INTRODUCTION:Telecommunication infrastructure is being rolled out across Australia with little knowledge about the uptake by health professionals in remote areas. Computer mediated communication has the potential to offer educational support to remote practitioners; however, the viability of this is uncertain. The aim of this research was to establish and evaluate an internet-based resource library targeting the needs of remote area maternity service providers. METHODS:A participatory action research (PAR) approach was used to involve remote area maternity service providers in the Northern Territory of Australia. The evaluation of the resource library included its performance on reach, agency affiliation and richness, factors identified to affect the sustainability and utility of such a resource. An additional component of the evaluation framework documented the facilitators of and barriers to using an information technology strategy to reduce the isolation of remote area maternity service providers. RESULTS:Overall, the evaluation of the resource library was very positive. Feedback from the PAR team described the resource as contemporary, useful and relevant. Practitioners in leadership and education positions identified the resource library as a valuable tool that enabled them to access professional knowledge, which could then be distributed to any remote-based practitioners, who experienced difficulties with access themselves. The evaluation found that logistical issues were a major problem for potential users. Hardware inadequacies, access difficulties, unfamiliarity with computers, and a lack of management support for nursing and midwifery staff to utilise the resource, were all identified barriers. Remote-area practitioners highlighted education, training and 24 hour support as key priorities. CONCLUSIONS:Results from this research clearly showed the potential of web-based resources to offer educational support through access to clinical guidelines, reports and research, thus reducing the isolation of the remote practitioner. However, it highlighted the need for clear strategic direction at policy level, whereby all stakeholders unite to synchronise the rollout of information technology infrastructure with the necessary education, training and support as an integral component.

译文

简介:电信基础设施正在澳大利亚各地推广,对偏远地区的卫生专业人员的使用了解甚少。计算机介导的交流有可能为远程从业者提供教育支持;但是,这种方法的可行性尚不确定。这项研究的目的是建立和评估针对偏远地区孕妇服务提供商需求的基于互联网的资源库。
方法:采用参与式行动研究(PAR)的方法,使澳大利亚北领地的偏远地区产妇服务提供者参与进来。对资源库的评估包括其在覆盖范围,代理机构的隶属关系和丰富性方面的绩效,已确定的影响该资源可持续性和实用性的因素。评价框架的另一个组成部分记录了使用信息技术战略来减少偏远地区产妇服务提供者的隔离的促进因素和障碍。
结果:总的来说,对资源库的评价是非常积极的。 PAR团队的反馈认为该资源具有当代性,实用性和相关性。担任领导和教育职务的从业人员认为资源库是使他们能够访问专业知识的宝贵工具,然后可以将其分发给在访问方面遇到困难的任何远程工作者。评估发现,后勤问题是潜在用户的主要问题。硬件不足,访问困难,对计算机不熟悉以及对护理人员和助产人员缺乏利用资源的管理支持,这些都是障碍。偏远地区的从业者强调教育,培训和24小时支持是关键重点。
结论:这项研究的结果清楚地表明了基于Web的资源通过访问临床指南,报告和研究提供教育支持的潜力,从而减少了远程医生的孤立感。但是,它强调需要在政策一级制定明确的战略方向,所有利益相关者团结起来,将信息技术基础设施的部署与必要的教育,培训和支持作为一个不可或缺的组成部分进行同步。

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