TY  - JOUR
AU  - Archambault, Patrick Michel
AU  - Bilodeau, Andrea
AU  - Gagnon, Marie-Pierre
AU  - Aubin, Karine
AU  - Lavoie, André
AU  - Lapointe, Jean
AU  - Poitras, Julien
AU  - Croteau, Sylvain
AU  - Pham-Dinh, Martin
AU  - Légaré, France
PY  - 2012
DA  - 2012/04/19
TI  - Health Care Professionals’ Beliefs About Using Wiki-Based Reminders to Promote Best Practices in Trauma Care
JO  - J Med Internet Res
SP  - e49
VL  - 14
IS  - 2
KW  - Wiki
KW  - Collaborative writing applications
KW  - Web 2.0
KW  - traumatic brain injury
KW  - interprofessional collaboration
KW  - reminders
KW  - computerized clinical decision-support system
KW  - knowledge translation
KW  - evidence-based medicine
KW  - theory of planned behavior
AB  - Background : Wikis are knowledge translation tools that could help health professionals implement best practices in acute care. Little is known about the factors influencing professionals’ use of wikis. Objectives : To identify and compare the beliefs of emergency physicians (EPs) and allied health professionals (AHPs) about using a wiki-based reminder that promotes evidence-based care for traumatic brain injuries. Methods : Drawing on the theory of planned behavior, we conducted semistructured interviews to elicit EPs’ and AHPs’ beliefs about using a wiki-based reminder. Previous studies suggested a sample of 25 EPs and 25 AHPs. We purposefully selected participants from three trauma centers in Quebec, Canada, to obtain a representative sample. Using univariate analyses, we assessed whether our participants’ gender, age, and level of experience were similar to those of all eligible individuals. Participants viewed a video showing a clinician using a wiki-based reminder, and we interviewed participants about their behavioral, control, and normative beliefs—that is, what they saw as advantages, disadvantages, barriers, and facilitators to their use of a reminder, and how they felt important referents would perceive their use of a reminder. Two reviewers independently analyzed the content of the interview transcripts. We considered the 75% most frequently mentioned beliefs as salient. We retained some less frequently mentioned beliefs as well. Results : Of 66 eligible EPs and 444 eligible AHPs, we invited 55 EPs and 39 AHPs to participate, and 25 EPs and 25 AHPs (15 nurses, 7 respiratory therapists, and 3 pharmacists) accepted. Participating AHPs had more experience than eligible AHPs (mean 14 vs 11 years; P = .04). We noted no other significant differences. Among EPs, the most frequently reported advantage of using a wiki-based reminder was that it refreshes the memory (n = 14); among AHPs, it was that it provides rapid access to protocols (n = 16). Only 2 EPs mentioned a disadvantage (the wiki added stress). The most frequently reported favorable referent was nurses for EPs (n = 16) and EPs for AHPs (n = 19). The most frequently reported unfavorable referents were people resistant to standardized care for EPs (n = 8) and people less comfortable with computers for AHPs (n = 11). The most frequent facilitator for EPs was ease of use (n = 19); for AHPs, it was having a bedside computer (n = 20). EPs’ most frequently reported barrier was irregularly updated wiki-based reminders (n = 18); AHPs’ was undetermined legal responsibility (n = 10). Conclusions : We identified EPs’ and AHPs’ salient beliefs about using a wiki-based reminder. We will draw on these beliefs to construct a questionnaire to measure the importance of these determinants to EPs’ and AHPs’ intention to use a wiki-based reminder promoting evidence-based care for traumatic brain injuries. 
SN  - 1438-8871
UR  - http://www.jmir.org/2012/2/e49/
UR  - https://doi.org/10.2196/jmir.1983
UR  - http://www.ncbi.nlm.nih.gov/pubmed/22515985
DO  - 10.2196/jmir.1983
ID  - info:doi/10.2196/jmir.1983
ER  -