Physicians' characteristics in the usage of online database: A representative nationwide survey of regional hospitals in Taiwan

Chiu, Ya Wen; Weng, Yi Ming; Lo, Heng Lien; Ting, Hsien-Wei; Hsu, Chih Cheng; Shih, Ya Hui; Kuo, Ken N.

doi:10.1080/17538150903102372

Cited by 28 publications

(33 citation statements)

References 26 publications

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“…As described in a previous study, 12 61 regional hospitals that had a collaborative project with the National Health Research Institutes~NHRI! were enrolled, which accounted for 94% of total regional hospitals in Taiwan.…”

Section: Methodsmentioning

confidence: 99%

Comparison of evidence-based practice between physicians and nurses: A national survey of regional hospitals in Taiwan

Chiu

Weng

et al. 2010

Journal of Continuing Education in the Health Professions

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Section: Methodsmentioning

confidence: 99%

Comparison of evidence-based practice between physicians and nurses: A national survey of regional hospitals in Taiwan

Chiu

Weng

et al. 2010

Journal of Continuing Education in the Health Professions

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“…In recent years, the Internet is an important resource for locating medical knowledge. In the face of advantages such as the Internet's time-efficient and cost-effective global information enjoyed by some West African physicians, obstacles to access, lack of skills, and applicability of information are still barriers to utilization (9). Although the Internet is available, it has not been completely mastered by the majority of West Africans; nonetheless, it already has had a cultural impact on the mostly urban elites (10).…”

Section: Internet Use By Physicians In West Africamentioning

confidence: 99%

Building a Regional HIV/AIDS Database: Challenges Faced by West African Specialist Physicians and Health Librarians

Komolafe-Opadeji

2012

Journal of Hospital Librarianship

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The article investigates access and the use of the Internet among specialty doctors in five West African countries. It also looks at what information and communication technologies (ICT) are needed by health librarians to build a human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) database to carry out the West African regional project on HIV/AIDS information management. Two sets of questionnaireswere designed: one for specialty doctors to assess their skills and the functionality of their institutional Internet access, the other to determine health librarians' ICT skills. The findings reveal factors such as power outages, irregular and slow Internet connection, nonexistent institutional Internet subscription, or half-day Internet access that resulted in minimal use of Internet by the specialty doctors. The health librarians, though skilled with information management, needed additional ICT training in Web design, electronic classification of resources, and most importantly, database building to function optimally on their project assignment. The findings led to recommendations such as improving Internet access in the West African tertiary institutions/hospitals and continuous ICT training for the health librarians.

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“…On the other hand, online databases can offer evidence-based and summarized recommendations for clinical services to facilitate the integration of evidence into practice. 29 A high proportion of the respondent RTs used online databases for self-learning and clinical service. They accessed MED-LINE the most, which is not surprising because it provides more information than the other databases.…”

Section: Discussionmentioning

confidence: 99%

Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

et al. 2013

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BACKGROUND: Evidence-based practice (EBP) has been proposed as a core competence to improve healthcare quality. The profile of EBP among respiratory therapists (RTs) has not been explored. We investigated how RTs in Taiwan perceive the implementation of EBP. METHODS: We surveyed RTs in Taiwan's regional hospitals during a 4-month period in 2011. RESULTS: A majority of RTs were aware of EBP (88.0%). Although most RTs held a favorable impression of EBP, their knowledge of and skill in EBP implementation were deficient. Only half of the RTs had implemented EBP. Insufficient convenient kits (59.1%), deficient designated personnel (50.0%), and lack of time (45.5%) were major barriers to implementing EBP. RTs rated MEDLINE as the most commonly used evidence-based retrieval database, followed by UpToDate, IntroductionEvidence-based practice (EBP) means clinical practice that is consistent with the current best evidence. EBP integrates clinical epidemiology, biostatistics, research methods, and informatics into healthcare. 1,2 The process of EBP mainly involves 4 steps: framing a clear question based on a clinical problem; finding relevant evidence in the literature; critically appraising the validity of the research; and applying the findings to clinical decision-making. 3 Respiratory care is increasingly utilized, with the associated respiratory therapists (RTs) playing an important role in supporting related clinical services. [4][5][6][7] proposed as a useful means to improve healthcare outcomes for RTs. [8][9][10][11] Therefore it is essential to assess how RTs implement EBP in clinical decision-making. A number of studies have illustrated that, although a majority of medical, nursing, pharmacologic, and allied health professions hold positive attitudes toward EBP, their knowledge and skill pertaining to EBP implementation are relatively insufficient. 12-18 Whether or not RTs practice with evidence, and, if so, how, has been unclear. 19 RTs have to deal with a broad range of medical problems in clinical practice. 20 RTs play an important role in the prevention and management of respiratory diseases. 21 Timely acquired relevant information is important for their clinical practice. Access to evidence-based information can help facilitate effective management. Therefore, how to obtain current evidence-based knowledge is a critical skill. Nevertheless, only a few studies surveyed the behavior of RTs in searching for evidence-based information.We surveyed RTs in Taiwan regarding their awareness of EBP related to beliefs, attitudes, knowledge, skills, and implementation. MethodsThe ethical review board of the Taiwan National Health Research Institutes approved the study protocol. The survey was accompanied by an introductory letter stating the purpose of this study and promising confidentiality. Return of the completed questionnaire was considered consent for participation.

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Physicians' characteristics in the usage of online database: A representative nationwide survey of regional hospitals in Taiwan

Cited by 28 publications

References 26 publications

Comparison of evidence-based practice between physicians and nurses: A national survey of regional hospitals in Taiwan

Comparison of evidence-based practice between physicians and nurses: A national survey of regional hospitals in Taiwan

Building a Regional HIV/AIDS Database: Challenges Faced by West African Specialist Physicians and Health Librarians

Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

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