高校图书馆为企业提供信息服务探析

根据企业信息需求状况及特点,分析了高校图书馆为企业提供信息服务所面临的困境,重点探讨了构建企业信息服务市场的有效途径.     

REALISE‐ing their potential?: implementing local library projects to support evidence‐based health care

Librarian involvement in Evidence‐based Health Care provides many opportunities at a local level. Unfortunately, the potential for innovative projects to inform future developments is generally lost by a failure to ‘pass the baton’—to identify lessons learnt and transferable principles. The ‘Library Support for Evidence‐based Health Care’ Project, funded by the NHS Executive Northern and Yorkshire, resulted in the implementation of locally responsive packages of hardware and software in six of the Region’s libraries. The opportunity to evaluate the collective experience of these sites, and to synthesize principles of good practice, was provided by a separately funded post‐hoc evaluation, the Research Evaluation to Audit Library and Information Support for EBHC (REALISE). This paper reports on how this evaluation was conducted, documents the strengths and weaknesses of the Project itself, and attempts to provide a checklist for use in similar projects. The paper concludes by outlining the relevance of the findings to the introduction of planned organizational approaches to quality (clinical governance) and the development of local implementation strategies across the UK, required by the NHS Information Strategy, Information for Health.     

Expanding rural primary care training by employing information technologies: the need for participation by medical reference librarians

The use of rural sites to train badly needed primary care providers requires access to sophisticated medical information not traditionally available outside of academic health centers. Medical reference librarians can play a key role in the development of primary care training sites in rural settings. Electronic information technologies, with proactive support from medical reference librarians, can provide current and detailed information without concern for distance from the health science center library. This paper discusses recent developments in technology, describes current challenges to the application of this technology in rural settings, and provides policy recommendations for medical reference librarians to enhance rural primary care training.     

Health answer quality evaluation by librarians,nurses, and users in social Q&A

Health information consumers and patients increasingly take an active role in seeking health information online and in sharing their health problems and concerns in online support groups and social media venues. However, they may risk being influenced by unreliable and misleading information in such environments, as no intermediaries monitor the quality of this information. This study focuses on evaluating the quality of health information exchanged in one of the social media venues, by investigating how librarians, nurses, and users assessed the quality of health answers in Yahoo! Answers, a social question-and-answering (Q&A) service. Through statistical analysis differences among the three participant groups, how the background characteristics influenced their assessments, and the relationships between characteristics of the content of answers and quality evaluation criteria were each considered in detail. Librarians and nurses shared similar ratings of answer quality, but had differences in their level of medical knowledge and the types of services they offer, resulting in minor differences across criteria. Users perceived the quality of health answers in social Q&A to be higher than librarians and nurses for almost all criteria. Depending on the sources of information presented in health answers, librarians, nurses, and users gave different quality assessments. Implications exist for research into and practice of evaluating the quality of health information, which need to address both search and domain expertise along with the sharing of socioemotional values preferred by users.     

Development of the National electronic Library for Mental Health: providing evidence‐based information for all

There has been an explosion of mental health literature available on the Internet over the past 5 years, with current estimates placing the number of health related Websites at over 100 000. The scope and depth of each site is unique and this serves to contribute to the difficulty of finding reliable, high‐quality literature. This paper details efforts being made within the UK to provide high quality, evidence‐based mental health literature for patients, clinicians and health policy makers as part of the National electronic Library for Health project.     

Users’ perceptions of the impact of information provided by a Consumer Health Information service: an in‐depth study of six users

This paper describes the impact of providing six users of the Health Facts Consumer Health Information Centre at Frenchay Hospital with health information. Comments from a previous user satisfaction questionnaire survey implemented by the researcher provided themes to explore. These were: (1) cognitive effects (2) affective effects (3) behavioural effects. Semi‐structured interviews were conducted with six consecutive users of the centre asking about a health problem for themselves. Health Facts information improved knowledge and understanding, reduced anxiety, and helped respondents accept and self‐manage illness, facilitated by quality of content and presentation. Everyone took some subsequent action in support of their condition. The centre saved users’ time searching for information elsewhere and staff were key players providing it. Information was shared with others, extending its impact. Increased publicity for the service was the main suggested improvement. Health Facts information was mostly rated higher than other information sources, and unexpectedly as high as information from doctors. Even well‐informed users gained new understanding. Health Facts information is highly valued, and complements advice given by health professionals. Findings reflect recent literature and government policy to get patients more involved in their own health care. The methodology may help other health information services investigate this subject.     

Levels of consciousness and awareness about evidence‐based medicine among consultants in tertiary health care institutions in Nigeria

Aims and objectives: Evidence‐based medicine (EBM) incorporates results of health care research when making decisions about the clinical care of individuals. Information and communication technologies now play significant roles in organizing available research results in EBM software suites. This study examines the level of consciousness and awareness about EBM of consultants in tertiary health institutions in Nigeria. Methods: A total of 100 consultants were randomly selected from 10 of the 29 teaching hospitals in Nigeria and data were collected using a questionnaire and an interview schedule. From this data, 64 EBM awareness and utilization variables were identified and data on the dynamics of their inter‐relationships were reported by 89 of the participants. Results: Of the 89 respondents, less than half (47.19%) have knowledge about EBM that could be considered as high, while EBM knowledge is low for the remaining respondents (52.81%). Evidence Summaries appear to be a more popular tool among the respondents than the resources of Journals and Clinical Guidelines. Conclusions: Consultants in the teaching hospitals appeared not to have the high level of EBM consciousness and awareness that would be expected of them, although there is a consciousness that EBM will foster ease of access and promote equity in health care services.     

Controlled before‐after study to evaluate change in evidence‐based practice of speech and language therapy students

Background

The integration of evidence‐based practice (EBP) into speech and language therapy (SLT) curricula has been increasingly encouraged in recent years.

Objectives

The study aimed to evaluate whether an educational module on EBP for undergraduate SLT students can improve their EBP competencies.

Methods

The EBP module, taught by a SLT faculty member and a librarian, was delivered over 2 months. All fourth year SLT students (trained group) and all fourth year psychology students (control group) of the University of Liège (Belgium) were asked to participate in the study. Their performance on an adapted Fresno test was measured before and after the module. In addition, the SLT students took a computer‐based searching task. They were also asked to share their perceptions towards the module.

Results

All the 47 SLT students and 57/108 psychology students took the pre‐ and post‐tests. Although both groups performed similarly at the baseline, only the trained students gained new skills and knowledge. Furthermore, 36 SLT students shared their perceptions on the module and offered suggestions on ways to improve it.

Discussion‐Conclusion

Trained students improved their EBP competencies. Nevertheless, the module could be strengthened along with better integration of EBP into clinical modules and across the curriculum.

     

From troglodytes to information managers: information management and technology needs to achieve the primary care NHS modernization agenda—the views of three GPs

In response to the information management and technology changes proposed by the Government’s NHS modernization initiative this article examines the issues that GPs feel to be of major significance to their work. Although information and communications technology is widely used in general practice there is no one agreed standard system. The level of technology and the manner in which it is used is also diverse throughout the profession, as are the attitudes that exist amongst GPs regarding the value of information management and technology, and the benefits efficient information management offers to them and to their patients. The views of three local GPs from practices with varying levels of information technology were obtained through semi‐structured interviews and the findings developed in the light of current discussions in the published literature. The GPs chosen reflect the disparity within general practice and, perhaps, other units of the NHS in the use and understanding of information management. The main conclusions were that there is ambivalence and scepticism about what NHSnet currently has to offer; that local electronic records benefit patient care, but when networked more widely problems of confidentiality and security result. Practitioners were also mindful of the financial costs of changes and concerned, given the impact of PCGs and clinical governance, as to who will be responsible for ensuring a common level of electronic records, IT provision, and financial and technological support.     

The value of information supplied to clinicians by health libraries: devising an outcomes–based assessment of the contribution of libraries to clinical decision–making

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The impact of library services in primary care trusts in NHS North West England: a large‐scale retrospective quantitative study of online resource usage in relation to types of service

Background: Within NHS North West England there are 24 primary care trusts (PCTs), all with access to different types of library services. This study aims to evaluate the impact the type of library service has on online resource usage. Methodology: We conducted a large‐scale retrospective quantitative study across all PCT staff in NHS NW England using Athens sessions log data. We studied the Athens log usage of 30 381 staff, with 8273 active Athens accounts and 100 599 sessions from 1 January 2007 to 31 December 2007. Results: In 2007, PCTs with outreach librarians achieved 43% penetration of staff with active Athens accounts compared with PCTs with their own library service (28.23%); PCTs with service level agreements (SLAs) with acute hospital library services (22.5%) and with no library service (19.68%). This pattern was also observed when we looked at the average number of Athens user sessions per person, and usage of Dialog Datastar databases and Proquest full text journal collections. Discussion: Our findings have shown a correlation of e‐resource usage and type of library service. Outreach librarians have proved to be an efficient model for promoting and driving up resources usage. PCTs with no library service have shown the lowest level of resource usage.