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Introduction: In 2003/4 the Information Management Research Institute, Northumbria University, conducted a research project to identify the barriers to e‐learning for health professionals and students. The project also established possible ways to overcome these barriers. The North of England Workforce Development Confederation funded the project. Methodology: The project comprised a systematic review of the literature on barriers to and solutions/critical success factors for e‐learning in the health field. Fifty‐seven references were suitable for analysis. This review was supplemented by a questionnaire survey of learners and an interview study of learning providers to ensure that data identified from the literature were grounded in reality. Results: The main barriers are: requirement for change; costs; poorly designed packages; inadequate technology; lack of skills; need for a component of face‐to‐face teaching; time intensive nature of e‐learning; computer anxiety. A range of solutions can solve these barriers. The main solutions are: standardization; strategies; funding; integration of e‐learning into the curriculum; blended teaching; user friendly packages; access to technology; skills training; support; employers paying e‐learning costs; dedicated work time for e‐learning. Conclusions: The authors argue that librarians can play an important role in e‐learning: providing support and support materials; teaching information skills; managing and providing access to online information resources; producing their own e‐learning packages; assisting in the development of other packages. 相似文献
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Information needs of United Kingdom primary care clinicians 总被引：1，自引：0，他引：1
Swinglehurst DA 《Health information and libraries journal》2005,22(3):196-204
BACKGROUND: The scope of primary care makes knowledge management in this context very challenging, especially as access to information increases and the role of primary care within the NHS expands. OBJECTIVES: This paper reviews the literature on the information needs of primary care clinicians to enable evidence-based decision making. Drawing on the literature, and using a specific example of a clinical informaticist service, some lessons are drawn on the role of information professionals in facilitating evidence-based health care. METHODS: Literature review. Case study of clinical informaticist service. CONCLUSIONS: There are numerous barriers to clinicians engaging with evidence-based practice. However, providing evidence-based information to clinicians' questions in a user-friendly format has the potential to facilitate changes in practice. The successful implementation of information services requires attention to both academic and service dimensions, fostering closer working relationships between clinicians and information professionals. 相似文献
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Achieving change through mutual development: supported online learning and the evolving roles of health and information professionals 总被引：1，自引：1，他引：0
Introduction: Major changes in health care, within an information‐ and technology‐rich age, are impacting significantly on health professionals and upon their education and training. Health information professionals—in both the National Health Service (NHS) and higher education (HE) contexts—are consequently developing their roles, skills and partnerships to meet the needs of flexible education and training. This article explores one facet of this—supported online learning and its impact on role development. Methodology: A case study approach was taken, aiming to explore how academics, health information professionals and learning technologists are developing supported online learning to explicitly address the e‐literacy and information needs of health students within the context of NHS frameworks for education. This was contextualized by a literature review. Results: The case study explores and discusses three dynamics—(i) The use of supported online learning tools by future health‐care professionals throughout their professional training to ensure they have the appropriate e‐literacy skills; (ii) the use of supported online learning by current health professionals to enable them to adapt to the changing environment; (iii) the development of the health information professional, and particularly their role within multi‐disciplinary teams working with learning technologists and health professionals, to enable them to design and deliver supported online learning. Conclusions: The authors argue that, in this specific case study, health information professionals are key to the development of supported online learning. They are working successfully in collaboration and their roles are evolving to encompass learning and teaching activities in a wider context. There are consequently several lessons to be drawn in relation to professional education and role development. 相似文献
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Comparison of bibliographic databases for information on the rehabilitation of people with severe mental illness 总被引：1，自引：0，他引：1
OBJECTIVE: The research sought to examine the overlap in coverage between several health-related databases, thus enabling the identification of the most important sources for searching for information on the rehabilitation of people with severe mental illness. METHODS: The literature was searched within a systematic review. Several health-related databases were retrieved (Cumulative Index to Nursing and Allied Health Literature, The Cochrane Library, MEDLINE, PsycLIT, Sociofile, and Social Science Citation Index), noting their source and comparing results retrieved from each database. FINDINGS: The total number of studies retrieved from each database varied. Almost a third of the papers retrieved from each database were unique to that source. Forty-two percent of the papers were only found in one database. Restricting a search to one database alone would miss many papers and could affect the results of a systematic review. PsycLIT was the most useful database for this topic area, containing 44% of the papers. MEDLINE, the database of first choice for many health professionals, held only 29%. CONCLUSIONS: No database was determined to be significantly more useful than any other--each warranted inclusion in the study. Reliance cannot be placed on one database alone, and other methods such as hand searching should also be used. Although this may not be new information for information professionals, it is likely to be new for health professionals and researchers who are increasingly performing their own literature searches. Information professionals have an important role to play in conveying this message to those outside their profession. 相似文献
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Background: Consumer health information is becoming increasingly important and health policy in the UK is beginning to reflect this. This has implications for information producers, providers and users, with the move towards a more patient‐centred health service. Objectives: This review aims to provide a broad overview of the current state of consumer health information in the UK. It examines the changing roles of information producers, providers and users, exploring the impact of health literacy and new technologies. It features some of the current library and consumer health information projects taking place in the UK and discusses the role that libraries may play in the future. Methods: The article focuses on consumer health information in a policy context. It is based on the experiences of the authors' work for the Patient Information Forum and knowledge of consumer health information. A number of library and information professionals were consulted regarding the library and information projects. Conclusions: Communication between health professionals and patients, and between health educators and the public, is key in order for consumer health information to have the ability to improve health outcomes. Further, especially local, investment into the production, distribution and delivery of consumer health information is recommended. 相似文献
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Pamela J. White 《Journal of the Medical Library Association》2002,90(2):218-222
Quality of health information on the Internet has been a concern since health information first began appearing on the Web. Evidence-based medicine tools, traditionally intended for physicians, may benefit consumers as they participate in making health care desisions. This article describes a rationale for Cochrane reviews as an evidence-based medicine tool for consumers. The Cochrane Collaboration, a global force for systematic literature reviews, has strict procedures for developing literature reviews. Criteria for Cochrane reviews are compared with critical evaluation skills commonly taught to consumers regarding the use of Websites. The Cochrane Collaboration''s Consumer Network has established a separate Website, with review synopses written for an audience of consumers. Suggestions for further research into consumer use of the Cochrane Library and consumer involvement with the Cochrane Collaboration are discussed.People who access health information are likely to play an active role in their health care [1]. Access to health information empowers consumers by enabling them to (1) make more knowledgeable choices in self-care, (2) more intelligently discuss medical conditions and treatments with their doctors, (3) educate themselves regarding good health practices, and (4) learn about the health care system. If access to information is to help consumers achieve better health, quality of accessible information must be considered by information producers and consumers. This paper identifies a rationale for evidence-based medicine for consumers, introduces the quality-control work of the Cochrane Collaboration, and explores consumer involvement in the Cochrane Library, relative to critical evaluation models. 相似文献
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This paper describes the development of the Primary Care Information Service (PCIS) in South Humber Health Authority—a practical example of an information service which aims to make it easier for primary care practitioners to have access to information services and resources, both by electronic and more traditional means. Also, issues to consider when establishing a service for primary care professionals, including barriers to be overcome, are outlined, and an examination is made of how the service has been developed around principles of evidence-based medicine. Finally, the achievements to-date are considered. 相似文献
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Clinical librarianship: a systematic review of the literature 总被引：2，自引：2，他引：0
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OBJECTIVES: To explore library staff and health professionals' views on the effectiveness of information skills training and librarian mediated searching as methods of providing information for patient care. This is the second article describing the Effective Methods of Providing InfoRmation for patIent Care (EMPIRIC) project. The first paper, in a previous issue of this journal (Brettle et al. The costs and effectiveness of information skills training and mediated searching: quantitative results for the EMPIRIC project. Health Information and Libraries Journal 2006, 23, 239-247) describes the quantitative results. METHODS: A questionnaire survey to library staff and health professionals in the North West. Data was collected on perceptions of services, satisfaction and service usage. Statistical data were analysed using the Statistical Package for the Social Sciences (SPSS) and qualitative data using thematic analysis. RESULTS: Both information skills training and mediated searches are perceived by library staff and health professionals to be effective. There is strong support for mediated searches carried out on behalf of the health professional and information skills training to enable them to carry out their own searches. The results provide insights into the effectiveness of the services and the factors that make them effective. CONCLUSIONS: Evidence and stakeholders views support the provision of both information skills training and mediated search services. Both services are valued by users who see them as complementary methods of obtaining information depending on their needs at different times. 相似文献
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Rebecca Donlan 《Journal of Interlibrary Loan, Document Delivery & Electronic Reserve》2013,23(3):99-100
Abstract Health care professionals often request information delivered stat. Patient treatment is urgent. Any hospital library, large or small, that uses Internet document delivery (IDD) systems can place information in the hands of the health professional faster. Libraries that use Internet document delivery technologies can provide health care professionals with information more quickly. Ultimately, it could reduce the length of a hospital stay and reduce health care costs. However, hospital libraries are faced with significant barriers that prevent them from utilizing electronic document delivery systems. docMD successfully overcame barriers and allowed small and/or rural hospital libraries to take advantage of the benefits of electronic document delivery that larger libraries have enjoyed for over a decade. It provides health professionals affiliated with smaller hospitals an equal opportunity to access professional literature quickly in order to make quicker, well-informed patient care decisions. The docMD pilot project investigated, eliminated the barriers and provided IDD services to eleven small and rural hospital libraries using a centralized document mediation center. This paper provides background information, describes the creation of the docMD service delivery model and discusses possible future project outcomes. 相似文献
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Faraino RL 《Medical reference services quarterly》1998,17(2):69-77
Health professionals as well as students vary greatly in their appetite for medical informatics and evidence-based medicine. The information professional is challenged by the need for instructional programs that support the use of medical informatics to a diverse audience. For teaching programs to be successfully received, the information professional must be able to offer an adaptable curriculum that can be arranged to meet the differing needs of a wide range of health professionals. The Educational Services Department at New York University Medical Center has designed and implemented a multidisciplinary curriculum that serves as a model for health and information professionals to meet a variety of goals and objectives. This paper describes how the curriculum evolved. It is presented as a menu of offerings that may be coordinated and adapted to meet the varying skills and needs of clinicians, basic scientists, residency training programs, medical student clerkships, and nursing and allied health programs. Informatics programs that may include workshops in basic computer skills, identification of information resources, the structure of information, developing search strategies in support of evidence-based medicine, identifying qualitative journal literature, and critical appraisal of the literature, are easily adapted to any audience and schedule. 相似文献
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Background:Despite a strong research presence in Lancashire Teaching Hospitals National Health Service (NHS) Foundation Trust (LTHTR), allied health professionals from the organization are underrepresented in developing and publicizing research that is inspired by day-to-day clinical practice and staff experiences. Two LTHTR departments, Library and Knowledge Services (LKS) and Research and Innovation (R&I), came together to enable a group of staff to develop the knowledge and skills that they needed to access information and create new “home grown” research.Case Presentation:A clinical librarian and an academic research nurse created a research engagement program in the diagnostic radiography department at LTHTR, which included the development, delivery, and evaluation of 6 workshops. Sixteen individuals took part in these workshops, and data were collected on library usage, self-efficacy in information literacy, and research output before and after their delivery. Library membership increased by 50% among diagnostic radiography staff, literature search requests from this department increased by 133%, and all participants who attended at least 1 workshop reported an increased Information Literacy Self Efficacy Scale (ILSES) score. An increase in research activity and outputs was also attributed to the program.Conclusions:This project has resulted in a set of freely available workshop plans and support resources that can be customized for other health care professionals and has won several awards for its innovative use of departmental collaboration. Through the evaluation of the program from workshop attendees and non-attenders, we have identified impacts, outputs, and barriers to engagement in order to continue to deliver this content to other departments and embed a home grown research culture at LTHTR. 相似文献
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Urquhart C Chambers M Connor S Lewis L Murphy J Roberts R Thomas R 《Health information and libraries journal》2002,19(3):146-157
The aim of the article is to review evaluations of distance learning programmes in health information management, in order to identify the critical success factors for such programmes and discuss future directions. The emphasis is on the UK experience, based partly on reflections on the experience of one programme at University of Wales Aberystwyth (now over 10 years old), and partly on a policy review conducted for the NHS Information Authority and the NHS Information Policy Unit. The methods are, as far as possible, those of a systematic review of existing research, with, additionally, an overview of relevant policy developments for lifelong learning. The topics covered include the aims, objectives and educational philosophies of the programmes. The evidence, combined with the UWA experience, indicates the importance of face-to-face interaction, to complement distance or virtual learning. A student-centred approach to curriculum design and delivery is essential. 相似文献
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Objectives: What does the publicly available literature tell us about the attitudes of health care staff to the development of information technology in practice, including the factors which influence them and the factors which may be used to change these attitudes? Methods: Twelve databases were searched for literature published between 2000 and 2005 that identified research related to information technology (IT), health professionals and attitude. English language studies were included which described primary research relating to the attitudes of one or more health care staff groups towards IT. Letters, personal viewpoints, reflections and opinion pieces were not included. Results: Complex factors contribute to the formation of attitudes towards IT. Many of the issues identified were around the flexibility of the systems and whether they were ‘fit for purpose’, along with the confidence and experience of the IT users. The literature suggests that attitudes of practitioners are a significant factor in the acceptance and efficiency of use of IT in practice. The literature also suggested that education and training was a factor for encouraging the use of IT systems. Conclusions: A range of key issues, such as the need for flexibility and usability, appropriate education and training and the need for the software to be ‘fit for purpose’, showed that organizations need to plan carefully when proposing the introduction of IT‐based systems into work practices. The studies reviewed did suggest that attitudes of health care professionals can be a significant factor in the acceptance and efficiency of use of IT in practice. Further qualitative and quantitative research is needed into the approaches that have most effect on the attitudes of health care staff towards IT. 相似文献
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Jennifer Macdougall 《Health information and libraries journal》1999,16(2):89-96
This paper is based on a research project conducted on consumer health information (CHI) in the Republic of Ireland, the results of which were published in a report entitled Well Read: Developing Consumer Health Information in Ireland. The paper describes the research methodology and the Irish experience in relation to CHI followed by a discussion of access problems, illustrated with examples from the special needs and primary care sectors. The role of information providers in relation to primary healthcare and libraries is examined briefly, and finally the main research conclusions and recommendations are highlighted. 相似文献
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Md. Abul Kalam Siddike Md. Shiful Islam 《International Information and Library Review》2013,45(3):130-136
The aim of the study is to explore the views of information professionals for knowledge management (KM) in the libraries/information institutions of Bangladesh.This paper seeks to address the following research questions: How the information professionals of Bangladesh perceive the views of KM? What are likely to be the skills required by the information professionals of Bangladesh for KM in the libraries of Bangladesh? and what are likely to be the critical success factors for encouraging KM in the information institutions of Bangladesh?The methodology includes a quantitative approach. The study has been conducted through a survey using a pre-structured questionnaire. A short and structured questionnaire was sent to 50 information professionals who had been working in different libraries in Bangladesh through email and/or by postal mail. The respondents were selected from six divisions of Bangladesh (25 respondents from Dhaka division, 5 each in Chittagong, Rajshahi, Khulna, Barishal and Sylhet divisions). Out of the 50 individuals sent the survey we received 30 responses, for a response rate 60%.The results of the study show that that 93.24% of the respondents first read about KM in the literature, but none had taken any courses on KM. Only 6.76% of the respondents had attended a workshop on KM. Findings also yield most professionals believed that several competencies including those in: communication, facilitation, coaching, mentoring, networking, negotiating, consensus building, and team working were essential for KM in the libraries of Bangladesh. This paper also suggests some critical success factors for encouraging the information professionals to KM in the libraries of Bangladesh. It investigates the original views of the library and information professionals of Bangladesh regarding the skills and competences of information professionals for KM in the libraries of Bangladesh.The department of Information Science and Library Management of Dhaka University and Rajshahi University should introduce KM course(s) either in the graduate level or in the post-graduate level. 相似文献