School of Health and Social Services, Massey University, Wellington, New Zealand.
J Adv Nurs. 2012 Jun;68(6):1349-58. doi: 10.1111/j.1365-2648.2011.05845.x. Epub 2011 Oct 17.
This paper is a report of a study of nurses' access, use and evaluation of online health information in medical wards.
Online health information is commonly used by patients with chronic illness to support their education needs. Nurses have a critical role in assisting patients to access and use this information.
This descriptive cross-sectional survey of a random sample of 540 nurses employed in medical wards was carried out in 2009. The response rate was 58·7% (293). The analytical approach included descriptive statistics and non-parametric tests of correlation and differences between groups. A content analysis was performed on the qualitative data.
Most respondents (78·6%) were satisfied with work Internet access and 58·2% believed that the use of online information improved care delivery. Nearly half the group was aware of patient misconceptions about their illness due to incorrect interpretations of online information, but only 24·4% checked if patients used online information. There was a significant association between assessing patients use and awareness of patient misconceptions.
The findings of this study highlight that while online resources add to education opportunities, the ongoing nursing assessment required to determine online information needs is not always incorporated into nursing practice. Patient misunderstandings of online material were also identified; developing patient competency in evaluating open access health information should now be recognized as an integral aspect of illness management education.
本文是一项关于护士在医疗病房获取、使用和评估在线健康信息的研究报告。
在线健康信息通常被慢性病患者用于支持其教育需求。护士在帮助患者获取和使用这些信息方面起着关键作用。
本研究于 2009 年对随机抽取的 540 名在医疗病房工作的护士进行了描述性横断面调查，应答率为 58.7%（293 人）。分析方法包括描述性统计和非参数相关性检验和组间差异检验。对定性数据进行了内容分析。
大多数受访者（78.6%）对工作上网条件感到满意，58.2%的人认为使用在线信息可以改善护理服务。近一半的人意识到由于对在线信息的错误解读，患者对自身疾病存在误解，但只有 24.4%的人会检查患者是否使用在线信息。评估患者使用情况与意识到患者存在误解之间存在显著关联。
本研究结果表明，尽管在线资源增加了教育机会，但为确定在线信息需求而进行的持续护理评估并不总是纳入护理实践中。还发现了患者对在线材料的误解；现在应该认识到，培养患者评估开放获取健康信息的能力是疾病管理教育的一个组成部分。
