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How nurses seek and evaluate clinical guidelines on the Internet

机译：护士如何在互联网上寻找和评估临床指南

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How nurses seek and evaluate clinical guidelines on the Internet. Aim. This paper is a report of a study conducted to assess nurses' information-seeking strategies and problems encountered when seeking clinical guidelines on the Internet, and to investigate the criteria they apply when evaluating the guidelines and the websites communicating the guidelines. Background. As nurses are increasingly taking on clinical responsibilities, they should be able to use the Internet to access up-to-date clinical guidelines. Currently, nurses' information-seeking skills remain rather limited. Method. In 2008, a convenience sample of 20 nurses solved scenario-based tasks using the Internet to seek clinical guidelines regarding methicillin-resistant Stapbylococcus aureus while thinking aloud. Results. General background information and universal precautions were successfully identified by participants, in contrast to more specific precautions. Nurses' information-seeking skills appeared rather basic, as they employed a limited number of search terms and consulted a limited number of websites. Ineffective searches were mainly caused by a mismatch between the guidelines and nurses' tacit knowledge. Perceived practical relevance and information completeness were the most frequently applied quality criteria. Accuracy and disclosures, which are emphasized in existing e-health literature, were considered less important. As long as information matched nurses' practical and experiential wisdom, they were satisfied. Conclusion. Nurses appeared to rely predominantly on tacit knowledge during the search process and while evaluating the retrieved guidelines. This is dangerous because nurses' reliance on inaccurate information might result in inadequate behaviour. It is therefore essential to expand nurses' current information base by tailoring both navigation structure and the guideline communication to dovetail with nurses' tacit knowledge.
机译：护士如何在互联网上寻找和评估临床指南。目标。本文是一项研究报告，旨在评估护士的信息寻求策略和在互联网上寻求临床指南时遇到的问题，并调查他们在评估指南和传达指南的网站时所采用的标准。背景。随着护士越来越承担临床责任，他们应该能够使用互联网访问最新的临床指南。当前，护士的信息搜寻能力仍然很有限。方法。 2008年，由20名护士组成的便利样本通过互联网解决了基于情景的任务，以在大声思考的同时寻求有关耐甲氧西林的金黄色葡萄球菌的临床指南。结果。与更具体的预防措施相比，参与者成功地确定了一般的背景信息和普遍的预防措施。护士的信息寻求技能似乎相当基础，因为他们使用了数量有限的搜索词并访问了数量有限的网站。搜索无效的主要原因是指南与护士的默会知识不匹配。感知到的实用性和信息完整性是最常用的质量标准。现有电子卫生文献中强调的准确性和公开性不那么重要。只要信息与护士的实践和经验智慧相符，他们就会感到满意。结论。在搜索过程中和评估检索到的指南时，护士似乎主要依赖于默认信息。这很危险，因为护士对不正确信息的依赖可能会导致行为不足。因此，至关重要的是，通过调整导航结构和指南通信以与护士的隐性知识相吻合，来扩展护士的当前信息库。

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