P02S02: Nausea and vomiting in pregnancy

Bottom line: Information on nausea and vomiting in pregnancy was used to justify the management of a patient (ginger recommended). There were no information-related patient health outcomes (no follow-up).

Level 1 outcome (situational relevance): On June 12, 2008, P02 did a search at work in the emergency department, by themselves, and during an encounter with a patient. They retrieved one information hit about ginger and pregnancy. The reported search objectives were: to address a clinical question, and to share information with a patient or a caregiver. “It was a woman, pregnant, like 21, I think. […] This was a lady who was first trimester... on other recommended therapies for nausea and vomiting in pregnancy. […] [I searched] to see if there were other options for her. […] So that I could give her that information and recommend that treatment.” According to P02, e-Therapeutics+ was the only source for information, and the found information was relevant.

Level 2 outcome (cognitive impact): One hit was associated with a report of positive cognitive impact (see table). Regarding practice improvement, P02 stated: “[My practice is changed and improved] because then, you have another option for a patient. It was a different option, another option.” P02 stated they learned something new with respect to the experimental evidence supporting the recommendation of ginger for pregnant women.

Retrieved information hit(s):

1) e-Therapeutics+ (CIRT): Therapeutic tab – nausea in adults – Highlight (P02S02H01)

Level 3 outcome (information use): Information on ginger and pregnancy was retrieved, and used to justify the management of the patient (information used as presented in e-Therapeutics+). “We were going to add this in [the ginger]. I suggested that she try this option [P02 shared the information with the patient and recommended ginger].”

Level 4 outcome (patient health): There were no information-related patient health outcomes (no follow-up).

Levels of outcome of information-seeking

Situational relevance	Positive cognitive impact	Information use	Patient health
Address a clinical question Share information	Practice improved Learned something Motivated to learn	Justify choice	No outcome

Home