Meeting the information needs of clinicians for the practice of evidence-based healthcare

This article reports on clinicians’ use of library resources and the competencies they require to access information necessary for the practice of evidence-based healthcare. It is based on the results of a study commissioned by North Thames Region to identify the training needs of clinicians for the adoption and practice of evidence-based healthcare. Participants in this qualitative research study included librarians, clinicians (doctors, nurses and PAMs) and managers from four Acute and Community Trusts in and around London. The research indicates that the majority of clinicians recognize the need to keep up-to-date with changes in their specialty and many visit their libraries on a frequent basis, however, few appear to be searching for information with which to inform their immediate clinical decisions. Our sample acknowledged their low usage of journals such as Bandolier, the Health Effectiveness Bulletin and Journal of Evidence-Based Medicine. Similarly, low use of electronic databases, such as Cochrane and Cinahl, were reported. Examination of skill and self-efficacy levels in accessing and using information databases revealed wide variations across professions, specialities and Trusts. Qualitative research methods were employed to elicit the key competencies required to access clinically relevant research evidence, and a framework for integrating these competencies is presented.     

Acculturation,self-efficacy and social support among Chinese immigrants in Northern Ireland

An opportunity sample of 108 Chinese participants (n_male = 51 and n_female = 57; M_age = 29.34) was compared to a second opportunity sample of 98 Northern Irish participants (n_male = 45 and n_female = 53; M_age = 23.67) on levels of acculturation, self-efficacy and social support. The administered questionnaire contained three scales to measure the aforementioned constructs. The first was the AMAS-NIC, a version of the Abbreviated Multidimensional Acculturation Scale [Zea, M. C., Asner-Self, K. K., Birman, D., & Buki, L. P. (2003). The Abbreviated Multidimensional Acculturation Scale: Empirical validation with two Latino/Latina samples. Cultural Diversity and Ethnic Minority Psychology, 9, 107–126] modified to apply to a population of Chinese immigrants in Northern Ireland. The second measure was Mary Wegner's 1992 English version of the General Self-Efficacy Scale [Wright, S., Johnston, M., & Weinman, J. (1995). Measures in health psychology portfolio. UK: Windsor]. The third was the Social Support Questionnaire (SSQ) whose items emerged through a semi-structured interview and was designed to measure levels of received and sought social support. The purpose of the study was to ascertain the extent to which previous findings concerning acculturation can be generalised to a Chinese immigrant population in Northern Ireland, a country characterised by segregation. T-tests, correlation analyses and a hierarchical regression initially provided support for the generalisability of previous studies on the health benefits of integration as a preferred acculturation strategy [Berry, J. W. (2008). Globalisation and acculturation. International Journal of Intercultural Relations, 32, 328–336], but further interpretation of the results brought to light the shortcomings of this model in the context of a segregated society and the inapplicability of the GSES measure within a collectivistic immigrant population. The limitations of the study are discussed and recommendations for future research are made.     

Levels of social complexity and dimensions of peer experiences in youth sport

We assessed young adolescent female soccer players' perceptions of their peer group experiences. Data were collected via interviews with 34 girls from two youth soccer teams (M age = 13.0 years). Following inductive discovery analysis, data were subjected to an interpretive theoretical analysis guided by a model of peer experiences (Rubin, Bukowski, & Parker, 2006). Five categories of peer experiences were identified across three levels of social complexity. At the interaction level players integrated new members into the team and learned to interact with different types of people. At the relationship level players learned about managing peer conflict. At the group level a structure of leadership emerged and players learned to work together. Findings demonstrated interfaces between peer interactions, relationships, and group processes while also simplifying some apparently complex systems that characterized peer experiences on the teams studied.     

The influence of carbohydrate and protein ingestion during recovery from prolonged exercise on subsequent endurance performance

Ingesting carbohydrate plus protein following prolonged exercise may restore exercise capacity more effectively than ingestion of carbohydrate alone. The objective of the present study was to determine whether this potential benefit is a consequence of the protein fraction per se or simply due to the additional energy it provides. Six active males participated in three trials, each involving a 90-min treadmill run at 70% maximal oxygen uptake (run 1) followed by a 4-h recovery. At 30-min intervals during recovery, participants ingested solutions containing: (1) 0.8 g carbohydrate x kg body mass (BM)(-1) h(-1) plus 0.3 g kg(-1) h(-1) of whey protein isolate (CHO-PRO); (2) 0.8 g carbohydrate x kg BM(-1) h(-1) (CHO); or (3) 1.1 g carbohydrate x kg BM(-1) h(-1) (CHO-CHO). The latter two solutions matched the CHO-PRO solution for carbohydrate and for energy, respectively. Following recovery, participants ran to exhaustion at 70% maximal oxygen uptake (run 2). Exercise capacity during run 2 was greater following ingestion of CHO-PRO and CHO-CHO than following ingestion of CHO (P< or = 0.05) with no significant difference between the CHO-PRO and CHO-CHO treatments. In conclusion, increasing the energy content of these recovery solutions extended run time to exhaustion, irrespective of whether the additional energy originated from sucrose or whey protein isolate.