Harkness Project Title: The Effect of Implementing an Electronic Health Record on Nursing-Sensitive Patient Outcomes and Nurse Decision Making
Mentor: Murray N. Ross, Ph.D.
Placement: Kaiser Permanente
Biography at time of Harkness Fellowship: Dawn Dowding, RGN, Ph.D., a 2009–10 Commonwealth Fund Harkness Fellow in Health Care Policy and Practice, is a senior lecturer in clinical decision-making at the Hull York Medical School and department of health sciences, University of York. Past positions include program leader for a nationally funded research unit in Scotland, as well as lecturer and research positions at the Universities of Stirling (Scotland) and Surrey (England). Dowding’s research interests focus on clinical decision-making, including studies to develop decision-support tools and to evaluate the effectiveness of computerized decision support in nursing. She is joint leader of the Health Care Decision Making Research Group, within the department of health sciences at the University of York, and has served as principle investigator on a number of Department of Health and Scottish Executive grants. She is the author/editor of two books on clinical decision-making in nursing and has over 30 peer-reviewed journal articles. She holds a Ph.D. in psychology and nursing studies from the University of Surrey and is a registered nurse.
Project: This project analyzed the impact of the introduction of an electronic health record (EHR) on nursing sensitive patient outcomes and how nurses use an EHR to inform decisions about patient care. Dowding conducted an interrupted time series analysis using patient outcomes data from before and after the implementation of an EHR, as well as case studies at hospitals at different stages along the implementation timeline.
Career Activity Since Fellowship
- Visiting Nurse Service of New York (VNSNY) Professor of Nursing, Columbia University School of Nursing (2013-present)
- Professor, School of Healthcare, University of Leeds, 2010
Current Position: (updated 10/2014)
Visiting Nurse Service of New York (VNSNY) Professor of Nursing, Columbia University School of Nursing
Email: [email protected]
Harkness-Related Publications
Randell R, Greenhalgh J, Hindmarsh J, Dowding D, Jayne D, Pearman A, Gardner P, Croft J, Kotze A. Integration of robotic surgery into routine practice and impacts on communication, collaboration, and decision making: a realist process evaluation protocol. Implement Sci. 2014 May 2;9:52.
Dowding DW, Turley M, Garrido T. Nurses' use of an integrated electronic health record: results of a case site analysis. Inform Health Soc Care. 2014 Aug 14:1-17.
Coleman S, Nelson EA, Keen J, Wilson L, McGinnis E, Dealey C, Stubbs N, Muir D, Farrin A, Dowding D, Schols JM, Cuddigan J, Berlowitz D, Jude E, Vowden P, Bader DL, Gefen A, Oomens CW, Schoonhoven L, Nixon J. Developing a pressure ulcer risk factor minimum data set and risk assessment framework. J Adv Nurs. 2014 Oct;70(10):2339-52.
Samuriwo R, Dowding D. Nurses' pressure ulcer related judgements and decisions in clinical practice: A systematic review. Int J Nurs Stud. 2014 Apr 19.
Coleman S, Nixon J, Keen J, Wilson L, McGinnis E, Dealey C, Stubbs N, Farrin A, Dowding D, Schols JM, Cuddigan J, Berlowitz D, Jude E, Vowden P, Schoonhoven , Bader DL, Gefen A, Oomens CW, Nelson EA. A new pressure ulcer conceptual framework. J Adv Nurs. 2014 Oct;70(10):2222-34.
Shang J, Ma C, Poghosyan L, Dowding D, Stone P. The prevalence of infections and patient risk factors in home health care: a systematic review. Am J Infect Control. 2014 May;42(5):479-84.
Parenti N, Reggiani ML, Iannone P, Percudani D, Dowding D. A systematic review on the validity and reliability of an emergency department triage scale, the Manchester Triage System. Int J Nurs Stud. 2014 Jul;51(7):1062-9.
Dowding D. Using computerised decision-support systems. Nurs Times. 2013 Sep 11-17;109(36):23-5.
Dowding D. Are nurses expected to have information technology skills? Nurs Manag (Harrow). 2013 Sep;20(5):31-7. PubMed PMID: 23980791.
Dowding DW, Currie LM, Borycki E, Clamp S, Favela J, Fitzpatrick G, Gardner P, Hamer S, Hardiker N, Johnson O, Lawton R, O'Brien A, Randell R, Westbrook J, Whitewood-Moores Z, Dykes PC. International priorities for research in nursing informatics for patient care. Stud Health Technol Inform. 2013;192:372-6.
Thompson C, Aitken L, Doran D, Dowding D. An agenda for clinical decision making and judgement in nursing research and education. Int J Nurs Stud. 2013 Dec;50(12):1720-6.
Sheard L, Prout H, Dowding D, Noble S, Watt I, Maraveyas A, Johnson M. Barriers to the diagnosis and treatment of venous thromboembolism in advanced cancer patients: a qualitative study. Palliat Med. 2013 Apr;27(4):339-48.
Sheard L, Prout H, Dowding D, Noble S, Watt I, Maraveyas A, Johnson M. The ethical decisions UK doctors make regarding advanced cancer patients at the end of life — the perceived (in) appropriateness of anticoagulation for venous thromboembolism: a qualitative study. BMC Med Ethics. 2012 Sep 4;13:22.
Sheard L, Prout H, Dowding D, Noble S, Watt I, Maraveyas A, Johnson M. “The ethical decisions UK doctors make regarding advanced cancer patients at the end of life — the perceived (in) appropriateness of anticoagulation for venous thromboembolism: A qualitative study.” BMC Med Ethics. 2012 Sep 4;13:22.
Dowding DW, Turley M & Garrido T. (2011). “The impact of an electronic health record on nurse sensitive patient outcomes: An interrupted time series analysis.” Journal of the American Medical Informatics Association.