Clinical Decision-making
Conditions
Keywords
Search engine, Clinical decision-making, Research abstracts, Full-text manuscripts, Family Nurse Practitioners
Brief summary
To better understand the extent to which family nurse practitioners (FNPs) might use research abstracts in shaping their clinical decision-making under simulated conditions. A secondary point is to examine if and how FNPs might use full-text manuscripts (associated with the abstracts) if made available to them.
Detailed description
The study will recruit the approximate 25 - 1st year and 25 - 2nd year family nurse practitioner students of the Graduate School of Nursing. After being presented an overview of the study and informed consent document, those electing to participate will draw a sealed envelope indicating whether they are assigned to group A (intervention group) or group B (control group). The participant will proceed to the associated room, be provided a brief clinical case (appropriate to their training), an iPad device with pre-loaded EBN-Search engine, and a questionnaire. The EBN-Search engine for the intervention group will include 9 research abstracts associated to the case. The EBN-Search for the control group will include both the research abstracts and full-text versions of the manuscripts. The participants will be provided 20 minutes to complete the questionnaire using the information available to them. The questionnaire will require the participant to indicate treatment plan, respond to questions regarding the usefulness of research abstracts, questions regarding the usefulness of full-text (control group only) and recommendations on improving EBN-Search.
Interventions
BEHAVIORALAccess to EBN-Search (without full-text manuscripts)
Family nurse practitioner access to EBN-Search without availability of full-text manuscripts.
Sponsors
Uniformed Services University of the Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
21 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Matriculated family nurse practitioner graduate students of USUHS 2010/2011 academic year
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Measure of perception of abstract usefulness in clinical decision-making | Immediate post-experiment | At conclusion of the simulated exercise subjects will complete a data collection instrument indicating their perception of abstract usefulness in their clinical decision-making. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Use of full-text manuscripts when available in simulated clinical encounter | During experiment | For those subjects with ready access to full-text manuscripts (n=25) during the simulated clinical encounter, we will measure how often they are accessed by the subjects. |
Countries
United States
Contacts
Primary ContactRonald W Gimbel, PhD
Outcome results
None listed