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

Weng, Yi Ming; Kuo, Ken N.; Yang, Chun Yuh; Lo, Heng Lien; Shih, Ya Hui; Chen, Chiehfeng; Chiu, Ya Wen

doi:10.1186/1472-6947-13-4

Cited by 23 publications

(29 citation statements)

References 27 publications

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“…It mainly refers to the depth and breadth of knowledge available on the Internet, especially through Web 2.0 technologies, which enable the medical practice to scan its knowledge environment for ways and means to improve its clinical processes and performance (Sairamesh et al, 2011;Shen, 2012;Skinner, 2008). Importantly, e-health care intelligence solutions enable medical practices to acquire evidence-based medical information (Metzger & Flanagin, 2011;Pittler, Mavergames, Ernst, & Antes, 2011;Weng et al, 2013) such as clinical guidance systems for supportive care in diabetes (Sağlam & Temizel, 2014) and cancer (Van Erps et al, 2010). A second form of e-learning capability is called e-training, that is, the ability of the medical practice to provide Web-based support for the continuing medical education of its physicians and nurses (Baker, Kamke, O 0 Hara, & Stuart, 2009;Casebeer et al, 2010;Chu & Robey, 2008;Robson, 2009;Samuelson et al, 2014;Stoner, Mikko, & Carpenter, 2014).…”

Section: Conceptualization Of Research Variablesmentioning

confidence: 99%

IT‐based clinical knowledge management in primary health care: A conceptual framework

Raymond

Paré

Maillet

2017

Knowl Process Manag

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Primary health care medical practices have made sizable information technology investments in recent years, primarily deploying electronic medical record (EMR) systems as well as Web‐based e‐learning applications. The basic assumption here is that developing information technology‐based knowledge management capabilities may significantly improve the innovation and clinical performance of these organizations. Increasing uncertainty in their environment requires them to develop greater absorptive capacity (ACAP), that is, an organizational learning capability to deal with the external sources of this uncertainty. In applying ACAP theory to primary care settings, this study seeks to answer the following research questions: What are the e‐learning and EMR capabilities developed by primary care medical practices in response to increasing environmental uncertainty? To what extent does the development of an e‐learning capability influence the development of an EMR capability? To what extent does building ACAP contribute to positive outcomes in terms of medical practices' innovation and clinical performance?

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Section: Conceptualization Of Research Variablesmentioning

confidence: 99%

IT‐based clinical knowledge management in primary health care: A conceptual framework

Raymond

Paré

Maillet

2017

Knowl Process Manag

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“…However, evidence suggests that nurses in China are still facing a number of significant challenge in utilization and implementation of Evidence based practice [31]. Most Chinese nurses still could not get the up-to-date and high-quality scientific evidences efficiently and conveniently [32].…”

Section: Introductionmentioning

confidence: 99%

Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China

Tolera¹

2017

AJNS

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Abstract:Background: Evidence-Based Practice (EBP) is one of the nursing professional roles that can lead them to provide the best and more effective quality patient care. However, little studies are available across china on registered nurses' attitude, skills and utilization of knowledge source for implementation of evidence based practice. Due to this the extent to which evidence based practice being utilized and implemented in nursing practice is still in its infancy across China. Objectives: The aim of this study was to assess the attitude, skills and source of knowledge on implementation of EBP among registered nurses working at selected teaching hospitals. Method: A descriptive institutional based cross-sectional study was conducted to assess nurses' attitude, skills and utilization of knowledge source for implementation of EBP. A total of 366 RN were participated in filling self-administered questionnaire. The descriptive and inferential statistical analysis was performed by using SPSS version 20. The cut point for level of statistical significance was set at < 0.05 and all tests were 2-sided. Result: Overall, registered nurses who were participated in this study had a positive attitudes towards utilization of evidence based practice (M = 3.53, SD = 0.97). However, the level of skill in performing different EBP activities (M = 2.82 SD = 1.34) and the use of knowledge source to support daily care practice (M = 3.01, SD = 0.98) were found to be low. Similarly, participants indicated that they use more human and printed resources than electronic resources for supporting their practice (mean = 3.69, SD = 1.01; mean = 2.88, SD = 0.80; and mean = 2.57, SD = 1.05) respectively. Conclusion: It is recommended that organizational and nursing educational support were needed to improve this gap through providing training, creating awareness, and enhancing nurses' abilities for utilization and implementation of evidence based practice. Additionally, it is recommended that further research is needed to identify the influence of individual and organizational factors on implementation of evidence based nursing practice.

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“…The specific six pediatric subspecialties were selected for their known potential contributions to global health, and because combined they account for at least 50% of pediatric subspecialty fellowship training programs and 60% of all pediatric subspecialty fellows [12]. Programs were identified by the online ACGME-accredited program specialty database and compared between years 2008 and 2011.…”

Section: Methodsmentioning

confidence: 99%

“…Within traditional pediatric subspecialty fellowship training programs, however, the extent of global health opportunities remains unknown, despite that 40% of annual US graduating pediatric residents choose to subspecialize [12]. …”

Section: Introductionmentioning

confidence: 99%

Global health opportunities within pediatric subspecialty fellowship training programs: surveying the virtual landscape

Dixon

Castillo

et al. 2013

BMC Med Educ

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BackgroundThere is growing interest in global health among medical trainees. Medical schools and residencies are responding to this trend by offering global health opportunities within their programs. Among United States (US) graduating pediatric residents, 40% choose to subspecialize after residency training. There is limited data, however, regarding global health opportunities within traditional post-residency, subspecialty fellowship training programs. The objectives of this study were to explore the availability and type of global health opportunities within Accreditation Council for Graduate Medical Education (ACGME)-accredited pediatric subspecialty fellowship training programs, as noted by their online report, and to document change in these opportunities over time.MethodsThe authors performed a systematic online review of ACGME-accredited fellowship training programs within a convenience sample of six US pediatric subspecialties. Utilizing two data sources, the American Medical Association-Fellowship and Residency Electronic Interactive Database Access (AMA-FREIDA) and individual program websites, all programs were coded for global health opportunities and opportunity types were stratified into predefined categories. Comparisons were made between 2008 and 2011 using Fisher exact test. All analyses were conducted using SAS Software v. 9.3 (SAS Institute Inc., Cary, NC).ResultsOf the 355 and 360 programs reviewed in 2008 and 2011 respectively, there was an increase in total number of programs listing global health opportunities on AMA-FREIDA (16% to 23%, p=0.02) and on individual program websites (8% to 16%, p=0.004). Nearly all subspecialties had an increased percentage of programs offering global health opportunities on both data sources; although only critical care experienced a significant increase (p=0.04, AMA-FREIDA). The types of opportunities differed across all subspecialties.ConclusionsGlobal health opportunities among ACGME-accredited pediatric subspecialty fellowship programs are limited, but increasing as noted by their online report. The availability and types of these opportunities differ by pediatric subspecialty.

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

Cited by 23 publications

References 27 publications

IT‐based clinical knowledge management in primary health care: A conceptual framework

IT‐based clinical knowledge management in primary health care: A conceptual framework

Assessment of Attitudes, Skills and Source of Knowledge on Utilization of EBP Among Registered Nurses in Xiangya Hospital of Central South University, Changsha, China

Global health opportunities within pediatric subspecialty fellowship training programs: surveying the virtual landscape

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