Information-seeking behavior of medical residents in clinical practice in Bahia, Brazil

Critical incident technique helps determine how health library and information services influence clinical decision making and patient care: A literature review

BACKGROUND

The Critical incident technique (CIT) has been used for decades in the assessment of the impact of library and information services on patient care and clinical decision making.

OBJECTIVES

The purpose of this article is to identify and review the studies that have used CIT approach to assess the impact of library and information services on patient care and clinical decision making.

METHODS

Related articles were searched in the information resources of Web of Science, PubMed, Embase, Scopus, Google Scholar and LISTA.

RESULTS

From among 1346 articles obtained, 22 met the inclusion criteria. The analysis of the articles indicated that CIT has been used for various purposes such as assessing the information value, assessing the information resources and librarians in their clinical practice and decision making, examining information-seeking behaviour and analysing cost- benefits.

DISCUSSION

Critical incident technique is a flexible approach for libraries and information services, based on individuals' experiences of finding and using information to help resolve a perceived problem.

CONCLUSIONS

The studies identified in this review offer a variety of methods for using CIT that other libraries might consider for their own impact studies.

Usability Analysis of a Health Sciences Digital Library by Medical Residents: Cross-sectional Survey

BACKGROUND

The usability of a digital library depends on a myriad of factors ranging from the end users' ability to website complexity. Although digital libraries provide instant access to online content, offering an efficient reference platform, their usability is highly variable.

OBJECTIVE

The aim of this study was to measure users' perspectives and usability of the digital library of the Saudi Commission for Health Specialties (SCFHS).

METHODS

A web-based questionnaire survey was conducted using a validated System Usability Scale (SUS) containing 5 positive and 5 negative items on the usability of the digital library. The SUS standard cut-off score of 68 was considered for interpretation.

RESULTS

The overall mean SUS score of digital library usability was 52.9 (SD 15.2) with a grade "D" categorization, indicating low usability. The perceived measures of attributes of the 10 SUS items of findability, complexity, consistency, and confidence obtained below average scores. Only item 1 relating to perceived willingness to use the digital library frequently obtained a score above the targeted benchmark score (mean score 3.6). Higher SUS scores were associated with training (P=.02). Men felt the digital library to be more complex (P=.04) and board-certified physicians perceived a greater need for training on digital library use (P=.05). Only the UpToDate database was widely used (72/90, 80%).

CONCLUSIONS

These findings demonstrate the low usability of the extensive facilities offered by the SCFHS digital library. It is pivotal to improve awareness of the availability of the digital library and popularize the databases. There is also a need for improved user training to enhance the accessibility and usability of the multiple databases.

Describing knowledge encounters in healthcare: a mixed studies systematic review and development of a classification

Background

Implementation science seeks to promote the uptake of research and other evidence-based findings into practice, but for healthcare professionals, this is complex as practice draws on, in addition to scientific principles, rules of thumb and a store of practical wisdom acquired from a range of informational and experiential sources. The aims of this review were to identify sources of information and professional experiences encountered by healthcare workers and from this to build a classification system, for use in future observational studies, that describes influences on how healthcare professionals acquire and use information in their clinical practice.

Methods

This was a mixed studies systematic review of observational studies. DATA SOURCES: OVID MEDLINE and Embase and Google Scholar were searched using terms around information, knowledge or evidence and sharing, searching and utilisation combined with terms relating to healthcare groups. ELIGIBILITY: Studies were eligible if one of the intentions was to identify information or experiential encounters by healthcare workers. DATA EXTRACTION: Data was extracted by one author after piloting with another. STUDY APPRAISAL: Studies were assessed using the Mixed Methods Appraisal Tool (MMAT). PRIMARY OUTCOME: The primary outcome extracted was the information source or professional experience encounter. ANALYSIS: Similar encounters were grouped together as single constructs. Our synthesis involved a mixed approach using the top-down logic of the Bliss Bibliographic Classification System (BC2) to generate classification categories and a bottom-up approach to develop descriptive codes (or “facets”) for each category, from the data. The generic terms of BC2 were customised by an iterative process of thematic content analysis. Facets were developed by using available theory and keeping in mind the pragmatic end use of the classification.

Results

Eighty studies were included from which 178 discreet knowledge encounters were extracted. Six classification categories were developed: what information or experience was encountered; how was the information or experience encountered; what was the mode of encounter; from whom did the information originate or with whom was the experience; how many participants were there; and where did the encounter take place. For each of these categories, relevant descriptive facets were identified.

Conclusions

We have sought to identify and classify all knowledge encounters, and we have developed a faceted description of key categories which will support richer descriptions and interrogations of knowledge encounters in healthcare research.

Electronic supplementary material

The online version of this article (doi:10.1186/s13012-017-0564-1) contains supplementary material, which is available to authorized users.

Evidence databases application: comparison of university faculties versus clinical residents in a developing country

RATIONALE, AIMS AND OBJECTIVES

One of the main barriers against the implementation of evidence-based medicine (EBM) is the lack of search skills, an element that affects the finding of the best available evidence. Faculty staff should be capable of using the best evidence in practice and of teaching students to implement EBM elements. They should be familiar with search strategies and evidence databases. The aim of this study is to compare the application of evidence databases by faculties and by residents with no training in this field.

METHODS

Two hundred fifty-seven faculties and first-year residents of the Tabriz University of Medical Sciences filled out a valid self-administered questionnaire on information-seeking behaviour from August 2008 to June 2010. A chi-square test was used to compare the variables.

RESULTS

There were 52.1% of the respondents who were faculty members and 47.9% were residents. Only 8.7% used the Internet for their practice mostly. While Google was the most used resource, TRIP and Cochrane were less used. Significantly, the faculties used these resources more than the residents in both cases. Furthermore, two-thirds of the participants were unfamiliar with medical subject headings (MeSH), and only 14.5% consulted a clinical librarian for help.

CONCLUSION

Significantly, clinicians used evidence databases and online resources minimally for their practice. Additionally, as the faculties used EBM resources more than the residents, this programme should be considered for inclusion in the curricula of medical schools.

Information seeking behaviour of physicians in Tanzania

The study investigated the information seeking behaviour of physicians at the Muhimbili National Hospital (MNH) in Tanzania. Questionnaires were personally distributed to all physicians ( n = 259) at MNH. The rate of response was 83 percent ( n = 215). Based on the literature review, a Wilson (1996) model was used to systematically guide the assessment of the physicians’ information seeking behaviour at MNH. The study found that physicians needed specific medical information to enhance their knowledge on a daily basis, particularly they needed information on patient care, rather than information for research and further education purposes. In order to fulfil their information needs, physicians preferred to seek information from formal sources, which included printed textbooks, electronic resources and printed journals. However, there was low use of the Internet for prescribing various drugs and diagnosis. Factors such as poor ICT infrastructure, lack of access to a computer, frequent power cuts and lack of time were the major barriers that inhibited physicians to seek information. It is thus important for the MNH management to promote information literacy (IL) issues, improve ICT infrastructure, establish a resource centre, and integrate use of the Internet and e-resources for patient care within clinicians working hours; and for the government to improve the supply of reliable electricity at MNH for effective medical practices.