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护士对于在线搜索个人健康需求医学信息的态度:横断面问卷调查研究

Attitudes of Nurses Towards Searching Online for Medical Information for Personal Health Needs: Cross-Sectional Questionnaire Study.

作者信息

Zigdon Avi, Zigdon Tamar, Moran Daniel Sender

机构信息

Department of Health Systems Management, School of Health and Medical Sciences, Ariel University, Ariel, Israel.

出版信息

J Med Internet Res. 2020 Mar 16;22(3):e16133. doi: 10.2196/16133.

Abstract

BACKGROUND

Use of online clinical health care information has become part of the skill set required by medical teams. Nurses believe that information quality and availability affect nursing care and methods. However, nurses tend not to exploit professional medical databases for evidence-based medical information for their personal needs. This phenomenon has received little research attention.

OBJECTIVE

This study aimed to address the knowledge gap around nurses' attitudes towards searching online for medical information for their personal needs (ie, for themselves and their families) by (1) evaluating the level of exposure to medical information and the effect on attitudes towards the use of online search options, (2) assessing the effect of the choice of a primary means of searching for medical information on the attitudes towards the use of online search options, and (3) gauging the influence of sociodemographic data and health status on nurses' attitudes towards searching online for medical information.

METHODS

Nurses employed in general departments in a general hospital (34/210, 16.2%), nursing home (42/200, 21.0%), and geriatric medical center (45/180, 25.0%) in Israel were invited to complete the eHealth Impact Questionnaire (alpha=.95). Questionnaires were distributed by nurses in charge of the general hospitalization wards. The data collection period was February to March 2018. The response rate was 40.3% (121/300).

RESULTS

Nurses tended to search for medical information for personal needs on social media (24/121, 19.8%) and TV (eg, health programs, health news; 23/121, 19.0%). Nurses who chose social media as their primary means of receiving general information had a positive attitude about using the online environment as a source for medical information compared to nurses who found information through other means (t=4.44, P<.001). Nurses exposed to medical information via social media had a positive attitude towards the use of the internet to find medical information compared to nurses who were not exposed to social media (t=3.04, P=.003). The attitudes of nurses towards the utility of online medical information for personal needs increased with better participant health status (F=3.63, P=.03). However, the attitudes of participants with a chronic disease did not differ from those of healthy participants.

CONCLUSIONS

Nurses in Israel are less likely to use their professional skills and knowledge to search in professional databases for evidence-based medical information for their personal needs. Instead, they prefer medical information that is easy to access and not evidence-based, such as that on social media and TV. However, these search patterns for personal use may affect their clinical role, impair quality of care, and lead to incorrect medical decisions for their patients in the health care system. Therefore, during nursing education, training for searching skills, retrieval skills, and online search techniques for evidence-based medical information is vital for evidence-based practice.

摘要

背景

使用在线临床医疗信息已成为医疗团队所需技能的一部分。护士们认为信息质量和可获取性会影响护理工作及方法。然而,护士们往往不会为满足个人需求而利用专业医学数据库获取循证医学信息。这一现象很少受到研究关注。

目的

本研究旨在填补护士对于为个人需求(即自身及家人)在线搜索医疗信息的态度方面的知识空白,具体方式为:(1)评估接触医疗信息的程度及其对使用在线搜索选项态度的影响;(2)评估选择主要搜索医疗信息方式对使用在线搜索选项态度的影响;(3)衡量社会人口统计学数据和健康状况对护士在线搜索医疗信息态度的影响。

方法

邀请以色列一家综合医院普通科室(34/210,16.2%)、养老院(42/200,21.0%)和老年医学中心(45/180,25.0%)的护士填写电子健康影响问卷(α=0.95)。问卷由普通住院病房的负责护士分发。数据收集期为2018年2月至3月。回复率为40.3%(121/300)。

结果

护士倾向于在社交媒体(24/121,19.8%)和电视(如健康节目、健康新闻;23/121,19.0%)上搜索个人所需的医疗信息。与通过其他方式获取信息的护士相比,选择社交媒体作为获取一般信息主要方式的护士对将在线环境作为医疗信息来源持积极态度(t=4.44,P<0.001)。与未接触社交媒体的护士相比,通过社交媒体接触医疗信息的护士对利用互联网查找医疗信息持积极态度(t=3.04,P=0.003)。护士对在线医疗信息满足个人需求的效用的态度随着参与者健康状况的改善而增强(F=3.63,P=0.03)。然而,患有慢性病的参与者与健康参与者的态度并无差异。

结论

以色列的护士不太可能运用其专业技能和知识在专业数据库中搜索个人所需的循证医学信息。相反,他们更喜欢易于获取且非循证的医疗信息,如社交媒体和电视上的信息。然而,这些个人使用的搜索模式可能会影响他们的临床角色,损害护理质量,并导致在医疗保健系统中为患者做出错误的医疗决策。因此,在护理教育过程中,针对循证医学信息的搜索技能、检索技能和在线搜索技术的培训对于循证实践至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4194/7105926/3762e6b13799/jmir_v22i3e16133_fig1.jpg

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