Information-seeking behaviors and reflective practice
Information-seeking behaviors and reflective practice
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DOI：
10.1002/chp.60
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发表时间：
2006-03-01
影响因子：
1.8
通讯作者：
Kristofco, Robert
中科院分区：
文献类型：
--
作者：
Bennett, Nancy L.;Casebeer, Linda L.;Kristofco, Robert
引言：当他们照顾病人时，医生会提出问题，但他们只追求其中的一部分。如果没有最好的信息和证据，护理和患者安全可能会受到影响。了解问题何时以及为什么促使医生寻找信息并将结果整合到他们的知识库中是至关重要的，并形成了对护理的反思的一部分。本研究探讨了互联网在收集医疗信息中的作用，作为反思实践的一个步骤，其使用的障碍，以及随着时间的推移利用率的变化。方法：通过传真向随机选择的美国所有专业和活跃的医生样本发送了一份问卷，其中包含18个项目，来自以前的研究。结果：特定患者的问题和特定主题的最新研究最常促使医生在互联网上搜索。年轻的医生和女医生最有可能寻求关于特定患者问题的信息。只有9%的受访者（n = 2，500）在患者就诊期间搜索信息当不确定复杂病例的诊断和管理问题时，41.3%的人选择咨询同事或阅读文本（22.8%）。最常在下班后（38.2%）或白天休息时（35.7%）进行搜索。大多数人（68.7%）在51%以上的时间里找到了他们正在寻找的信息。通过了解临床环境中的首选部位和访问，促进了搜索。回答临床问题的最大障碍包括缺乏具体的信息和太多的信息scan.Discussion：虽然医生越来越成功，并有信心在他们的互联网搜索回答提出的问题。病人护理，很少有人选择寻求医疗信息，在病人遇到互联网信息访问可能有助于全面反映的做法，医生还没有使用这种访问在一个即时的方式立即解决困难的病人问题，而是继续依靠与同事的协商。专业协会网站和即时护理数据库是有帮助的。从医生对互联网的使用中，继续医学教育的专业人员必须了解哪些搜索引擎和网站是值得信赖和首选的。
Introduction: As they care for patients, physicians raise questions, but they pursue only a portion of them. Without the best information and evidence, care and patient safety may be compromised. Understanding when and why problems prompt physicians to look for information and integrate results into their knowledge base is critical and shapes one part of reflection about care. This study explores the role of the Internet in gathering medical information as one step in that reflective practice, the barriers to its use, and changes in utilization over time.Methods: A questionnaire with 18 items adapted from previous studies was sent by facsimile to a randomly selected sample of U.S. physicians in all specialties and active in practice.Results: Specific patient problems and latest research in a specific topic most often prompt physicians to search on the Internet. Younger physicians and female physicians were most likely to seek information on a specific patient problem. Only 9% of all respondents (n = 2,500) searched for information during a patient encounter When unsure about diagnostic and management issues for a complex case, 41.3% chose to consult with a colleague or read from a text (22.8%). Searching most often occurred at home after work (38.2%) or during breaks in the day (35.7%). Most (68.7%)found the information they were looking for more than 51% of the time. Searching was facilitated by knowing preferred sites and access in the clinical setting. The greatest barriers to answering clinical questions included a lack of specific information and too much information to scan.Discussion: Although physicians are increasingly successful and confident in their Internet searching to answer questions raised in. patient care, few choose to seek medical information during a patient encounter Internet information access may facilitate overall reflection on practice; physicians do not yet use this access in a just-in-time manner for immediately solving difficult patient problems but instead continue to rely on consultation with colleagues. Professional association Web sites and point-of-care databases are helpful. From physicians' use of the Internet, professionals in continuing medical education must learn which search engines and sites are trusted and preferred.