Knowledge Management in healthcare libraries: the current picture

Knowledge management has seen something of a resurgence in attention amongst health librarians recently. Of course it has never ceased to exist, but now many library staff are becoming more involved in organisational knowledge management, and positioning themselves as key players in the sphere. No single model of knowledge management is proliferating, but approaches that best fit the organisation's size, structure and culture, and a blending of evidence based practice and knowledge sharing. Whatever it is called and whatever models are used, it's clear that for librarians and information professionals, the importance of putting knowledge and evidence into practice, sharing knowledge well and capturing it effectively, are still what we will continue to do.     

Localising and tailoring research evidence helps public health decision making

Background

Published research evidence is typically not readily applicable to practice but needs to be actively mobilised.

Objectives

This paper explores the mechanisms used by information professionals with a specific knowledge mobilisation role to make evidence useful for local decision making and planning of public health interventions.

Methods

Data are drawn from a NIHR project that studied how, when, where and by whom published research evidence is used in commissioning and planning across two sites (one in England and one in Scotland). Data included 11 in‐depth interviews with information professionals, observations at meetings and documentary analysis.

Results

Published research evidence is made fit for local commissioning and planning purposes by information professionals through two mechanisms. They localise evidence (relate evidence to local context and needs) and tailor it (present actionable messages).

Discussion

Knowledge mobilisation roles of information professionals are not recognised and researched. Information professionals contribute to the ‘inform’ and ‘relational’ functions of knowledge mobilisation; however, they are less involved in improving the institutional environment for sustainable knowledge sharing.

Conclusion

Information professionals are instrumental in shaping what evidence enters local decision making processes. Identifying and supporting knowledge mobilisation roles within health libraries should be the focus of future research and training.

     

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.

     

New Directions in Health Sciences Libraries in Canada: Research and Evidence based Practice Are Key

This article is the second in a new series in this regular feature. The intention of the series is to look at important global developments in health science libraries. These articles will serve as a road map, describing the key changes in the field and exploring factors driving these changes. The present article by two Canadian librarians identifies important national developments which are shaping the profession such as the centralisation of health care services, the challenge of providing consumer health information in the absence of a national strategy, government recognition of the need to recognise and respond to the health needs of indigenous peoples and the growing emphasis on managing research data. Although their profession is strong, health science librarians must find ways of providing enhanced services with fewer staff and demonstrate value to organisations. JM     

International trends in health science librarianship Part 9: the UK – Scotland and Wales

This is the 9th in a series of articles exploring international trends in health science librarianship. The previous article in this series looked at Northern Ireland and the Republic of Ireland. In this issue the focus is Scotland and Wales. There will be three or four more articles this year tracking trends in the Far East, Africa, South Asia and the Middle East. JM     

Shaping the professional landscape through research,advocacy and education – an Australian perspective

This article is the first in a new series in this regular feature. The intention of the series is to look at important global developments in health science libraries. Librarians will be invited to share with HILJ readers key initiatives in their country or region. These articles should serve as a road map, describing the key changes in the field and exploring factors driving these changes. We initiate this series with an article by three Australian librarians who use research findings to depict the evolving professional landscape in their country. The starting point of their analysis is a report completed in 2011 which looked into likely future workforce and education requirements for health library professionals. The authors trace the achievements since then, most notably in the areas of research, advocacy and education. Clearly, a great deal has been achieved leading to a greater return on investment. The authors maintain that the key to shaping the profession and enhancing the status of librarians is ongoing professional development. To this end, Australia is promoting a systematic, competency based health specialist certification. Finally, they identify trends impacting on health librarianship, such as the growing importance of research data management and consumer health literacy. JM     

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.     

Peer teaching and information retrieval: the role of the NICE Evidence search student champion scheme in enhancing students’ confidence

Background

This research reports on the NICE Evidence search (ES) student champion scheme (SCS) first five years of activity (2011–2016) in terms of its impact on health care undergraduate students’ information search skills and search confidence.

Objectives

A review of students’ evaluation of the scheme was carried out to chart the changes in attitude towards NICE Evidence search as an online health care information source and to monitor students’ approach to information seeking.

Methods

This study is based on the results of questionnaires distributed to students before and after attending a training session on NICE Evidence search delivered by their own peers. The exercise was implemented in health related universities in England over a period of five consecutive academic years.

Results

(i) Students’ search confidence improved considerably after the training; (ii) ES was perceived as being an increasingly useful resource of evidence based information for their studies; (iii) the training helped students develop discerning search skills and use evidence based information sources more consistently and critically.

Conclusions

The NICE SCS improves confidence in approaching information tasks amongst health care undergraduate students. Future developments could involve offering the training at the onset of a course of study and adopting online delivery formats to expand its geographical reach.     

Knowledge for Healthcare: the future of health librarianship

Many people are still not receiving the right care. It is imperative for health care librarians to come together around a common vision to achieve Knowledge for Healthcare so that the right knowledge and evidence is used at the right time in the right place. The authors describe five workstreams within a modernisation programme: Service Transformation, Workforce Planning and Development, Quality and Impact, Resource Discovery and Optimising Investment. Communications, engagement and partnership working are central to success. The development framework sets out principles on which to base decisions, and design criteria for transforming services.     

对进入美国《医学索引》的认识与实践

具备条件的医学期刊可以考虑争取进入MEDLINE,争取进入MEDLINE的过程实际上是一个学习、提高的过程,也是转变办刊观念、使期刊逐步与国际接轨的过程。这个过程对提高期刊水平,缩短差距,会起到很大的促进作用。     

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.     

Forward view: advancing health library and knowledge services in England

This article is the fourth in a series on New Directions. The National Health Service is under pressure, challenged to meet the needs of an ageing population, whilst striving to improve standards and ensure decision making is underpinned by evidence. Health Education England is steering a new course for NHS library and knowledge services in England to ensure access to knowledge and evidence for all decision makers. Knowledge for Healthcare calls for service transformation, role redesign, greater coordination and collaboration. To meet user expectations, health libraries must achieve sustainable, affordable access to digital content. Traditional tasks will progressively become mechanised. Alongside supporting learners, NHS librarians and knowledge specialists will take a greater role as knowledge brokers, delivering business critical services. They will support the NHS workforce to signpost patients and the public to high‐quality information. There is a need for greater efficiency and effectiveness through greater co‐operation and service mergers. Evaluation of service quality will focus more on outcomes, less on counting. These changes require an agile workforce, fit for the future. There is a bright future in which librarians’ expertise is used to mobilise evidence, manage and share knowledge, support patients, carers and families, optimise technology and social media and provide a keystone for improved patient care and safety.     

隐性知识转移框架研究--以医院科研工作实践为例

医院科研团队虽然明确了解所需要的知识与具有外部嵌入知识来源的有效性,并利用多种多样的工作实践途径来促进内部隐性知识的转移。但是,医院科研在实践中仍然存在隐性知识转移的困境。文章对科研团队对怎样组织与设计知识转移实践的方式以及达到什么程度才符合知识转移和达到共享的目标、如何把这些知识存储到团队的知识管理系统来管理和捕捉隐性知识等问题进行研究讨论,把研究内部隐性知识转移思路集中定位在医院科研工作实践过程中,分析医院科研团队工作实践情境中知识重组与知识转移关系,希望通过建立跨职能科研部门以及工作实践情境的观点解决知识转移问题,促进科研协作、知识交流、学习和创新。     

隐性知识转移框架研究——以医院科研工作实践为例

医院科研团队虽然明确了解所需要的知识与具有外部嵌入知识来源的有效性,并利用多种多样的工作实 践途径来促进内部隐性知识的转移。但是,医院科研在实践中仍然存在隐性知识转移的困境。文章对科研团队对怎样 组织与设计知识转移实践的方式以及达到什么程度才符合知识转移和达到共享的目标、如何把这些知识存储到团队的 知识管理系统来管理和捕捉隐性知识等问题进行研究讨论,把研究内部隐性知识转移思路集中定位在医院科研工作实 践过程中,分析医院科研团队工作实践情境中知识重组与知识转移关系,希望通过建立跨职能科研部门以及工作实践 情