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1.
Laura Cobus 《Journal of the Medical Library Association》2008,96(1):28-33
Objective: The paper reviews the core competencies for public health professionals presented in the Institute of Medicine''s (IOM''s) report, Who Will Keep the Public Healthy: Educating Public Health Professionals for the 21st Century; describes improving information literacy (IL) as a mechanism for integrating the core competencies in public health education; and showcases IL as an opportunity for solidifying partnerships between academic librarians and public health educators.Methods: The IOM competencies, along with explicit examples of library support from a literature review of current IL trends in the health sciences, are analyzed.Results: Librarians can play a fundamental role in implementing the IOM''s core competencies in shaping public health education for the twenty-first century. A partnership between public health educators and librarians through a transdisciplinary approach is recommended.Conclusions: IL skills and competencies integrated into public health curricula through a collaborative partnership between public health educators and librarians can help integrate the IOM''s core competencies and improve public health education.
Highlights
- Exploring and solidifying transdisciplinary partnerships with public health educators and librarians through curriculum-integrated information literacy (IL) is one avenue to continue successful education of public health professionals.
Implications
- Librarians can be considered public health collaborators essential to the twenty-first century education of health professionals.
- Future research is required to effectively evaluate the best practices of curriculum-integrated IL into public health education.
- Transdisciplinary research is advantageous for achieving the shared goal of educating public health professionals.
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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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Kathleen Burr Oliver Prudence Dalrymple Harold P. Lehmann Deborah Ann McClellan Karen A. Robinson Claire Twose 《Journal of the Medical Library Association》2008,96(1):50-57
Objective: The objectives were (1) to develop an academic, graduate-level course designed for information professionals seeking to bring evidence to clinical medicine and public health practice and to address, in the course approach, the “real-world” time constraints of these domains and (2) to further specify and realize identified elements of the “informationist” concept.Setting: The course took place at the Division of Health Sciences Informatics, School of Medicine, Johns Hopkins University.Participants: A multidisciplinary faculty, selected for their expertise in the course core competencies, and three students, two post-graduate National Library of Medicine (NLM) informationist fellows and one NLM second-year associate, participated in the research.Intervention: A 1.5-credit, graduate-level course, “Informationist Seminar: Bringing the Evidence to Practice,” was offered in October to December 2006. In this team-taught course, a series of lectures by course faculty and panel discussions involving outside experts were combined with in-class discussion, homework exercises, and a major project that involved choosing and answering, in both oral and written form, a real-world question based on a case scenario in clinical or public health practice.Conclusion: This course represents an approach that could be replicated in other academic health centers with similar pools of expertise. Ongoing journal clubs that reiterate the question-and-answer process with new questions derived from clinical and public health practice and incorporate peer review and faculty mentoring would reinforce the skills acquired in the seminar.
Highlights
- Interdisciplinary faculty designed and offered a graduate-level course to teach the skills required by an informationist in clinical and public health practice, further elaborating a model for preparing informationists.
Implications
- This scalable approach to teaching skills for the transfer of evidence into practice could be replicated in academic health centers with similar pools of expertise; such replication could contribute data toward validating this training approach.
- Greater clarity on an appropriate, or “good enough,” standard of evidence for supporting point-of-action decision making is needed.
- Based on the assumption that practicing skills increases confidence and the likelihood that skills will be applied, this course included mentored practice of oral and written evidence presentation skills. Further research could determine whether a course that includes such mentored practice increases the likelihood that students will apply their newly acquired skills.
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Suzanne F. Grefsheim Jocelyn A. Rankin Gerald J. Perry K. Ann McKibbon 《Journal of the Medical Library Association》2008,96(2):114-120
Purpose: Building on its 1995 research policy statement, the Medical Library Association (MLA) has issued a new research policy, The Research Imperative. This paper shares the background research that informed the new policy.Methods: Semi-structured interviews were conducted with fifty-one key informants representing various library types, functions, geographic locations, ages, and ethnicities. The grounded theory approach was used to analyze the resulting textual database. Additionally, to gather input from the membership as a whole, two open forums were held at MLA annual meetings.Results: Key informant data indicated that the policy should provide roles for MLA in leadership, advocacy, collaboration, services, education, publishing, and development of a research agenda. Evidence-based library and information practice was emphasized. Six themes emerged to center the new policy: creation of a research culture, challenges, domains of research, research skills set, roles of stakeholders, and measurement of progress.Conclusion: Reflecting the interests and beliefs of the membership, The Research Imperative challenges MLA members to build a supportive culture that values and contributes to a research base that is recognized as an essential tool for future practice.
Highlights
- The Research Imperative reaffirms the Medical Library Association''s (MLA''s) commitment to research and emphasizes the need to develop health sciences librarianship''s own knowledgebase as a solid foundation for best practices.
- Informants described a growing recognition that health sciences librarians should base their practice decisions on evidence just as the health care practitioners and researchers they serve should.
- A research process that gathered data systematically from the membership guided the policy''s development.
- Members expect the association to monitor progress toward its research goals and report on it annually.
Implications
- The Research Imperative challenges the association and its members to build a culture of reflective practice in which the profession''s evidence base is routinely used.
- To advance the vision articulated in its research policy, MLA must lead by inculcating research throughout the association, identifying a research agenda, advocating for improved access to and support of library and information science research, fostering collaborations, and educating members to better use and conduct their own applied research.
- MLA should leverage its Center of Research and Education (CORE) as a repository for member-generated research, tools, and datasets.
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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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Objective: The research analyzes usage of a major biomedical library''s pre-1993 print journal collection.Methodology: In July 2003, in preparation for a renovation and expansion project, the Biomedical Library at the University of California, San Diego, moved all of its pre-1993 journal volumes off-site, with the exception of twenty-two heavily used titles. Patrons wishing to consult one of these stored volumes could request that it be delivered to the library for their use. In the spring of 2006, an analysis was made of these requests.Results: By July of 2006, 79,827 journal volumes published in 1992 or earlier had been requested from storage. The number of requests received declined with age of publication. The usage distribution exhibited a “long tail”: 50% of the 79,827 requests were for journal volumes published before 1986. The availability of electronic access dramatically reduced the chance that corresponding print journal volumes would be requested.Conclusions: The older biomedical print journal literature appears to be of continued value to the biomedical research community. When electronic access was provided to the older literature, demand for older print volumes declined dramatically.
Highlights
- Analysis of requests for stored biomedical journal volumes published prior to 1993 indicates that older biomedical journal literature receives substantial use: during this 3-year study, there were nearly 80,000 requests for journal volumes published in 1992 or earlier, with half the requests for volumes published from 1986–1992 and 40% of the request for volumes published from 1970–1985. These results indicate that retaining older print volumes, or providing easy access to the older literature through electronic journals or other means, will likely be required to meet user information needs.
- Use of older journal volumes varies by title and by user population, and a small number of journal titles were responsible for most of the use.
- Requests for older print biomedical journal titles dropped significantly when electronic access became available.
Implications
- Biomedical libraries should carefully consider implications of eliminating on-site access to older journal literature for users and budgets.
- Removing access to older journal literature may result in higher demand for interlibrary loan and document delivery services.
- Biomedical libraries can safely substitute reliable electronic access to older literature to meet ongoing needs for this information, thereby creating space for other purposes.
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Ninfa Pe?a-Purcell 《Journal of the Medical Library Association》2008,96(2):101-107
Purpose: The research examined use of the Internet to seek health information among Hispanics in the United States.Methods: A secondary analysis used the Impact of the Internet and Advertising on Patients and Physicians, 2000–2001, survey data. Pearson''s χ2 test, multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and independent samples t tests were conducted to test for relationships and differences between facets of Hispanic and non-Hispanic white online health information seeking.Results: Findings indicated lower Internet health information seeking among Hispanics (28.9%, n=72) than non-Hispanic whites (35.6%, n=883). On a scale of 1 (strongly agree) to 4 (strongly disagree), Hispanics were likely to agree that Internet health information improves understanding of medical conditions and treatments (M=1.65), gives patients confidence to talk to doctors about health concerns (M=1.67), and helps patients get treatment they would not otherwise receive (M=2.23). Hispanics viewed their skills in assessing Internet health information as good. Overall ratings were also positive for items related to sharing Internet health information with a doctor. Conflicting with these findings, Hispanics (M=3.33) and non-Hispanic whites (M=3.46) reported that physician-patient relationships worsened as a result of bringing online health information to a visit (scale 1=a lot better to 5=a lot worse).Conclusion: This study provides further evidence of differences in Internet health information seeking among Hispanics and non-Hispanic whites. Cultural discordance may be a possible explanation for Hispanics'' view that the Internet negatively impacts physician-patient relationships. Strategies to increase Hispanics'' access to Internet health information will likely help them become empowered and educated consumers, potentially having a favorable impact on health outcomes.
Highlights
- Consistent with prior studies, a lower proportion of Hispanics compared to non-Hispanic whites reported using the Internet to seek health information.
- Overall, Hispanics tended to agree that the Internet is a helpful resource for health information.
- Hispanics and non-Hispanic whites reported that bringing Internet health information to doctors'' visits worsened the physician-patient relationship.
- Consistent with prior literature, the odds of seeking Internet health information were decreased for Hispanics with low (<$25,000) and middle ($25,000– $49,000) household incomes.
Implications
- More studies are needed to provide evidence to develop culturally appropriate interventions to examine differences in Internet use and potential digital disparities among Hispanics.
- Concurrent with increasing Hispanics'' use of Internet health information, efforts to address the Internet''s impact on physician-patient relationship are warranted.
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Todd S. Harwell Dionne Gesink Law Jennifer L. Ander Steven D. Helgerson 《Journal of the Medical Library Association》2008,96(2):134-137
Objective: The paper provides an overview of a strategy to increase utilization of online bibliographic databases by public health workers.Methods: A web-based survey of professional staff in the Montana Department of Public Health and Human Services was conducted to assess their use of and interest in training in online bibliographic databases. Based on the findings from the assessment, the department, in collaboration with the state university, provided brief ninety-minute training sessions for interested staff on the use of PubMed.Results: Seventy of 115 (61%) of staff completed the survey. Only 39% of staff reported using an online bibliographic database to conduct a literature search in the past year, and only 10% (n=7) reported having ever received any training in their use. Perceived proficiency with the use of PubMed was higher upon completion of the brief training. The majority of training participants (n=27) indicated that they were very likely to use PubMed in the next year to search the literature.Conclusions: A collaboratively designed training can increase public health workers'' proficiency in and intentions of using online bibliographic databases.
Highlights
- A web-based assessment of Montana public health workers identified a lack of training in and use of online bibliographic databases and an interest in receiving training in their use.
- Brief training in the use of online bibliographic databases increased state public health workers'' self-assessed proficiency in and intentions of using these resources.
Implications
- Low-cost strategies, such as inexpensive web-survey tools, to assess staff needs and brief training sessions for public health workers were effective in increasing public health workers'' self-assessed proficiency in using online bibliographic databases.
- Collaboration between state health departments and universities to design and provide relevant training in the use of online bibliographic databases is an effective approach to addressing public health workers'' skills in using these resources.
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Rebecca N. Jerome Nunzia Bettinsoli Giuse S. Trent Rosenbloom Patrick G. Arbogast 《Journal of the Medical Library Association》2008,96(1):34-41
Objective: The research evaluated strategies for facilitating physician adoption of an evidence-based medicine literature request feature recently integrated into an existing electronic medical record (EMR) system.Methods: This prospective study explored use of the service by 137 primary care physicians by using service usage statistics and focus group and survey components. The frequency of physicians'' requests for literature via the EMR during a 10-month period was examined to explore the impact of several enhanced communication strategies launched mid-way through the observation period. A focus group and a 25-item survey explored physicians'' experiences with the service.Results: There was no detectable difference in the proportion of physicians utilizing the service after implementation of the customized communication strategies (11% in each time period, P=1.0, McNemar''s test). Forty-eight physicians (35%) responded to the survey. Respondents who had used the service (n=19) indicated that information provided through the service was highly relevant to clinical practice (mean rating 4.6, scale 1 “not relevant”–5 “highly relevant”), and most (n=15) reported sharing the information with colleagues.Conclusion: The enhanced communication strategies, though well received, did not significantly affect use of the service. However, physicians noted the relevance and utility of librarian-summarized evidence from the literature, highlighting the potential benefits of providing expert librarian services in clinical workflow.
Highlights
- The communication strategies implemented during the study did not induce a noticeable increase in questions from physicians through the electronic medical record system.
- Surveyed physicians were generally satisfied with the evidence-based medicine literature request service and noted several resulting changes in clinical practice associated with librarian-provided evidence.
- Survey respondents viewed the monthly “evidence alert” newsletter, one of the communication strategies, as particularly effective, and it has become an integrated facet of the service.
Implications
- Librarians may contribute significantly to effective patient care by providing evidence to support the clinical decision-making process.
- The study''s findings emphasize the complexity of facilitating the adoption of services providing evidence for clinical practice.
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Objective:
A discourse analysis was conducted of peer-written blogs about the chronic illness endometriosis to understand how bloggers present information sources and make cases for and against the authority of those sources.Methods:
Eleven blogs that were authored by endometriosis patients and focused exclusively or primarily on the authors'' experiences with endometriosis were selected. After selecting segments in which the bloggers invoked forms of knowledge and sources of evidence, the text was discursively analyzed to reveal how bloggers establish and dispute the authority of the sources they invoke.Results:
When discussing and refuting authority, the bloggers invoked many sources of evidence, including experiential, peer-provided, biomedical, and intuitive ones. Additionally, they made and disputed claims of cognitive authority via two interpretive repertoires: a concern about the role and interests of the pharmaceutical industry and an understanding of endometriosis as extremely idiosyncratic. Affective authority of information sources was also identified, which presented as social context, situational similarity, or aesthetic or spiritual factors.Conclusions:
Endometriosis patients may find informational value in blogs, especially for affective support and epistemic experience. Traditional notions of authority might need to be revised for the online environment. Guidelines for evaluating the authority of consumer health information, informed by established readers'' advisory practices, are suggested.Highlights
- Endometriosis patients who blog about the illness may determine authority of information sources through both cognitive and affective methods.
Implications
- Because patients with chronic illnesses might have different authority criteria than medical librarians do, it could be useful to carefully incorporate electronic patient discussion forums, medical blogs written by laypeople, and other nontraditionally authoritative resources into consumer health information selection policies. Standard biomedical resources are certainly important to recommend to consumers, but they do not convey the complete picture of a chronic illness and its related experience.
- Patients with chronic illnesses and caregivers can benefit from sources such as blogs and online discussion lists that provide social and emotional support as well as accounts of “lived experience.”
- An understanding of the patient''s potential epistemological community can make the librarian''s recommendations more appropriate for the individual user.
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Jocelyn A. Rankin Suzanne F. Grefsheim Candace C. Canto 《Journal of the Medical Library Association》2008,96(3):194-206
Purpose:
A systematic literature review was conducted to synthesize what is known about informationists, highlight program models, and suggest areas for future research.Methods:
Articles retrieved through database searching were reviewed for relevance. Informationist case reports were identified and coded according to an attributes checklist. Data from other retained publications were synthesized under broad themes. The few research studies found were reviewed for level of evidence.Results:
Of 113 papers reviewed, the study identified 7 classic and 8 emerging informationist programs. Two major models are apparent, clinical and research, with priorities differing according to program maturity. The literature synthesis also brought together current thinking about informationist qualifications; practice roles; setting characteristics; education and training; organizational, programmatic, and service provider success factors; and challenges and barriers. Program outcomes to date are reported, and future research topics suggested. Specific findings will assist informationist program planners.Conclusions:
While the informationist concept remains in the early adopter stage, it appears that domain knowledge, continuous learning, and embedding (working in context) are essential to success. The need for librarians to transition to greater specialization and libraries to emphasize customized service was underscored. A research agenda focused on information management, dissemination, behaviors, and economics is proposed.Highlights
- After years of emphasizing the generalist librarian, health sciences librarians must become more specialized, paralleling the health care environment in which they work.
- An embedded informationist is more likely to achieve credibility, acceptance, and sustainability than an impersonal information service provided at a distance.
- Subject expertise is essential for the informationist.
- Model informationist programs with the greatest stability are library funded.
- Because informationist programs are inherently targeted to small groups, multisite studies are necessary to achieve robust evaluation.
Implications
- A library starting an informationist program should review existing models, identify local needs, set program objectives, and then select the most appropriate approaches for its users.
- Programmatic emphasis should be placed on both technical and service excellence.
- Organizational commitment is needed for knowledge integration into practice and for the informationists'' lifelong learning.
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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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