Gosling A Sophie, Westbrook Johanna I, Spencer Rosemary
Department of Psychology, Royal Holloway University of London, Egham, Surrey, UK.
J Adv Nurs. 2004 Jul;47(2):201-11. doi: 10.1111/j.1365-2648.2004.03079.x.
The 'information explosion' presents a significant challenge to the nursing profession. One way to assist access to information is to provide electronic information resources at the point of care. A large-scale survey of nurses working in the public health system in New South Wales, Australia, was undertaken as part of a 2-year evaluation of the Clinical Information Access Program (CIAP). This is a website which provides 24 hour, online access to a range of evidence sources at the point of care.
This paper reports a study to investigate factors influencing nurses' use of online evidence available at the point of care and to examine differences between nurses in different roles.
Nurses from 65 randomly selected hospitals were surveyed. A convenience sample representing 25% of nursing staff at these hospitals was sought. Eighty-four per cent of the survey quota was met and 3128 questionnaires were completed and returned.
The results showed that 58% of nurses had heard of the CIAP and, of those, 70% had used the website's resources. Senior nurses had greater awareness and use than others. The most frequent reasons for use were to fill a knowledge gap and for personal education. Lack of training was the most frequently cited reason for not using the website. Use of online evidence, particularly amongst senior staff, was higher than reported in previous studies.
Use of online evidence was associated with nursing role, and with managerial and organizational support. Diffusion of innovation theory can help to explain some of the patterns observed. The use and impact of online evidence should be interpreted in the context of nursing practice and culture.
“信息爆炸”给护理行业带来了重大挑战。协助获取信息的一种方法是在护理点提供电子信息资源。作为对临床信息获取计划（CIAP）为期两年评估的一部分，对澳大利亚新南威尔士州公共卫生系统的护士进行了大规模调查。CIAP是一个网站，可在护理点提供24小时在线访问一系列证据来源。
本文报告一项研究，以调查影响护士在护理点使用在线证据的因素，并检验不同角色护士之间的差异。
对从65家随机选择的医院中抽取的护士进行了调查。寻求一个便利样本，该样本占这些医院护理人员的25%。达到了调查配额的84%，共完成并返回了3128份问卷。
结果显示，58%的护士听说过CIAP，其中70%使用过该网站的资源。高级护士比其他护士有更高的知晓率和使用率。使用该网站最常见的原因是填补知识空白和进行个人学习。缺乏培训是未使用该网站最常被提及的原因。在线证据的使用，尤其是在高级员工中，高于以往研究报告的水平。
在线证据的使用与护理角色以及管理和组织支持有关。创新扩散理论有助于解释所观察到的一些模式。在线证据的使用和影响应在护理实践和文化背景中进行解读。
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