School of Library and Information Science, Keio University, Tokyo, Japan.
The Value Study Working Group, The Japan Medical Library Association, Tokyo, Japan.
PLoS One. 2018 Jun 28;13(6):e0199944. doi: 10.1371/journal.pone.0199944. eCollection 2018.
Considering that there is a lack of evidence regarding the contribution of library and information services to evidence-based medicine in actual clinical practice in Japan, the purpose of the study is to explore the current status of use and value of library and information services in clinical settings to examine the usefulness of information in implementing evidence-based medicine (EBM) into practice.
A Web-based survey was conducted at seven sites (hospitals with 300-1,200 beds) and interviews conducted at five sites to investigate information behavior among health professionals (physicians, residents, and nurses) in 2016, replicating the Value Study carried out in the United States in 2010 and 2011. Using a critical incident technique, respondents answered questions about their information topics, information resources used, search location, access points, and evaluation of the information.
Analysis from 598 valid responses (275 physicians, 55 residents, and 268 nurses) revealed the characteristics of information use and recognition of the value of information. Physicians and residents showed their information needs regarding clinical care using PubMed (80.4%, 65.5%), Ichushi-Web (61.8%, 63.6%), and UpToDate (40.4%, 65.5%). While physicians rely more on electronic journals (37.8%), residents use more hybrid resources including Japanese print books (38.2%) and online books (30.9% for Japanese, 32.7% for English) to confirm their knowledge. Nurses need more information close to patients and explore a wider variety of information resources such as Japanese print books (60.4%), Ichushi -Web (40.3%), Japanese online books (20.5%), and websites of academic organizations (19.0%). Although the overall recognition of the value of information was relatively modest, concrete changes in clinical practice were found in some areas. Environments with insufficient information and availability of electronic resources should be improved to increase the use of library and information services for implementing EBM.
考虑到日本实际临床实践中缺乏关于图书馆和信息服务对循证医学贡献的证据，本研究旨在探讨临床环境中图书馆和信息服务的使用现状和价值，以检验信息在实施循证医学（EBM）中的实用性。
2016 年，在七个站点（拥有 300-1200 张床位的医院）进行了基于网络的调查，并在五个站点进行了访谈，以调查卫生专业人员（医生、住院医师和护士）的信息行为，复制了 2010 年和 2011 年在美国进行的价值研究。使用关键事件技术，受访者回答了有关其信息主题、使用的信息资源、搜索位置、访问点以及对信息的评价的问题。
对 598 份有效回复（275 名医生、55 名住院医师和 268 名护士）进行分析，揭示了信息使用的特点和对信息价值的认知。医生和住院医师使用 PubMed（80.4%，65.5%）、Ichushi-Web（61.8%，63.6%）和 UpToDate（40.4%，65.5%）来满足其临床护理信息需求。虽然医生更多地依赖电子期刊（37.8%），但住院医师使用更多的混合资源，包括日本印刷书籍（38.2%）和在线书籍（30.9%为日语，32.7%为英语）来确认其知识。护士需要更接近患者的信息，并探索更广泛的信息资源，如日本印刷书籍（60.4%）、Ichushi-Web（40.3%）、日本在线书籍（20.5%）和学术组织网站（19.0%）。尽管对信息价值的总体认知相对较低，但在某些领域发现了临床实践的具体变化。应改善信息不足和电子资源可用性的环境，以增加图书馆和信息服务在实施 EBM 中的使用。
