Nursing Documentation Burden
Conditions
Keywords
Artificial Intelligence, Ambient Listening, Nursing, Nursing Staff, Documentation Burden, Nursing Staff Well Being
Brief summary
The goal of this clinical trial is to learn whether using Ambient Artificial Intelligence for nursing staff documentation in an inpatient setting will reduce the time spent in flowsheet documentation and enhance nurse staffing wellbeing. Participants will use Ambient Listening AI software to draft documentation in discrete fields.
Detailed description
This pragmatic trial is being conducted to test the effectiveness of Artificial Intelligence Driven Ambient Listening software on reducing time in flowsheet documentation among Registered Nurses (RNs) and nursing assistants (NAs) in an inpatient setting. The Ambient AI software uses Automated Speech Recognition technology with Large Language Models to automatically generate discrete flowsheet values from nurse-patient conversations in real-time. The clinical trial is an examination of the impact and usability of this implementation on the workload and well-being of nurses involved in the rollout of the software pragmatic Electronic Health Record embedded design integrated into clinical workflows and the health system IT infrastructure.
Interventions
OTHERArtificial Intelligence
Ambient AI software intervention is implemented into the nursing staff workflow. The software incorporates Automated Speech Recognition technology with Large Language Models to generate clinical documentation in real-time
Sponsors
University of Wisconsin, Madison
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Intervention model description
The stepped wedge design involves staggered implementation of an intervention across different hospital units over multiple time periods, allowing all nursing staff within these units to eventually receive the intervention.
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Willingness to engage and use ambient technology * English speaking * All Registered Nurses and Nursing Assistants with the study inpatient units * Attest to completing all required training
Exclusion criteria
* Planned leave more than 6 weeks during study timeframe
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Active Time Spent in Flowsheets per shift hour | Baseline to 22 weeks | To assess a change in nursing staff documentation time, the change active time spent in flowsheets per shift hour with the use of the Ambient Listening tool versus usual documentation will be reported. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Active Time Spent in Flowsheets per patient per shift | Baseline to 22 weeks | To assess nursing staff documentation burden, the change in active time spent in flowsheets per patient shift will be reported. |
| Change in the number of clicks or taps in Flowsheets | Baseline to 22 weeks | To assess nursing staff documentation burden, the change in the number of clicks or taps in flowsheets will be reported. |
| Change in Amount of Overtime Charting | Baseline to 22 weeks | To assess nursing staff documentation burden, the change in time spent documenting after end time of assignment will be reported. |
| Change in Clinician Worklife Survey (Mini-Z) Score | Baseline to 22 weeks | Professional Wellbeing will be assessed with the Mini Z 3.0, a 10 item tool (plus one open-ended question) designed to quickly assess clinician burnout, stress, satisfaction, and work-life drivers such as workload control, teamwork, and electronic health record (EHR) related stressors. The Mini Z survey is scored by summing responses to the first 10 items, each rated on a 1-5 Likert scale, producing a total score ranging from 10 to 50. Higher scores indicate better worklife conditions, with scores of 40 or above reflecting a "joyful" workplace. |
| Change in Mini-Z Subscale Scores: Supportive Work Environment | Baseline to 22 weeks | Professional Wellbeing will also be assessed with Mini Z subscales. One Mini-Z subscale measures supportive work environment with 7-items (scores range from 7-35, higher scores indicate more supportive environment). |
| Change in Mini-Z (3.0) Subscale Scores: EHR Stress | Baseline to 22 weeks | Professional Wellbeing will also be assessed with Mini Z subscales. One Mini-Z subscale measures EHR stress (scores range from 3-15, higher scores indicate more manageable EHR stress). |
| Change System Usability Scale (SUS) | 11 weeks to 22 weeks | The SUS is a 10-item scale that assesses perceived usability of a system, in this case, the Abridge Ambient Listening Tool. It yields a single score that can range from 0-100 with higher scores indicating higher system usability. |
Countries
United States
Contacts
CONTACTAnn Wieben, PhD, RN
CONTACTJann Pfaff, PhD, RN
PRINCIPAL_INVESTIGATORAnn Wieben, PhD, RN
University of Wisconsin, Madison
PRINCIPAL_INVESTIGATORJann Pfaff, PhD, RN
University of Wisconsin, Madison
Outcome results
None listed