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Western Journal of Nursing Research, Vol. 26, No. 8, 930-937 (2004)
DOI: 10.1177/0193945904269290

Clinical Decision Rules as Tools for Evidence-Based Nursing

Susan E. Shapiro, Ph.D., R.N., C.E.N.

Marie J. Driever

Providence Portland Medical Center.

Nursing practice is fraught with uncertainty and our patients do not always respond predictably to our interventions. Properly developed and tested Clinical Decision Rules (CDRs), a special type of decision support tool, help organize research evidence into standardized patient assessments and treatments, thereby increasing the probability of attaining the desired outcome and reducing uncertainty in practice. The purpose of this article is to examine CDRs as one kind of decision support tool that can be used to facilitate nursing decision making and evidence-based practice (EBP). CDRs differ from both treatment algorithms and clinical pathways in the ways they are developed and in their scope of applicability. CDRs are developed using strict methodological standards, with the goal that they function well when used by a variety of care providers, with various patient populations, and in different patient care settings.

Key Words: clinical decision rules • evidence-based practice


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This article has been cited by other articles:


Home page
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S. E. Shapiro
Guidelines for developing and testing clinical decision rules.
West J Nurs Res, March 1, 2006; 28(2): 244 - 253.
[Abstract] [PDF]

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 West J Nurs ResHome page
S. E. Shapiro
Evaluating Clinical Decision Rules
West J Nurs Res, August 1, 2005; 27(5): 655 - 664.
[Abstract] [PDF]