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Clinical Decision Support

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BAKER, M., ROBSON, .B, SHEARS, J., 2002. Clinical decision support in the NHS - the clinical element. The journal of clinical governance, 10, 77-82.
NHS Clinical Assessment System (NHS CAS) is the decision support software used by NHS Direct and NHS 24. This article describes how the NHS CAS algorithms used by nurses are designed, reviewed and updated.
KNOWLES, E., O'CATHAIN, A., MORRELL, J.F., NICHOLL, J.P., 2002. NHS Direct and nurses - opportunity or monotony? International journal of nursing studies, 39, 857-866.
Department of Health funded research into factors that impact upon job satisfaction and staff retention within NHS Direct. The authors conclude that whilst job satisfaction amongst NHSD nurses is generally high they expressed concern about the impact of insufficient time for clinical supervision and updating and the long-term effects of the adoption of a call centre ethos.

MONAGHAN, R., CLIFFORD, C., McDONALD, P., 2003. Seeking advice from NHS direct on common childhood complaints: does it matter who answers the phone? Journal of advanced nursing, 42 (2), 209-216.
This article demonstrates there are significant differences between RSCNs and RNs in the time taken to triage paediatric calls. The authors argue that evaluation research into the process of nurse consultation and referral is urgently needed.

SANDELOWSKI, M., 1998. Looking to care or caring to look? Technology and the rise of spectacular nursing. Holistic nursing practice, 12 (4), 1-11.
In this article the author argues that there is a risk that the use of distancing technologies, such as those involved in e-health, could result in nurses acting as medical substitutes, thereby perpetuating medical notions of care delivery. This article challneges nurses engaged in ehealth to consider the extent to which nursing values can become compromised by the technology they are using.