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1.
Katie A. Ports Antoinette Ayers Wayne Crocker Alton Hart Maghboeba Mosavel Carlin Rafie 《Journal of the Medical Library Association》2015,103(1):35-39
The purpose of this study was to understand factors that may affect the usage of a consumer health center located in a public library. More specifically, the authors wanted to know what health resources are of interest to the community, what patrons'' perceptions of their experience at the center are, and finally, how staff can increase utilization of the center. In general, perceptions of the center were positive. The findings support that participants appreciate efforts to provide health information in the public library setting and that utilization could be improved through marketing and outreach.Problems with health literacy—one''s ability to obtain, process, and understand basic information and services needed to make appropriate health decisions 1, 2—significantly limit effective dissemination and understanding of relevant health information, especially among racial and ethnic minorities where health literacy challenges are pervasive 3–5. People with limited health literacy skills have higher medical costs and use an inefficient mix of medical services 3, 6–13. This compromises their health and is a major source of economic inefficiency in the US health care system. Efforts to address low health literacy may result in reductions of health inequities, decreased medical costs, and enhanced quality of life 14. However, efforts to promote health literacy that seek to empower individuals to understand health information and act in their own interest remain an underexplored pathway to improved health outcomes 9.The National Network of Libraries of Medicine (NN/LM) encourages libraries to reach out to low literacy groups in their surrounding communities to address literacy challenges 15–17. These actions have resulted in development of consumer health libraries, centers where patrons can get accurate and timely health information. Preliminary investigations of consumer health libraries have reinforced the value of these services 18, 19, but there is little information regarding the provision of similar services in other public settings.The Healthy Living and Learning Center (HLLC), located in a public library in Petersburg, Virginia, was established in 2012 to provide one-on-one assistance in accessing health information and community resources. According to 2010–2013 census data, 25% of Petersburg residents are below the poverty line 20. Localities surrounding the HLLC experience some of the most unfavorable health outcomes in Virginia 21. In addition, 16%–24% of citizens in the surrounding localities are illiterate 22.The public library setting provides an appropriate context to initiate consumer health centers outside of medical settings. Librarians are already being asked to meet consumer demands for health information 15–17, and the provision of accurate health information is a natural extension of the services that public libraries provide. The American Library Association reports that 62% of libraries report that they are the only source of free public access to computers and the Internet in their communities 23. According to a recent study from Pew, 35% of Americans 16 and older say they have used free Internet access points, 47% of whom have used these services to get health information 24. For a number of minorities, the public library is the only place they have Internet access 25. Thus, libraries not only remain a critical resource among the public, but may also have unique access to populations who are more vulnerable to health inequities. 相似文献
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Alexander J. Carroll Nedelina Tchangalova Eileen G. Harrington 《Journal of the Medical Library Association》2016,104(2):125-130
Objective
This study sought to determine whether a flipped classroom that facilitated peer learning would improve undergraduate health sciences students'' abilities to find, evaluate, and use appropriate evidence for research assignments.Methods
Students completed online modules in a learning management system, with librarians facilitating subsequent student-directed, in-person sessions. Mixed methods assessment was used to evaluate program outcomes.Results
Students learned information literacy concepts but did not consistently apply them in research assignments. Faculty interviews revealed strengthened partnerships between librarians and teaching faculty.Conclusion
This pedagogy shows promise for implementing and evaluating a successful flipped information literacy program.Keywords (Medical Subject Headings) Information Literacy, Educational Technology, Education, Distance/Methods, Teaching/Methods, Evidence-Based Practice/Education, Learning, Group Processes, Program Development, Humans, Libraries, Medical/EducationIn the short term, health sciences students utilize the information resources that librarians highlight during instruction. In the years after graduation, students demonstrate low levels of information literacy skills [1–3]. These low levels of retention likely result from the limited amount of time dedicated to guided practice during library sessions, which has been shown to be critical to learning [4]. In addition, few undergraduate curricula feature scaffolded instruction on evidence-based practice, where guidance of student learning is deployed progressively to promote stronger understanding of concepts. This raises the concern that many students may be unprepared for the rigors and expectations of graduate-level research. Consequently, health sciences librarians and educators have tested numerous methods for improving the effectiveness of information literacy and evidence-based practice instruction [5–7].Higher education has also seen a rise in the use of instructional technologies, such as increased use of video tutorials, web-conferencing tools, and learning management systems (LMSs). Such tools can enhance the effectiveness of face-to-face teaching by delivering time-of-need instruction that is available for future reference during the entire semester [8–11]. LMSs, such as Canvas or Blackboard, provide a virtual space where students take ownership of the learning process and create meaningful learning experiences for themselves and their peer learners [12]. Educators increasingly use these technologies to enable a flipped classroom model of instruction, in which the lecture and homework are reversed [13–15]. In older teaching models, a lecture occurs in the classroom, followed by exercises and applications of the information by students as homework. In the flipped model, students get the lecture-type information at home, then do exercises and applications in the classroom. This model allows instructors to move away from the traditional one-time lecture-based instruction and to incorporate active learning, which leads to better student performance for science, technology, engineering, and mathematics (STEM) undergraduate students [16–18]. The flipped classroom model also accommodates the needs of diverse populations of learners by integrating peer learning and assessment [19, 20]. In contrast, traditional lecture-based approaches to information literacy have been shown to have limited effectiveness for promoting skill development and retention, and often rely on shallow, quantitative assessments to measure student learning [21]. Integrating library instruction strategically into the curriculum and using the flipped classroom model creates opportunities to use a greater variety of assessment tools at various points throughout the semester in order to conduct more meaningful assessment of student learning.Flipped classroom models have not been widely studied for health sciences students. This study aimed to determine whether a flipped classroom approach for upper-level undergraduate students in the health sciences would improve their abilities to find, evaluate, and utilize appropriate evidence for research assignments. 相似文献4.
Jonathan D. Eldredge Laura J. Hall Karen R. McElfresh Teddy D. Warner Tiffany L. Stromberg Jaren Trost Devin A. Jelinek 《Journal of the Medical Library Association》2016,104(1):33-41
Objective
The research determined the usage and satisfaction levels with one of two point-of-care (PoC) resources among health care providers in a rural state.Methods
In this randomized controlled trial, twenty-eight health care providers in rural areas were stratified by occupation and region, then randomized into either the DynaMed or the AccessMedicine study arm. Study participants were physicians, physician assistants, and nurses. A pre- and post-study survey measured participants'' attitudes toward different information resources and their information-seeking activities. Medical student investigators provided training and technical support for participants. Data analyses consisted of analysis of variance (ANOVA), paired t tests, and Cohen''s d statistic to compare pre- and post-study effects sizes.Results
Participants in both the DynaMed and the AccessMedicine arms of the study reported increased satisfaction with their respective PoC resource, as expected. Participants in both arms also reported that they saved time in finding needed information. At baseline, both arms reported too little information available, which increased to “about right amounts of information” at the completion of the study. DynaMed users reported a Cohen''s d increase of +1.50 compared to AccessMedicine users'' reported use of 0.82. DynaMed users reported d2 satisfaction increases of 9.48 versus AccessMedicine satisfaction increases of 0.59 using a Cohen''s d.Conclusion
Participants in the DynaMed arm of the study used this clinically oriented PoC more heavily than the users of the textbook-based AccessMedicine. In terms of user satisfaction, DynaMed users reported higher levels of satisfaction than the users of AccessMedicine.Keywords and Medical Subject Headings (MeSH) Clinical Decision Support Systems, Computer-Assisted Decision Making, Decision Making, Evidence-Based Library and Information Practice, Evidence-Based Practice, Health Status Disparities, Health Care Disparities, Information Divide, Information-Seeking Behavior, Medically Underserved Area, Nurse Practitioners, Nurses, Physician Assistants, Physicians, Public Health Nurses, Randomized Controlled Trial as Topic, Service Learning, Vulnerable PopulationsHealth care practitioners regularly seek to incorporate valid information into their evidence-based decisions. Electronic information resources now provide easy access to current health information and summarized forms of evidence to support clinical decision making.Access effects on health care
Health care providers who are affiliated with well-funded institutions benefit from access to a variety of high-quality information resources to support their evidence-based practices. Practitioners who are not affiliated with academic health sciences centers rarely have access to these same resources due to prohibitively high licensing costs. Ely et al. report that not having access to easy-to-use, high-quality, current information can negatively affect sound clinical decision making. [1].Patients in Isaac et al.''s study who were admitted to hospitals that had access to an electronic evidence-based resource experienced reduced length of stay and lower risk-adjusted mortality rates for prespecified conditions [2]. That study was validated on a broader scale by a multicenter investigation on the utilization of information resources by practitioners [3].Primary health care practitioners who are not affiliated with academic health sciences centers, particularly those who practice in rural or remote areas, often articulate the need for increased access to health information resources. The authors'' literature search and review of 114 of the most relevant research articles about the information needs and information-seeking behavior of health care practitioners suggested that these professionals most value speed and accuracy. For example, they likely would prefer to use point-of-care (PoC) resources for quickly and accurately answering their clinical questions.Desirability of point of care
PoC resources quickly guide physicians through the diagnosis, treatment, and management of commonly encountered clinical conditions. PoC resources can present compilations of highly authoritative, often evidence-based, information. Physicians can answer more questions and revise clinical decisions more often using these PoC resources [4]. Meanwhile, many health care practitioners still rely on textbooks familiar to them from their professional training programs, despite their potentially dated contents [5–14].Limited access in rural New Mexico
A randomized controlled trial involving public health practitioners across the rural state of New Mexico reported many barriers in accessing valued information resources [15, 16]. In another study, researchers in New Mexico set out to determine and analyze information needs of health care practitioners who were not affiliated with an academic center. Fifty-one interviews of rural physicians, nurses, physician assistants, and nurse practitioners showed both a need and desire for access to information resources [17].Goals and hypothesis
This study sought to determine which rural health care providers found more useful in answering everyday clinical questions: electronic PoC DynaMed, which is more clinically oriented, or electronic PoC AccessMedicine, which consists primarily of a health sciences textbook collection. We hypothesized that free access to the explicitly clinical format of the PoC resource DynaMed would result in more extensive use than a baseline of zero over a six-month period than the electronic PoC textbook collection AccessMedicine. We felt this would be due to greater utility of DynaMed in clinical practice. We also predicted that clinicians using the clinically oriented PoC would express higher levels of satisfaction than those using the textbook-based PoC and that clinicians using these PoC resources would prefer using them over other information resources. 相似文献5.
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Carol E. Vreeland Kristine M. Alpi Caitlin A. Pike Elisabeth E. Whitman Suzanne Kennedy-Stoskopf 《Journal of the Medical Library Association》2016,104(2):100-108
Objective
“One Health” is an interdisciplinary approach to evaluating and managing the health and well-being of humans, animals, and the environments they share that relies on knowledge from the domains of human health, animal health, and the environmental sciences. The authors'' objective was to evaluate the extent of open access (OA) to journal articles in a sample of literature from these domains. We hypothesized that OA to articles in human health or environmental journals was greater than access to animal health literature.Methods
A One Health seminar series provided fifteen topics. One librarian translated each topic into a search strategy and searched four databases for articles from 2011 to 2012. Two independent investigators assigned each article to human health, the environment, animal health, all, other, or combined categories. Article and journal-level OA were determined. Each journal was also assigned a subject category and its indexing evaluated.Results
Searches retrieved 2,651 unique articles from 1,138 journals; 1,919 (72%) articles came from 406 journals that contributed more than 1 article. Seventy-seven (7%) journals dealt with all 3 One Health domains; the remaining journals represented human health 487 (43%), environment 172 (15%), animal health 141 (12%), and other/combined categories 261 (23%). The proportion of OA journals in animal health (40%) differed significantly from journals categorized as human (28%), environment (28%), and more than 1 category (29%). The proportion of OA for articles by subject categories ranged from 25%–34%; only the difference between human (34%) and environment (25%) was significant.Conclusions
OA to human health literature is more comparable to animal health than hypothesized. Environmental journals had less OA than anticipated.Keywords (Medical Subject Headings) Publishing, Periodicals as Topic, Access to Information, Veterinary Medicine, Environment, Environmental Health, Medicine“One Health” is an integrated, transdisciplinary approach to solve complex problems at the diverse interfaces shared by humans, animals, and the environment [1]. The One Health approach to evaluating and managing the health and well-being of humans, animals, and the environments that they share relies on knowledge from the domains of human health, animal health, and the environmental sciences. Although there is a growing body of literature about the development of the One Health concept as documented by Pepper, Carrigan, Shurtz, and Foster [2], this literature is not the same as the combination of literature from the three domains that is applied in service of One Health. Every discipline related to One Health has its unique mindset and language, with corresponding lists of acronyms that are frequently an impediment to effective communication across the participating professions. Relevant papers guiding a One Health approach may never specifically use “One Health” as a term or concept.To promote better communication and collaboration among health professionals and environmental scientists, a public monthly One Health Intellectual Exchange Group (IEG) hosted by the North Carolina Biotechnology Center was launched in 2009. In 2011, faculty from the North Carolina State University College of Veterinary Medicine, University of North Carolina''s Gillings School for Global Public Health, Duke Global Health Institute, and Nicholas School of the Environment at Duke University expanded the IEG series into a weekly seminar course with eight One Health focus areas [3]. The eight focus area modules were the following: an introduction to One Health; environmental health and ecology; the human and animal bond; zoonoses and emerging infectious diseases; food and water safety; disease surveillance, informatics, and disaster preparedness; benefits of comparative medicine; and policy and education (Appendix A, online only). Each seminar speaker recommended papers to read prior to the session to provide a foundation for the topic because student backgrounds and majors were quite diverse. Represented student majors included master''s of public health, master''s of animal science, doctor of veterinary medicine, graduate-level environmental sciences, and undergraduate-level biochemistry, engineering, and biology.Open access (OA) to relevant literature is very important to scholars and practitioners working on interdisciplinary problems. The One Health Proof of Concept Workgroup found that few studies assess outcomes in human, animal, and environmental spheres simultaneously [4], making it important to be able to access articles from each of the three domains to get a more complete picture.The objective of this study was to evaluate the extent of OA to journal articles in a sample of literature relevant to One Health from the human, animal, and environmental domains. Working in a college of veterinary medicine and supporting faculty, staff, and students addressing interdisciplinary problems under the One Health umbrella [5], the authors were familiar with the extent of OA in human biomedical and public health literature and the literature of veterinary medicine but were less familiar with environmental journals. In light of general availability of environmental information and OA to publications such as Environmental Health Perspectives, we thought it likely that environmental literature would be relatively open compared to the other subject areas. Therefore, we hypothesized OA to articles from human health or environmental journals was greater than access to animal health literature. We chose to look at article-level subject categorization and access, as well as journal-level categorization and access, because they might differ. Article-level access relates more to authors'' decisions about OA for a content domain, while journal-level access and subject categorization are driven by publishers and associations. Understanding the distinction and having data would inform our efforts to promote increased OA to this literature. 相似文献8.
Jeffrey T Huber Emily B Kean Philip D Fitzgerald Trina A Altman Zach G Young Katherine M Dupin Jacqueline Leskovec Ruth Holst 《Journal of the Medical Library Association》2011,99(4):297-303
Objectives:
The purpose of the study was to assess the impact that funding from the National Network of Libraries of Medicine (NN/LM), Greater Midwest Region (GMR), has on member institutions'' ability to conduct outreach on behalf of NN/LM.Methods:
The study employed both content analysis and survey methodologies. The final reports from select GMR-funded outreach projects (n = 20) were analyzed based on a set of evaluation criteria. Project principal investigators (n = 13) were then surveyed using the same evaluation criteria.Results:
Results indicated that outreach projects supported by GMR funding improved access to biomedical information for professionals and the general public. Barriers to conducting outreach projects included time constraints or commitments, staffing, scheduling and absenteeism, inadequate space, and issues associated with technology (e.g., hardware and software, Internet connectivity and firewall issues, and creation and use of new technologies).Conclusions:
The majority of project principal investigators indicated that their attempts to conduct outreach were successful. Moreover, most noted that outreach had a positive impact on professionals as well as the general public. In general, it seems that negative outcomes, as with most barriers to conducting outreach, can be mitigated by more thorough planning.Highlights
- The provision of funding from the National Network of Libraries of Medicine (NN/LM), Greater Midwest Region (GMR), had a positive impact on an institution''s ability to conduct outreach.
- The provision of GMR funding to conduct health information outreach yielded positive outcomes.
Implications
- Regional offices should make efforts to accurately capture and record the impact that funding has on member institutions'' ability to conduct outreach.
- Many barriers to conducting outreach can be mitigated by more thorough planning.
- What did the institutions accomplish with the NN/LM funding?
- What outcomes did the institutions report from their NN/LM-funded outreach projects?
- What changes have been made in their institutional programs as a result of the funding they received?
- What lessons did the institutions learn through implementation of their NN/LM-funded outreach projects
- What changes would the institutions recommend to NN/LM about their funding programs?
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Kristin Motte C. Brooke Caldwell Karen S. Lamson Suzanne Ferimer J. Chris Nims 《Journal of the Medical Library Association》2014,102(4):288-291
Objective:
This Association of Vision Science Librarians revision of the “Standards for Vision Science Libraries” aspires to provide benchmarks to address the needs for the services and resources of modern vision science libraries (academic, medical or hospital, pharmaceutical, and so on), which share a core mission, are varied by type, and are located throughout the world.Methods:
Through multiple meeting discussions, member surveys, and a collaborative revision process, the standards have been updated for the first time in over a decade.Results:
While the range of types of libraries supporting vision science services, education, and research is wide, all libraries, regardless of type, share core attributes, which the standards address.Conclusions:
The current standards can and should be used to help develop new vision science libraries or to expand the growth of existing libraries, as well as to support vision science librarians in their work to better provide services and resources to their respective users.The Association of Vision Science Librarians (AVSL)—whose more than 150 members represent ophthalmology, optometry, and industry libraries throughout the world—has defined standards for its libraries since 1976 1–3. AVSL recommends that vision science libraries (VSLs) have at least one active member in AVSL. Standards for this very specialized area of library service have evolved owing to the work of librarians who, since 1937, have been developing and refining standards for their libraries 4. The standards reported here reflect the changes that have taken place during the decade and a half since the last edition of these standards were published. Changes include recommended staffing and technology, and the addition of a section addressing online access to information.AVSL convened a task force to first evaluate whether a standards revision was needed. Once it was agreed to do so, the task force guided the process of the revision, which included member surveys and discussions at meetings over the span of two years.The standards are intended to provide qualitative information such as appropriate staffing levels and collection scope, which can be used to evaluate existing vision science libraries or to develop new vision science libraries. In addition, these libraries should reflect the purpose and mission of the institution to which each belongs, and each library should have policies in place that outline the various areas to support the education, research, and patient care information needs of their institutions. 相似文献10.
Mark E. Funk 《Journal of the Medical Library Association》2013,101(1):12-20
Purpose:
This lecture explores changes in the medical library profession over the last fifty years, as revealed by individual word usage in a body of literature.Methods:
I downloaded articles published in the Bulletin of the Medical Library Association and Journal of the Medical Library Association between 1961 and 2000 to create an electronic corpus and tracked annual frequency of individual word usage. I used frequency sparklines of words, matching one of four archetypal shapes (level, rise, fall, and rise-and-fall) to identify significant words.Results:
Most significant words fell into the categories of environment, management, technology, and research. Based on word usage changes, the following trends are revealed: Compared to 1961, today''s medical librarians are more concerned with digital information, not physical packages. We prefer information to be evidence-based. We focus more on health than medicine. We are reaching out to new constituents, sometimes leaving our building to do so. Teaching has become important for us. We run our libraries more like businesses, using constantly changing technology. We are publishing more research articles.Conclusions:
Although these words were chosen by individual authors to tell their particular stories, in the aggregate, our words reveal our story of change in our profession.The Janet Doe Lecture on the history or philosophy of medical librarianship: I will warn you right now that you will get very little philosophy out of me today, for two reasons. First, my predecessor T. Scott Plutchak, AHIP, was a philosophy major, and I knew that a zoology major like myself could not compete with that. Second, “philosophy” in many Janet Doe lectures is actually a strong personal viewpoint of medical librarianship—what it is or what it should be. I do collection development, where things change so much and so rapidly that I have not had time to develop a strong viewpoint like many of my Doe predecessors. Like most of my collection development colleagues, I''m just trying to survive day to day. That tends to create a very pragmatic attitude. If I believe in anything strongly, it is that I believe I''ll have another cookie.Without philosophy, I am left with history. And here I will echo the complaint of many Doe lecturers by stating that I have a severe lack of historical research skills. I became painfully aware of this lack as I read previous Doe Lectures, such as David Kronick''s 1980 lecture 1. Kronick was a true scholar, with a doctorate in librarianship. We honor him to this day with the Medical Library Association''s (MLA''s) David A. Kronick Traveling Fellowship. In his Doe Lecture, Kronick quoted H. Curtis Wright''s “The Oral Antecedents of Greek Librarianship,” Francis Bacon, and the fifteenth-century Abbot Johannes Trimethius. In contrast, later in this speech, I will quote the Talking Heads.While I am totally unqualified for traditional historical research, that still leaves informal, or personal, history. Although I am old enough to be in my anecdotage, I just do not have many interesting stories to tell. And as Thomas Basler, FMLA, told us in his 2008 Doe Lecture, there are no more giants. While I met some of those giants, I did not know them, and I certainly do not have any stories to tell about them. I suppose I could tell stories about some of the taller than average individuals I have met in my career, but that does not sound very exciting. 相似文献11.
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V. V. Arutyunov 《Scientific and Technical Information Processing》2014,41(3):159-163
The proceedings of a conference that was held on April 2014 at the Moscow University of Finance and Law (MFUA) are described. More than 40 papers were presented in three sections: Information Security Technology, Software and Hardware for Data Protection, and Promising Directions of Information Security. Brief overviews of plenary papers, as well as main section reports, are given. 相似文献
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This study explored how the proximity of threatening health news affects cognition and emotion through a 2 (Proximity: High/Low) × 4 (Topic) fractional experiment. Fifty-one participants read four news stories about either local or distant health threats, with their heart rate, skin conductance, and corrugator electromyography recorded. Results showed that high-proximity health threats elicited greater heart rate deceleration than did low-proximity health threats, indicating greater allocation of automatic resources to encoding high-proximity threats. Recognition data demonstrated that details from high-proximity health threats were recognized more accurately than details from low-proximity health threats. There were no significant effects of proximity on either skin conductance levels or corrugator activation. These results are discussed in terms of Shoemaker's (1996) hardwired for news hypothesis and A. Lang's (2000, 2006) limited capacity model. 相似文献
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Strategic Communication during Marital Relationship Dissolution: Disengagement Resistance Strategies
Merry C. Buchanan H. Dan O'Hair Jennifer A. H. Becker 《Communication Research Reports》2013,30(3):139-147
This study investigated the communication strategies used by divorced individuals who did not wish their marriages to end (non-initiators). Participants were 270 divorced persons drawn from divorce recovery and support groups as well as network sampling. An adaptation of Buss's (1988) taxonomy of partner retention tactics served to capture the communication strategies of non-initiators during marital dissolution. A factor analysis revealed that four disengagement resistance strategies—commitment, alignment, negativity, and harm—are used by non-initiators during the process of marital dissolution. 相似文献
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The purpose of this investigation is to apply Gold's (1989) typology of sibling relationships to the study of adult-sibling use of relational maintenance behaviors and perceptions of relational characteristics. Participants were 196 adults who targeted a sibling whose birthday was closest to their own and completed a series of instruments in reference to the targeted sibling. It was found that whether individuals classified their sibling relationships as intimate, congenial, loyal, or apathetic/hostile was reflected in their self-reported use of relational maintenance behaviors, their perceptions of their targeted siblings' use of relational maintenance behaviors with them, and their perceptions of the relational characteristics associated with the sibling relationship. 相似文献
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Kevin Di Camillo 《Publishing Research Quarterly》2014,30(4):377-381
An extended treatment of Out Of Print, a documentary film by Vivienne Roumani that debuted at 2013 TriBeCa Film Festival January 2014 in New York. The film is narrated by Meryl Streep and features a continued debate between Jeff Bezos of Amazon and Scott Turow of the Author’s Guild. The success of the self-published The Mill River Recluse vis-à-vis the lack of success of most self-published titles is also discussed, as are the future of libraries and education in general. A brief history of publishing and many other brief interviews are also included. 相似文献