Table 4 Example of the analytical process

I cannot look at that alone [the CDSS recommendation] … What colour is it [the system alert]? I need to look at the patient’s background, comorbidities, and recent health status [disease development].

The nurse overrides the recommendation by gathering extended clinical data to assess health change

Gathering and searching for extended clinical data to assess the recommendation

Assessing the recommendation

The process of TM nurses’ reasoning to assess health change