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1.

Background:

To encourage evidence-based practice, an Annals of Internal Medicine editorial called for a new professional on clinical teams: an informationist trained in science or medicine as well as information science.

Objectives:

The study explored the effects of informationists on information behaviors of clinical research teams, specifically, frequency of seeking information for clinical or research decisions, range of resources consulted, perceptions about access to information, confidence in adequacy of literature searches, and effects on decision making and practice. It also explored perceptions about training and experience needed for successful informationists.

Methods:

Exploratory focus groups and key interviews were followed by baseline and follow-up surveys conducted with researchers and clinicians receiving the service. Survey data were analyzed with Pearson''s chi-square or Fisher''s exact test.

Results:

Comparing 2006 to 2004 survey responses, the researchers found that study participants reported: seeking answers to questions more frequently, spending more time seeking or using information, believing time was less of an obstacle to finding or using information, using more information resources, and feeling greater satisfaction with their ability to find answers. Participants'' opinions on informationists'' qualifications evolved to include both subject knowledge and information searching expertise.

Conclusion:

Over time, clinical research teams with informationists demonstrated changes in their information behaviors, and they valued an informationist''s subject matter expertise more.

Highlights

  • Informationist involvement in traditional team activities—going on rounds and searching and critically evaluating the literature—increased over time.
  • As the relationship between a clinical team and informationist developed, activities expanded to include projects such as development of wikis, databases, and websites.
  • Clinical teams came to view subject knowledge as key to an informationist''s preparation; however, their expertise as information scientists was valued most highly.
  • “Initiative,” approaching research staff in their workplace, was the one personal trait focus group participants agreed on as most desirable for an informationist.
  • When first introduced to the concept, researchers cited customization of services to team needs as a major benefit.

Implications

  • To assure a successful informationist program, libraries must be prepared to commit time and money.
  • Whether informationists or not, librarians should be prepared to support users'' increased need for genetics and molecular biology information.
  相似文献   

2.

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.
  相似文献   

3.

Question:

How can a library-based bioinformatics support program be implemented and expanded to continuously support the growing and changing needs of the research community?

Setting:

A program at a health sciences library serving a large academic medical center with a strong research focus is described.

Methods:

The bioinformatics service program was established at the Norris Medical Library in 2005. As part of program development, the library assessed users'' bioinformatics needs, acquired additional funds, established and expanded service offerings, and explored additional roles in promoting on-campus collaboration.

Results:

Personnel and software have increased along with the number of registered software users and use of the provided services.

Conclusion:

With strategic efforts and persistent advocacy within the broader university environment, library-based bioinformatics service programs can become a key part of an institution''s comprehensive solution to researchers'' ever-increasing bioinformatics needs.  相似文献   

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Question:

How can the user''s access to health information, especially full-text articles, be improved? The solution is building and evaluating the Health SmartLibrary (HSL).

Setting:

The setting is the Galter Health Sciences Library, Feinberg School of Medicine, Northwestern University.

Method:

The HSL was built on web-based personalization and customization tools: My E-Resources, Stay Current, Quick Search, and File Cabinet. Personalization and customization data were tracked to show user activity with these value-added, online services.

Main Results:

Registration data indicated that users were receptive to personalized resource selection and that the automated application of specialty-based, personalized HSLs was more frequently adopted than manual customization by users. Those who did customize customized My E-Resources and Stay Current more often than Quick Search and File Cabinet. Most of those who customized did so only once.

Conclusion:

Users did not always take advantage of the services designed to aid their library research experiences. When personalization is available at registration, users readily accepted it. Customization tools were used less frequently; however, more research is needed to determine why this was the case.  相似文献   

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Question/Objective:

How can a special collection maintain or increase its profile in its parent institution, when that parent institution emphasizes scientific and clinical learning?

Setting/Context:

The Waring Historical Library, Medical University of South Carolina (MUSC), preserves and promotes the history of health sciences at MUSC and in South Carolina. As a state entity, MUSC has suffered significant budget cuts for the past several years. In this climate, the Waring had to find ways to maintain relevance in the MUSC community.

Methods:

The Waring partnered with the MUSC College of Nursing to explore new ways to build institutional allies. By combining traditional archival administration with innovative uses of digital collections aimed at institutional promotion and outreach, the Waring''s digital library became an advocacy tool that led to the Waring''s enhanced value to its parent institution.

Outcomes:

The Waring Library is a resource for MUSC development and alumni relations. Tangible outcomes include additional funding from grants, increased staff, no loss of institutional funding, increased access to collections, increased accessions, cultivation of institutional allies for long-term support of the Waring, and development of a template for future partnerships.  相似文献   

12.

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.
  相似文献   

13.

Objectives:

Through interviews with the National Library of Medicine''s MedlinePlus Go Local collaborators, an evaluation team sought to identify process characteristics that are critical for long-term sustainability of Go Local projects and to describe the impact that Go Local projects have on sponsoring institutions.

Methods:

Go Local project coordinators (n = 44) at 31 sponsor institutions participated in semi-structured interviews about their experiences developing and maintaining Go Local sites. Interviews were summarized, checked for accuracy by the participating librarians, and analyzed using a general inductive methodology.

Results:

Institutional factors that support Go Local projects were identified through the interviews, as well as strategies for staffing and partnerships with external organizations. Positive outcomes for sponsoring institutions also were identified.

Conclusions:

The findings may influence the National Library of Medicine team''s decisions about improvements to its Go Local system and the support it provides to sponsoring institutions. The findings may benefit current sponsoring institutions as well as those considering or planning a Go Local project.

Highlights

  • Many project coordinators said they underestimated the level of work their National Library of Medicine (NLM) MedlinePlus Go Local projects would require, but most expressed dedication to the project and optimism about project sustainability.
  • An institutional record of community service or outreach and a director who was supportive of the project were important factors in the progress and sustainability of Go Local projects.
  • Go Local projects brought recognition to some sponsoring institutions from their parent institutions or their communities and provided opportunities to establish better relations with other libraries and institutions.
  • Go Local projects ran more smoothly when a person, even a temporary hire, with dedicated time for the project was in charge during the initial building phase. Volunteer assistance has been difficult to motivate and sustain.

Implications

  • NLM''s Go Local proposal guidelines accurately identify the factors that institutions should pay close attention to when planning a Go Local project.
  • NLM should emphasize continuity plans to address project coordinator turnover.
  • NLM should develop a more formal orientation plan for new project coordinators to assist program continuity at the sponsoring institutions.
  相似文献   

14.

Question:

What is the process of developing a clinical information tool to be embedded in the electronic health record of a very large and diverse academic medical center?

Setting:

The development took place at the University of Pittsburgh Health Sciences Library System.

Method:

The clinical information tool developed is a search box with subject tabs to provide quick access to designated full-text information resources. Each subject tab offers a federated search of a different pool of resources. Search results are organized “on the fly” into meaningful categories using clustering technology and are directly accessible from the results page.

Results:

After more than a year of discussion and planning, a clinical information tool was embedded in the academic medical center''s electronic health record.

Conclusion:

The library successfully developed a clinical information tool, called Clinical-e, for use at the point of care. Future development will refine the tool and evaluate its impact and effectiveness.  相似文献   

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Question:

Is there a means of assessing research impact beyond citation analysis?

Setting:

The case study took place at the Washington University School of Medicine Becker Medical Library.

Method:

This case study analyzed the research study process to identify indicators beyond citation count that demonstrate research impact.

Main Results:

The authors discovered a number of indicators that can be documented for assessment of research impact, as well as resources to locate evidence of impact. As a result of the project, the authors developed a model for assessment of research impact, the Becker Medical Library Model for Assessment of Research.

Conclusion:

Assessment of research impact using traditional citation analysis alone is not a sufficient tool for assessing the impact of research findings, and it is not predictive of subsequent clinical applications resulting in meaningful health outcomes. The Becker Model can be used by both researchers and librarians to document research impact to supplement citation analysis.  相似文献   

17.

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.
  相似文献   

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Question:

Can the niche services of individual librarians across multiple libraries be developed into a suite of standard services available to all scientists that support the entire research lifecycle?

Setting:

Services at a large, research-intensive state university campus are described.

Method:

Initial data were collected via concept mapping by librarians. Additional data were collected at conferences and meetings through interactive poster presentations.

Main Results:

Services of interest to scientists for each of the stages in the research lifecycle were developed by the team to reflect the wide range of strengths of team members in aggregate.

Conclusion:

Input from researchers was the most effective tool for developing the model. A flexible research lifecycle model can be developed to match the needs of different service groups and the skills of different librarians.  相似文献   

20.

Question:

Can information literacy (IL) be embedded into the curriculum and clinical environment to facilitate patient care and lifelong learning?

Setting:

The Australian School of Advanced Medicine (ASAM) provides competence-based programs incorporating patient-centred care and lifelong learning. ASAM librarians use outcomes-based educational theory to embed and assess IL into ASAM''s educational and clinical environments.

Methods:

A competence-based IL program was developed where learning outcomes were linked to current patients and assessed with checklists. Weekly case presentations included clinicians'' literature search strategies, results, and conclusions. Librarians provided support to clinicians'' literature searches and assessed their presentations using a checklist.

Main Results:

Outcome data showed clinicians'' searching skills improved over time; however, advanced MEDLINE searching remained challenging for some. Recommendations are provided.

Conclusion:

IL learning that takes place in context using measurable outcomes is more meaningful, is enduring, and likely contributes to patient care. Competence-based assessment drives learning in this environment.  相似文献   

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