Study Procedures for Sessions 1 and 2
SESSION
Data collection occurred in 2 sessions. The amount of time needed to complete both sessions was approximately 1 to 2 hours.Session 1: Screening and consent—this session involved screening, consenting (using a web-based process), collecting participant demographics, and assessing the RN participant’s GL score. Data were collected and securely stored in the REDCap (Research Electronic Data Capture; Vanderbilt University) database hosted by the Clinical and Translational Science Institute at the University of Florida, which is Health Insurance Portability and Accountability Act compliant and approved by the IRB of the University of Florida and privacy office for the collection and storage of protected health information. After completing the GL assessment in session 1, eligible RNs in categories under the quota limit were scheduled for session 2 (CDS intervention).Session 2: Experimental CDS intervention—in this session, data related to the experimental intervention and the postsurvey were collected. These data were securely stored in a SQL database server at the University of Florida. No personal information was collected in this session. Before the start of session 2, the project staff verified that each RN participant had access to the required technology, including the Zoom app and an internet browser compatible with the study care planning system. The session began with a standardized video orientation to the user interface and the care planning terminologies, nursing diagnosis [The study intervention occurred across 3 simulated shifts and began with screens showing the current care plans for 2 hypothetical patients. The research assistant verbally delivered the histories of the 2 hypothetical patients. The RN was directed to update the 2 patients’ care plans based on the patient histories and other information that appeared during the intervention. The research assistant observed but did not interact with the RNs as they updated the care plans. After the RN completed the first simulated shift, the intervention included directions for a second and third shift in which the patients’ outcomes and CDS were automatically updated to reflect the RN’s decisions in the prior shift. The RNs viewed the updated outcomes and were asked to apply their clinical judgment when processing the information and prompts displayed (eg, context information, care plan content, and CDS recommendations in the assigned format). 