PDF(Pubmed)
Abstract：
The aim of the study was to investigate the effectiveness of user testing for improving healthcare professionals\' retrieval and comprehension of information in medicines guidelines.
The United Kingdom\'s Injectable Medicines Guide was selected as a case study. This gives guidance to nurses on preparing and administering intravenous medicines on hospital wards, in line with standard UK practice. Three rounds of user testing were completed with 10 hospital nurses per round, using the Injectable Medicines Guide for voriconazole and aminophylline. Participants used the guidelines to answer 17 questions related to the administration of these medicines. Answers were scored for \"finding\" and \"understanding\" the required information. Semistructured interviews explored participants\' opinions of guideline content, design, and wording, with responses analyzed thematically. The guidelines were revised between rounds.
In round 1, 8 of 17 questions were answered correctly by all participants. Participants had difficulty with dose, dilution, administration rate, and adverse effects questions. Revisions included new subsections and increased calculation support. In round 2, 14 of 17 questions were answered correctly by all participants. Difficulty persisted with dose and administration rate questions and further revisions made. In round 3, 15 of 17 questions were answered correctly by all participants. Across all rounds, participants considered appropriate subheadings and information order as important for fast location of information. Specific, detailed, and practical instructions were perceived as important to improve understandability and usefulness.
Key information in medicines guidelines may not be found and/or understood by healthcare professionals. User testing increased information retrieval and comprehension and could have an important role in improving the safety of medicines use.
The United Kingdom\'s Injectable Medicines Guide was selected as a case study. This gives guidance to nurses on preparing and administering intravenous medicines on hospital wards, in line with standard UK practice. Three rounds of user testing were completed with 10 hospital nurses per round, using the Injectable Medicines Guide for voriconazole and aminophylline. Participants used the guidelines to answer 17 questions related to the administration of these medicines. Answers were scored for \"finding\" and \"understanding\" the required information. Semistructured interviews explored participants\' opinions of guideline content, design, and wording, with responses analyzed thematically. The guidelines were revised between rounds.
In round 1, 8 of 17 questions were answered correctly by all participants. Participants had difficulty with dose, dilution, administration rate, and adverse effects questions. Revisions included new subsections and increased calculation support. In round 2, 14 of 17 questions were answered correctly by all participants. Difficulty persisted with dose and administration rate questions and further revisions made. In round 3, 15 of 17 questions were answered correctly by all participants. Across all rounds, participants considered appropriate subheadings and information order as important for fast location of information. Specific, detailed, and practical instructions were perceived as important to improve understandability and usefulness.
Key information in medicines guidelines may not be found and/or understood by healthcare professionals. User testing increased information retrieval and comprehension and could have an important role in improving the safety of medicines use.
摘要：
该研究的目的是调查用户测试对提高医疗保健专业人员对药物指南中信息的检索和理解的有效性。
选择了英国的《可注射药物指南》作为案例研究。这为护士在医院病房准备和管理静脉药物提供了指导，符合标准的英国惯例。完成三轮用户测试,每轮有10名医院护士,使用伏立康唑和氨茶碱的可注射药物指南。参与者使用指南回答了与这些药物管理相关的17个问题。对“发现”和“理解”所需信息的答案进行了评分。半结构化访谈探讨了参与者对指南内容的看法，设计,和措辞，用主题分析的回答。准则在各轮之间进行了修订。
在第1轮中，所有参与者都正确回答了17个问题中的8个。参与者在剂量方面有困难，稀释，施用率,和不良影响问题。修订包括新的小节和增加的计算支持。在第2轮中，所有参与者正确回答了17个问题中的14个。困难持续存在剂量和给药率问题，并进行了进一步修订。在第3轮中，所有参与者都正确回答了17个问题中的15个。在所有回合中，参与者认为适当的副标题和信息顺序对于快速定位信息很重要。Specific,detailed,实践指导被认为对提高可理解性和有用性很重要。
医疗专业人员可能找不到和/或理解药物指南中的关键信息。用户测试增加了信息检索和理解，并可能在提高药物使用安全性方面发挥重要作用。
选择了英国的《可注射药物指南》作为案例研究。这为护士在医院病房准备和管理静脉药物提供了指导，符合标准的英国惯例。完成三轮用户测试,每轮有10名医院护士,使用伏立康唑和氨茶碱的可注射药物指南。参与者使用指南回答了与这些药物管理相关的17个问题。对“发现”和“理解”所需信息的答案进行了评分。半结构化访谈探讨了参与者对指南内容的看法，设计,和措辞，用主题分析的回答。准则在各轮之间进行了修订。
在第1轮中，所有参与者都正确回答了17个问题中的8个。参与者在剂量方面有困难，稀释，施用率,和不良影响问题。修订包括新的小节和增加的计算支持。在第2轮中，所有参与者正确回答了17个问题中的14个。困难持续存在剂量和给药率问题，并进行了进一步修订。在第3轮中，所有参与者都正确回答了17个问题中的15个。在所有回合中，参与者认为适当的副标题和信息顺序对于快速定位信息很重要。Specific,detailed,实践指导被认为对提高可理解性和有用性很重要。
医疗专业人员可能找不到和/或理解药物指南中的关键信息。用户测试增加了信息检索和理解，并可能在提高药物使用安全性方面发挥重要作用。
