*Faculty of Nursing,University of Alberta,Edmonton,AB.
†Department of Pediatrics,University of Alberta,Edmonton,AB.
CJEM. 2018 Jan;20(1):89-99. doi: 10.1017/cem.2016.406. Epub 2017 Jan 9.
The majority of children requiring emergency care are treated in general emergency departments (EDs) with variable levels of pediatric care expertise. The goal of the Translating Emergency Knowledge for Kids (TREKK) initiative is to implement the latest research in pediatric emergency medicine in general EDs to reduce clinical variation.
To determine national pediatric information needs, seeking behaviours, and preferences of health care professionals working in general EDs.
An electronic cross-sectional survey was conducted with health care professionals in 32 Canadian general EDs. Data were collected in the EDs using the iPad and in-person data collectors.
Total of 1,471 surveys were completed (57.1% response rate). Health care professionals sought information on children's health care by talking to colleagues (n=1,208, 82.1%), visiting specific medical/health websites (n=994, 67.7%), and professional development opportunities (n=941, 64.4%). Preferred child health resources included protocols and accepted treatments for common conditions (n=969, 68%), clinical pathways and practice guidelines (n=951, 66%), and evidence-based information on new diagnoses and treatments (n=866, 61%). Additional pediatric clinical information is needed about multisystem trauma (n=693, 49%), severe head injury (n=615, 43%), and meningitis (n=559, 39%). Health care professionals preferred to receive child health information through professional development opportunities (n=1,131, 80%) and printed summaries (n=885, 63%).
By understanding health care professionals' information seeking behaviour, information needs, and information preferences, knowledge synthesis and knowledge translation initiatives can be targeted to improve pediatric emergency care. The findings from this study will inform the following two phases of the TREKK initiative to bridge the research-practice gap in Canadian general EDs.
确定在加拿大 32 家普通急诊科工作的卫生保健专业人员的国家儿科信息需求、查询行为和偏好。
对加拿大 32 家普通急诊科的卫生保健专业人员进行了一项基于电子的横断面调查。使用 iPad 在急诊科和现场数据收集器收集数据。
共完成了 1471 份调查(57.1%的回复率)。卫生保健专业人员通过与同事交谈(n=1208,82.1%)、访问特定的医疗/健康网站(n=994,67.7%)和专业发展机会(n=941,64.4%)来寻求儿童保健信息。首选的儿童健康资源包括常见疾病的治疗方案和已接受的治疗方法(n=969,68%)、临床路径和实践指南(n=951,66%)以及新诊断和治疗方法的循证信息(n=866,61%)。需要更多关于儿童多系统创伤(n=693,49%)、严重头部损伤(n=615,43%)和脑膜炎(n=559,39%)的儿科临床信息。卫生保健专业人员更喜欢通过专业发展机会(n=1131,80%)和印刷摘要(n=885,63%)获得儿童健康信息。
通过了解卫生保健专业人员的信息查询行为、信息需求和信息偏好,可以针对知识综合和知识转化举措进行目标定位,以改善儿科急救护理。本研究的结果将为 TREKK 倡议的以下两个阶段提供信息,以弥合加拿大普通急诊科的研究-实践差距。