Family nurse practitioner student perception of journal abstract usefulness in clinical decision making: A randomized controlled trial

被引:15
作者
Johnson, Heather L. [1 ]
Fontelo, Paul [2 ]
Olsen, Cara H. [3 ]
Jones, M. A. J. Kenneth D., II [4 ]
Gimbel, Ronald W. [5 ]
机构
[1] Uniformed Serv Univ Hlth Sci, Grad Sch Nursing, Bethesda, MD 20814 USA
[2] Natl Lib Med, Lister Hill Ctr Biomed Commun, Bethesda, MD USA
[3] Uniformed Serv Univ Hlth Sci, Dept Prevent Med & Biometr, Bethesda, MD USA
[4] Uniformed Serv Univ Hlth Sci, Bethesda, MD USA
[5] Uniformed Serv Univ Hlth Sci, Biomed Informat Dept, Bethesda, MD USA
关键词
Advanced practice nurse (APN); clinical decision making; decision making; computers; evidence-based practice; information technology; nurse practitioners; PRIMARY-CARE; INFORMATION; QUESTIONS; ACCURACY;
D O I
10.1111/1745-7599.12013
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purpose To assess family nurse practitioner (FNP) student perception of research abstract usefulness in clinical decision making. Data sources A randomized controlled trial conducted in a simulated environment with graduate FNP students of the Graduate School of Nursing, Uniformed Services University of the Health Sciences. Given a clinical case study and modified MEDLINE search tool accessible via an iPad device, participants were asked to develop a treatment plan and complete a data collection form. The primary measure was perceived usefulness of the research abstracts in clinical decision making regarding a simulated obese patient seeking to prevent type 2 diabetes. Secondary measures related to participant demographics and accessibility and usefulness of full-text manuscripts. Conclusions The majority of NP students identified readily available research abstracts as useful in shaping their clinical decision making. The presence or absence of full-text manuscripts associated with the abstracts did not appear to influence the perceived abstract usefulness. The majority of students with full-text manuscript access in the timed simulated clinical encounter read at least one paper, but cited insufficient time to read full-text as a constraint. Implications for practice Research abstracts at point of care may be valuable to FNPs if easily accessible and integrated into clinical workflow.
引用
收藏
页码:597 / 603
页数:7
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