Swiss family physicians' perceptions and attitudes towards knowledge translation practices.

BACKGROUND: Several studies have been performed to understand the way family physicians apply knowledge from medical research in practice. However, very little is known concerning family physicians in Switzerland. In an environment in which information constantly accumulates, it is crucial to identify the major sources of scientific information that are used by family physicians to keep their medical knowledge up to date and barriers to use these sources. Our main objective was to examine medical knowledge translation (KT) practices of Swiss family physicians. METHODS: The population consisted of French- and German-speaking private practice physicians specialised in family medicine. We conducted four interviews and three focus groups (n = 25). The interview guides of the semi-structured interviews and focus groups focused on (a) ways and means used by physicians to keep updated with information relevant to clinical practice; (b) how they consider their role in translating knowledge into practice; (c) potential barriers to KT; (d) solutions proposed by physicians for effective KT. RESULTS: Family physicians find themselves rather ambivalent about the translation of knowledge based on scientific literature, but generally express much interest in KT. They often feel overwhelmed by "information floods" and perceive clinical practice guidelines and other supports to be of limited usefulness for their practice. They often combine various formal and informal information sources to keep their knowledge up to date. Swiss family physicians report considering themselves as artisans, caring for patients with complex needs. CONCLUSION: Improved performance of KT initiatives in family medicine should be tailored to actual needs and based on high quality evidence-based sources.

Asiantuntijan hiljainen tieto. Case: Tullihallitus, verotusosasto

Tutkielman tavoitteena on selvittää ja analysoida, mitä ja minkälaista tietoa ja osaamista asiantuntija tarvitsee jokapäiväisessä työssään. Tutkielman teoriaosuudessa pohditaan asiantuntijuutta, hiljaista tietoa, tiedon rakennetta sekä tiedon merkitystä ja haasteita tietojohtamisen näkökulmasta. Empiirisen tutkimuksen kohdeorganisaationa oli Tullihallituksen verotusosasto. Asiantuntijan osaaminen koostui opitusta tiedosta, mutta myös asenteesta ja halusta oppia. Asiantuntijaksi kehittyminen vaati käytännön harjoittelua oikeassa ympäristössä ja oikeilla asioilla. Asiantuntijan työssään tarvitsema tieto ja osaaminen osoittautuivat kohdeorganisaatiossa niin hiljaiseksi, että sitä ei välttämättä pystytä dokumentoimaan, eikä siten myöskään formaalilla tavalla siirtämään tai säilyttämään. Tutkimustulosten analysointi tuotti osaamispolkuja, jotka kuvaavat aloittelijan tarvitsemia tietoja ja osaamista matkalla asiantuntijaksi. Asiantuntijan tieto ja osaaminen koostuu viidestä pääpolusta, jotka liittyvät osaamisen henkilösidonnaisuuteen, tiedon ymmärtämiseen ja soveltamiseen, tiedon jakamiseen ja yhteistyöhön, henkilökohtaiseen kokemukseen työstä sekä kokemukseen ja käytännön tietoon. Tutkimustulokset perustuvat kohdeorganisaatiossa tehtyihin haastatteluihin, jotka analysoitiin käyttäen aineistolähtöisen teorian menetelmiä.

Knowledge Management diskurssina suomalaisissa terveydenhuoltoalan tieteellisissä ja ammatillisissa lehdissä

Abstract: Knowledge Management as a discourse in Finnish scientific and professional journals on the health care field

Consultation for Disordered Puberty: What Do Adolescent Medicine Patients Teach Us?

The period of adolescence is not only marked by important growth and pubertal events, but is also characterized by important psychosocial changes driven by a search for autonomy and the construction of one's identity. It can thus be easily understood that puberty disorders interfere heavily with these process, requiring from the endocrinologist not only medical knowledge, but also a great deal of emotional and psychological skills. They must progressively move from an educational approach that heavily involves the parents to one of shared information and decision making that places the young patient at the center of the therapeutic process. This can be achieved in several ways: respecting the affective and cognitive development of the adolescent; securing his privacy and (if requested by him) confidentiality; exploring his self-image and self-esteem and adapting the therapeutic process to the patient's expectations; reviewing the teenager's lifestyle, including the issue of sexuality and sexual behavior, and involving him in any therapeutic choice that has to be made, even if it does not match with the parents' expectations. The skills required for this respectful and holistic follow-up often exceed the abilities of any physician; it is thus suggested that a team approach involving a clinical nurse and/or a psychologist and/or social worker(s) be set up whenever possible.

Informe d'Autors UOC a ISI Web of Knowledge. Octubre 2014

UOC

The knowledge about diagnostic imaging methods among primary care and medical emergency physicians

Objective To evaluate the knowledge about diagnostic imaging methods among primary care and medical emergency physicians. Materials and Methods Study developed with 119 primary care and medical emergency physicians in Montes Claros, MG, Brazil, by means of a structured questionnaire about general knowledge and indications of imaging methods in common clinical settings. A rate of correct responses corresponding to ≥ 80% was considered as satisfactory. The Poisson regression (PR) model was utilized in the data analysis. Results Among the 81 individuals who responded the questionnaire, 65% (n = 53) demonstrated to have satisfactory general knowledge and 44% (n = 36) gave correct responses regarding indications of imaging methods. Respectively, 65% (n = 53) and 51% (n = 41) of the respondents consider that radiography and computed tomography do not use ionizing radiation. The prevalence of a satisfactory general knowledge about imaging methods was associated with medical residency in the respondents' work field (PR = 4.55; IC 95%: 1.18-16.67; p-value: 0.03), while the prevalence of correct responses regarding indication of imaging methods was associated with the professional practice in primary health care (PR = 1.79; IC 95%: 1.16-2.70; p-value: 0.01). Conclusion Major deficiencies were observed as regards the knowledge about imaging methods among physicians, with better results obtained by those involved in primary health care and by residents.

Informe d'Autors UOC a ISI Web of Knowledge. Novembre 2014

UOC

Informe d'Autors UOC a ISI Web of Knowledge. Desembre 2014

UOC

Online Volunteers : Knowledge Managers in Nonprofits

Peer-reviewed

An ontology to automated learning scenarios? an approach to its knowledge domain

Automation or semi-automation of learning scenariospecifications is one of the least exploredsubjects in the e-learning research area. There isa need for a catalogue of learning scenarios and atechnique to facilitate automated retrieval of stored specifications. This requires constructing anontology with this goal and is justified inthis paper. This ontology must mainlysupport a specification technique for learning scenarios. This ontology should also be useful in the creation and validation of new scenarios as well as in the personalization of learning scenarios or their monitoring. Thus, after justifying the need for this ontology, a first approach of a possible knowledge domain is presented. An example of a concrete learning scenario illustrates some relevant concepts supported by this ontology in order to define the scenario in such a way that it could be easy to automate.

Fostering Collaborative Knowledge Building by the Effective Provision of Knowledge about the Discussion Process

Peer-reviewed