{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T14:06:11Z","timestamp":1780063571386,"version":"3.54.0"},"reference-count":32,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"The Fudan University - Fosun Nursing Research Fund","award":["FNF202321"],"award-info":[{"award-number":["FNF202321"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Health Informatics J"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This study explores nurses\u2019 experiences with a Nursing Clinical Decision Support System (Nu-CDSS) two years post-implementation and identifies user-centered areas for system optimization.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A descriptive qualitative study was conducted in a tertiary acute care hospital in Shanghai. A select, stratified group of 15 Chinese-speaking clinical nurses and nurse managers across five wards participated in in-depth semi-structured interviews. Data were transcribed verbatim and analyzed thematically with findings organized using the 5R framework.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Seven themes and 14 subthemes were identified. Optimization requirements encompassed: 1) Right Information: enhancing clinical relevance and patient-specific adaptability of diagnoses and interventions; 2) Right People: optimizing role-based usability; 3) Right Formats: integrating clinical records and embedding notifications directly into primary workflows; 4) Right Channels: improving platform interoperability and seamless mobile-desktop data synchronization; 5) Right Time: minimizing system latency and optimizing reminder timing and lifecycles. Furthermore, participants emphasized the need for 6) robust technical and network support, including adaptive inference engines, and 7) standardized nursing protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Optimizing Nu-CDSS in acute care requires improvements in the knowledge base, interface integration, platform synchronization, reminder timing, and technical support. Future iterations should incorporate AI-enhanced, context-sensitive decision support while preserving nurses\u2019 clinical judgment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/14604582261455122","type":"journal-article","created":{"date-parts":[[2026,5,27]],"date-time":"2026-05-27T14:47:42Z","timestamp":1779893262000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Optimizing nursing clinical decision support systems: Insights from nurses\u2019 experiences"],"prefix":"10.1177","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0009-0007-6705-9073","authenticated-orcid":false,"given":"Qi","family":"Zhang","sequence":"first","affiliation":[{"name":"Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aliaya","family":"Adili","sequence":"additional","affiliation":[{"name":"Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhenghong","family":"Yu","sequence":"additional","affiliation":[{"name":"Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Qin","sequence":"additional","affiliation":[{"name":"Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zheng","family":"Zhu","sequence":"additional","affiliation":[{"name":"Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxia","family":"Zhang","sequence":"additional","affiliation":[{"name":"Fudan University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,5,27]]},"reference":[{"key":"e_1_3_7_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/inr.13084"},{"issue":"10","key":"e_1_3_7_3_2","first-page":"e47275","article-title":"Nursing in the Artificial Intelligence (AI) Era: Optimizing Staffing for Tomorrow","volume":"15","author":"Nashwan AJ","year":"2023","unstructured":"Nashwan AJ, Abujaber AA. 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