Self-reported attitudes, knowledge and skills of using evidence-based medicine in daily health care practice: A national survey among students of medicine and health sciences in Hungary
Autoři:
Mónika Csertő aff001; Károly Berényi aff002; Tamás Decsi aff001; Szimonetta Lohner aff001
Působiště autorů:
Cochrane Hungary, Clinical Centre of the University of Pécs, Medical School, University of Pécs, Pécs, Hungary
aff001; Department of Public Health Medicine, Medical School, University of Pecs, Pecs, Hungary
aff002
Vyšlo v časopise:
PLoS ONE 14(12)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0225641
Souhrn
In order to map attitudes, knowledge and skills related to evidence-based medicine (EBM) in students of medical and health sciences faculties, we performed an online survey during the spring semester 2019 in all medical and health sciences faculties in Hungary. In total, 1080 students of medicine and 911 students of health sciences completed the online questionnaire. The attitude towards EBM was generally positive; however, only a small minority of students rated their EBM-related skills as advanced. There were large differences in the understanding of different EBM-related terms, with 'sample size' as the term with the highest (65%) and 'intention-to-treat analysis' with the lowest (7%) proportion of medical students being able to properly explain the meaning of the expression. Medical students who already participated in some EBM training rated their skills in searching and evaluating medical literature and their knowledge of EBM-related terms significantly better and had a more positive attitude towards using EBM in the practice than students without previous EBM training. EBM trained medical students were more likely to choose online journals (17.5% compared to 23.9%, p<0.05) and professional guidelines (15.4% compared to 6.1%, p<0.001) instead of printed books (33.6% compared to 52.6, p<0.001) as the main source of healthcare information retrieval and used Pubmed/Medline, Medscape and the Cochrane Library to a significant higher rate than students without any previous EBM training. Healthcare work experience (OR = 1.59; 95% CI = 1.01–2.52), conducting student research (OR = 2.02; 95% CI = 1.45–2.82) and upper year university students (OR = 1.65; 95% CI = 1.37–1.98) were other factors significantly influencing EBM-related knowledge. We conclude that the majority of students of medical and health sciences faculties are keen to acquire EBM-related knowledge and skills during their university studies. Significantly higher EBM-related knowledge and skills among EBM trained students underline the importance of targeted EBM education, while parallel increase of knowledge and skills with increasing number of education years highlight the importance of integrating EBM terminology and concepts also into the thematic of other courses.
Klíčová slova:
Database searching – Evidence based medicine – Hungary – Information retrieval – Medical education – Medicine and health sciences – Physicians – Questionnaires
Zdroje
1. Lehane E, Leahy-Warren P, O'Riordan C, Savage E, Drennan J, O'Tuathaigh C, et al. Evidence-based practice education for healthcare professions: an expert view. BMJ evidence-based medicine. 2019;24(3):103–8. doi: 10.1136/bmjebm-2018-111019 30442711
2. Greenhalgh T, Howick J, Maskrey N. Evidence based medicine: a movement in crisis? BMJ (Clinical research ed). 2014;348:g3725.
3. Oliver D. Evidence based medicine needs to be more pragmatic. BMJ (Clinical research ed). 2014;349:g4453.
4. Timmermans S, Mauck A. The promises and pitfalls of evidence-based medicine. Health affairs (Project Hope). 2005;24(1):18–28.
5. Thangaratinam S, Barnfield G, Weinbrenner S, Meyerrose B, Arvanitis TN, Horvath AR, et al. Teaching trainers to incorporate evidence-based medicine (EBM) teaching in clinical practice: the EU-EBM project. BMC medical education. 2009;9:59. doi: 10.1186/1472-6920-9-59 19744327
6. Young T, Esterhuizen TM, Volmink J, Clarke M. Attitude and confidence of undergraduate medical programme educators to practice and teach evidence-based healthcare: a cross-sectional survey. International journal of evidence-based healthcare. 2016;14(2):74–83. doi: 10.1097/XEB.0000000000000068 26626283
7. Bussieres AE, Terhorst L, Leach M, Stuber K, Evans R, Schneider MJ. Self-reported attitudes, skills and use of evidence-based practice among Canadian doctors of chiropractic: a national survey. The Journal of the Canadian Chiropractic Association. 2015;59(4):332–48. 26816412
8. Terhorst L, Leach M, Bussieres A, Evans R, Schneider MJ. Evaluating the Psychometric Properties of the Evidence-Based Practice Attitude and Utilization Survey. Journal of alternative and complementary medicine (New York, NY). 2016;22(4):328–35.
9. Parve S, Ershadi A, Karimov A, Dougherty A, Ndhlovu CE, Chidzonga MM, et al. Access, attitudes and training in information technologies and evidence-based medicine among medical students at University of Zimbabwe College of Health Sciences. African health sciences. 2016;16(3):860–5. doi: 10.4314/ahs.v16i3.29 27917222
10. Nieminen P, Virtanen JI. Information retrieval, critical appraisal and knowledge of evidence-based dentistry among Finnish dental students. European journal of dental education: official journal of the Association for Dental Education in Europe. 2017;21(4):214–9.
11. Mahmic-Kaknjo M, Kadic D, Hodzic H, Spahic-Sarajlic S, Hadzic E, Ademovic E. Awareness, knowledge, use, and attitudes toward evidence based medicine in a developing country: survey of physicians in a canton in Bosnia and Herzegovina. Croatian medical journal. 2015;56(6):558–66. doi: 10.3325/cmj.2015.56.558 26718762
12. Aguirre-Raya KA, Castilla-Peon MF, Barajas-Nava LA, Torres-Rodriguez V, Munoz-Hernandez O, Garduno-Espinosa J. Self-perception and knowledge of evidence based medicine by physicians. BMC medical education. 2016;16:166. doi: 10.1186/s12909-016-0681-6 27357211
13. Abeysena C, Jayawardana P, Wickremasinghe R, Wickramasinghe U. Evidence-based medicine knowledge, attitudes, and practices among doctors in Sri Lanka. Journal of evidence-based medicine. 2010;3(2):83–7. doi: 10.1111/j.1756-5391.2010.01077.x 21349049
14. Lafuente-Lafuente C, Leitao C, Kilani I, Kacher Z, Engels C, Canoui-Poitrine F, et al. Knowledge and use of evidence-based medicine in daily practice by health professionals: a cross-sectional survey. BMJ open. 2019;9(3):e025224. doi: 10.1136/bmjopen-2018-025224 30928940
15. Elbers NA, Chase R, Craig A, Guy L, Harris IA, Middleton JW, et al. Health care professionals' attitudes towards evidence-based medicine in the workers' compensation setting: a cohort study. BMC medical informatics and decision making. 2017;17(1):64. doi: 10.1186/s12911-017-0460-2 28532470
16. Abdel-Kareem A, Kabbash I, Saied S, Al-Deeb A. Knowledge, practices and attitudes of physicians towards evidencebased medicine in Egypt. Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit. 2019;25(2):82–9.
17. Anuradha C, Jacob KS, Shyamkumar NK, Sridhar G. Evidence-based practice in radiology: knowledge, attitude and perceived barriers to practice among residents in radiology. European journal of radiology. 2013;82(5):894–7. doi: 10.1016/j.ejrad.2013.01.026 23453704
18. Risahmawati RR, Emura SS, Nishi TT, Koizumi SS. Japanese Resident Physicians' Attitudes, knowledge, and Perceived Barriers on the Practice of Evidence Based Medicine: a Survey. BMC research notes. 2011;4:374. doi: 10.1186/1756-0500-4-374 21955346
19. Ozaki AF, Nakagawa S, Jackevicius CA. Cross-cultural Comparison of Pharmacy Students' Attitudes, Knowledge, Practice, and Barriers Regarding Evidence-based Medicine. American journal of pharmaceutical education. 2019;83(5):6710. doi: 10.5688/ajpe6710 31333249
20. Balajic K, Barac-Latas V, Drenjancevic I, Ostojic M, Fabijanic D, Puljak L. Influence of a vertical subject on research in biomedicine and activities of The Cochrane Collaboration branch on medical students' knowledge and attitudes toward evidence-based medicine. Croatian medical journal. 2012;53(4):367–73. doi: 10.3325/cmj.2012.53.367 22911530
21. Ghahremanfard F, Nassaji M, Mirmohammadkhani M, Tanha A, Mosavi M, Ghaemi A, et al. Knowledge and attitude toward evidence-based medicine among medical students in Semnan, Iran. Journal of evidence-based medicine. 2014;7(1):32–7. doi: 10.1111/jebm.12084 25155564
22. Buchberger B, Mattivi JT, Schwenke C, Katzer C, Huppertz H, Wasem J. Critical appraisal of RCTs by 3rd year undergraduates after short courses in EBM compared to expert appraisal. GMS journal for medical education. 2018;35(2):Doc24. doi: 10.3205/zma001171 29963614
23. Young JM, Glasziou P, Ward JE. General practitioners' self ratings of skills in evidence based medicine: validation study. BMJ (Clinical research ed). 2002;324(7343):950–1.
Článek vyšel v časopise
PLOS One
2019 Číslo 12
- S diagnostikou Parkinsonovy nemoci může nově pomoci AI nástroj pro hodnocení mrkacího reflexu
- Je libo čepici místo mozkového implantátu?
- Pomůže v budoucnu s triáží na pohotovostech umělá inteligence?
- AI může chirurgům poskytnout cenná data i zpětnou vazbu v reálném čase
- Nová metoda odlišení nádorové tkáně může zpřesnit resekci glioblastomů
Nejčtenější v tomto čísle
- Methylsulfonylmethane increases osteogenesis and regulates the mineralization of the matrix by transglutaminase 2 in SHED cells
- Oregano powder reduces Streptococcus and increases SCFA concentration in a mixed bacterial culture assay
- The characteristic of patulous eustachian tube patients diagnosed by the JOS diagnostic criteria
- Parametric CAD modeling for open source scientific hardware: Comparing OpenSCAD and FreeCAD Python scripts
Zvyšte si kvalifikaci online z pohodlí domova
Všechny kurzy