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Volume 24, Issue 3, Pages 227-236 (June 2017) Applying a human factors approach to improve usability of a decision support system in tele-nursing Amina Tariq, Johanna Westbrook, Mary Byrne, Maureen Robinson, Melissa T. Baysari Collegian Volume 24, Issue 3, Pages 227-236 (June 2017) DOI: 10.1016/j.colegn.2016.02.001 Copyright © 2016 Australian College of Nursing Ltd Terms and Conditions

Figure 1 Nurse telephone triage process using CeCC environment. Collegian 2017 24, 227-236DOI: (10.1016/j.colegn.2016.02.001) Copyright © 2016 Australian College of Nursing Ltd Terms and Conditions

Figure 2 CeCC – when searching for a caller, multiple results are listed. Collegian 2017 24, 227-236DOI: (10.1016/j.colegn.2016.02.001) Copyright © 2016 Australian College of Nursing Ltd Terms and Conditions

Figure 3 CeCC – initial assessment for a caller identified as stable. The caller has missed a dose of a medication which should have been taken 12h earlier. Collegian 2017 24, 227-236DOI: (10.1016/j.colegn.2016.02.001) Copyright © 2016 Australian College of Nursing Ltd Terms and Conditions

Figure 4 CeCC – the medication guideline (for adults) as selected by the nurse based on their initial assessment of a caller. The guideline lists possible care advice (e.g. see doctor within 24h) in order of severity. To reach a decision regarding suitable care advice, the nurse navigates through the possible statements below the advice, querying each statement with the caller. If a statement is applicable to a caller, the nurse indicates “Y” (yes) and moves to the next screen. Collegian 2017 24, 227-236DOI: (10.1016/j.colegn.2016.02.001) Copyright © 2016 Australian College of Nursing Ltd Terms and Conditions