The information-seeking behaviour of paediatricians accessing web-based resources

Prendiville, Terrence; Saunders, Jesse; Fitzsimons, Jim

doi:10.1136/adc.2008.149278

Cited by 34 publications

(26 citation statements)

References 21 publications

(17 reference statements)

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“…The emphasis on digital information sources parallels findings from a study examining informationseeking behaviour in hospital-based pediatricians whose results suggested that the Internet was the most frequent information source for 67% of participants. 21 The identification of high-anxiety pediatric conditions as important aligns with previous research. Simon & Sullivan 22 identified that over 25% of community emergency practitioners were uncomfortable performing lifesaving pediatric procedures.…”

Section: Discussionsupporting

confidence: 48%

Pediatric information seeking behaviour, information needs, and information preferences of health care professionals in general emergency departments: Results from the Translating Emergency Knowledge for Kids (TREKK) Needs Assessment

Scott

Albrecht

Given

et al. 2017

CJEM

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on behalf of the TREKK team ABSTRACTThe majority of children requiring emergency care are treated in general emergency departments (EDs) with variable levels of pediatric care expertise. The goal of the Translating Emergency Knowledge for Kids (TREKK) initiative is to implement the latest research in pediatric emergency medicine in general EDs to reduce clinical variation. Objectives: To determine national pediatric information needs, seeking behaviours, and preferences of health care professionals working in general EDs. Methods: An electronic cross-sectional survey was conducted with health care professionals in 32 Canadian general EDs. Data were collected in the EDs using the iPad and in-person data collectors. Results: Total of 1,471 surveys were completed (57.1% response rate). Health care professionals sought information on children's health care by talking to colleagues (n = 1,208, 82.1%), visiting specific medical/health websites (n = 994, 67.7%), and professional development opportunities (n = 941, 64.4%). Preferred child health resources included protocols and accepted treatments for common conditions (n = 969, 68%), clinical pathways and practice guidelines (n = 951, 66%), and evidence-based information on new diagnoses and treatments (n = 866, 61%). Additional pediatric clinical information is needed about multisystem trauma (n = 693, 49%), severe head injury (n = 615, 43%), and meningitis (n = 559, 39%). Health care professionals preferred to receive child health information through professional development opportunities (n = 1,131, 80%) and printed summaries (n = 885, 63%). Conclusion:By understanding health care professionals' information seeking behaviour, information needs, and information preferences, knowledge synthesis and knowledge translation initiatives can be targeted to improve pediatric emergency care. The findings from this study will inform the following two phases of the TREKK initiative to bridge the research-practice gap in Canadian general EDs. RÉSUMÉContexte: La plupart des enfants ayant besoin de soins d'urgence sont traités dans des services des urgences (SU) généraux dotés, à des degrés variables, de spécialistes en soins pédiatriques. L'initiative Translating Emergency Knowledge for Kids (TREKK) a pour but l'application des résultats les plus récents de la recherche en médecine d'urgence pédiatrique dans les SU généraux afin d'atténuer les différences de soins cliniques. Objectif: L'étude décrite ici visait à déterminer, à l'échelle nationale, les besoins d'information en pédiatrie des professionnels de la santé travaillant dans des SU généraux, leurs comportements dans la recherche d'information ainsi que leurs préférences quant à l'obtention d'information. Méthode: Il s'agit d'une enquête transversale électronique, menée parmi des professionnels de la santé, dans 32 services des urgences généraux, au Canada. La collecte de donnée dans les SU s'est faite à l'aide de tablettes électroniques (iPad) et de consignateurs de données, en personne. Résultats: Au total, 1471 question...

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Section: Discussionsupporting

confidence: 48%

Pediatric information seeking behaviour, information needs, and information preferences of health care professionals in general emergency departments: Results from the Translating Emergency Knowledge for Kids (TREKK) Needs Assessment

Scott

Albrecht

Given

et al. 2017

CJEM

View full text Add to dashboard Cite

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“…The barriers, enablers and need for training and support are all consistent with the current literature [9–12, 15, 39, 40, 43, 45, 53, 58, 59, 61–69]. Several authors call for dedicated resources and in-house ‘resource centres’ to provide expertise; access to relevant methods and tools; and education, training and capacity-building [17, 59, 70–72].…”

Section: Resultssupporting

confidence: 64%

Sustainability in Health care by Allocating Resources Effectively (SHARE) 7: supporting staff in evidence-based decision-making, implementation and evaluation in a local healthcare setting

Harris

Allen

Waller

et al. 2017

BMC Health Serv Res

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BackgroundThis is the seventh in a series of papers reporting Sustainability in Health care by Allocating Resources Effectively (SHARE) in a local healthcare setting. The SHARE Program was a systematic, integrated, evidence-based program for resource allocation within a large Australian health service. It aimed to facilitate proactive use of evidence from research and local data; evidence-based decision-making for resource allocation including disinvestment; and development, implementation and evaluation of disinvestment projects. From the literature and responses of local stakeholders it was clear that provision of expertise and education, training and support of health service staff would be required to achieve these aims. Four support services were proposed. This paper is a detailed case report of the development, implementation and evaluation of a Data Service, Capacity Building Service and Project Support Service. An Evidence Service is reported separately.MethodsLiterature reviews, surveys, interviews, consultation and workshops were used to capture and process the relevant information. Existing theoretical frameworks were adapted for evaluation and explication of processes and outcomes.ResultsSurveys and interviews identified current practice in use of evidence in decision-making, implementation and evaluation; staff needs for evidence-based practice; nature, type and availability of local health service data; and preferred formats for education and training. The Capacity Building and Project Support Services were successful in achieving short term objectives; but long term outcomes were not evaluated due to reduced funding. The Data Service was not implemented at all. Factors influencing the processes and outcomes are discussed.ConclusionHealth service staff need access to education, training, expertise and support to enable evidence-based decision-making and to implement and evaluate the changes arising from those decisions. Three support services were proposed based on research evidence and local findings. Local factors, some unanticipated and some unavoidable, were the main barriers to successful implementation. All three proposed support services hold promise as facilitators of EBP in the local healthcare setting. The findings from this study will inform further exploration.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2388-8) contains supplementary material, which is available to authorized users.

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“…He found that Google and Wikipedia were used by 80% and 70% of respondents, respectively, and that their credibility risks were mitigated by cross checking. Also in 2009, Prendiville found that web-based pediatric resources were increasingly significant in this area of medical practice and that many pediatricians believed that patient care depended on these resources [11].…”

Section: Literature Reviewmentioning

confidence: 99%

The Information Needs of Clinicians: a Study of the Doctors Nova Scotia Clinical Library

Lee¹

2013

J Can Health Libr Assoc

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Background: The Clinical Library (CL) is a virtual library of books, journals, drug information, and patient information. It has no hard copy books or journals to lend. Objectives: On the 10-year anniversary of the CL, feedback from information skills training indicated a need for a user assessment survey to ensure that the CL continues to meet the medical information needs of the modern clinician. The study was conducted to assess the level of electronic information use, the geographical distribution of users, and the frequency of use by various clinical practitioners. The study also contained a survey of health librarians in the United Kingdom to assess whether our information strategies are in line with international practices and needs. Methods: External consultants were hired to conduct interviews and a survey among the membership and to perform an environmental scan of Canadian and U.S. services. A series of interviews was conducted by the health librarian at health libraries in the U.K. Results: Sixty-two percent of survey respondents said they access information to help inform patient diagnosis or treatment at least every 2Á3 days, 40% of respondents regularly use web-based medical information services, and 46% of respondents used the CL as part or all of their electronic search strategy. The use of the CL varied widely depending on the location of respondents and their access to a health library. Respondents in rural areas and those unaffiliated with hospital libraries were more likely to use the virtual CL. Family practitioners showed the most familiarity with the CL offerings and reported the highest use of the CL (66.7% of respondents). A significant minority of respondents found the CL difficult to navigate. The U.K. arm of the study showed that services offered there were similar to those offered by the CL. Conclusions: Based on the findings, the CL remains a vital service for members. The CL should maintain its services for members and make the user interface easier to use. A majority of clinicians are seeking evidence to support decisions about patient care. The use of web-based resources, including journals and textbooks, is growing. The CL is meeting the needs of a significant portion of respondents, mainly family physicians. The U.K. study found that librarians there offer similar services to those offered by the CL and that, based on their use, U.K. librarians expect to be offering these services for some time to come. The CL must look for synergies and duplication with affiliated libraries and find ways to collaborate and promote services.

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The information-seeking behaviour of paediatricians accessing web-based resources

Cited by 34 publications

References 21 publications

Pediatric information seeking behaviour, information needs, and information preferences of health care professionals in general emergency departments: Results from the Translating Emergency Knowledge for Kids (TREKK) Needs Assessment

Pediatric information seeking behaviour, information needs, and information preferences of health care professionals in general emergency departments: Results from the Translating Emergency Knowledge for Kids (TREKK) Needs Assessment

Sustainability in Health care by Allocating Resources Effectively (SHARE) 7: supporting staff in evidence-based decision-making, implementation and evaluation in a local healthcare setting

The Information Needs of Clinicians: a Study of the Doctors Nova Scotia Clinical Library

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