title: Rural New Zealand health professionals' perceived barriers to greater use of the internet for learning.
abstract: BACKGROUND
  The purpose of this research was to investigate rural North Island (New Zealand) health professionals' attitudes and perceived barriers to using the internet for ongoing professional learning.
  
  
  METHODS
  A cross-sectional postal survey of all rural North Island GPs, practice nurses and pharmacists was conducted in mid-2003. The questionnaire contained both quantitative and qualitative questions. The transcripts from two open questions requiring written answers were analysed for emergent themes, which are reported here. The first open question asked: 'Do you have any comments on the questionnaire, learning, computers or the Internet?' The second open question asked those who had taken a distance-learning course using the internet to list positive and negative aspects of their course, and suggest improvements.
  
  
  RESULTS
  Out of 735 rural North Island health professionals surveyed, 430 returned useable questionnaires (a response rate of 59%). Of these, 137 answered the question asking for comments on learning, computers and the internet. Twenty-eight individuals who had completed a distance-learning course using the internet, provided written responses to the second question. Multiple barriers to greater use of the internet were identified. They included lack of access to computers, poor availability of broadband (fast) internet access, lack of IT skills/knowledge, lack of time, concerns about IT costs and database security, difficulty finding quality information, lack of time, energy or motivation to learn new skills, competing priorities (eg family), and a preference for learning modalities which include more social interaction. Individuals also stated that rural health professionals needed to engage the technology, because it provided rapid, flexible access from home or work to a significant health information resource, and would save money and travelling time to urban-based education.
  
  
  CONCLUSIONS
  In mid-2003, there were multiple barriers to rural North Island health professionals making greater use of the internet for learning. Now that access to broadband internet is available in all rural towns in New Zealand, there is a clear need to address the other identified barriers, especially the self-reported lack of IT skills, which are preventing many in the rural health workforce from gaining maximum advantage from both computers and the internet.
authors.affiliation: New Zealand Institute of Rural Health, Cambridge, New Zealand. ronjanes@xtra.co.nz
authors.forename: Ron
authors.initials: R
authors.lastname: Janes
authors.forename: Bruce
authors.initials: B
authors.lastname: Arroll
authors.forename: Stephen
authors.initials: S
authors.lastname: Buetow
authors.forename: Gregor
authors.initials: G
authors.lastname: Coster
authors.forename: Ross
authors.initials: R
authors.lastname: McCormick
authors.forename: Iain
authors.initials: I
authors.lastname: Hague
mesh_terms: D001291:Attitude of Health Personnel; D003201:Computers; D003430:Cross-Sectional Studies; D003625:Data Collection; D006801:Humans; D020407:Internet; D007858:Learning; D009520:New Zealand; D009726:Nurses; D010595:Pharmacists; D010821:Physicians, Family; D012423:Rural Health; D019035:Rural Health Services; D011795:Surveys and Questionnaires; D000078329:Workforce