共查询到20条相似文献，搜索用时 31 毫秒
1.
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.
2.
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.
3.
Dixie A Jones Jean P Shipman Daphne A Plaut Catherine R Selden 《Journal of the Medical Library Association》2010,98(3):243-249
Objectives:
The Medical Library Association (MLA)/National Library of Medicine (NLM) Joint Electronic Personal Health Record Task Force examined the current state of personal health records (PHRs).Methods:
A working definition of PHRs was formulated, and a database was built with fields for specified PHR characteristics. PHRs were identified and listed. Each task force member was assigned a portion of the list for data gathering. Findings were recorded in the database.Results:
Of the 117 PHRs identified, 91 were viable. Almost half were standalone products. A number used national standards for nomenclature and/or record structure. Less than half were mobile device enabled. Some were publicly available, and others were offered only to enrollees of particular health plans or employees at particular institutions. A few were targeted to special health conditions.Conclusions:
The PHR field is very dynamic. While most PHR products have some common elements, their features can vary. PHRs can link their users with librarians and information resources. MLA and NLM have taken an active role in making this connection and in encouraging librarians to assume this assistance role with PHRs.Highlights
- A variety of personal health records (PHRs) exist with some tied to medical health records and others offered as standalone products.
- Librarians can be connected to PHR users through inclusion of an assistance statement in PHRs.
- PHRs offer librarians another means of providing consumers with quality health information.
Implications
- PHR user support is a new role for medical librarians.
- Medical librarians need to be proactive in their communities to educate consumers about PHRs.
- Given the dynamic nature of this market, medical librarians should make a concerted effort to stay abreast of trends in this area.
4.
5.
Joanne Gard Marshall Julia Sollenberger Sharon Easterby-Gannett Lynn Kasner Morgan Mary Lou Klem Susan K. Cavanaugh Kathleen Burr Oliver Cheryl A. Thompson Neil Romanosky Sue Hunter 《Journal of the Medical Library Association》2013,101(1):38-46
Objective:
The research conducted a large-scale, multisite study on the value and impact of library and information services on patient care.Methods:
The study used: (1) 2 initial focus groups of librarians; (2) a web-based survey of physicians, residents, and nurses at 56 library sites serving 118 hospitals; and (3) 24 follow-up telephone interviews. Survey respondents were asked to base their responses on a recent incident in which they had sought information for patient care.Results:
Of the 16,122 survey respondents, 3/4 said that they had definitely or probably handled aspects of the patient care situation differently as a result of the information. Among the reported changes were advice given to the patient (48%), diagnosis (25%), and choice of drugs (33%), other treatment (31%), and tests (23%). Almost all of the respondents (95%) said the information resulted in a better informed clinical decision. Respondents reported that the information allowed them to avoid the following adverse events: patient misunderstanding of the disease (23%), additional tests (19%), misdiagnosis (13%), adverse drug reactions (13%), medication errors (12%), and patient mortality (6%).Conclusions:
Library and information resources were perceived as valuable, and the information obtained was seen as having an impact on patient care.Highlights
- Library and information resources were perceived as valuable, and the information obtained was seen as having an impact on patient care.
- Electronic access to information resources from multiple locations has increased the ability of health professionals to use these resources for improved patient care.
- The roles of librarians are diversifying to include management of electronic resources, user instruction and support, specialized research and clinical information search services, and involvement in institution-level quality improvement.
- It is possible to conduct a large-scale, multisite study on the value and impact of library services on patient care.
Implications
- Ongoing studies of the value and impact of library and information resources will be important for advocacy and quality improvement.
- Community-Based Participative Research methods hold promise as a way of ensuring the relevance of future research.
6.
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.
7.
Objective:
The purpose of this paper is to examine the contributions of Estelle Brodman, PhD, to the early application of computing technologies in health sciences libraries.Methods:
A review of the literature, oral histories, and materials contained in the archives of the Bernard Becker Medical Library at the Washington University School of Medicine was conducted.Results:
While the early computing technologies were not well suited to library applications, their exciting potential was recognized by visionaries like Dr. Brodman. The effective use of these technologies was made possible by creative and innovative projects and programs. The impact of these early efforts continues to resonate through library services and operations.Conclusions:
Computing technologies have transformed libraries. Dr. Brodman''s leadership in the early development and application of these technologies provided significant benefits to the health sciences library community.Highlights
- From the earliest days of computing, libraries have explored the application of computing technologies to library operations. The career of Estelle Brodman, PhD, follows the development of these technologies where her contributions have had a major impact across health sciences libraries.
- At the beginning of the computing era, it was assumed that only the very largest libraries would be able to take advantage of these technologies. Dr. Brodman demonstrated that not only could a medium-sized medical library benefit from the technologies but could provide national leadership in their development and application.
- In one of the earliest examples of collaborative computing, predating data networking, Dr. Brodman demonstrated the power of collaboration with projects that included one of the first integrated library systems and an interlibrary loan network that provided the foundation for DOCLINE.
Implications
- Computing and networking technologies have clearly advanced; however, many of the challenges for libraries identified in the earliest work with these technologies remain. The collaborative strategies developed by Dr. Brodman continue to offer significant opportunities for success.
- Research and development in libraries is exciting and rewarding, contributing to the advancement of the profession and securing the position of the library in an academic or clinical care institution.
8.
9.
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.
10.
11.
12.
13.
Objectives:
This study sought to ascertain the publication rate of abstracts presented at the annual meetings of the Medical Library Association (MLA) for the years of 2002 and 2003. The secondary objectives were to examine possible reasons for non-publication and factors influencing publication.Methods:
A total of 442 abstracts from both meeting years, consisting of presented papers and posters, were examined. The 2 methods used to obtain a publication rate were literature searches and an online questionnaire sent to first authors. The questionnaire also asked abstract authors about reasons for non-publication and other factors that might have influenced their decisions about whether or not to submit the project for publication.Results:
The overall publication rate from the survey was 26.5%, and the publication rate found via literature searching was 27.6%. The most common reason given for non-publication was time restrictions. Also notable was the large proportion of abstracts written by librarians working at universities and those having 25 or more years in the library profession.Discussion:
Publication rates for abstracts presented at the Medical Library Association meetings for the years studied rank at the low end in comparison with other medical professional associations. Further research into factors affecting publication may reveal ways to increase this rate.Highlights
- Publication rates from posters and presentations at the Medical Library Association''s 2002 and 2003 annual meetings were estimated at less than 28.0% using data from an author survey and literature search. In contrast, a Cochrane systematic review of 79 similar biomedical research studies found a mean publication rate of 44.5%.
- Respondents listed time restrictions as their primary reason for not submitting their presentations for publication.
Implications
- Compared to biomedical conferences, relatively little of the information presented at Medical Library Association annual meetings is available as peer-reviewed evidence in the published literature.
- Each profession has different norms for the nature and style of information in presentations at meetings. The further presenters get from basic research, the more difficult it may be for them to conceptualize a presentation as a formal paper. Diverse publication rates between professions are likely to remain.
- Additional study could be aimed at further clarifying the reasons for non-publication and possible means to ameliorate them.
14.
Objective:
The research studied the status of hospital librarians and library services to better inform the Medical Library Association''s advocacy activities.Methods:
The Vital Pathways Survey Subcommittee of the Task Force on Vital Pathways for Hospital Librarians distributed a web-based survey to hospital librarians and academic health sciences library directors. The survey results were compared to data collected in a 1989 survey of hospital libraries by the American Hospital Association in order to identify any trends in hospital libraries, roles of librarians, and library services. A web-based hospital library report form based on the survey questions was also developed to more quickly identify changes in the status of hospital libraries on an ongoing basis.Results:
The greatest change in library services between 1989 and 2005/06 was in the area of access to information, with 40% more of the respondents providing access to commercial online services, 100% more providing access to Internet resources, and 28% more providing training in database searching and use of information resources. Twenty-nine percent (n = 587) of the 2005/06 respondents reported a decrease in staff over the last 5 years.Conclusions:
Survey data support reported trends of consolidation of hospitals and hospital libraries and additions of new services. These services have likely required librarians to acquire new skills. It is hoped that future surveys will be undertaken to continue to study these trends.Highlights
- Data support reported trends in the decrease in the number of hospitals and hospital libraries.
- About 44.0% of hospitals had some level of onsite library service in 1989, compared with between 33.5% and 29.1% of hospitals in 2005/06.
- More electronic services and resources, such as Internet access and online materials, are being offered by hospital libraries, in addition to more traditional services
- Library staffing appears to be more unstable today than in 1989, with more libraries reporting a decrease in the number of staff.
Implications
- Hospital libraries continue to change in response to changes in the health care environment as health care administrators respond to financial pressures, library staff are downsized, degreed librarian positions are eliminated, and reporting structures change.
- MLA must continue to track the status of hospital librarians and libraries in light of the changing environment with surveys and other means, in partnership with others such as the National Network of Libraries of Medicine.
15.
Julie G. Kosteniuk Debra G. Morgan Carl K. D'Arcy 《Journal of the Medical Library Association》2013,101(1):32-37
Objectives:
The research determined (1) the information sources that family physicians (FPs) most commonly use to update their general medical knowledge and to make specific clinical decisions, and (2) the information sources FPs found to be most physically accessible, intellectually accessible (easy to understand), reliable (trustworthy), and relevant to their needs.Methods:
A cross-sectional postal survey of 792 FPs and locum tenens, in full-time or part-time medical practice, currently practicing or on leave of absence in the Canadian province of Saskatchewan was conducted during the period of January to April 2008.Results:
Of 666 eligible physicians, 331 completed and returned surveys, resulting in a response rate of 49.7% (331/666). Medical textbooks and colleagues in the main patient care setting were the top 2 sources for the purpose of making specific clinical decisions. Medical textbooks were most frequently considered by FPs to be reliable (trustworthy), and colleagues in the main patient care setting were most physically accessible (easy to access).Conclusions:
When making specific clinical decisions, FPs were most likely to use information from sources that they considered to be reliable and generally physically accessible, suggesting that FPs can best be supported by facilitating easy and convenient access to high-quality information.Highlights
- Medical textbooks were the most popular information source for family physicians'' (FPs'') clinical decision-making purposes, and medical journals were the most popular information source for the purpose of updating FPs'' general medical knowledge.
- FPs considered medical textbooks to be the most reliable (trustworthy) source, colleagues the most physically accessible, and continuing medical education the most relevant and intellectually accessible.
- The lowest ranked information sources across all four attributes were personal digital assistants, mental health professionals, pharmaceutical sales representatives, and other decision aids.
Implications
- The most popular information sources for clinical decision-making purposes among FPs were sources characterized as reliable and generally physically accessible.
- This study suggests the need for further research into interventions that target information access barriers in FPs'' practice settings and the promotion of reliable evidence for FPs'' clinical decision-making purposes.
16.
17.
T. Elizabeth Workman Marcelo Fiszman John F Hurdle Thomas C Rindflesch 《Journal of the Medical Library Association》2010,98(4):273-281
Objective:
This paper examines the development and evaluation of an automatic summarization system in the domain of molecular genetics. The system is a potential component of an advanced biomedical information management application called Semantic MEDLINE and could assist librarians in developing secondary databases of genetic information extracted from the primary literature.Methods:
An existing summarization system was modified for identifying biomedical text relevant to the genetic etiology of disease. The summarization system was evaluated on the task of identifying data describing genes associated with bladder cancer in MEDLINE citations. A gold standard was produced using records from Genetics Home Reference and Online Mendelian Inheritance in Man. Genes in text found by the system were compared to the gold standard. Recall, precision, and F-measure were calculated.Results:
The system achieved recall of 46%, and precision of 88% (F-measure = 0.61) by taking Gene References into Function (GeneRIFs) into account.Conclusion:
The new summarization schema for genetic etiology has potential as a component in Semantic MEDLINE to support the work of data curators.Highlights
- Semantic MEDLINE streamlines information retrieval by succinctly expressing the meaning of sometimes complicated text and summarizing output according to a user''s needs.
- Semantic MEDLINE identifies genes noted in biomedical text as associated with a disease process.
- Semantic MEDLINE can potentially simplify secondary database curation.
Implications
- Library information retrieval services can potentially benefit from automated applications such as Semantic MEDLINE.
- Use of such automated applications can facilitate the library''s work in interdepartmental collaborative endeavors, thus reinforcing the library''s core value in its parent institution.
18.
C. Trenton Boyd 《Journal of the Medical Library Association》2011,99(1):8-14
Objective:
The objective of this study was to survey holdings of ephemeral veterinary literature.Methods:
WorldCat OCLC catalog, the Library of Congress online catalog, the US National Agricultural Library online catalog, and the Dictionary Catalog of the National Agricultural Library, 1862–1965, were used to determine current library holdings of materials published by veterinary schools that are no longer in existence and veterinary associations that are defunct, veterinary supply catalogs, veterinary house organs, patent medicine publications, and veterinary advertisements. Individual library catalogs were also consulted. In addition, the practice of removing advertisements from bound volumes was examined.Results:
There are many gaps in the cataloged library holdings of primary source materials relating to the history of the education of veterinarians in the United States.Conclusions:
A proactive action plan needs to be designed and activated to locate, catalog, and preserve this primary source material of veterinary medicine for posterity.Highlights
- Veterinary libraries have failed to catalog or retain important primary veterinary source materials.
- Several types of veterinary gray literature, with individual pieces scattered across multiple kinds of libraries, are at high risk for loss from the historical record.
Implications
- Academic, veterinary, medical, and special librarians should be involved in efforts to preserve their institutional, local, and state materials; to identify and locate hidden collections of materials, both in uncataloged collections and in the hands of private collectors; and to mentor new librarians about their role in preserving the history of medicine.
- The results of this survey of primary source materials documenting US veterinary medical education suggest the need for a parallel study of medical education and other health professions education.
- The time is now, not only to digitize important scarce veterinary materials for both preservation and improved access, but also to archive present day institutional output (paper and electronic).
19.