The informationist: building evidence for an emerging health profession

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.

     

Bringing evidence to practice: a team approach to teaching skills required for an informationist role in evidence-based clinical and public health practice

Objective: The objectives were (1) to develop an academic, graduate-level course designed for information professionals seeking to bring evidence to clinical medicine and public health practice and to address, in the course approach, the “real-world” time constraints of these domains and (2) to further specify and realize identified elements of the “informationist” concept.Setting: The course took place at the Division of Health Sciences Informatics, School of Medicine, Johns Hopkins University.Participants: A multidisciplinary faculty, selected for their expertise in the course core competencies, and three students, two post-graduate National Library of Medicine (NLM) informationist fellows and one NLM second-year associate, participated in the research.Intervention: A 1.5-credit, graduate-level course, “Informationist Seminar: Bringing the Evidence to Practice,” was offered in October to December 2006. In this team-taught course, a series of lectures by course faculty and panel discussions involving outside experts were combined with in-class discussion, homework exercises, and a major project that involved choosing and answering, in both oral and written form, a real-world question based on a case scenario in clinical or public health practice.Conclusion: This course represents an approach that could be replicated in other academic health centers with similar pools of expertise. Ongoing journal clubs that reiterate the question-and-answer process with new questions derived from clinical and public health practice and incorporate peer review and faculty mentoring would reinforce the skills acquired in the seminar.

Highlights

• Interdisciplinary faculty designed and offered a graduate-level course to teach the skills required by an informationist in clinical and public health practice, further elaborating a model for preparing informationists.

Implications

• This scalable approach to teaching skills for the transfer of evidence into practice could be replicated in academic health centers with similar pools of expertise; such replication could contribute data toward validating this training approach.
• Greater clarity on an appropriate, or “good enough,” standard of evidence for supporting point-of-action decision making is needed.
• Based on the assumption that practicing skills increases confidence and the likelihood that skills will be applied, this course included mentored practice of oral and written evidence presentation skills. Further research could determine whether a course that includes such mentored practice increases the likelihood that students will apply their newly acquired skills.

     

Putting theory into practice: social sciences needs analysis

Needs analysis is a systematic process whereby information concerning a service agency and its environment is gathered by a variety of data collection methods. The information collected is then utilized for assessment and planning purposes. This paper discusses the application of needs analysis to a social science discipline utilizing three data collection methods: syllabi study, journal scatter study, and content analysis. The results of the needs analysis are triangulated and discussed, and the feasibility of needs analysis in an academic library setting is assessed.     

CD-ROM MEDLINE use and users: information transfer in the clinical setting

Effective delivery of biomedical information to health professionals depends on the availability of systems that are compatible with the information-seeking patterns of health professionals. MEDLINE is a major source of biomedical information, but has been available primarily through libraries via telecommunications networks. The recent availability of MEDLINE on CD-ROM has made it possible to provide MEDLINE directly to clinicians without the associated problems of telecommunications and online use charges. The MEDLINE on CD-ROM Evaluation Forum sponsored by the National Library of Medicine reported on clinicians' use of CD-ROM MEDLINE at seven different clinical settings. This article summarizes the findings from these sites and places them in the context of current understanding of information-seeking behaviors of health professionals. Key issues in the design and development of information technologies in the clinical setting are also articulated.     

Fusing research into practice: The role of research methods education

A survey was conducted among library and information science (LIS) practitioners to examine the effect of the research methods course on LIS practitioners' work. Findings suggest the research methods course is a valuable component of the master's in library and information science (MLIS) program. Taking the research methods course increases LIS practitioners' research interest and assists them by helping them critically evaluate published literature and apply it at work, provide better assistance to library patrons, produce valid and reliable data to facilitate decision making, identify problems at work and design and implement studies to solve them, and write grants and for publication. Suggestions are made to improve the research methods curriculum and enhance the educational experience for LIS practitioners.     

Applying evidence in the real world: a case study in library and information practice

Background/objectives: Methodological decisions made during the research process can influence generalizability of findings to real world practice. The aims of this study were to explore the impact of decisions made in the development of a palliative care search filter and to consider the implications for implementation. Methods: Three elements of the original study methodology were explored: (i) choice of OVID medline field delimiters; (ii) use of the general medical literature to evaluate the filter's performance; and (iii) use of the OVID interface. Sensitivity, specificity, accuracy and precision rates of variant search strategies were compared to consider each issue. Results: The delimiter .af. outperformed the alternatives of .tw. or .mp. in OVID medline , improving sensitivity from 45.4 to 46.2%. Applying the filter in the specialist palliative literature resulted in 87.5% (692/791) of articles being retrieved using either .tw. or .mp., increasing to 100% (791/791) with the .af. delimiter. Finally, a PubMed version of the filter was successfully validated. Conclusions: Reviewing three methodological decisions that preserved validity in an original study led to the improved utility of a search filter in practice. Generating high‐quality evidence is only part of evidence‐based practice: consideration of generalizability issues can inform further research and effective evidence implementation.     

Designs of duty: Using exhibits to build partnerships

Exhibits in academic libraries are drivers for outreach. Many exhibit programs center on national traveling exhibits often because they are well done and already completed. The only input necessary from a host institution is space and a small amount of time to put up the exhibit. Locally made exhibits create a stronger connection to the community, but they are more expensive in terms of time for research and creating the exhibit, and money for printing. The adage “many hands make light work” accurately describes the local exhibit creation process when multiple groups come together. Partnerships between libraries to share exhibit content broaden the Pool of exhibit possibilities and raise awareness of exhibit programs for all partners. In this case, an exhibit at the University of Illinois at Urbana-Champaign that focused on veterans and their service-related tattoos was picked up and built upon by Eastern Illinois University. This case study covers multiple libraries, both academic and public, sharing an exhibit about veterans and their tattoos, providing outreach opportunities to veteran and service member populations at all participating libraries     

医学编辑如何在循证医学实践中发挥作用

循证医学的实施,需要医学期刊提供高质量的临床研究证据,而我国医学期刊的学术质量现状不尽如人意,医学编辑可以通过循证思维能力的培养,对流行病学及统计学知识的掌握,提高对稿件学术质量的鉴审能力,并通过改革编审策略提高期刊质量,为循证医学的发展起推波助澜的作用.     

加快高校图书馆现代化建设步伐,努力为教学科研服务

总结了安徽工业大学图书馆自动化管理和数字化、网络化建设情况,分析了Libsys2000系统的性能,提出了不断提升图书馆现代化水平的思路。     

大学图书馆系统建设的探索与实践

针对现代大学的特征、职能与大学图书馆的定位,分析传统模式的大学图书情报服务机构之间的关系、现状及存在问题,论述大学图书馆系统建设的必要性、建设思路、网点布局、图书馆建筑、资源建设、读者服务和业务管理等,为现代大学信息服务机构的整合及建设提出了新的思路.     

探讨中文图书招标折扣的几个问题

折扣不应该是中文图书招标的核心因素,却成为各方关注的焦点。文章阐述对折扣相关问题的看法,包括折扣降低趋势的合理性、低折扣中标的比较分析,以及如何对书商进行规范化的评价。     

人工语言与自然语言融合理论的实施与应用

文章分析了人工语言与自然语言融合理论提出的主观和客观条件,阐述了两种语 言融合的必然性以及现阶段网络环境下人工语言与自然语言融合实施的手段及其在实践中 的应用,并对两种语言融合中遭遇的难题如何解决提出了建议。     

Using biomedical databases in everyday clinical practice: the Front-Line Evidence-Based Medicine project in North Thames

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The application and value of information sources in clinical practice: an examination of the perspective of naturopaths

Background: The approach of evidence‐based medicine (EBM), providing a paradigm to validate information sources and a process for critiquing their value, is an important platform for guiding practice. Researchers have explored the application and value of information sources in clinical practice with regard to a range of health professions; however, naturopathic practice has been overlooked. Objectives: An exploratory study of naturopaths’ perspectives of the application and value of information sources has been undertaken. Methods: Semi‐structured interviews with 12 naturopaths in current clinical practice, concerning the information sources used in clinical practice and their perceptions of these sources. Results: Thematic analysis identified differences in the application of the variety of information sources used, depending upon the perceived validity. Internet databases were viewed as highly valid. Textbooks, formal education and interpersonal interactions were judged based upon a variety of factors, whilst validation of general internet sites and manufacturers information was required prior to use. Conclusions: The findings of this study will provide preliminary aid to those responsible for supporting naturopaths’ information use and access. In particular, it may assist publishers, medical librarians and professional associations in developing strategies to expand the clinically useful information sources available to naturopaths.     

Writing the building program: the signifiance of "AND"

Various requirements in the writing of a building program are discussed, by which the various parts of the library can function together. The interrelationship of functions, services, users, and materials should be carefully studied and diagrammed. The various groups involved in the library should be consulted for suggestions, and present procedures examined for value.     

Adopting evidence-based practice in clinical decision making: nurses' perceptions, knowledge, and barriers

Objective:

Evidence-based practice (EBP) provides nurses with a method to use critically appraised and scientifically proven evidence for delivering quality health care to a specific population. The objective of this study was to explore nurses'' awareness of, knowledge of, and attitude toward EBP and factors likely to encourage or create barriers to adoption. In addition, information sources used by nurses and their literature searching skills were also investigated.

Method:

A total of 2,100 copies of the questionnaire were distributed to registered nurses in 2 public hospitals in Singapore, and 1,486 completed forms were returned, resulting in a response rate of 70.8%.

Results:

More than 64% of the nurses expressed a positive attitude toward EBP. However, they pointed out that due to heavy workload, they cannot keep up to date with new evidence. Regarding self-efficacy of EBP-related abilities, the nurses perceived themselves to possess moderate levels of skills. The nurses also felt that EBP training, time availability, and mentoring by nurses with EBP experience would encourage them to implement EBP. The top three barriers to adopting EBP were lack of time, inability to understand statistical terms, and inadequate understanding of the jargon used in research articles. For literature searching, nurses were using basic search features and less than one-quarter of them were familiar with Boolean and proximity operators.

Conclusion:

Although nurses showed a positive attitude toward EBP, certain barriers were hindering their smooth adoption. It is, therefore, desirable that hospital management in Southeast Asia, particularly in Singapore, develop a comprehensive strategy for building EBP competencies through proper training. Moreover, hospital libraries should also play an active role in developing adequate information literacy skills among the nurses.

Highlights

• Nurses in Singapore, as in other countries, support the idea of evidence-based practice (EBP) but have limited skills in the area of literature searching and understanding evidence, which limits their use of evidence-based practice.
• Only a small number of nurses were able to pick an appropriate search strategy for a given topic, indicating a lack of basic literature searching skills.
• Sufficient literature searching knowledge is essential to retrieve current, relevant, and accurate evidence. However, a majority of nurses do not know how to properly use Boolean and proximity operators, indexing, truncation, or limits.

Implications

• Librarians need to be part of providing ongoing training for clinical nurses in searching the evidence, especially in hospitals promoting EBP or seeking Magnet status.
• Training is needed for clinical nurses to be able to achieve the use of EBP, and librarians can support this goal by teaching the search strategies portion of an EBP skills course.
• This study''s instrument could be used by librarians as a needs assessment tool to measure their own clinical nurses'' information literacy skills, if justification is needed locally.