A Qualitative Study Examining Clinical Decision Support System Adoption Among Hospital Clinicians (CDSS-ADOPT)

May 14, 2026 updated by: Saad Muhammad, Medway NHS Foundation Trust

A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems

A Qualitative Study to Explore the Barriers to Adoption of Clinical Decision Support Systems

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Qualitative study looking at clinical decision support system adoption among clinicians in a district general hospital. This will involve semi-structured interviews of various clinical staff in the emergency department, looking at work-habits regarding clinical decision support tool use.

Study Type

Observational

Enrollment (Actual)

18

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • United Kingdom
    • Kent
      • Gillingham, Kent, United Kingdom, ME7 5NY
        • Medway NHS Foundation Trust

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child
  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Hospital clinicians employed by Medway NHS Foundation Trust

Description

Inclusion Criteria:

  • Employed by Medway NHS Foundation Trust at the time of recruitment
  • Working clinically within the Emergency Department
  • Clinical grade of FY1, FY2, SHO/CTF, SAS/Registrar, Consultant, Nurse, Advanced Clinical practitioner, Physician Assistant, or Clinical Support Worker
  • Involved in the assessment and management of adult emergency department patients
  • Have routine access to the Trust electronic patient record system (Sunrise EPR) during clinical duties
  • Able to provide informed consent to participate
  • Aged 18 years or older

Exclusion Criteria:

  • Bank, agency, or locum staff who are not permanently or regularly employed by the department.
  • Staff currently on leave, secondment, or not actively practising in the ED during the data collection period.
  • Clinicians currently involved in the design, management, or evaluation of the CDSS system under study.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
FY1/2
Foundation Year 1 & 2 Doctors
Other: Semi-structured interview
A 20-30 minute semi-structured interview using the pre-defined topic sheet
SHO
Senior House Officer level doctor above FY2 but below Registrar
Other: Semi-structured interview
A 20-30 minute semi-structured interview using the pre-defined topic sheet
Registrar
Registrar level doctor
Other: Semi-structured interview
A 20-30 minute semi-structured interview using the pre-defined topic sheet
Consultant
Consultant level doctor
Other: Semi-structured interview
A 20-30 minute semi-structured interview using the pre-defined topic sheet
Physician Assistant
Physician Assistant clinician
Other: Semi-structured interview
A 20-30 minute semi-structured interview using the pre-defined topic sheet
CSW
Clinical Support Worker
Other: Semi-structured interview
A 20-30 minute semi-structured interview using the pre-defined topic sheet
ACP
Advanced Clinical Practitioner
Other: Semi-structured interview
A 20-30 minute semi-structured interview using the pre-defined topic sheet
Nurse
Registered Nurse
Other: Semi-structured interview
A 20-30 minute semi-structured interview using the pre-defined topic sheet

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Saturation of Themes Related to Barriers to CDSS Adoption
Time Frame: The study ran between 10th January 2026 until 31 January 2026. The study was considered complete once all planned participant interviews have been conducted or recruitment has formally ceased following achievement of data saturation.

The primary outcome examines the barriers to clinical decision support system adoption, such as hardware issues, governance concerns, user-interface problems, and trusted information. These themes will be examined during interviews with open-ended questions to allow user experiences to be recorded.

This study will use purposive sampling with maximum variation to ensure representation across key categories of Emergency Department clinicians who use clinical decision support systems (CDSS). Participants will be selected to capture a range of roles and experiences, including Advanced Clinical Practitioners (ACPs), Physician Associates (PAs), Clinical Support Workers (CSWs), nurses, and doctors at different levels (Foundation Year 1-2, Senior House Officers, Registrars, and Consultants). Recruitment will continue until data saturation of themes related to CDSS adoption is achieved within and across these categories, anticipated at approximately one to two participants per role group.
The study ran between 10th January 2026 until 31 January 2026. The study was considered complete once all planned participant interviews have been conducted or recruitment has formally ceased following achievement of data saturation.

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Medway NHS Foundation Trust

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Helpful Links

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

January 10, 2026

Primary Completion (Actual)

January 31, 2026

Study Completion (Actual)

March 16, 2026

Study Registration Dates

First Submitted

January 19, 2026

First Submitted That Met QC Criteria

February 4, 2026

First Posted (Actual)

February 9, 2026

Study Record Updates

Last Update Posted (Actual)

May 18, 2026

Last Update Submitted That Met QC Criteria

May 14, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • 1366
  • IRAS ID: 365984 (Other Identifier: NHS Health Research Authority)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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