Farokhzadian Jamileh, Khajouei Reza, Ahmadian Leila
Department of Community Health Nursing, School of Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
Medical Informatics Research Center, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, Iran; Department of Health Information Management and Technology, Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran.
Int J Med Inform. 2015 Aug;84(8):570-7. doi: 10.1016/j.ijmedinf.2015.03.008. Epub 2015 Apr 17.
With the explosion of medical information, and emergence of evidence-based practice (EBP) in healthcare system, searching, retrieving and selecting information for clinical decision-making are becoming required skills for nurses.
The aims of this study were to examine the use of different medical information resources by nurses and their information searching and retrieving skills in the context of EBP.
A descriptive, cross-sectional study was conducted in four teaching hospitals in Iran. Data were collected from 182 nurses using a questionnaire in 2014.
The nurses indicated that they use more human and printed resources than electronic resources to seek information (mean=2.83, SD=1.5; mean=2.77, SD=1.07; and mean=2.13, SD=0.88, respectively). To search online resources, the nurses use quick/basic search features more frequently (mean=2.45, SD=1.15) than other search features such as advanced search, index browsing and MeSH term searching. (1.74≤mean≤2.30, SD=1.01). At least 80% of the nurses were not aware of the purpose or function of search operators such as Boolean and proximity operators. In response to the question measuring skills of the nurses in developing an effective search statement by using Boolean operators, only 20% of them selected the more appropriate statement, using some synonyms of the concepts in a given subject.
The study showed that the information seeking and retrieval skills of the nurses were poor and there were clear deficits in the use of updated information resources. To compensate their EBP incompetency, nurses may resort to human resources. In order to use the latest up to date evidence independently, nurses need to improve their information literacy. To reach this goal, clinical librarians, health information specialists, nursing faculties, and clinical nurse educators and mentors can play key roles by providing educational programs. Providing access to online resources in clinical wards can also encourage nurses to learn and use these resources.
随着医学信息的爆炸式增长以及医疗保健系统中循证实践（EBP）的出现，为临床决策搜索、检索和选择信息正成为护士所需的技能。
本研究的目的是在循证实践的背景下，考察护士对不同医学信息资源的使用情况及其信息搜索和检索技能。
在伊朗的四家教学医院进行了一项描述性横断面研究。2014年使用问卷从182名护士中收集数据。
护士表示，他们在寻求信息时使用人力和印刷资源多于电子资源（均值分别为2.83，标准差=1.5；均值为2.77，标准差=1.07；均值为2.13，标准差=0.88）。为了搜索在线资源，护士更频繁地使用快速/基本搜索功能（均值=2.45，标准差=1.15），而不是其他搜索功能，如高级搜索、索引浏览和医学主题词（MeSH）检索（均值在1.74至2.30之间，标准差=1.01）。至少80%的护士不了解布尔运算符和邻近运算符等搜索运算符的目的或功能。在回答关于护士使用布尔运算符制定有效搜索语句的技能问题时，只有20%的护士选择了更合适的语句，即在给定主题中使用一些概念的同义词。
该研究表明，护士的信息搜索和检索技能较差，在使用最新信息资源方面存在明显不足。为了弥补其循证实践能力的不足，护士可能会求助于人力资源。为了独立使用最新的证据，护士需要提高其信息素养。为了实现这一目标，临床图书馆员、健康信息专家、护理教员以及临床护士教育工作者和导师可以通过提供教育项目发挥关键作用。在临床病房提供在线资源访问也可以鼓励护士学习和使用这些资源。
