Evidence map›Paper›PMID 27206410›Full record

ArticleBMC medical informatics and decision making2016

Attitudes of pediatric intensive care unit physicians towards the use of cognitive aids: a qualitative study.

Matthew J Weiss, Chelsea Kramer, Sébastien Tremblay, Luc Côté

Abstract read
In one paragraph

Article in BMC medical informatics and decision making, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  3. Factors affecting interpretation of dental radiographs.Dento maxillo facial radiology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Matthew J WeissDivision of Pediatric Critical Care, Centre Mère-Enfant Soleil du Centre Hospitalier Universitaire de Québec, 2705 boul Laurier Local R1735, Québec, QC, G1V 4G2, Canada. matthew-john.weiss@mail.chudequebec.ca.
Chelsea KramerSchool of Psychology, Université Laval, Faculty of Social Sciences, Pavillon Félix-Antoine-Savard, 2325, rue des Bibliothèques, Québec, G1V 0A6, Canada.
Sébastien TremblaySchool of Psychology, Université Laval, Faculty of Social Sciences, Pavillon Félix-Antoine-Savard, 2325, rue des Bibliothèques, Québec, G1V 0A6, Canada.
Luc CôtéDepartment of Family and Emergency Medicine, Université Laval, Faculty of Medicine, Pavillon Ferdinand-Vandry, 1050, avenue de la Médecine Local 2207A, Québec, G1V 0A6, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCognitive aids are increasingly recommended in clinical practice, yet little is known about the attitudes of physicians towards these tools.

methodsWe employed a qualitative, descriptive design to explore physician attitudes towards cognitive aids in pediatric intensive care units (PICUs). Semi-structured interviews elicited the opinions of a convenience sample of practicing PICU physicians towards the use of cognitive aids. We analyzed interview data for thematic content to examine the three factors of intention to use cognitive aids as defined by the Theory of Planned Behavior (TPB), attitudes, social norms, and perceived control.

resultsAnalysis of 14 interviews suggested that in the PICU setting, cognitive aids are widely used. Discovered themes related to their use touched on all three TPB factors of intention and included: aids are perceived to improve team communication; aids may improve patient safety; aids may hinder clinician judgment; physicians may resist implementation if it occurs prior to demonstration of benefit; effective adoption requires cognitive aids to be integrated into local workplace culture; and implementation should take physician concerns into account.

conclusionsOur sample of PICU physicians were open to cognitive aids in their practice, as long as such aids preserve the primacy of clinical judgment, focus on team communication, demonstrate effectiveness through preliminary testing, and are designed and implemented with the local culture and work environment in mind. Future knowledge translation efforts to implement cognitive aids would benefit from consideration of these issues.

Indexed as

Attitude of Health PersonnelClinical Decision-MakingMedical Informatics ApplicationsPractice Guidelines as TopicAdultChecklistFemaleHumansIntensive Care Units, PediatricMaleMiddle AgedPediatriciansQualitative ResearchCognitive aidsImplementationPediatric intensive carePhysician attitudesQualitative researchTheory of planned behavior

Identifiers

PMID27206410
PMCPMC4875623

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.