2126 KB296 KB2013Dornik, EmaStare, JanezŽumer, Maja125 f., 30 cmCOBISSID:519600665URN:URN:NBN:SI:doc-4D1QIBEVslE. Dornikvisokošolska delaDisertacijeeducationhealth careinformacijska podporaInformatikainformation scienceizobraževanjeklinična praksamedicinske sestreRaziskovalno deloZdravstvena negazdravstvoInformacijska podpora raziskovanju in klinični praksi v zdravstveni negi| doktorska disertacija|Introduction: Nurses have been striving for decades for the development and acknowledgment of their working field as its independent scientific discipline. The dissertation introduces the development of education and state-of-the-art in the area of nurses and midwives information needs in Slovenia. Methods: The research comprises several clusters and consists of qualitative and quantitative paradigms. The stuctured questionnaire was sent to 500 randomly selected graduated nurses and midwives. The sample included 11,8 % of the population. The web metrics of the Slovenian Nursing Review from 16 January 2009 to 16 January 2010 is introduced, including the trend of borrowing between 2004 and 2010. Bibliometric analysis of the bibliographies and the results of the written interviews with nurses holding a PhD are presented in the last cluster. Results: The questionnaire was answered by the 31,8% (158) of the random sample, mainly females, holding a degree. It can be concluded there are statistically significant differences between the observed categories of education. The differences relate to: following novelties in health and midwifery care (p < 0,001), in the assessment grade of (nursing) research in general (p < 0,0001) and personal involvement in (nursing) research (p = 0,044). The results are in favour of nurses with higher level of education. The level of the identification of information sources is high, but their actual use much lower. The CINAHL database is accessed in a lower proportion (5,3%); 51,7% have never accessed the database.The website of the Slovenian Nursing Review has been visited by 39.030 visitors in three years (every visitor counted once only), i.e. 70.770 visits. The following libraries recorded the highest borrowing rates between 2004 and 2010: Faculty of Health Sciences at the University of Ljubljana (3.765), Faculty of Health Sciences at the University of Maribor (3.147), College of Nursing in Jesenice (331), Maribor University Library (217) and Central Medical Library (133). On the basis of the bibliometric analysis of the personal bibliographies and the results of the written interviews it can be concluded that nurses holding a PhD significantlly differ from nurses not holding a PhD: they carry our more research, publish more, use information sources for literature search, read professional and scientific literature and articles published in the Slovenian Nursing Review available on the web. Discussion: Five resarch hypotheses are confirmed. It was found out that the level of education significantly influences the motivation for research work, which is essential for the Slovenian health care to become a scientifically grounded discipline. Also, higher education has an important effect on the awareness of the importance of following professional and scientific literature, and thus novelties in the professional field. Slovenian nurses and midwives are aware of the available information sources, but use them rarely, which can be related to lower information literacy and the need for additional training and education in the field, and the need for support in publishing at home and abroad. Conclusions: The dissertation introduces and conceptualises a specifically designed web portal with information sources in support of research and clinical practice in health and midwifery care. Such aportal could also be used during training and/or education, during the preparation phase of the research work or article for publishing. Slovenian nurses shall have the possibility of vertical education in the field, up to PhD. The dropping trend of the Slovenian Nursing Review borrowing in libraries could be a reflection of the digital era and the consequence of the digitalization of the journal available on the internet. It is time the Slovenian Nursing Review becomes an access-free journal, which will offer support to a scientifically grounded discipline, and thus gain its reputation in Slovenia and abroadUvod: Medicinske sestre si že desetletja prizadevajo za razvoj in priznanje svojega področja kot samostojne znanstvene discipline. Disertacija predstavi razvoj izobraževanja ter stanje na področju informacijskih potreb medicinskih sester in babic v Sloveniji. Metode: Raziskava je imela več sklopov in zajematako kvantitativno kot kvalitativno raziskovalno paradigmo. Strukturiran anketni vprašalnik je bil poslan 500 naključno izbranim diplomiranim medicinskim sestram ali babicam. Izhodiščni vzorec je predstavljal 11,8 % populacije. Predstavljena je spletnega metrika spletne strani Obzornika zdravstvene nege za obdobje od 16. januarja 2009 do 16. januarja 2012. Prikazan je trend izposoje Obzornika zdravstvene nege v knjižnicah v letih od 2004 do 2010. V zadnjem sklopu je predstavljena bibliometrična analiza bibliografij ter rezultati pisnega intervjuja medicinskih sester z doktoratom znanosti. Vsem sodelujočim je bila zagotovljena anonimnost. Rezultati: Na anketni vprašalnik je odgovorilo 31,8 % (158) povabljenih. Med sodelujočimi prevladujejo ženske, po izobrazbi diplomirane medicinske sestre. Ugotovili smo, da obstajajo statistično pomembne razlike med opazovanimi kategorijamami izobrazbe. Razlike se kažejo: v spremljanju novosti v zdravstveni in babiški negi (p < 0,001), v oceni pomembnosti raziskovanja nasploh (p < 0,001) in tudi glede osebne vključenosti v raziskovanje (p = 0,044). Rezultati kažejo v prid sodelujočim z višjo doseženo stopnjo izobrazbe. Raven prepoznavnosti informacijskih virov med anketiranimi je visoka, a njihova uporaba precej slabša. Anketirani do baze CINAHL pogosto dostopajo v majhnem deležu (5,3 %), nikoli ne dostopa 51,7% anketiranih. Spletno stran Obzornika zdravstvene nege je v treh letih obiskalo 39.030 obiskovalcev (vsak štet le enkrat), ki so v tem času opravili 70.770 obiskov. V obdobju od 2004 do 2010 so zabeležili največ izposoj Obzornika zdravstvene nege v knjižnicah: Zdravstvene fakultete (3.765), Fakultete za zdravstvene vede (3.147), Visoke šole za zdravstveno nego Jesenice (331), Univerzitetne knjižnice Maribor (217) in Centralne medicinske knjižnice (133). Na osnovi bibliometrične analize osebnih bibliografij ter rezultatov pisnega intervjuja lahko zaključimo, da se medicinske sestre z doktoratom znanosti pomembno razlikujejo od medicinskih sester, ki doktorata nimajo: naklonjene so raziskovanju, objavljajo, uporabljajo informacijske vire za iskanje literature, berejo strokovno-znanstveno literaturo ter celotna besedila Obzornika zdravstvene nege dostopna na spletu. Razprava: Potrdili smo pet raziskovalnih hipotez. Ugotovili smo, da izobrazba pomembno vpliva na motiviranost za raziskovalno delo, ki je nujno potrebno, da bo slovenska zdravstvene nega znanstveno utemeljena disciplina. Višja izobrazba pomembno vpliva na zavedanje o pomembnosti spremljanja strokovno-znanstvene literature in posledično novosti na strokovnem področju. Slovenske medicinske sestre in babice poznajo informacijske vire, a jih slabo uporabljajo, kar (lahko) kaže na slabšo informacijsko pismenost in potrebo po dodatnem izobraževanju na tem področju ter potrebo bo večji spodbudi k objavljanju tako doma kot v tujini. Zaključek: Podana je idejna zasnova spletnega portala z ustreznimi informacijskimi viri za podporo raziskovanju in klinični praksi v zdravstveni in babiški negi. Tak portal bi nudil podporo tudi med izobraževanjem, procesom priprave raziskovalnega dela ali članka za objavo. Slovenske medicinske sestre bi morale imeti možnost vertikalnega izobraževanja v stroki vse do doktorskega študija. Trend upadanja izposoje Obzornika zdravstvene v knjižnicah je lahko odraz digitalne dobe ter posledica digitalizacije časopisa, dostopnega na spletu. Zavoljo večje branosti, prepoznavnosti kot tudi podpore raziskovanju in klinični praksi zdravstvene in babiške nege je čas, da Obzornik zdravstvene nege postane prosto dostopen časopis, ki bo nudil podporo znanstveno utemeljeni disciplini in tako pridobil večjo veljavo doma in v tujiniTEXTvisokošolska delatheses and dissertationsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverza v Ljubljani, Biotehniška fakulteta