The Health Information Literacy Research Project

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.

     

Hospital-based patient education programs and the role of the hospital librarian.

This paper examines current advances in hospital-based patient education, and delineates the role of the hospital librarian in these programs. Recently, programs of planned patient education have been recognized by health care personnel and the public as being an integral part of health care delivery. Various key elements, including legislative action, the advent of audiovisual technology, and rising health care costs have contributed to the development of patient education programs in hospitals. As responsible members of the hospital organization, hospital librarians should contribute their expertise to patient education programs. They are uniquely trained with skills in providing information on other health education programs; in assembling, cataloging, and managing collections of patient education materials; and in providing documentation of their use. In order to demonstrate the full range of their skills and to contribute to patient care, education, and research, hospital librarians should actively participate in programs of planned patient education.     

Pivoting: leveraging opportunities in a turbulent health care environment

Purpose:

The purpose of this lecture is to challenge librarians in clinical settings to leverage the opportunities presented by the current health care environment and to develop collaborative relationships with health care practitioners to provide relevant services.

Discussion:

Health care organizations are under financial and regulatory pressures, and many hospital librarians have been downsized or have had their positions eliminated. The lecture briefly reviews hospital librarians'' roles in the past but focuses primarily on our current challenges. This environment requires librarians to be opportunity focused and pivot to a new vision that directs their actions. Many librarians are already doing this, and colleagues are encouraging us to embrace these opportunities. Evidence from publications, websites, discussion lists, personal communications, and the author''s experience is explored.

Conclusion:

Developing interdisciplinary and collaborative relationships in our institutions and providing relevant services will mark our progress as vital, contributing members of our health care organizations.     

Health Literacy's Influence on Consumer Libraries

Health literacy has been redefined in recent years to move beyond an individual’s own communication skills to include the skills of persons working within health care organizations, including librarians. Provision of consumer health services and resources, while a long-standing practice in hospital libraries, has also been redefined. As definitions of health literacy have evolved, so too have hospital librarian services as they embrace their role within health literacy. Many hospital medical and consumer health librarians have developed programs, services, and collaborations to further health literacy awareness, education, and initiatives for consumers, health care professionals, and their parent organizations.     

Known Knowns and Known Unknowns

Abstract

Health care professionals often request information delivered stat. Patient treatment is urgent. Any hospital library, large or small, that uses Internet document delivery (IDD) systems can place information in the hands of the health professional faster. Libraries that use Internet document delivery technologies can provide health care professionals with information more quickly. Ultimately, it could reduce the length of a hospital stay and reduce health care costs. However, hospital libraries are faced with significant barriers that prevent them from utilizing electronic document delivery systems. docMD successfully overcame barriers and allowed small and/or rural hospital libraries to take advantage of the benefits of electronic document delivery that larger libraries have enjoyed for over a decade. It provides health professionals affiliated with smaller hospitals an equal opportunity to access professional literature quickly in order to make quicker, well-informed patient care decisions. The docMD pilot project investigated, eliminated the barriers and provided IDD services to eleven small and rural hospital libraries using a centralized document mediation center. This paper provides background information, describes the creation of the docMD service delivery model and discusses possible future project outcomes.     

Public Library Futures—Reality—Recognition—Reimagination

The author of this article recognizes that massive and rapid change is a continuing feature in big libraries, and many of the changes are new: A social worker is a full-time staff member who helps other staff to sort out and deliver the best possible services to vulnerable populations, health care specialists who help plan health programs and provide direction to staff referrals to needed medical services, and librarians specially trained to help early childhood users prepare to be good learners in school. Working on this change agenda, library staff have learned that the library’s future work is not bound up by the limits of its “stuff” (i.e., owned or rented materials) or buildings but rather to the many communities of Philadelphia people whose economic, social, and cultural needs needed to be met.     

Expanded roles for hospital libraries: a direction for successful change

Hospitals are changing to cope with a new environment and their libraries are changing with them. We demonstrate that hospital librarians can influence the change process and that expanding the role of the library is one option. Four case reports are presented to illustrate generic problems and how each library has coped with them. The issues facing hospital libraries today are viewed within the broader perspective of the American health care system.     

The impact of the hospital library on clinical decision making: the Rochester study.

In these times of economic constraint, libraries of all types are under increasing pressure to evaluate their services. Hospital libraries face a particular challenge because the goals of the health care system demand that the relevance of library services to patient care be determined. The hospital librarians in Rochester, New York, responded to this challenge by developing a research project that explored the impact of library services on clinical decision making. A systematically sampled group of 448 physicians in the Rochester area agreed to participate in the study between September 1990 and March 1991. The physicians were asked to request some information related to a current clinical case and then to evaluate its impact on the care of their patients. Senior medical staff or administrators acted as study facilitators in each of the fifteen participating hospitals. As a result of the information provided by the library, 80% of the 208 physicians who returned their questionnaires said that they probably or definitely handled some aspect of patient care differently than they would have handled it otherwise. Changes in the following specific aspects of care were reported by the physicians: diagnosis (29%), choice of tests (51%), choice of drugs (45%), reduced length of hospital stay (19%), and advice given to the patient (72%). Physicians also said that the information provided by the library contributed to their ability to avoid the following: hospital admission (12%), patient mortality (19%), hospital-acquired infection (8%), surgery (21%), and additional tests or procedures (49%). The physicians rated the information provided by the library more highly than that provided by other information sources such as diagnostic imaging, lab tests, and discussions with colleagues. In addition to confirming earlier research findings that information provided by hospital libraries is perceived by physicians as having a significant impact on clinical decision making, the results increase our store of scientific knowledge about the specific nature and extent of the impact of information provided by the hospital library.     

Enabling new interactions with library digital collections: automatic gender recognition in historical postcards via deep learning

The Walter Havighurst Special Collections from University Archives & Preservation at Miami University's King Library has a growing collection of over 600,000 historical postcards, with approximately 30,000 digitized, primarily from the Midwest during 1890–1919. This collection supports various lines of inquiry from users, such as analyzing the evolution of gender portrayal in popular media in the United States. However, manually separating the collection into postcards of males and females would take thousands of hours, which prevents the library from supporting sociological analyses at scale. After assembling an open postcard dataset, we trained deep neural networks (i.e., YOLOv5x object detection models) to automatically detect people and classify them as male or female. Our approach limited biases in favor of one outcome by balancing the number of males and females via multi-label stratified 10-fold cross-validation. We showed that this approach can accurately detect and classify females and confidently detect and label males for the library's collection of historical postcards. Our precision of 94.9 % and recall of 33.0 % from 1890 to 1919 on male gender detection exceed the performances of 94.7 % and 31 % respectively for recognition on World War I postcards in past studies. By employing our trained deep neural networks, the library can enhance its metadata within hours and support new research inquiries at scale.     

The contribution of hospital library information services to clinical care: a study in eight hospitals

Hospital health sciences libraries represent, for the vast majority of health professionals, the most accessible source for library information and services. Most health professionals do not have available the specialized services of a clinical medical librarian, and rely instead upon general information services for their case-related information needs. The ability of the hospital library to meet these needs and the impact of the information on quality patient care have not been previously examined. A study was conducted in eight hospitals in the Chicago area as a quality assurance project. A total of 176 physicians, nurses, and other health professionals requested information from their hospital libraries related to a current case or clinical situation. They then assessed the quality of information received, its cognitive value, its contribution to patient care, and its impact on case management. Nearly two-thirds of the respondents asserted that they would definitely or probably handle their cases differently as a result of the information provided by the library. Almost all rated the libraries' performance and response highly. An overview of the context and purpose of the study, its methods, selected results, limitations, and conclusions are presented here, as is a review of selected earlier research.     

Role Development in the Managed Care Era: A Case of Hospital-Based Nursing

Managed care poses numerous opportunities and challenges for today's health care organizations and their employees. This article investigates the ways that hospital nurses develop and make sense of their professional roles and organizational environments in a changing and often uncertain managed care setting. The case study approach used in this research combined qualitative methodologies to gain a rich, detailed, and contextual understanding of nurses' work roles and organizational experiences. After an analysis of interviews with 24 nurses and observations of nurses' communicative activities on one inpatient unit, the complexity of sensemaking and role development in a managed care environment is considered. Conclusions are then drawn regarding the theoretical and pragmatic implications of nurses' communicative processes, as they attempted to develop and understand their roles in a changing organizational context.     

Providing real-time resources in support of LGBTQ+ and HIV+ populations as information experts on the ECHO hub team: a case report

Background:Project ECHO (Extension for Community Healthcare Outcomes) is a telehealth initiative that aims to reduce disparities in delivery of health care by leveraging technology and local expertise to provide guidance on specialized subjects to health care providers across the world. In 2018, a new ECHO hub convened in Indianapolis with a focus on health care for individuals in the lesbian, gay, bisexual, trans, and queer (LGBTQ+) populations. This ECHO iteration was one of the first of its kind and would soon be followed by a new human immunodeficiency virus (HIV) ECHO as well.Case Presentation:In a novel approach, information professionals participated in the early planning stages of the formation of these ECHO teams, which enabled the provision of real-time medical evidence and resources at the point-of-need once the teams were launched. This case study demonstrates proof of concept for including health sciences librarians and/or information professionals in the ECHO as hub team members. In this case study, the authors describe and quantify the value added to the HIV and LGBTQ+ ECHO sessions by the medical librarians, as well as provide a template for how other telehealth initiatives can collaborate with their local health information professionals.Conclusions:Librarian involvement in Project ECHO over the past three years has been enthusiastically received. The librarians have contributed hundreds of resources to ECHO participants, helped build and curate resource repositories, and expanded the embedded librarian program to an additional two ECHO iterations. ECHO hub team members report high rates of satisfaction with the performance of embedded librarians and appreciate the provision of point-of-need evidence to ECHO participants.     

A Review of: “HMO/PPO Directory 2011, 23rd ed. Gottlieb,Richard, ed.”

ABSTRACT

There is limited literature on hospital archives projects. Hospitals understandably have a strong focus on patient care, but there is still a critical need to keep institutional archives. Among their many uses, institutional archives preserve corporate memory, provide evidence of interactions with community, and assist in contemporary decision making. This column describes a university-hospital partnership to undertake a one-year project to preserve, detail, and digitize ten boxes, or approximately 3.8 meters, of materials dating from 1980 to 2006. This project serves as a model for other hospital or health care facilities wanting to preserve and more actively engage with their archival collections.     

Vital pathways for hospital librarians: present and future roles

Objectives:

The research objectives were to (1) describe the current and future roles of hospital librarians and the challenges they face and (2) find evidence supporting the hypothesis that librarians are essential to hospitals in achieving the organizations'' mission-critical goals.

Method:

The authors used results from a previous research study that identified the five organizational mission-critical goals important to hospital administrators and then searched the literature and solicited examples from hospital librarians to describe the librarian''s role in helping hospitals achieve these goals.

Results:

The literature supports the hypothesis that hospital librarians play important roles in the success of the hospital. Librarians support quality clinical care, efficient and effective hospital operations, continuing education for staff, research and innovation, and patient, family, and community health information needs.

Conclusion:

Hospital librarians fulfill many mission-critical roles in today''s hospital, providing the right information at the right time in a variety of ways to enhance hospital and medical staff effectiveness, optimize patient care, improve patient outcomes, and increase patient and family satisfaction with the hospital and its services. Because hospital librarians and their services provide an excellent return on investment for the hospital and help the hospital keep its competitive edge, hospital staff should have access to the services of a professional librarian.

Highlights

• A review of the literature supports the hypothesis that services of the professional librarian result in:
  • enhanced staff effectiveness,
  • optimized patient care,
  • improved patient outcomes, and
  • increased patient and family satisfaction with the hospital and its services.

Implications

• Because hospital librarians and their services provide an excellent return on investment for the hospital and help the hospital keep its competitive edge, hospital staff should have access to the services of a professional librarian.

     

Conversations among Coal Miners in a Campaign to Promote Hearing Protection

Although working in a coal mine can diminish one's hearing capabilities by 50%, not until 2000 did federal laws require companies to establish noise standards in order to help prevent hearing loss among their employees. Since then, researchers have worked with safety administrators to develop effective messages promoting hearing protection and testing. This research assessed the effects of campaign messages on discussing campaign postcards and talking with others about a helmet-sticker incentive. The results, which are discussed with a focus on future campaigns, indicate that hearing-related attitudes, intentions, and behaviors are the most influenced by messages that were affectively neutral and least influenced by messages that were affectively negative.