Ugolini Donatella, Casanova Georgia, Ceppi Marcello, Mattei Francesca, Neri Monica
Department of Internal Medicine, University of Genoa, Genoa, Italy,
J Cancer Educ. 2014 Sep;29(3):514-21. doi: 10.1007/s13187-014-0631-0.
Evidence-based medicine (EBM) is a central theme in health practice and training. The understanding of EBM technical terms and the familiarity with EBM resources were surveyed in four different health professional categories. A self-administered questionnaire on the familiarity with EBM terminology and resources was proposed to 218 health professionals (physicians, translational researchers, nurses, and others) working in the oncology field. Relationships between variable and familiarity were examined: Pearson χ(2) or exact Fisher test was used for the categorical variables and one-way ANOVA for the continuous ones. The odds of familiarity for subjects, who had followed or not at least one EBM course, were estimated fitting a multiple logistic regression model adjusted for age, gender, and profession. All subjects completed the questionnaire. The majority of health personnel seemed to lack a sound knowledge of key EBM terms and sources. Physicians showed the highest knowledge of terms, nurses the lowest. Physicians also declared the largest familiarity with the widest variety of resources, followed by others and the researchers. The most popular resource was PLNG, the Italian Guideline System. People who attended at least one EBM course showed consistently higher percentages of knowledge, but the association was irrelevant for nurses. The main perceived barrier to implement EBM in practice was a lack of personal time. Familiarity of health professionals with EBM terminology and resources is still limited to the medical field and needs to be improved. Increasing education may be pivotal, even if different approaches should be developed for different professional categories.
循证医学(EBM)是卫生实践和培训的核心主题。我们对四个不同卫生专业类别的人员对循证医学技术术语的理解以及对循证医学资源的熟悉程度进行了调查。我们向218名从事肿瘤学领域工作的卫生专业人员(医生、转化研究人员、护士及其他人员)发放了一份关于对循证医学术语和资源熟悉程度的自填式问卷。我们检验了变量与熟悉程度之间的关系:分类变量采用Pearson χ²检验或精确Fisher检验,连续变量采用单因素方差分析。我们通过拟合一个针对年龄、性别和职业进行调整的多元逻辑回归模型,估计了参加或未参加至少一门循证医学课程的受试者的熟悉程度概率。所有受试者均完成了问卷。大多数卫生人员似乎对循证医学的关键术语和来源缺乏充分的了解。医生对术语的了解程度最高,护士最低。医生还表示对种类最多的资源最为熟悉,其次是其他人员和研究人员。最受欢迎的资源是意大利指南系统PLNG。参加至少一门循证医学课程的人员的知识百分比始终较高,但这种关联对护士而言并不显著。在实践中实施循证医学的主要感知障碍是缺乏个人时间。卫生专业人员对循证医学术语和资源的熟悉程度仍仅限于医学领域,需要加以提高。增加教育可能至关重要,即便应为不同专业类别制定不同的方法。