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Clinical information seeking in traumatic brain injury: a survey of Veterans Health Administration polytrauma care team members

机译:创伤性脑损伤中寻求临床信息:退伍军人健康管理到Polytraum Care团队成员调查

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Abstract Background The polytraumatic nature of traumatic brain injury ( TBI ) makes diagnosis and treatment difficult. Objectives To (1) characterise information needs among Veterans Health Administration ( VHA ) polytrauma care team members engaged in the diagnosis and treatment of TBI ; (2) identify sources used for TBI related information; and (3) identify barriers to accessing TBI related information. Methods Cross‐sectional online survey of 236 VHA polytrauma care team members. Results Most respondents (95.8%) keep at least somewhat current regarding TBI , but 31.5% need more knowledge on diagnosing TBI and 51.3% need more knowledge on treating TBI . Respondents use VHA affiliated sources for information, including local colleagues (81.7%), VHA offsite conferences/meetings (78.3%) and onsite VHA educational offerings (73.6%); however, limited time due to administrative responsibilities (50.9%), limited financial resources (50.4%) and patient care (50.4%) were prominent barriers. Discussion Medical librarians are in a unique position to develop information services, resources and other electronic tools that reflect the clinical context in which polytrauma care team members practice, and the different tasks they perform. Conclusion Polytrauma care team members could benefit from additional information regarding the diagnosis and treatment of TBI . Addressing their information needs and supporting their information seeking requires a mulit‐pronged approach to time and financial constraints.
机译:摘要背景创伤性脑损伤(TBI)的多重性质使诊断和治疗变得困难。目标(1)特征在于从事TBI诊断和治疗的退伍军人健康管理局(VHA)Polytraum Care团队成员之间的信息需求; (2)识别用于TBI相关信息的来源; (3)确定访问TBI相关信息的障碍。方法236 VHA Polytrauma Care团队成员横断面在线调查。结果大多数受访者(95.8%)在TBI中至少存在一些目的,但31.5%需要更多关于诊断TBI的知识,51.3%需要更多关于治疗TBI的知识。受访者使用VHA附属消息来源进行信息,包括当地同事(81.7%),VHA办事处会议/会议(78.3%)和现场VHA教育产品(73.6%);但是,由于行政职责(50.9%),有限的财政资源(50.4%)和患者护理(50.4%)是突出障碍的限时。讨论医疗图书馆员是开发信息服务,资源和其他电子工具的独特态度,这些工具反映了多项服务器护理团队成员实践以及他们表现的不同任务的临床环境。结论Polytrauma Care团队成员可以从有关TBI诊断和治疗的额外信息中受益。解决他们的信息需求并支持他们的信息寻求,需要采取Mulit-Abong的方法和财务限制。

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