Planning changes to health library services on the basis of impact assessment

Background: Various methods of impact assessment for health library services exist, including a toolkit developed for the UK. The Knowledge, Resource and Information service (KRIS) for health promotion, health service commissioning and public health (Bristol area, UK) commissioned an independent team at Aberystwyth University to provide an impact assessment and evaluation of their services and to provide evidence for future planning. Objective: The review aimed to provide an action plan for KRIS through assessing the impact of the current service, extent of satisfaction with existing services and views on desirable improvements. Methods: Existing impact toolkit guidance was used, with an adapted impact questionnaire, which was distributed by the KRIS staff to 244 users (response rate 62.3%) in early 2009. The independent team analysed the questionnaire data and presented the findings. Results: Users valued the service (93% considered that relevant information was obtained). The most frequent impacts on work were advice to patients, clients or carers, and advice to colleagues. Literature searching and current awareness services saved staff time. Many users were seeking health promotion materials. Conclusion: The adapted questionnaire worked well in demonstrating the service impacts achieved by KRIS, as well as indicating desirable improvements in service delivery.     

Bibliotherapy for mental health service users Part 2: a survey of psychiatric libraries in the UK

Aims and objectives: UK health policy advocates a patient‐centred approach to patient care. Library services could serve the rehabilitation needs of mental health service users through bibliotherapy (the use of written, audio or e‐learning materials to provide therapeutic support). Part 2 of this two‐part paper assesses the views of psychiatric libraries in the UK on providing access to service users and possible services provided. Methods: An e‐mail questionnaire survey of psychiatric library members of the psychiatric lending co‐operative scheme (n = 100) obtained a response rate of 55%, mostly from libraries based in hospitals. Results: At present, libraries funded by the health service provide minimal facilities for service users. Librarians are uncertain about the benefits and practicalities of providing access to service users. Conclusions: In order to implement change, information providers across the National Health Service (NHS) will need to work collaboratively to overcome attitudinal and institutional barriers, including the key issue of funding.     

Bibliotherapy for mental health service users Part 1: a systematic review

Aims and objectives: UK health policy advocates a patient‐centred approach to patient care. Library services could serve the rehabilitation needs of mental health service users through bibliotherapy (the use of written, audio, or e‐learning materials to provide therapeutic support). Part 1 of a two part article describes a systematic review of the evidence for the effectiveness of bibliotherapy in mental health services. Methods: The systematic review of the literature used Cochrane guidelines, together with an overview of evaluations of bibliotherapy initiatives, and assessments of the needs of adult mental health service users for rehabilitation support. Results: The evidence strongly suggests that library‐based interventions and the provision of information could be beneficial for service users and economical for the health service in assisting treatment of a range of conditions. At present, public libraries in the UK are developing basic bibliotherapy services. Conclusions: Librarians, including librarians working for the health service, might provide more sophisticated bibliotherapy services, but the evidence to guide delivery is limited.     

Outreach services in healthcare libraries: perceptions and impacts

Outreach services are becoming more prevalent throughout the health library sector both in the UK and abroad, and they have the potential to impact on information support for evidence‐based medicine. This article reports on a study which explored the perceptions of UK health library staff about the term ‘outreach’ and demonstrated that a variety of services are being offered under this umbrella term. Whilst practitioners are also divided over the impact of outreach services, many of them see this as key to future service developments. The study was completed by Rebecca Dorsett as part of her MSc in Information and Library Management at Northumbria University. She was supervised by Sue Childs and graduated in 2012 with a Distinction. Rebecca is now due to commence a new role as Information Support Officer for the Ministry of Defence. AM     

The SPECTRAL project: a training needs analysis for providers of clinical question answering services

Purpose: To characterise the training needs of those providing clinical question answering services (CQAS). Participants: Seventeen specialist UK staff working in CQAS, 21 from general health library UK staff and eight international respondents. Methodology: A literature review examined documented training needs for CQAS staff. A follow‐up questionnaire examined prior training and experience and identified training needs for the surveyed staff. Results/outcomes: Ninety per cent of CQAS staff had worked in health services for 3 years or longer. Training received in preparation for the CQAS role comprised literature searching (including the PRECEPT/ADEPT and cochrane library courses) and critical appraisal. Skills considered ‘essential’ for clinical question answering were ‘literature searching’ (100%), ‘understanding the context of clinical questions’, ‘bibliographic databases’, ‘evidence‐based sources’ and ‘the Internet’ (all 93%). Main training needs for specialist CQAS staff include management and organisation of CQAS and technical skills in interpretation and presentation. Discussion/conclusion: CQAS staff require a formal training programme. Most CQAS staff considered that this should be a mandatory requirement.     

Measuring the value and impact of health library and information services: past reflections, future possibilities

Objectives: To summarize the context, history and results of research studies conducted on the value and impact of health library and information services by the author since 1975 and to use this as a basis for examining ongoing developments related to evaluation research. To provide a comprehensive bibliography of library value and impact studies. Methods: Literature review and background based on personal involvement in the studies under discussion. Results: The author's studies demonstrate an ongoing evolution of value and impact studies since the mid‐1970s. In health sciences libraries, the approach taken to measuring value and impact has been strongly influenced by the type of research being conducted in the health sciences field as a whole. As a result, health sciences library researchers have become early adopters of methods that incorporate outcome and impact measures and rigorous research designs, and the concept of evidence‐based library and information practice. The paper recommends that a range of research approaches from various disciplines be used to guide future evaluation research. Conclusions: Value and impact studies will continue to be important resources for evidence‐based practice as health information professionals deal with evolving user needs and new ways of delivering information to a variety of audiences.     

Developing a generic tool to routinely measure the impact of health libraries

Background

Health libraries contribute to many activities of a health care organisation. Impact assessment needs to capture that range of contributions.

Objectives

To develop and pilot a generic impact questionnaire that: (1) could be used routinely across all English NHS libraries; (2) built on previous impact surveys; and (3) was reliable and robust.

Methods

This collaborative project involved: (1) literature search; (2) analysis of current best practice and baseline survey of use of current tools and requirements; (3) drafting and piloting the questionnaire; and (4) analysis of the results, revision and plans for roll out.

Findings

The framework selected was the International Standard Methods And Procedures For Assessing The Impact Of Libraries (ISO 16439). The baseline survey (n = 136 library managers) showed that existing tools were not used, and impact assessment was variable. The generic questionnaire developed used a Critical Incident Technique. Analysis of the findings (n = 214 health staff and students), plus comparisons with previous impact studies indicated that the questionnaire should capture the impact for all types of health libraries.

Conclusions

The collaborative project successfully piloted a generic impact questionnaire that, subject to further validation, should apply to many types of health library and information services.     

Monograph Interlending for the Higher Education Research Community

This article presents the findings of a small-scale study undertaken at a UK university. The purpose of the research was to investigate the perceived impact and value of the Academic Library Liaison service at the university. This was considered to be a critical issue of concern, in the light of drivers threatening the UK higher education library sector to de-professionalize—or worse, remove such services. A mixed methods approach was adopted, combining an online questionnaire disseminated to academic staff, resulting in 29 responses from three academic departments and in-depth interviews with eight members of academic staff. The results indicate that although academic staff do value the service provided by Academic Liaison Librarians (ALLs), there is scope to increase awareness of the range of services on offer. The study also demonstrates that academic staff prioritize the contribution that ALLs can make through the possession of in-depth subject knowledge, IT skills and well-developed communication skills, and the provision of advice on copyright matters and assistance with institutional repositories. This holds implications for curriculum design on the part of LIS educators.     

Evaluation of the KA24 (Knowledge Access 24) service for health and social care staff in London and the south-east of England. Part 2: qualitative

AIM AND OBJECTIVES: The aim of this two-part paper is to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the KA24 (Knowledge Access 24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The objectives of the qualitative evaluation were to assess the enablers and barriers to usage, and to assess the impact of the service on patient care. METHODS: Telephone interviews (n = 65) and a questionnaire survey (n = 296) were conducted with various types of user, in various Trust settings. Some non-users were also contacted. Selection of interviewees and questionnaire recipients was not random, and aimed to cover all groups of users representatively. RESULTS: Results show that policy goals were being delivered, with indications of changes to clinical practice, and improved clinical governance. Promotion, training and support needs to be extensive, and tailored to needs, but users are not always aware they need training. The sharing of passwords cast doubts on the reliability of some usage data. CONCLUSIONS: Digital health library services, delivered at the point of care, are changing the way some clinicians practise. A combination of qualitative and quantitative evaluation methods are needed to assess digital library services.     

英国公共图书馆面向特殊群体的阅读推广

分析英国公共图书馆为特殊群体开展阅读推广活动所取得的成效,以期对我国公共图书馆特殊群体服务提供借鉴及经验指导,促进公共图书馆服务均等化。文章采用文献研究法、案例分析法以及邮件调研的方式,选取英国部分公共图书馆阅读推广活动案例以及英国国家扫盲信托基金会(National Literacy Trust)和阅读机构(The Reading Agency)的阅读项目等进行分析研究。并对我国公共图书馆特殊群体阅读推广活动提出3点建议:加强公共图书馆与社会机构间的合作;注重品牌服务的评估机制;拓宽品牌阅读项目的受众群体。     

Patient and Public Information delivery through NHS library and knowledge services: how Knowledge for Healthcare changed the landscape

Health care library and knowledge services (LKS) are now expected to contribute to the provision of Patient and Public Information (PPI). The challenges of an ageing population, prevalence of long‐term conditions and the encouragement of patients to self manage give added impetus. The Knowledge for Health care PPI Task and Finish Groups developed strategic partnerships with national organizations and produced a suite of resources to support LKS staff. Outputs include guidance, workshop materials, an Ideas Bank and Guide to NHS Choices. The work of the PPI Task and Finish groups will continue to support staff as they develop activities and evidence its impact.     

开放科学环境下研究型图书馆资源建设与服务分析——以NLM为例

[目的/意义]开放科学环境对研究型图书馆资源建设与服务提出新的要求,分析在开放科学环境下研究型图书馆--美国国立医学图书馆转型现状,有助于为国内研究型图书馆转型提供借鉴。[方法/过程]在分析开放科学构成要素的基础上,从图书馆发展战略、图书馆资源建设和图书馆服务3个角度,总结美国国立医学图书馆为应对开放科学的发展要求而做出的战略层面的演变,并重点分析其资源建设实践（开放资源建设、数据中心建设、资源语义化组织和软件工具开发等）和服务实践（科学信息开放共享服务、公共信息服务、数据管理服务、开放教育服务、新媒体及移动服务等）。[结果/结论]美国国立医学图书馆从政策引导、资源基础、平台支撑、服务方式、服务途径5个角度很好地践行了开放科学的发展要求。研究型图书馆应逐渐由信息资源中心向数据中心转变,从战略决策、开放获取平台建设、数据中心建设、软件工具开发等角度来推动开放科学发展。     

图书馆个性化服务的用户隐私保护需求实证研究

使用问卷调查图书馆用户的个人信息提供意愿、隐私保护政策需求及影响它们的因素,根据调查结果提出制定明确的隐私保护政策、采用先进技术保护用户隐私、开展信息伦理教育以提高馆员的职业道德、根据用户需求有针对性的开展个性化服务等建议供图书馆实施用户隐私保护时参考。
     

Children in hospital: I. Survey of library and book provision*

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What type of leader am I?: a training needs analysis of health library and information managers

Background: Leadership is a necessary facet of professional practice for health library and information managers (HLIMs). Several training needs analyses (TNA) in the health library and information services field have been conducted in recent years, all identifying a need for professional development in leadership skills. However, these previous TNAs have not focused on specific elements of leadership skills required by health library and information managers. Objectives: The National Library for Health (NLH) commissioned the School of Health and Related Research (ScHARR) at the University of Sheffield to conduct a TNA where HLIMs assess their current leadership skills and identify any future development needs in this area. The results would inform a programme of influencing skills workshops. Methods: HLIMs in the UK were invited to complete a self‐assessment online questionnaire. The questionnaire utilised items from Manning and Robertson’s Influencing Skills Style Profile (ISSP). This allowed the results to be characterised by influencing ‘style’. Results: HLIMs considered themselves to have strengths in the leadership areas of influencing, negotiating, managing change and delivering presentations to decision‐makers. They identified significant development needs in communicating with stakeholders, conflict resolution, using body language and being assertive. Most HLIMs demonstrated two collaborative styles identified by the ISSP, namely strategic collaborator and opportunistic collaborator. Conclusions: In difficult times, HLIMs may need to adapt to more of an ‘opportunistic‐battler’ influencing style. It is important that HLIMs not only assess their own leadership skills but also that they take opportunities to employ 360^° feedback, comprising assessment from subordinates, peers and supervisors.     

Developing a Cancer-Focused Library Survey — Assessing the Current Environment and Planning for the Future

The primary goal of this project is to understand how each National Cancer Institute-designated cancer center library, and all libraries that support cancer research, function within their institutions. Through an in-depth survey focused on three major areas (staff, content and tools procurement, and user services), the research team hopes to determine how a cancer-centric library can be successful in supporting quality patient care, research excellence, and education. Additionally, the survey will examine the necessary minimum staffing levels for librarians and information professionals based on organizational size and degree of research focus. The survey will seek out the new skills librarians will need to deliver optimal services. The survey will also explore how content libraries purchase reflects and maps to constituents’ current medical and research activities. Libraries within a research intense environment have a responsibility to align with researchers and health care professionals to provide resources and services that support their workflows. Cancer libraries need to be attuned to their institutions’ missions, whether that includes excellent patient care, research endeavors, or cutting-edge educational programs. The information gathered from the survey will provide data for this research team to define the vision and standards of excellence for a cancer specialized research library.     

Supporting ‘Best Research for Best Health’ with best information

Background: This article describes the potential role for National Health Service (NHS) libraries in supporting health research. The content is partly based on the proceedings of the ‘Best Information for Best Research for Best Health’ event at University of Leicester in November 2006. Objectives: With reference to the UK Department of Health's Research and Development (R&D) strategy, Best Research for Best Health and the Cooksey Review of public funding of health research, the article seeks to identify areas where NHS library and information staff can become involved in supporting the research process. Methods: The authors examined the challenges and opportunities that these reports offer and looked at two areas where library and information services (LIS) staff can potentially expand their services‐supporting researchers at every stage of the research process and transferring research into practice. Results: Staff in NHS libraries need to create an environment in which their role in the research process is recognized and valued. LIS staff can develop roles within the research process and thereby improve the robustness and validity of research outputs. Training and development of LIS staff is a key priority and can be taken forward despite the limitations of budgets and staffing levels. Conclusions: A proactive and assertive approach is needed to achieve a cultural shift within NHS library practice from supporting research from the outside, to being fully integrated within the research process.     

The value and impact of information provided through library services for patient care: a systematic review

OBJECTIVE: An updated systematic review was carried out of research studies looking at the value and impact of library services on health outcomes for patients and time saved by health professionals. METHODS: A comprehensive systematic search was undertaken of the published literature to September 2003 in ERIC, LISA, MEDLINE, PREMEDLINE, EMBASE, the Cochrane Controlled Trials Register and Google. Some handsearching was carried out, reference lists were scanned and experts in the field were contacted. Twenty-eight research studies of professionally led libraries for health-care staff, including clinical librarian projects, met the inclusion criterion of at least one health or 'time saved' outcome. Papers were critically appraised using internationally accepted criteria. Data were extracted and results were summarised using a narrative format as the studies were heterogeneous and precluded a statistical analysis. RESULTS: There is evidence of impact from both traditional and clinical librarian services. The higher quality studies of traditional services measured impacts of 37-97% on general patient care, 10-31% on diagnosis, 20-51% on choice of tests, 27-45% on choice of therapy and 10-19% on reduced length of stay. Four studies of clinical librarian projects suggested that professionals saved time as a result of clinical librarian input, and two of these studies showed evidence of cost-effectiveness. However, the clinical librarian studies were generally smaller, with poorer quality standards. CONCLUSIONS: Research studies suggest that professionally led library services have an impact on health outcomes for patients and may lead to time savings for health-care professionals. The available studies vary greatly in quality but the better quality studies also suggest positive impacts. Good practice can be gathered from these studies to guide the development of a pragmatic survey for library services that includes the direct effects for patients among the outcome measures.     

研究生学术信息查寻行为模型与实证研究

[目的/意义]通过模型设计和实证分析刻画研究生学术信息查寻行为特征、潜在规律,为图书馆信息服务和查询任务设计提供建议。[方法/过程]基于活动理论及其方法论构建研究生学术查寻行为的六步研究模型,以北京大学研究生为例,通过问卷调查和访谈收集相关数据。[结果/结论]构建研究生学术信息查寻行为的活动模型,分析个体查寻行为和合作查寻行为的主体、客体、工具、结果、子系统和结构特征,揭示研究生在查寻工具选择、障碍克服、合作查寻等方面的潜在规律,总结图书馆资源推介、定题咨询、信息素养教育和研究生查询任务设计方面的建议。     

Research engagement in health librarianship: Outcomes of a focus group

It is widely recognised that there is a lack of research engagement in librarianship. Anecdotal and editorial based observations express concerns regarding this situation but there is a lack of research exploring it. The research which does exist has been conducted at a generic level with little relevance to specific disciplines of librarianship therefore weakening its impact and applicability at discipline level. To date, there have been no studies that examine issues of research engagement exclusively within the context of UK health librarianship. This study reports on the findings of a focus group conducted as part of a larger study which attempted to redress this current gap in the evidence base. The focus group aimed specifically to gain consensus on the top five key barriers and top five key priorities for research engagement in the UK health librarianship. The main findings suggest that barriers to research engagement are mainly contextualised within research addressing key matters for the profession of health librarianship, whilst priorities are mainly contextualised within the role health librarians have in supporting the research of the health professionals to whom they provide library services. Outcomes of the focus group provide early empirical evidence to confirm that whilst there is considerable goodwill towards research and the development of the evidence base in health librarianship, there are existing challenges between working for the interests of both the library service user and development of the evidence base in healthcare, and the evidence based progression of the health librarianship profession.