Dissemination of systematic reviews in a hospital setting: a comparative survey for spreading use of the Cochrane Library

Weng, Yi Ming; Hsu, Chih Cheng; Shih, Ya Hui; Lo, Heng Lien; Chiu, Ya Wen; Kuo, Ken N.

doi:10.1136/postgradmedj-2011-130652

Cited by 4 publications

(3 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found that not only increased usage of Internet-based resources in general, but also the trend applied to all 8 popular online EBM databases. During our study period, NHRI offered free access to the Cochrane Library to promote EBM dissemination [11,27]. Nevertheless, both physicians and nurses used a variety of databases to look for medical information rather than using the Cochrane Library alone.…”

Section: Discussionmentioning

confidence: 99%

Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan

Weng

Kuo

Yang

et al. 2013

BMC Med Inform Decis Mak

Self Cite

View full text Add to dashboard Cite

BackgroundSince the beginning of 2007, the National Health Research Institutes has been promoting the dissemination of evidence-based medicine (EBM). The current study examined longitudinal trends of behaviors in how hospital-based physicians and nurses have searched for medical information during the spread of EBM.MethodsCross-sectional postal questionnaire surveys were conducted in nationally representative regional hospitals of Taiwan thrice in 2007, 2009, and 2011. Demographic data were gathered concerning gender, age, working experience, teaching appointment, academic degree, and administrative position. Linear and logistic regression models were used to examine predictors and changes over time.ResultsData from physicians and nurses were collected in 2007 (n = 1156), 2009 (n = 2975), and 2011 (n = 3999). There were significant increases in the use of four Internet-based resources – Web portals, online databases, electronic journals, and electronic books – across the three survey years among physicians and nurses (p < 0.001). Access to textbooks and printed journals, however, did not change over the 4-year study period. In addition, there were significant relationships between the usage of Internet-based resources and users’ characteristics. Age and faculty position were important predictors in relation to the usage among physicians and nurses, while academic degree served as a critical factor among nurses only.ConclusionsPhysicians and nurses used a variety of sources to look for medical information. There was a steady increase in use of Internet-based resources during the diffusion period of EBM. The findings highlight the importance of the Internet as a prominent source of medical information for main healthcare professionals.

show abstract

Section: Discussionmentioning

confidence: 99%

Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan

Weng

Kuo

Yang

et al. 2013

BMC Med Inform Decis Mak

Self Cite

View full text Add to dashboard Cite

show abstract

“…The Cochrane Library has been regarded as the most important resource of EBM [31]. In addition, the Cochrane Library used well-established PICO queries as a methodological standard to conduct systematic reviews [32].…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of national evidence-based medicine competition in Taiwan

et al. 2013

Self Cite

View full text Add to dashboard Cite

BackgroundCompetition and education are intimately related and can be combined in many ways. The role of competition in medical education of evidence-based medicine (EBM) has not been investigated. In order to enhance the dissemination and implementation of EBM in Taiwan, EBM competitions have been established among healthcare professionals. This study was to evaluate the impact of competition in EBM learning.MethodsThe EBM competition used PICO (patient, intervention, comparison, and outcome) queries to examine participants’ skills in framing an answerable question, literature search, critical appraisal and clinical application among interdisciplinary teams. A structured questionnaire survey was conducted to investigate EBM among participants in the years of 2009 and 2011. Participants completed a baseline questionnaire survey at three months prior to the competition and finished the same questionnaire right after the competition.ResultsValid questionnaires were collected from 358 participants, included 162 physicians, 71 nurses, 101 pharmacists, and 24 other allied healthcare professionals. There were significant increases in participants’ knowledge of and skills in EBM (p < 0.001). Their barriers to literature searching and forming answerable questions significantly decreased (p < 0.01). Furthermore, there were significant increases in their access to the evidence-based retrieval databases, including the Cochrane Library (p < 0.001), MD Consult (p < 0.001), ProQuest (p < 0.001), UpToDate (p = 0.001), CINAHL (p = 0.001), and MicroMedex (p = 0.024).ConclusionsThe current study demonstrates a method that successfully enhanced the knowledge of, skills in, and behavior of EBM. The data suggest competition using PICO queries may serve as an effective way to facilitate the learning of EBM.

show abstract

“…EBP integrates clinical epidemiology, biostatistics, research methods, and informatics into healthcare. 1,2 The process of EBP mainly involves 4 steps: framing a clear question based on a clinical problem; finding relevant evidence in the literature; critically appraising the validity of the research; and applying the findings to clinical decision-making. 3 Respiratory care is increasingly utilized, with the associated respiratory therapists (RTs) playing an important role in supporting related clinical services.…”

Section: Introductionmentioning

confidence: 99%

Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

et al. 2013

View full text Add to dashboard Cite

BACKGROUND: Evidence-based practice (EBP) has been proposed as a core competence to improve healthcare quality. The profile of EBP among respiratory therapists (RTs) has not been explored. We investigated how RTs in Taiwan perceive the implementation of EBP. METHODS: We surveyed RTs in Taiwan's regional hospitals during a 4-month period in 2011. RESULTS: A majority of RTs were aware of EBP (88.0%). Although most RTs held a favorable impression of EBP, their knowledge of and skill in EBP implementation were deficient. Only half of the RTs had implemented EBP. Insufficient convenient kits (59.1%), deficient designated personnel (50.0%), and lack of time (45.5%) were major barriers to implementing EBP. RTs rated MEDLINE as the most commonly used evidence-based retrieval database, followed by UpToDate, IntroductionEvidence-based practice (EBP) means clinical practice that is consistent with the current best evidence. EBP integrates clinical epidemiology, biostatistics, research methods, and informatics into healthcare. 1,2 The process of EBP mainly involves 4 steps: framing a clear question based on a clinical problem; finding relevant evidence in the literature; critically appraising the validity of the research; and applying the findings to clinical decision-making. 3 Respiratory care is increasingly utilized, with the associated respiratory therapists (RTs) playing an important role in supporting related clinical services. [4][5][6][7] proposed as a useful means to improve healthcare outcomes for RTs. [8][9][10][11] Therefore it is essential to assess how RTs implement EBP in clinical decision-making. A number of studies have illustrated that, although a majority of medical, nursing, pharmacologic, and allied health professions hold positive attitudes toward EBP, their knowledge and skill pertaining to EBP implementation are relatively insufficient. 12-18 Whether or not RTs practice with evidence, and, if so, how, has been unclear. 19 RTs have to deal with a broad range of medical problems in clinical practice. 20 RTs play an important role in the prevention and management of respiratory diseases. 21 Timely acquired relevant information is important for their clinical practice. Access to evidence-based information can help facilitate effective management. Therefore, how to obtain current evidence-based knowledge is a critical skill. Nevertheless, only a few studies surveyed the behavior of RTs in searching for evidence-based information.We surveyed RTs in Taiwan regarding their awareness of EBP related to beliefs, attitudes, knowledge, skills, and implementation. MethodsThe ethical review board of the Taiwan National Health Research Institutes approved the study protocol. The survey was accompanied by an introductory letter stating the purpose of this study and promising confidentiality. Return of the completed questionnaire was considered consent for participation.

show abstract

Dissemination of systematic reviews in a hospital setting: a comparative survey for spreading use of the Cochrane Library

Cited by 4 publications

References 30 publications

Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan

Increasing utilization of Internet-based resources following efforts to promote evidence-based medicine: a national study in Taiwan

Effectiveness of national evidence-based medicine competition in Taiwan

Profile of Evidence-Based Practice Among Respiratory Therapists in Taiwan

Contact Info

Product

Resources

About