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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求和评估临床指南

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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求和评估临床指南。目的。本文是对在互联网上寻求临床指南时遇到的教护士的信息寻求战略和问题的一份研究报告，并调查他们在评估指导方针时适用的标准和沟通指南的网站。背景。由于护士越来越多地涉及临床职责，他们应该能够使用互联网访问最新的临床指南。目前，护士的信息寻求技能仍然有限。方法。 2008年，使用互联网解决了20名护士的便利样本，以寻求关于大声思考的临床指导。结果。与参与者成功确定了一般背景信息和普遍的预防措施与更具体的预防措施相比，参与者成功地确定。护士的信息寻求技能出现了相当基础，因为他们雇用了有限数量的搜索条件并咨询了有限数量的网站。无效的搜索主要是由指南和护士默认知识之间的不匹配引起的。感知实际相关性和信息完整性是最常用的质量标准。在现有的电子健康文献中强调的准确性和披露被认为不太重要。只要信息匹配护士的实践和体验智慧，他们都很满意。结论。在搜索过程中，护士似乎依赖于默契知识，同时评估检索到的指南。这是危险的，因为护士依赖不准确的信息可能导致行为不足。因此，必须通过将导航结构和与护士的默契知识定制的导航结构和指导通信来扩展护士的当前信息基础。

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