Muinga Naomi, Sen Barbara, Ayieko Philip, Todd Jim, English Mike
Department of Public Health Research, KEMRI-Wellcome Trust Research Programme, Nairobi, Kenya;
Information School, University of Sheffield, Sheffield, United Kingdom.
Glob Health Action. 2015 May 14;8:26559. doi: 10.3402/gha.v8.26559. eCollection 2015.
Studies have sought to define information needs of health workers within very specific settings or projects. Lacking in the literature is how hospitals in low-income settings are able to meet the information needs of their staff and the use of information communication technologies (ICT) in day-to-day information searching.
The study aimed to explore where professionals in Kenyan hospitals turn to for work-related information in their day-to-day work. Additionally, it examined what existing solutions are provided by hospitals with regard to provision of best practice care. Lastly, the study explored the use of ICT in information searching.
Data for this study were collected in July 2012. Self-administered questionnaires (SAQs) were distributed across 22 study hospitals with an aim to get a response from 34 health workers per hospital.
SAQs were collected from 657 health workers. The most popular sources of information to guide work were fellow health workers and printed guidelines while the least popular were scientific journals. Of value to health workers were: national treatment policies, new research findings, regular reports from surveillance data, information on costs of services and information on their performance of routine clinical tasks; however, hospitals only partially met these needs. Barriers to accessing information sources included: 'not available/difficult to get' and 'difficult to understand'. ICT use for information seeking was reported and with demographic specific differences noted from the multivariate logistic regression model; nurses compared to medical doctors and older workers were less likely to use ICT for health information searching. Barriers to accessing Internet were identified as: high costs and the lack of the service at home or at work.
Hospitals need to provide appropriate information by improving information dissemination efforts and providing an enabling environment that allows health workers find the information they need for best practice.
已有研究试图界定特定环境或项目中卫生工作者的信息需求。但文献中缺乏关于低收入环境下医院如何满足其员工信息需求以及信息通信技术（ICT）在日常信息搜索中的使用情况的内容。
本研究旨在探究肯尼亚医院的专业人员在日常工作中从何处获取与工作相关的信息。此外，研究还考察了医院在提供最佳实践护理方面提供了哪些现有解决方案。最后，研究探讨了ICT在信息搜索中的使用情况。
本研究数据于2012年7月收集。自行填写的问卷（SAQs）在22家研究医院中分发，目标是每家医院获得34名卫生工作者的回复。
共收集到来自657名卫生工作者的SAQs。指导工作最常用的信息来源是同行卫生工作者和印刷指南，最不常用的是科学期刊。对卫生工作者有价值的信息包括：国家治疗政策、新研究发现、监测数据定期报告、服务成本信息以及他们日常临床任务执行情况的信息；然而，医院仅部分满足了这些需求。获取信息来源的障碍包括：“不可用/难以获取”和“难以理解”。报告了将ICT用于信息寻求的情况，多变量逻辑回归模型显示存在人口统计学特定差异；与医生相比，护士以及年长的工作人员使用ICT进行健康信息搜索的可能性较小。确定的访问互联网的障碍包括：成本高以及家中或工作场所缺乏该服务。
医院需要通过加强信息传播工作并提供有利环境，使卫生工作者能够找到他们进行最佳实践所需的信息，从而提供适当的信息。
