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Information needs of the 'frontline' public health workforce.

机译:“一线”公共卫生人员的信息需求。

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OBJECTIVES: To explore the information needs of the 'frontline' public health workforce, whether needs are being met and barriers to meeting needs. STUDY DESIGN: A qualitative research study using in-depth semi-structured interviews. METHODS: A qualitative study, comprising eight semi-structured interviews, was conducted with one representative of each of eight categories of frontline public health professional (children's centre manager, community development worker, community midwife, district nurse, health visitor, community pharmacist, practice nurse and school nurse) to determine their public health role, information needs and barriers to meeting needs. Interviews were tape-recorded and data were analysed to identify themes for each category and common themes. RESULTS: Respondents expressed similar needs, some of which could be met by a dedicated library and knowledge service, given adequate funding, and some of which need input from management. The library could supply: news bulletins and up-to-date information, especially local information; targeted local websites and databases; training in literature-searching skills, basic information technology (IT) skills and critical appraisal; course and work support, with access to local library facilities; a literature search support service; signposting, with a named library contact; and access to information for patients. Management input is required to remedy basic structural barriers, including: lack of IT equipment and training; lack of time to access information; lack of funding for courses and professional development; and lack of communication of information from higher levels. CONCLUSIONS: Some information needs can be met by improvements and widening of access to library services, which may need increased funding. However, some barriers to meeting information needs require action elsewhere in the public health management structure. Changes need to be made in communication of public health strategy, and engagement needs to be improved between higher managerial levels and the frontline workforce.
机译:目的:探讨“一线”公共卫生人员的信息需求,需求是否得到满足以及满足需求的障碍。研究设计:使用深入的半结构化访谈进行的定性研究。方法:对一线公共卫生专业人员(儿童中心经理,社区发展工作者,社区助产士,区护士,卫生保健访问者,社区药剂师,执业医师)八个类别中的每个类别的一名代表进行了定性研究,包括八次半结构化访谈。护士和学校护士),以确定其公共卫生角色,信息需求和满足需求的障碍。对访谈进行录音,并对数据进行分析以识别每个类别的主题和共同主题。结果:受访者表达了相似的需求,只要有足够的资金,专门的图书馆和知识服务就可以满足其中的一些需求,还有一些需要管理层的投入。图书馆可以提供:新闻公告和最新信息,尤其是本地信息;有针对性的本地网站和数据库;进行文献检索技能,基本信息技术技能和批判性评估方面的培训;课程和工作支持,可使用当地图书馆的设施;文献搜索支持服务;与指定的图书馆联系人进行路标;并为患者提供信息。需要管理人员的投入来弥补基本的结构性障碍,包括:缺乏IT设备和培训;缺乏时间获取信息;缺乏用于课程和专业发展的资金;缺乏上级的信息交流。结论:通过改善和扩大图书馆服务的使用范围可以满足一些信息需求,这可能需要增加资金。但是,满足信息需求的一些障碍要求在公共卫生管理结构的其他地方采取行动。公共卫生战略的沟通需要做出改变,高层管理人员和一线员工之间的参与需要得到改善。

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