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1.
Background: Systematic review articles support the advance of science and translation of research evidence into healthcare practice. Inaccurate retrieval from medline could limit access to reviews. Objective: To determine the quality of indexing systematic reviews and meta‐analyses in medline . Methods: The Clinical Hedges Database, containing the results of a hand search of 161 journals, was used to test medline indexing terms for their ability to retrieve systematic reviews that met predefined methodologic criteria (labelled as ‘pass’ review articles) and reviews that reported a meta‐analysis. Results: The Clinical Hedges Database contained 49 028 articles; 753 were ‘pass’ review articles (552 with a meta‐analysis). In total 758 review articles (independent of whether they passed) reported a meta‐analysis. The search strategy that retrieved the highest number of ‘pass’ systematic reviews achieved a sensitivity of 97.1%. The publication type ‘meta analysis’ had a false positive rate of 5.6% (95% CI 3.9 to 7.6), and false negative rate of 0.31% (95% CI 0.26 to 0.36) for retrieving systematic reviews that reported a meta‐analysis. Conclusions: Inaccuracies in indexing systematic reviews and meta‐analyses in medline can be partly overcome by a 5‐term search strategy. Introducing a publication type for systematic reviews of the literature could improve retrieval performance.  相似文献   

2.
Introduction: Previous impact tool‐kits for UK health libraries required updating to reflect recent evidence and changes in library services. The National Knowledge Service funded development of updated guidance. Methods: Survey tools were developed based on previous impact studies and a systematic review. The resulting draft questionnaire survey was tested at four sites, and the interview schedule was investigated in a fifth area. A literature search in assia , Google Scholar, intute , lisa , lista , scirus , Social Sciences Citation Index (Web of Knowledge), and the major UK University and National Libraries Catalogue (copac ), identified ways to improve response rates. Other expert advice contributed to the guidance. Results: The resulting guidance contains evidence‐based advice and a planning pathway for conducting an impact survey as a service audit. The survey tools (critical incident questionnaire and interview schedule) are available online. The evidence‐based advice recommends personalizing the request, assuring confidentiality, and using follow‐up reminders. Questionnaires should be brief, and small incentives, such as a lottery draw should be considered. Bias is minimized if the survey is conducted and analysed by independent researchers. Conclusion: The guidance is a starting point for a pragmatic survey to assess the impact of health library services.  相似文献   

3.
OBJECTIVE: An updated systematic review was carried out of research studies looking at the value and impact of library services on health outcomes for patients and time saved by health professionals. METHODS: A comprehensive systematic search was undertaken of the published literature to September 2003 in ERIC, LISA, MEDLINE, PREMEDLINE, EMBASE, the Cochrane Controlled Trials Register and Google. Some handsearching was carried out, reference lists were scanned and experts in the field were contacted. Twenty-eight research studies of professionally led libraries for health-care staff, including clinical librarian projects, met the inclusion criterion of at least one health or 'time saved' outcome. Papers were critically appraised using internationally accepted criteria. Data were extracted and results were summarised using a narrative format as the studies were heterogeneous and precluded a statistical analysis. RESULTS: There is evidence of impact from both traditional and clinical librarian services. The higher quality studies of traditional services measured impacts of 37-97% on general patient care, 10-31% on diagnosis, 20-51% on choice of tests, 27-45% on choice of therapy and 10-19% on reduced length of stay. Four studies of clinical librarian projects suggested that professionals saved time as a result of clinical librarian input, and two of these studies showed evidence of cost-effectiveness. However, the clinical librarian studies were generally smaller, with poorer quality standards. CONCLUSIONS: Research studies suggest that professionally led library services have an impact on health outcomes for patients and may lead to time savings for health-care professionals. The available studies vary greatly in quality but the better quality studies also suggest positive impacts. Good practice can be gathered from these studies to guide the development of a pragmatic survey for library services that includes the direct effects for patients among the outcome measures.  相似文献   

4.
Objectives: To implement evidence‐supported delivery suite ward rounds using strategies to overcome barriers. Design: Qualitative case study to identify barriers and a quantitative assessment of outcomes on ward rounds. Method: After an introduction to the proposed evidence‐supported delivery suite ward round reactions were elicited from 15 clinicians. Responses were categorized into barriers related to knowledge, skills, attitudes and behaviour. Using strategies to overcome these barriers, a weekly evidence‐supported ward round was established. During patient‐centred discussions, clinical questions were formulated. Following literature searches, evidence was acquired and appraised. Results: Clinicians had limited awareness about the potential benefits of a clinical librarian's support during ward rounds. They were unsure of their skills in evidence‐based practice. There was scepticism, fear of loss of autonomy, poor motivation and resistance to change. Clinicians identified several factors that could impinge on their practice. Using appropriate strategies when evidence‐supported ward rounds were conducted, 67 questions were raised. However only seven articles were appraised in time to affect decisions on that ward round. Conclusions: Knowledge of barriers was helpful in developing plans for implementation of evidence‐supported ward rounds. The pilot study indicates the feasibility of this approach.  相似文献   

5.
Evaluating clinical librarian services: a systematic review   总被引：1，自引：1，他引：0  
Background: Previous systematic reviews have indicated limited evidence and poor quality evaluations of clinical librarian (CL) services. Rigorous evaluations should demonstrate the value of CL services, but guidance is needed before this can be achieved. Objectives: To undertake a systematic review which examines models of CL services, quality, methods and perspectives of clinical librarian service evaluations. Methods: Systematic review methodology and synthesis of evidence, undertaken collaboratively by a group of 8 librarians to develop research and critical appraisal skills. Results: There are four clear models of clinical library service provision. Clinical librarians are effective in saving health professionals time, providing relevant, useful information and high quality services. Clinical librarians have a positive effect on clinical decision making by contributing to better informed decisions, diagnosis and choice of drug or therapy. The quality of CL studies is improving, but more work is needed on reducing bias and providing evidence of specific impacts on patient care. The Critical Incident Technique as part of a mixed method approach appears to offer a useful approach to demonstrating impact. Conclusions: This systematic review provides practical guidance regarding the evaluation of CL services. It also provides updated evidence regarding the effectiveness and impact of CL services. The approach used was successful in developing research and critical appraisal skills in a group of librarians.  相似文献   

6.
AIM: To review the literature on the positive impact of information services, or information resources, on patient care in primary care. OBJECTIVES: To identify and summarize key papers on which librarians might draw in making the case for investment, and to highlight gaps in the research evidence Methodology: A rapid literature review was conducted in the summer of 2005. RESULTS: There is a small body of evidence to demonstrate the positive impact of library and information services on the direct care of patients as well as a beneficial impact on the care of future patients through the application of evidence to multiple patients. CONCLUSIONS: There is relatively limited research evidence of the impact of information, and library services, in primary care, in comparison with hospital settings and the research available is generally reliant on small samples. There is a lack of impact studies conducted with non-clinical staff. The review highlights the value of critical incident technique (CIT). It is possible to gather evidence of the potential for information services to deliver cost savings.  相似文献   

7.
Although there are at least six dimensions of journal quality, Beall's List identifies predatory Open Access journals based almost entirely on their adherence to procedural norms. The journals identified as predatory by one standard may be regarded as legitimate by other standards. This study examines the scholarly impact of the 58 accounting journals on Beall's List, calculating citations per article and estimating CiteScore percentile using Google Scholar data for more than 13,000 articles published from 2015 through 2018. Most Beall's List accounting journals have only modest citation impact, with an average estimated CiteScore in the 11th percentile among Scopus accounting journals. Some have a substantially greater impact, however. Six journals have estimated CiteScores at or above the 25th percentile, and two have scores at or above the 30th percentile. Moreover, there is considerable variation in citation impact among the articles within each journal, and high-impact articles (cited up to several hundred times) have appeared even in some of the Beall's List accounting journals with low citation rates. Further research is needed to determine how well the citing journals are integrated into the disciplinary citation network—whether the citing journals are themselves reputable or not.  相似文献   

8.
Background: Reviews of how doctors and nurses search for online information are relatively rare, particularly where research examines how they decide whether to use Internet‐based resources. Original research into their online searching behaviour is also rare, particularly in real world clinical settings. as is original research into their online searching behaviour. This review collates some of the existing evidence, from 1995 to 2009. Objectives: To establish whether there are any significant differences in the ways and reasons why doctors and nurses seek out online information; to establish how nurses and doctors locate information online; to establish whether any conclusions can be drawn from the existing evidence that might assist health and medical libraries in supporting users. Methods: An initial scoping literature search was carried out on PubMed and CINAHL to identify existing reviews of the subject area and relevant original research between 1995 and 2009. Following refinement, further searches were carried out on Embase (Ovid), LISA and LISTA. Following the initial scoping search, two journals were identified as particularly relevant for further table of contents searching. Articles were exclused where the main focus was on patients searching for information or where the focus was the evaluation of online‐based educational software or tutorials. Articles were included if they were review or meta‐analysis articles, where they reported original research, and where the primary focus of the online search was for participants’ ongoing Continuing Professional Development (CPD). The relevant articles are outlined, with details of numbers of participants, response rates, and the user groups. Results: There appear to be no significant differences between the reasons why doctors and nurses seek online Internet‐based evidence, or the ways in which they locate that evidence. Reasons for searching for information online are broadly the same: primarily patient care and CPD (Continuing Professional Development). The perceived barriers to accessing online information are the same in both groups. There is a lack of awareness of the library as a potential online information enabler. Conclusions: Libraries need to examine their policy and practice to ensure that they facilitate access to online evidence‐based information, particularly where users are geographically remote or based in the community rather than in a hospital setting. Librarians also need to take into account the fact that medical professionals on duty may not be able to take advantage of the academic model of online information research. Further research is recommended into the difference between the idealised academic model of searching and real world practicalities; and how other user groups search, for example patients.  相似文献   

9.
Background: A librarian consultation service was offered to 88 primary care clinicians during office hours. This included a streamlined evidence‐based process to answer questions in fewer than 20 min. This included a contact centre accessed through a Web‐based platform and using hand‐held devices and computers with Web access. Librarians were given technical training in evidence‐based medicine, including how to summarise evidence. Objectives: To describe the process and lessons learned from developing and operating a rapid response librarian consultation service for primary care clinicians. Methods: Evaluation included librarian interviews and a clinician exit satisfaction survey. Results: Clinicians were positive about its impact on their clinical practice and decision making. The project revealed some important ‘lessons learned’ in the clinical use of hand‐held devices, knowledge translation and training for clinicians and librarians. Conclusions: The Just‐in‐Time Librarian Consultation Service showed that it was possible to provide evidence‐based answers to clinical questions in 15 min or less. The project overcame a number of barriers using innovative solutions. There are many opportunities to build on this experience for future joint projects of librarians and healthcare providers.  相似文献   

10.
There is evidence of a geographical imbalance of reviewers, leading to concerns about the sustainability of peer review to ensure high‐quality, timely publications. This research evaluated articles submitted during 2016 to 149 Wiley‐owned journals in two disciplines: medicine (112 journals), and agricultural and biological sciences (37). We compared the reviewer location with the location of the author and the Editor‐in‐Chief, the size and rank of the journal, and whether the journal had difficulty in obtaining reviews. We found that reviewers mostly came from the USA, but there was a correlation between the reviewer location and the country and region of the Editor‐in‐Chief and that of the corresponding author. Reviewers were also more likely to accept invitations to review articles when the corresponding author was from their region and were more likely to be positive about such articles. We found no difference between journals of different disciplines and of different rank or size or difficulty in obtaining reviews.  相似文献   

11.
Background: Research is essential for evidence‐based practice yet many health professionals do not have enough time to find research. Studies relevant to occupational therapists can be particularly difficult to find. Most search engines are broad and return a large number of irrelevant articles. Occupational Therapy Systematic Evaluation of Evidence (OTseeker) is an occupational therapy database available at http://www.otseeker.com . Developed by Australian occupational therapists, the resource aims to increase access to research and support clinical decision making. This discipline‐specific database contains pre‐appraised information from a variety of sources and decreases the time required to locate best evidence. Objectives: The aims of this paper are to: (i) describe how health librarians can use OTseeker to help allied health students, researchers and practitioners, particularly in occupational therapy, to find quality evidence; (ii) provide a teaching resource for health librarians based around the OTseeker evidence database; and (iii) highlight new features contained on the OTseeker database. Methods: A case study is provided which focuses on searching for evidence on the effectiveness of upper limb rehabilitation after stroke using OTseeker. Conclusion: This paper may increase the knowledge, skills and competencies of health librarians, helping them to access evidence‐based databases, and educate other professionals.  相似文献   

12.
Background: Question‐answering systems (or QA Systems) stand as a new alternative for Information Retrieval Systems. Most users frequently need to retrieve specific information about a factual question to obtain a whole document. Objectives: The study evaluates the efficiency of QA systems as terminological sources for physicians, specialised translators and users in general. It assesses the performance of one open‐domain QA system, START, and one restricted‐domain QA system, MedQA. Method: The study collected two hundred definitional questions (What is…?), either general or specialised, from the health website WebMD. Sources used by the open‐domain QA system, START, and the restricted‐domain QA system, MedQA, were studied to retrieve answers, and later a range of evaluation measures (precision, Mean Reciprocal Rank, Total Reciprocal Rank, First Hit Success) were applied to mark the quality of answers. Results: It was established that both systems are useful in the retrieval of valid definitional healthcare information, with an acceptable degree of coherent and precise responses from both. The answers supplied by MedQA were more reliable that those of START in the sense that they came from specialised clinical or academic sources, most of them showing links to further research articles. Conclusions: Results obtained show the potential of this type of tool in the more general realm of information access, and the retrieval of health information. They may be considered a good, reliable and reasonably precise alternative in alleviating the information overload. Both QA systems can help professionals and users can obtain healthcare information.  相似文献   

13.
Clinical medical journals have not been effective in meeting the information needs of practitioners and bridging the gap between clinical research and practice. The slow adoption of results of clinical research is at least partly due to the failure of clinical journals to disseminate information in a way that would motivate practitioners to change practice. Although implementation is primarily a local process, medical journals are in a unique position to advance implementation by modifying their focus and adjusting their contents. Strategies that may be useful include publication of pre‐appraised evidence summaries and ‘clinical bottom‐lines’ and giving importance to systematic reviews and large evaluative research articles as they represent higher levels of evidence and have greater potential to change practice. Clinical journals should encourage researchers to consider how and by whom the findings will be used and provide information on implications for implementation such as possible strategies that may work, cost‐effectiveness, side‐effects and potential barriers to implementation. Medical journal publishers should explore ways to cooperate so that findings of landmark clinical trials could be shared thus reducing the ‘scatter’ of medical information. Electronic media offers numerous advantages such as quick accessibility and linking of information, and medical journals should capitalize on such innovations. There is a paradigm shift in health care practice as evidence is consciously and explicitly incorporated into individual patient care. Medical journals need to change to reflect this change in practice and provide practitioners with valid and relevant information.  相似文献   

14.
Objectives: To create research bulletins for public health professionals that support knowledge transfer and evidence‐based practice. Methods: The methodology for the bulletins comprises five stages: scoping the topic, searching for relevant literature, selecting and obtaining relevant articles, assessing the quality of articles including evidence grading, producing a comment on quality and implications for practice and writing the research bulletin. An ABC—applicability, brevity and clarity—is considered at each stage to ensure that bulletins meet the needs of their intended audience. Results: Nine research bulletins have been produced on a range of health promotion topics. Bulletins are distributed to Welsh health professionals and are available online. The bulletins have developed since their inception to incorporate evaluation and feedback. Most significant among these developments has been introduction of an Implications for Practice section to promote uptake of research. Conclusions: Research bulletins support busy health professionals in evidence‐based practice by assigning a level of evidence, highlighting implications for practice and providing a comment on quality. The bulletins further develop the extended role for information professionals in knowledge transfer and dissemination.  相似文献   

15.
OBJECTIVES: Medicine must keep current with the research literature, and keeping current requires continuously updating the clinical knowledge base (i.e., references that provide answers to clinical questions). The authors estimated the volume of medical literature potentially relevant to primary care published in a month and the time required for physicians trained in medical epidemiology to evaluate it for updating a clinical knowledge base. METHODS: We included journals listed in five primary care journal review services (ACP Journal Club, DynaMed, Evidence-Based Practice, Journal Watch, and QuickScan Reviews). Finding little overlap, we added the 2001 "Brandon/Hill Selected List of Print Books and Journals for the Small Medical Library." We counted articles (including letters, editorials, and other commentaries) published in March 2002, using bibliographic software where possible and hand counting when necessary. For journals not published in March 2002, we reviewed the nearest issue. Five primary care physicians independently evaluated fifty randomly selected articles and timed the process. RESULTS: The combined list contained 341 currently active journals with 8,265 articles. Adjusting for publication frequency, we estimate 7,287 articles are published monthly in this set of journals. Physicians trained in epidemiology would take an estimated 627.5 hours per month to evaluate these articles. CONCLUSIONS: To provide practicing clinicians with the best current evidence, more comprehensive and systematic literature surveillance efforts are needed.  相似文献   

16.
Background: NHS Library Services are utilised by NHS staff and junior trainees to locate scientific papers that provide them with the evidence base required for modern medical practice. The cost of accessing articles can be considerable particularly for junior trainees. Objectives: This survey looks at variations in cost of journal article loans and investigates access to particular orthopaedic journals across the country. Methods: A national survey of UK Health Libraries was performed. Access to and costs of journals and interlibrary loan services were assessed. Availability of five wide‐reaching orthopaedic journals was investigated. Results: Seven hundred and ten libraries were identified. One hundred and ten libraries completed the questionnaire (16.7%). Of these, 96.2% reported free access to scientific journals for users. 99.1% of libraries used interlibrary loan services with 38.2% passing costs on to the user at an average of £2.99 per article. 72.7% of libraries supported orthopaedic services. Journal of Bone and Joint Surgery (British) had greatest onsite availability. Conclusions: The study demonstrates fluctuations in cost of access to interlibrary loan services and variation in access to important orthopaedic journals. It provides a reflection of current policy of charging for the acquisition of medical evidence by libraries in the UK.  相似文献   

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19.
This guide describes several information sources that can be used to assist faculty interested in quantitative and qualitative assessments of journal reputation and scholarly impact: Journal Citation Reports, Eigenfactor, Google Scholar Metrics, Elsevier Journal Metrics, Excellence in Research for Australia, Cabell’s International, Web of Science, Scopus, Google Scholar, and Beall’s List. It also introduces the indicators most often used to represent citation impact: impact factor, article influence score, eigenfactor, h5-index, source normalized impact per paper, impact per publication, and SCImago journal rank. Methods of assessing the influence of individual articles are also presented, along with strategies for the identification of predatory or low-quality journals.  相似文献   

20.
The launch of Google Scholar Metrics as a tool for assessing scientific journals may be serious competition for Thomson Reuters' Journal Citation Reports, and for the Scopus‐powered Scimago Journal Rank. A review of these bibliometric journal evaluation products is performed. We compare their main characteristics from different approaches: coverage, indexing policies, search and visualization, bibliometric indicators, results analysis options, economic cost, and differences in their ranking of journals. Despite its shortcomings, Google Scholar Metrics is a helpful tool for authors and editors in identifying core journals. As an increasingly useful tool for ranking scientific journals, it may also challenge established journals products.  相似文献   

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