Wårdh Inger, Axelsson Susanna, Tegelberg Ake
Department of Dental Medicine, Karolinska Institute, Huddinge, Sweden.
J Evid Based Dent Pract. 2009 Dec;9(4):197-205. doi: 10.1016/j.jebdp.2009.05.002.
There is some literature on how to find the best evidence for clinical practice but little is known about which evidence clinicians actually seek when they look for scientific support in changing behavior. The aim of this study was to explore which evidence has an impact on dentists' willingness to change their behavior by investigating the requirements for seeking and understanding new knowledge, as well as perceived barriers or motives for doing this. A postal questionnaire was analyzed according to demographic information, access to and use of a personal computer, postgraduate education activity, knowledge about evidence-based medicine and scientific terms, and seeking and grasping new and actual knowledge from 177 dentists. Fifteen of these dentists formed 3 focus groups that were interviewed about the areas in the questionnaire. First-order information, that was required in a short time, was sought by the nearest colleagues. Literature and Internet-based technology were second-order information, mainly sought by younger dentists. The people that were interviewed claimed that the real point of issue was to find new knowledge that could be transferred into practice. Many studies pointing to sometimes diverging results only seem to create confused professionals. To include some qualitative aspects in evidence-based reports could be a way of improving understanding and changing behavior in a favorable direction and perhaps also increase interest for new knowledge.
关于如何为临床实践找到最佳证据有一些文献,但对于临床医生在寻求科学支持以改变行为时实际寻找的是哪些证据却知之甚少。本研究的目的是通过调查寻求和理解新知识的要求以及这样做的感知障碍或动机,来探索哪些证据会影响牙医改变其行为的意愿。根据人口统计学信息、个人电脑的使用情况、研究生教育活动、循证医学和科学术语的知识以及从177名牙医那里获取和掌握新的及实际知识的情况,对一份邮寄问卷进行了分析。其中15名牙医组成了3个焦点小组,就问卷中的领域接受了访谈。最近的同事寻求在短时间内所需的一阶信息。文献和基于互联网的技术是二阶信息,主要由年轻牙医寻求。接受访谈的人声称,真正的问题在于找到能够转化为实践的新知识。许多指向有时相互矛盾结果的研究似乎只会让专业人员感到困惑。在循证报告中纳入一些定性方面可能是一种改善理解并朝着有利方向改变行为的方法,或许还能增加对新知识的兴趣。