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通过社交媒体将证据转化为实践:一项混合方法研究。

Translating Evidence Into Practice via Social Media: A Mixed-Methods Study.

作者信息

Maloney Stephen, Tunnecliff Jacqueline, Morgan Prue, Gaida Jamie E, Clearihan Lyn, Sadasivan Sivalal, Davies David, Ganesh Shankar, Mohanty Patitapaban, Weiner John, Reynolds John, Ilic Dragan

机构信息

Monash University, Frankston, Australia.

出版信息

J Med Internet Res. 2015 Oct 26;17(10):e242. doi: 10.2196/jmir.4763.

DOI:10.2196/jmir.4763
PMID:26503129
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4642790/
Abstract

BACKGROUND

Approximately 80% of research evidence relevant to clinical practice never reaches the clinicians delivering patient care. A key barrier for the translation of evidence into practice is the limited time and skills clinicians have to find and appraise emerging evidence. Social media may provide a bridge between health researchers and health service providers.

OBJECTIVE

The aim of this study was to determine the efficacy of social media as an educational medium to effectively translate emerging research evidence into clinical practice.

METHODS

The study used a mixed-methods approach. Evidence-based practice points were delivered via social media platforms. The primary outcomes of attitude, knowledge, and behavior change were assessed using a preintervention/postintervention evaluation, with qualitative data gathered to contextualize the findings.

RESULTS

Data were obtained from 317 clinicians from multiple health disciplines, predominantly from the United Kingdom, Australia, the United States, India, and Malaysia. The participants reported an overall improvement in attitudes toward social media for professional development (P<.001). The knowledge evaluation demonstrated a significant increase in knowledge after the training (P<.001). The majority of respondents (136/194, 70.1%) indicated that the education they had received via social media had changed the way they practice, or intended to practice. Similarly, a large proportion of respondents (135/193, 69.9%) indicated that the education they had received via social media had increased their use of research evidence within their clinical practice.

CONCLUSIONS

Social media may be an effective educational medium for improving knowledge of health professionals, fostering their use of research evidence, and changing their clinical behaviors by translating new research evidence into clinical practice.

摘要

背景

与临床实践相关的研究证据中,约80%从未传达给提供患者护理的临床医生。证据转化为实践的一个关键障碍是临床医生查找和评估新出现证据的时间和技能有限。社交媒体可能为健康研究人员和医疗服务提供者之间架起一座桥梁。

目的

本研究的目的是确定社交媒体作为一种教育媒介,将新出现的研究证据有效转化为临床实践的效果。

方法

本研究采用混合方法。循证实践要点通过社交媒体平台发布。使用干预前/干预后评估来评估态度、知识和行为改变的主要结果,并收集定性数据以解释研究结果。

结果

数据来自多个健康学科的317名临床医生,主要来自英国、澳大利亚、美国、印度和马来西亚。参与者报告称,对社交媒体用于专业发展的态度总体有所改善(P<0.001)。知识评估显示培训后知识有显著增加(P<0.001)。大多数受访者(136/194,70.1%)表示,他们通过社交媒体接受的教育改变了他们的实践方式或打算改变实践方式。同样,很大一部分受访者(135/193,69.9%)表示,他们通过社交媒体接受的教育增加了他们在临床实践中对研究证据的使用。

结论

社交媒体可能是一种有效的教育媒介,通过将新的研究证据转化为临床实践,提高卫生专业人员的知识水平,促进他们对研究证据的使用,并改变他们的临床行为。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa1/4642790/2a357b341177/jmir_v17i10e242_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa1/4642790/191a74dcc39c/jmir_v17i10e242_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa1/4642790/67fa966eb3b9/jmir_v17i10e242_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa1/4642790/2a357b341177/jmir_v17i10e242_fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa1/4642790/191a74dcc39c/jmir_v17i10e242_fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa1/4642790/67fa966eb3b9/jmir_v17i10e242_fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5fa1/4642790/2a357b341177/jmir_v17i10e242_fig3.jpg

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