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Pediatric information seeking behaviour, information needs, and information preferences of health care professionals in general emergency departments: Results from the Translating Emergency Knowledge for Kids (TREKK) Needs Assessment

  • Shannon D. Scott (a1), Lauren Albrecht (a2) (a3), Lisa M. Given (a4), Lisa Hartling (a2) (a3), David W. Johnson (a5) (a6) (a7) (a8), Mona Jabbour (a9) (a10) and Terry P. Klassen (a11)...
Abstract
Abstract

The majority of children requiring emergency care are treated in general emergency departments (EDs) with variable levels of pediatric care expertise. The goal of the Translating Emergency Knowledge for Kids (TREKK) initiative is to implement the latest research in pediatric emergency medicine in general EDs to reduce clinical variation.

Objectives

To determine national pediatric information needs, seeking behaviours, and preferences of health care professionals working in general EDs.

Methods

An electronic cross-sectional survey was conducted with health care professionals in 32 Canadian general EDs. Data were collected in the EDs using the iPad and in-person data collectors.

Results

Total of 1,471 surveys were completed (57.1% response rate). Health care professionals sought information on children’s health care by talking to colleagues (n=1,208, 82.1%), visiting specific medical/health websites (n=994, 67.7%), and professional development opportunities (n=941, 64.4%). Preferred child health resources included protocols and accepted treatments for common conditions (n=969, 68%), clinical pathways and practice guidelines (n=951, 66%), and evidence-based information on new diagnoses and treatments (n=866, 61%). Additional pediatric clinical information is needed about multisystem trauma (n=693, 49%), severe head injury (n=615, 43%), and meningitis (n=559, 39%). Health care professionals preferred to receive child health information through professional development opportunities (n=1,131, 80%) and printed summaries (n=885, 63%).

Conclusion

By understanding health care professionals’ information seeking behaviour, information needs, and information preferences, knowledge synthesis and knowledge translation initiatives can be targeted to improve pediatric emergency care. The findings from this study will inform the following two phases of the TREKK initiative to bridge the research-practice gap in Canadian general EDs.

RÉSUMÉ Contexte

La plupart des enfants ayant besoin de soins d’urgence sont traités dans des services des urgences (SU) généraux dotés, à des degrés variables, de spécialistes en soins pédiatriques. L’initiative Translating Emergency Knowledge for Kids (TREKK) a pour but l’application des résultats les plus récents de la recherche en médecine d’urgence pédiatrique dans les SU généraux afin d’atténuer les différences de soins cliniques.

Objectif

L’étude décrite ici visait à déterminer, à l’échelle nationale, les besoins d’information en pédiatrie des professionnels de la santé travaillant dans des SU généraux, leurs comportements dans la recherche d’information ainsi que leurs préférences quant à l’obtention d’information.

Méthode

Il s’agit d’une enquête transversale électronique, menée parmi des professionnels de la santé, dans 32 services des urgences généraux, au Canada. La collecte de donnée dans les SU s’est faite à l’aide de tablettes électroniques (iPad) et de consignateurs de données, en personne.

Résultats

Au total, 1471 questionnaires ont été remplis (taux de réponse : 57,1 %). La recherche d’information en pédiatrie par les professionnels de la santé se faisait principalement par les échanges verbaux avec des collègues (n=1208; 82,1 %), les visites de certains sites Web sur la santé ou en soins médicaux (n=994; 67,7 %) et le perfectionnement professionnel (n=941; 64,4 %). Les ressources préférées des professionnels de la santé en matière de soins pour enfants comprenaient les protocoles et les traitements acceptés concernant des maladies courantes (n=969; 68 %), les cheminements cliniques et les guides de pratique clinique (n=951; 66 %) ainsi que l’information fondée sur des données probantes au sujet de nouveaux diagnostics ou de nouveaux traitements (n=866; 61 %). Les traumas multiples (n=693; 49 %), les traumatismes crâniens graves (n=615; 43 %) et la méningite (n=559; 39 %) se sont révélés les domaines dans lesquels les professionnels de la santé avaient besoin d’information clinique supplémentaire en pédiatrie. Enfin, les moyens préférés des professionnels de la santé pour recevoir de l’information sur les soins en pédiatrie étaient le perfectionnement professionnel (n=1131; 80 %) et les résumés imprimés (n=885; 63 %).

Conclusions

C’est par la compréhension des comportements des professionnels de la santé dans la recherche d’information, de leurs besoins d’information et de leurs préférences quant à l’obtention d’information qu’il est possible de cibler des initiatives de synthèse des connaissances et d’application des connaissances, et ce, dans le but d’améliorer les soins d’urgence en pédiatrie. Les résultats de l’étude guideront les deux phases suivantes de l’initiative TREKK afin de combler les écarts qui existent entre la recherche et la pratique dans les SU généraux au Canada.

Copyright
Corresponding author
* Correspondence to: Dr. Shannon D. Scott, Level 3 Edmonton Clinic Health Academy, 11405 87 Avenue, Edmonton, AB T6G 1C9; Email: shannon.scott@ualberta.ca
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Canadian Journal of Emergency Medicine
  • ISSN: -
  • EISSN: 1481-8035
  • URL: /core/journals/canadian-journal-of-emergency-medicine
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