The information seeking of on-duty critical care nurses: evidence from participant observation and in-context interviews.

OBJECTIVES: An observational study describes on-duty nurses' informative behaviors from the perspective of library and information science, rather than patient care,. It reveals their information sources, the kinds of information they seek, and their barriers to information acquisition. METHODS: Par...

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Publicado en:Journal of the Medical Library Association Vol. 94; no. 2; pp. 145 - 152
Autor principal: McKnight M
Formato: research tables/charts Journal Article
Publicado: University of Pittsburgh, University Library System Apr2006
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Apr2006
      vid: 94
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      pub: University of Pittsburgh, University Library System
      place: Pittsburgh, Pennsylvania
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        atl: The information seeking of on-duty critical care nurses: evidence from participant observation and in-context interviews.
      aug:
        au: McKnight M
        affil: School of Library and Information Science, Louisiana State University, 269 Coates Hall, Baton Rouge, Louisiana 70803, USA. mmck@lsu.edu
      sug:
        subj:
          Critical Care Nursing
          Information Seeking Behavior
          Registered Nurses
          Constant Comparative Method
          Female
          Hospitals, Community
          Interviews
          Male
          Nonexperimental Studies
          Nursing Practice, Evidence-Based
          Participant Observation
          Purposive Sample
          Software
          Human
          Female
          Male
      ab: OBJECTIVES: An observational study describes on-duty nurses' informative behaviors from the perspective of library and information science, rather than patient care,. It reveals their information sources, the kinds of information they seek, and their barriers to information acquisition. METHODS: Participant observation and in-context interviews were used to record in detail fifty hours of the information behavior of a purposive sample of on-duty critical care nurses on twenty-bed critical care unit in a community hospital. The investigator used rigorous ethnographic methods-including open, in vivo, and axial coding--to analyze the resulting rich textual data. RESULTS: The nurses' information behavior centered on the patient, seeking information from people, the patient record, and other systems. The nurses mostly used patient-specific information, but they also used some social and logistic information. They occasionally sought knowledge-based information. Barriers to information acquisition included illegible handwriting, difficult navigation of online systems, equipment failure, unavailable people, social protocols, and mistakes caused by people multitasking while working with multiple complex systems. Although the participating nurses understood and respected evidence-based practice, many believed that taking time to read published information on duty was not only difficult, but perhaps also ethically wrong. They said that a personal information service available to them at all hours of the day or night would be very useful. CONCLUSIONS: On-duty critical care nursing is a patient-centric information activity. A major implication of this study for librarians is that immediate professional reference service--including quality and quantity filtering-may be more useful to on-duty nurses than do-it-yourself searching and traditional document delivery are.
      pubtype: Academic Journal
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      ougenre: Article
    language: English
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