (grant no.: K12 HS026395); the Gordon and Betty Moore Foundation (grant no.: GBMF9048); as well as the resources and use of facilities at the Department of Veterans Affairs, Tennessee Valley Healthcare System.Abstract
Objectives The goal of this work was to provide a review of the implementation of data science-driven applications focused on structural or outcome-related nurse-sensitive indicators in the literature in 2021. By conducting this review, we aim to inform readers of trends in the nursing indicators being addressed, the patient populations and settings of focus, and lessons and challenges identified during the implementation of these tools.
Methods We conducted a rigorous descriptive review of the literature to identify relevant research published in 2021. We extracted data on model development, implementation-related strategies and measures, lessons learned, and challenges and stakeholder involvement. We also assessed whether reports of data science application implementations currently follow the guidelines of the Developmental and Exploratory Clinical Investigations of DEcision support systems driven by AI (DECIDE-AI) framework.
Results Of 4,943 articles found in PubMed (NLM) and CINAHL (EBSCOhost), 11 were included in the final review and data extraction. Systems leveraging data science were developed for adult patient populations and were primarily deployed in hospital settings. The clinical domains targeted included mortality/deterioration, utilization/resource allocation, and hospital-acquired infections/COVID-19. The composition of development teams and types of stakeholders involved varied. Research teams more frequently reported on implementation methods than implementation results. Most studies provided lessons learned that could help inform future implementations of data science systems in health care.
Conclusion In 2021, very few studies report on the implementation of data science-driven applications focused on structural- or outcome-related nurse-sensitive indicators. This gap in the sharing of implementation strategies needs to be addressed in order for these systems to be successfully adopted in health care settings.
Keywords
data science - machine learning - nursing - prediction - implementation - deployment - pilotProtection of Human and Animal Subjects
This research does not involve human subjects.
Publication History
Received: 29 November 2022
Accepted: 03 May 2023
Accepted Manuscript online:
07 May 2023
Article published online:
02 August 2023
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