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Wikipedia as an evidence
source for Nursing and
Health Care Students
Carol Haigh, Professor of Nursing Manchester Metropolitan University
Key words: Technology, evaluation, evidence, internet




                                                                       Results
                                                                       Entries for recognised disorders tended to have the most
                                                                       supporting references for example, Cancer (94) Alzheimer’s
                                                                       disease (231) or Hypertension (220). Entries for physiological
                                                                       processes tended to have the least supporting references, for
                                                                       example Krebs cycle (12), Insulin (21) or acetylcholine (8). A
                                                                       total of 2598 references were assessed. The mean number of
                                                                       supporting references was M = 52 and 20 (40%) of the 50 entries
                                                                       had 50 references or above.

                                                                       Entries were also analysed for the percentage of references
                                                                       clearly identifiable as being from ‘reputable’ sources. For the
                                                                       purposes of this study ‘reputable source’ was defined as peer
                                                                       reviewed journals, World Health Organisation studies and
Background                                                             Cochrane Collaboration reviews. Amongst such reputable source
Students frequently cited search engines such as Google and            journals were the New England Journal of Medicine (NEJoM),
information sites such as Wikipedia as the first places they           Nature, The Journal of the American Medical Association
look when seeking information for an assignment. Although              (JAMA), and Archives of Internal Medicine – all high impact
a number of disciplines have accepted that Wikipedia can be            and quality publications. Figure 1 shows the reputable/
viewed as an accurate and legitimate evidence source nurse             uncategorised references for each of the topics considered.
educators tend to view Wikipedia with a degree of suspicion.


Aim
The purpose of this poster is to present an exploratory study of
health and health related content on a sample of Wikipedia site
with the overall intention of assessing the quality of their source
and supporting information.


Methods
Wikipedia has 115 pages in the category ‘health’, and 417 pages
in the category ‘signs and symptoms’ category (although this
also includes pages relating to anatomy and physiology). This
gave a potential sample of 532 relevant pages. A 10% sample
(n=50) was selected and a total of 2598 references assessed.

A 10% sub sample (n=5) was selected for further analysis. This         Conclusion
sample consisted of the entries for the Skeletal system, the
                                                                       The quality of the evidence taken from the 2500 plus references
Renal system, Deep Vein Thrombosis (DVT), Fever (pyrexia) and
                                                                       over 50 Wikipedia pages was of sufficiently sound quality to
Pain. Citation tracking for the selected Wikipedia entries were
                                                                       suggest that, for health related entries, they were appropriate
carried out and the subsequent sources (n=132) were assessed
                                                                       for use by nursing students.
using the typology developed by the British Department of
Health.                                                                The use of high impact specialist citations such as JAMA, The
                                                                       journal of Medical Genetics and Nature indicate that the people
                                                                       contributing to health related Wikipedia entries are at the least
                                                                       well read and at the best familiar with the key journals and
                                                                       topics of their own discipline. Furthermore, it suggests that
                                                                       Wikipedia may have uses at undergraduate and postgraduate
                                                                       levels, as an information source for student nurses and as a
                                                                       crude but effective instrument for use by postgraduate students
                                                                       undertaking preliminary literature searching or citation tracking.

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Wikipedia

  • 1. Wikipedia as an evidence source for Nursing and Health Care Students Carol Haigh, Professor of Nursing Manchester Metropolitan University Key words: Technology, evaluation, evidence, internet Results Entries for recognised disorders tended to have the most supporting references for example, Cancer (94) Alzheimer’s disease (231) or Hypertension (220). Entries for physiological processes tended to have the least supporting references, for example Krebs cycle (12), Insulin (21) or acetylcholine (8). A total of 2598 references were assessed. The mean number of supporting references was M = 52 and 20 (40%) of the 50 entries had 50 references or above. Entries were also analysed for the percentage of references clearly identifiable as being from ‘reputable’ sources. For the purposes of this study ‘reputable source’ was defined as peer reviewed journals, World Health Organisation studies and Background Cochrane Collaboration reviews. Amongst such reputable source Students frequently cited search engines such as Google and journals were the New England Journal of Medicine (NEJoM), information sites such as Wikipedia as the first places they Nature, The Journal of the American Medical Association look when seeking information for an assignment. Although (JAMA), and Archives of Internal Medicine – all high impact a number of disciplines have accepted that Wikipedia can be and quality publications. Figure 1 shows the reputable/ viewed as an accurate and legitimate evidence source nurse uncategorised references for each of the topics considered. educators tend to view Wikipedia with a degree of suspicion. Aim The purpose of this poster is to present an exploratory study of health and health related content on a sample of Wikipedia site with the overall intention of assessing the quality of their source and supporting information. Methods Wikipedia has 115 pages in the category ‘health’, and 417 pages in the category ‘signs and symptoms’ category (although this also includes pages relating to anatomy and physiology). This gave a potential sample of 532 relevant pages. A 10% sample (n=50) was selected and a total of 2598 references assessed. A 10% sub sample (n=5) was selected for further analysis. This Conclusion sample consisted of the entries for the Skeletal system, the The quality of the evidence taken from the 2500 plus references Renal system, Deep Vein Thrombosis (DVT), Fever (pyrexia) and over 50 Wikipedia pages was of sufficiently sound quality to Pain. Citation tracking for the selected Wikipedia entries were suggest that, for health related entries, they were appropriate carried out and the subsequent sources (n=132) were assessed for use by nursing students. using the typology developed by the British Department of Health. The use of high impact specialist citations such as JAMA, The journal of Medical Genetics and Nature indicate that the people contributing to health related Wikipedia entries are at the least well read and at the best familiar with the key journals and topics of their own discipline. Furthermore, it suggests that Wikipedia may have uses at undergraduate and postgraduate levels, as an information source for student nurses and as a crude but effective instrument for use by postgraduate students undertaking preliminary literature searching or citation tracking.