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1.
Ryan S. Rafferty 《Journal of the Medical Library Association》2013,101(3):213-217
Objectives:
The research sought to determine if first-year medical students consulted and cited resources specifically highlighted during library instructional sessions.Methods:
Students attended a library resources instructional session. Resources that pertained to the students'' assignment were demonstrated and discussed. The students created a report including citations from relevant literature. The citations were analyzed and categorized as: a resource discussed at the instructional session, a resource found on the course LibGuide, a library resource, course material, or some other resource. All citations were subcategorized as print or electronic.Results:
Three years (2008–2011) of data analyzing 2,983 citations showed that 49.55% of all citations were from resources discussed during library instructional sessions; 21.86% came from resources with links on the course LibGuide; 77.51% were from library resources; and 90.68% came from electronic resources.Conclusion:
Students cited resources specifically highlighted during library instructional sessions for their assignments. The percentage of all citations coming from resources highlighted during the instructional sessions or found on the course LibGuide indicates that library instruction had an impact on the students'' work.Highlights
- Review of the literature shows that instruction about library resources accompanied by clear guidelines on scholarly research methods and resources provided by course instructors have the biggest impact on the quality of cited materials in student bibliographies.
- Graduate medical students cited library resources more frequently than nonlibrary resources for their assigned coursework.
- Graduate medical students cited materials and resources specifically highlighted during library instructional sessions for their assigned coursework.
Implications
- Instruction about library resources tailored to medical students'' assignments impacts the resources that the students consult and cite for their assignments.
- Using the information gathered from citation analysis to modify teaching plans can impact the effectiveness of library instructional sessions.
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Jean P. Shipman Sabrina Kurtz-Rossi Carla J. Funk 《Journal of the Medical Library Association》2009,97(4):293-301
Objectives:
This research studied hospital administrators'' and hospital-based health care providers'' (collectively, the target group) perceived value of consumer health information resources and of librarians'' roles in promoting health information literacy in their institutions.Methods:
A web-based needs survey was developed and administered to hospital administrators and health care providers. Multiple health information literacy curricula were developed. One was pilot-tested by nine hospital libraries in the United States and Canada. Quantitative and qualitative methods were used to evaluate the curriculum and its impact on the target group.Results:
A majority of survey respondents believed that providing consumer health information resources was critically important to fulfilling their institutions'' missions and that their hospitals could improve health information literacy by increasing awareness of its impact on patient care and by training staff to become more knowledgeable about health literacy barriers. The study showed that a librarian-taught health information literacy curriculum did raise awareness about the issue among the target group and increased both the use of National Library of Medicine consumer health resources and referrals to librarians for health information literacy support.Conclusions:
It is hoped that many hospital administrators and health care providers will take the health information literacy curricula and recognize that librarians can educate about the topic and that providers will use related consumer health services and resources.Highlights
- Health care providers responded positively to a health information literacy curriculum offered by librarians and to related resources and services, namely MedlinePlus and the information referral system known as Information Rx.
- Participation in a curriculum increased health care providers'' knowledge of health information literacy, awareness of available consumer health information, and referral of patients to the library for additional assistance.
- Librarian involvement in health information literacy increased the profession''s visibility and perceived value.
Implications
- Consumer health information services and resources offered by librarians can improve the health information literacy skills of health care providers and their patients.
- Training by librarians can increase knowledge of the importance of health information literacy and usage of MedlinePlus and Information Rxs.
- Hospital-based administrators and health care providers can be champions in support of health information literacy and consumer health information services offered by libraries.
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Laura L. Haines Jeanene Light Donna O'Malley Frances A. Delwiche 《Journal of the Medical Library Association》2010,98(1):73-81
Objectives:
This study examined the information-seeking behaviors of basic science researchers to inform the development of customized library services.Methods:
A qualitative study using semi-structured interviews was conducted on a sample of basic science researchers employed at a university medical school.Results:
The basic science researchers used a variety of information resources ranging from popular Internet search engines to highly technical databases. They generally relied on basic keyword searching, using the simplest interface of a database or search engine. They were highly collegial, interacting primarily with coworkers in their laboratories and colleagues employed at other institutions. They made little use of traditional library services and instead performed many traditional library functions internally.Conclusions:
Although the basic science researchers expressed a positive attitude toward the library, they did not view its resources or services as integral to their work. To maximize their use by researchers, library resources must be accessible via departmental websites. Use of library services may be increased by cultivating relationships with key departmental administrative personnel. Despite their self-sufficiency, subjects expressed a desire for centralized information about ongoing research on campus and shared resources, suggesting a role for the library in creating and managing an institutional repository.Highlights
- Basic science researchers rely on a small network of individuals in their institution and at other institutions to satisfy their information needs.
- Basic science researchers tend to ignore institutional boundaries when searching for information and do not necessarily view the library as the primary source of scholarly information.
- Basic science researchers use the interlibrary loan service regularly but otherwise rarely use traditional library services such as mediated literature searching and instruction.
Implications
- The library must establish a presence in researchers'' work environments, rather than expect them to seek out library resources and services.
- The increased emphasis by funding agencies on clinical translational science may impact the information needs of basic science researchers in the future.
- Libraries have an opportunity to capitalize on their positive reputation and basic scientists'' desire for more centralized information to create new information resources and services such as institutional repositories.
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Lana V. Ivanitskaya Kaitlyn A. Hanisko Julie A. Garrison Samantha J. Janson Danielle Vibbert 《Journal of the Medical Library Association》2012,100(4):277-283
Objective:
The research identified the skills, if any, that health preprofessional students wished to develop after receiving feedback on skill gaps as well as any strategies they intended to use to address these gaps.Methods:
A qualitative approach was used to elicit students'' reflections on building health information literacy skills. First, the students took the Research Readiness Self-Assessment instrument, which measured their health information literacy, and then they received individually tailored feedback about their scores and skill gaps. Second, students completed a post-assessment survey asking how they intended to close identified gaps in their skills on these. Three trained coders analyzed qualitative comments by 181 students and grouped them into themes relating to “what skills to improve” and “how to improve them.”Results:
Students intended to develop library skills (64% of respondents), Internet skills (63%), and information evaluation skills (63%). Most students reported that they would use library staff members'' assistance (55%), but even more respondents (82%) planned to learn the skills by practicing on their own. Getting help from librarians was a much more popular learning strategy than getting assistance from peers (20%) or professors (17%).Conclusions:
The study highlighted the importance of providing health preprofessional students with resources to improve skills on their own, remote access to library staff members, and instruction on the complexity of building health literacy skills, while also building relationships among students, librarians, and faculty.Highlights
- After receiving feedback on skill gaps, most preprofessional health students intend to develop their information literacy skills.
- Some students report that a trip to the library is a barrier to using library resources.
- Students see the need to build their information evaluation skills, knowledge of citations and plagiarism, and library skills, which they differentiate from Internet skills.
- Students are more likely to identify librarians as sources for assistance in finding information than faculty or peers after receiving individual feedback explaining the role of libraries and library staff members.
Implications
- Students'' health information competencies can be built through assessment and feedback that reveals skill gaps, highlights misconceptions, and offers ideas on how to improve.
- Access to professionally designed self-study resources is needed for students who intend to develop health information competencies on their own.
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Objective:
The research studied the status of hospital librarians and library services to better inform the Medical Library Association''s advocacy activities.Methods:
The Vital Pathways Survey Subcommittee of the Task Force on Vital Pathways for Hospital Librarians distributed a web-based survey to hospital librarians and academic health sciences library directors. The survey results were compared to data collected in a 1989 survey of hospital libraries by the American Hospital Association in order to identify any trends in hospital libraries, roles of librarians, and library services. A web-based hospital library report form based on the survey questions was also developed to more quickly identify changes in the status of hospital libraries on an ongoing basis.Results:
The greatest change in library services between 1989 and 2005/06 was in the area of access to information, with 40% more of the respondents providing access to commercial online services, 100% more providing access to Internet resources, and 28% more providing training in database searching and use of information resources. Twenty-nine percent (n = 587) of the 2005/06 respondents reported a decrease in staff over the last 5 years.Conclusions:
Survey data support reported trends of consolidation of hospitals and hospital libraries and additions of new services. These services have likely required librarians to acquire new skills. It is hoped that future surveys will be undertaken to continue to study these trends.Highlights
- Data support reported trends in the decrease in the number of hospitals and hospital libraries.
- About 44.0% of hospitals had some level of onsite library service in 1989, compared with between 33.5% and 29.1% of hospitals in 2005/06.
- More electronic services and resources, such as Internet access and online materials, are being offered by hospital libraries, in addition to more traditional services
- Library staffing appears to be more unstable today than in 1989, with more libraries reporting a decrease in the number of staff.
Implications
- Hospital libraries continue to change in response to changes in the health care environment as health care administrators respond to financial pressures, library staff are downsized, degreed librarian positions are eliminated, and reporting structures change.
- MLA must continue to track the status of hospital librarians and libraries in light of the changing environment with surveys and other means, in partnership with others such as the National Network of Libraries of Medicine.
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Ana D Cleveland 《Journal of the Medical Library Association》2011,99(1):61-69
Purpose:
This lecture discusses a philosophy of educating health information professionals in a rapidly changing health care and information environment.Discussion:
Education for health information professionals must be based upon a solid foundation of the changing paradigms and trends in health care and health information, as well as technological advances, to produce a well-prepared information workforce to meet the demands of health-related environments. Educational programs should begin with the core principles of library and information sciences and expand in interdisciplinary collaborations. A model of the health care environment is presented to serve as a framework for developing educational programs for health information professionals.Conclusion:
Interdisciplinary and collaborative relationships—which merge health care, library and information sciences, and other information-related disciplines—should form the basis of education for health information professionals.Highlights
- Educational pathways for the creation of future health information professionals are charted through the discussion of four major roads.
- A model of the health care environment sets the framework for building educational programs for health information professionals.
Implications
- The presented pathways can inform educational decision making at all levels, including the need to revisit the accreditation bodies of programs educating health information professionals.
- The National Library of Medicine is encouraged to create a workforce center to identify the needs of the profession.
- Interdisciplinary and collaborative partnerships are vital to produce quality graduates who are prepared to handle the complexities of the health care and information environment.
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Julie G. Kosteniuk Debra G. Morgan Carl K. D'Arcy 《Journal of the Medical Library Association》2013,101(1):32-37
Objectives:
The research determined (1) the information sources that family physicians (FPs) most commonly use to update their general medical knowledge and to make specific clinical decisions, and (2) the information sources FPs found to be most physically accessible, intellectually accessible (easy to understand), reliable (trustworthy), and relevant to their needs.Methods:
A cross-sectional postal survey of 792 FPs and locum tenens, in full-time or part-time medical practice, currently practicing or on leave of absence in the Canadian province of Saskatchewan was conducted during the period of January to April 2008.Results:
Of 666 eligible physicians, 331 completed and returned surveys, resulting in a response rate of 49.7% (331/666). Medical textbooks and colleagues in the main patient care setting were the top 2 sources for the purpose of making specific clinical decisions. Medical textbooks were most frequently considered by FPs to be reliable (trustworthy), and colleagues in the main patient care setting were most physically accessible (easy to access).Conclusions:
When making specific clinical decisions, FPs were most likely to use information from sources that they considered to be reliable and generally physically accessible, suggesting that FPs can best be supported by facilitating easy and convenient access to high-quality information.Highlights
- Medical textbooks were the most popular information source for family physicians'' (FPs'') clinical decision-making purposes, and medical journals were the most popular information source for the purpose of updating FPs'' general medical knowledge.
- FPs considered medical textbooks to be the most reliable (trustworthy) source, colleagues the most physically accessible, and continuing medical education the most relevant and intellectually accessible.
- The lowest ranked information sources across all four attributes were personal digital assistants, mental health professionals, pharmaceutical sales representatives, and other decision aids.
Implications
- The most popular information sources for clinical decision-making purposes among FPs were sources characterized as reliable and generally physically accessible.
- This study suggests the need for further research into interventions that target information access barriers in FPs'' practice settings and the promotion of reliable evidence for FPs'' clinical decision-making purposes.
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Barbara A Epstein Nancy H Tannery Charles B Wessel Frances Yarger John LaDue Anthony B Fiorillo 《Journal of the Medical Library Association》2010,98(3):223-227
Question:
What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center?Setting:
The development took place at the University of Pittsburgh Health Sciences Library System.Method:
The clinical information tool developed is a search box with subject tabs to provide quick access to designated full-text information resources. Each subject tab offers a federated search of a different pool of resources. Search results are organized “on the fly” into meaningful categories using clustering technology and are directly accessible from the results page.Results:
After more than a year of discussion and planning, a clinical information tool was embedded in the academic medical center''s electronic health record.Conclusion:
The library successfully developed a clinical information tool, called Clinical-e, for use at the point of care. Future development will refine the tool and evaluate its impact and effectiveness. 相似文献12.
Logan Ludwig 《Journal of the Medical Library Association》2010,98(2):105-134
Objective:
A survey was conducted of health sciences libraries to obtain information about newer buildings, additions, remodeling, and renovations.Method:
An online survey was developed, and announcements of survey availability posted to three major email discussion lists: Medical Library Association (MLA), Association of Academic Health Sciences Libraries (AAHSL), and MEDLIB-L. Previous discussions of library building projects on email discussion lists, a literature review, personal communications, and the author''s consulting experiences identified additional projects.Results:
Seventy-eight health sciences library building projects at seventy-three institutions are reported. Twenty-two are newer facilities built within the last ten years; two are space expansions; forty-five are renovation projects; and nine are combinations of new and renovated space. Six institutions report multiple or ongoing renovation projects during the last ten years.Conclusions:
The survey results confirm a continuing migration from print-based to digitally based collections and reveal trends in library space design. Some health sciences libraries report loss of space as they move toward creating space for “community” building. Libraries are becoming more proactive in using or retooling space for concentration, collaboration, contemplation, communication, and socialization. All are moving toward a clearer operational vision of the library as the institution''s information nexus and not merely as a physical location with print collections.Highlights
- Seventy-eight health sciences library building projects at seventy-three institutions were reported as completed in the last ten years.
- Five health sciences library projects illustrate the diversity of projects reported.
- Eleven trends in health sciences library buildings are identified.
- Numerous challenges are briefly discussed.
Implications
- Changing services and usage patterns demand innovative ways to use library space.
- Libraries are making more proactive efforts to retool library physical space.
- Migration from print to digital collections is continuing at an accelerated pace.
- More library space is now dedicated for “community” building.
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Ruth Holst Carla J. Funk Heidi Sue Adams Margaret Bandy Catherine Mary Boss Beth Hill Claire B. Joseph Rosalind K. Lett 《Journal of the Medical Library Association》2009,97(4):285-292
Objectives:
The research objectives were to (1) describe the current and future roles of hospital librarians and the challenges they face and (2) find evidence supporting the hypothesis that librarians are essential to hospitals in achieving the organizations'' mission-critical goals.Method:
The authors used results from a previous research study that identified the five organizational mission-critical goals important to hospital administrators and then searched the literature and solicited examples from hospital librarians to describe the librarian''s role in helping hospitals achieve these goals.Results:
The literature supports the hypothesis that hospital librarians play important roles in the success of the hospital. Librarians support quality clinical care, efficient and effective hospital operations, continuing education for staff, research and innovation, and patient, family, and community health information needs.Conclusion:
Hospital librarians fulfill many mission-critical roles in today''s hospital, providing the right information at the right time in a variety of ways to enhance hospital and medical staff effectiveness, optimize patient care, improve patient outcomes, and increase patient and family satisfaction with the hospital and its services. Because hospital librarians and their services provide an excellent return on investment for the hospital and help the hospital keep its competitive edge, hospital staff should have access to the services of a professional librarian.Highlights
- A review of the literature supports the hypothesis that services of the professional librarian result in:
- enhanced staff effectiveness,
- optimized patient care,
- improved patient outcomes, and
- increased patient and family satisfaction with the hospital and its services.
Implications
- Because hospital librarians and their services provide an excellent return on investment for the hospital and help the hospital keep its competitive edge, hospital staff should have access to the services of a professional librarian.
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Objective:
The purpose of this paper is to examine the contributions of Estelle Brodman, PhD, to the early application of computing technologies in health sciences libraries.Methods:
A review of the literature, oral histories, and materials contained in the archives of the Bernard Becker Medical Library at the Washington University School of Medicine was conducted.Results:
While the early computing technologies were not well suited to library applications, their exciting potential was recognized by visionaries like Dr. Brodman. The effective use of these technologies was made possible by creative and innovative projects and programs. The impact of these early efforts continues to resonate through library services and operations.Conclusions:
Computing technologies have transformed libraries. Dr. Brodman''s leadership in the early development and application of these technologies provided significant benefits to the health sciences library community.Highlights
- From the earliest days of computing, libraries have explored the application of computing technologies to library operations. The career of Estelle Brodman, PhD, follows the development of these technologies where her contributions have had a major impact across health sciences libraries.
- At the beginning of the computing era, it was assumed that only the very largest libraries would be able to take advantage of these technologies. Dr. Brodman demonstrated that not only could a medium-sized medical library benefit from the technologies but could provide national leadership in their development and application.
- In one of the earliest examples of collaborative computing, predating data networking, Dr. Brodman demonstrated the power of collaboration with projects that included one of the first integrated library systems and an interlibrary loan network that provided the foundation for DOCLINE.
Implications
- Computing and networking technologies have clearly advanced; however, many of the challenges for libraries identified in the earliest work with these technologies remain. The collaborative strategies developed by Dr. Brodman continue to offer significant opportunities for success.
- Research and development in libraries is exciting and rewarding, contributing to the advancement of the profession and securing the position of the library in an academic or clinical care institution.