1. Rural
Emergency
Care
Professionals
Are
Perceived
as
PosiBve
Referents
for
the
Use
of
Wiki-­‐based
Titre duBest
PracBces
in
Trauma
Care
document
Reminders
to
Promote
Auteurs
Simon
Rioux 1;
Patrick
Michel
Archambault1,2,;
Andrea
Bilodeau1,5;
Marie-­‐Pierre
Gagnon4,5;
Karine
Aubin1,5;
Richard
Fleet1,2;
Catherine
Nadeau1;
André
Lavoie3;
Jean
Lapointe1,6;
Julien
Poitras 1,2,3;
France
Légaré2,4
1Centre
de
santé
et
de
services
sociaux
Alphonse-­‐Desjardins
(Centre
hospitalier
affilié
universitaire
de
Lévis),
Lévis,
QC,
Canada,
2Département
de
médecine
familiale
et
de
médecine
d’urgence,
Faculté
de
médecine,
Université
Laval,
Quebec,
QC,
Canada,
3Traumatologie
–
Urgence
–
Soins
intensifs,
Centre
de
recherche
FRQS
du
CHA
universitaire
de
Québec,
Quebec,
QC,
Canada,
4Centre
de
recherche
du
Centre
hospitalier
universitaire
de
Québec
(CRCHUQ),
Quebec,
QC,
Canada,
5Faculté
des
sciences
infirmières,
Université
Laval,
Quebec,
QC,
Canada,
6Instut
naonal
d’excellence
en
santé
et
services
sociaux,
Montreal,
QC,
Canada
Ø EP’s
perceived
referents
Background
Results
Ø EP’s
parBcipaBon
flow
diagram
Ø AHP’s
parBcipaBon
flow
diagram
Ø Wikis
are
knowledge
translaon
tools
that
could
help
rural
emergency
care
professionals
implement
best
pracces
in
Eligible
(n=61)
Eligible
(n=445)
acute
care.
Ø Ligle
is
known
about
the
rural-­‐specific
beliefs
that
could
Contacted
by
e-­‐mail
(n=55)
Contacted
by
e-­‐mail
(n=39)
influence
the
use
of
wikis.
Declined
parcipaon
(n=7)
Declined
parcipaon
(n=2)
Objecves
No
response
(n=23)
No
response
(n=12)
Ø To
idenfy
the
rural-­‐specific
beliefs
of
emergency
physicians
Completed
the
interview
(n=25)
Completed
the
interview
(n=25)
(EPs)
and
allied
health
professionals
(AHPs)
working
in
rural
and
urban
hospitals
about
using
a
wiki-­‐based
reminder
that
Ø ParBcipants’
sociodemographic
characterisBcs
promotes
best
pracces
in
trauma.
EP
AHP
Variables
Methods
(n=25)
(n=25)
Ø This
project
is
part
of
a
bigger
project
(Healthcare
n
(%)
Ø AHP’s
salient
beliefs
professionals’
beliefs
about
using
wiki-­‐based
reminders
to
Men
23
(92)
7
(28)
promote
best
pracces
in
trauma
care,
Archambault
et
al.,
J
Women
2
(8)
18
(72)
Med
Internet
Res,
2012;14(2):e49)
Nurses
15
(60)
Ø Drawing
on
the
theory
of
planned
behavior,
semistructured
Respiratory
therapists
N/A
7
(28)
interviews
were
conducted
on
25
EPs
and
25
AHPs
Pharmacists
3
(12)
purposefully
selected
from
a
level
I,
level
II
and
a
level
III
trauma
center.
Primary
trauma
centre
10
(40)
10
(40)
Ø The
level
III
trauma
center
was
located
in
a
rural
area
as
Secondary
trauma
centre
10
(40)
10
(40)
defined
by
Stascs
Canada.
Terary
trauma
centre
(rural)
5
(20)
5
(20)
Ø Parcipants
viewed
a
video
showing
a
clinician
using
a
wiki-­‐
Previous
use
of
any
wiki
20
(80)
15
(60%)
based
reminder,
and
then
were
interviewed
about
what
they
Median
(IQR25-­‐75)
saw
as
advantages,
disadvantages,
barriers,
and
facilitators
to
Age
38
(35-­‐49)
35
(29-­‐44)
their
use
of
the
reminder,
and
how
they
felt
important
Years
of
experience
11
(6-­‐23)
11
(9-­‐18)
referents
would
perceive
their
use
of
the
reminder.
Ø Two
reviewers
independently
analyzed
the
content
of
the
Ø EP’s
salient
beliefs
Ø AHP’s
perceived
referents
interview
transcripts
and,
for
this
project,
idenfied
the
beliefs
that
were
specific
to
rural
emergency
medicine.
Conclusion
Ø Professionals
working
in
isolated
rural
seongs
are
perceived
by
urban
and
rural
professionals
alike
as
favorable
to
the
use
of
wiki-­‐based
reminders.
Ø A
quesonnaire
will
be
developed
to
measure
the
importance
of
the
rural-­‐specific
determinants
to
EPs’
and
AHPs’
intenon
to
use
the
wiki-­‐based
reminder
that
were
idenfied
in
this
study.
Email:
simon.rioux27@gmail.com
h5p://www.medecineurgence.ca