Establishing a New Clinical Informationist Role in an Academic Health Sciences Center

The concept of clinical informationists is not new, but has recently been gaining more widespread acceptance across the United States. This article describes the lessons and challenges learned from starting a new clinical informationist service targeted to internal medicine residents in a large academic medical center. Lessons included the need for becoming immersed in evidence-based practice fundamentals; becoming comfortable with the pace, realities, and topics encountered during clinical rounds; and needing organizational commitment to both the evidence-based practice paradigm and clinical informationist role. Challenges included adapting to organizational culture, resident burnout, and perceptions of information overload.     

Demonstrating Our Value: Tying Use of Electronic Resources to Academic Success

Dr. Stephanie Havron Rollins, Instruction Coordinator, and Ed Cherry, Systems Librarian at Samford University, presented the results of their research that measured the use of library electronic resources and academic success as defined by a higher grade point average (GPA). They presented statistics on student database log-ins by college, department, and major; student log-ins by level, class, and gender; and student undergraduate GPA by department and class. Research implications were discussed along with future research ideas. Their findings demonstrate to library stakeholders the impact that the library has on student success.     

“I've Never Heard of It Before”: Awareness of Open Access at a Small Liberal Arts University

Small colleges and universities, often late adopters of institutional repositories and open access initiatives, face challenges that have not fully been explored in the professional literature. In an effort to gauge the level of awareness of open access and institutional repositories at the University of Wisconsin–Eau Claire (UWEC), the authors of this article surveyed fellow faculty members at this small liberal arts university before the 2011 Open Access Week. The survey results reveal that faculty members at UWEC do not share the same level of awareness concerning open access and institutional repositories that was found in the existing scholarly literature.     

Supplementation of urban home visitation with a series of group meetings for parents and infants: results of a “real-world” randomized, controlled trial

Objective: Home visitation has been shown to be effective in reducing rates of child maltreatment and in enhancing psychosocial outcomes in children and their parents. Even when available, however, it is underutilized by parents in some urban settings. We tested a supplemental 10-session group intervention for its ability to increase active participation in home visitation, enhance the quality of caregiving behavior of parents, and improve social developmental outcome in children.Method: A randomized controlled design was utilized, involving two separate cohorts of parents of 3- to 18-month old infants, totaling 148 parent-child dyads. The intervention focused on practical experience in promoting parent-infant attachment relationships.Results: At 6 months follow-up, there was a substantial increase in the proportion of intervention group parents participating in home visitation, compared to parents in the control group (Fisher’s exact p = .008). Parents in the intervention group exhibited a trend for improvement in their capacity to appropriately interpret infants’ emotional cues (p = .08), independent of the effects of home visitation itself. Attrition in both the treatment and control groups was inversely associated with income and level of education.Conclusions: Group meetings may constitute an effective means of engaging stressed urban families in home visitation.     

Childhood emotional abuse and neglect as predictors of psychological and physical symptoms in women presenting to a primary care practice

OBJECTIVE: There were two aims to this study: first to examine whether emotional abuse and neglect are significant predictors of psychological and somatic symptoms, and lifetime trauma exposure in women presenting to a primary care practice, and second to examine the strength of these relationships after controlling for the effects of other types of childhood abuse and trauma. METHOD: Two-hundred and five women completed the Childhood Trauma Questionnaire (Bernstein et al., 1994), Trauma History Questionnaire (Green, 1996), the Symptom Checklist-revised (Derogatis, 1997), and the Revised Civilian Mississippi Scale for posttraumatic stress disorder (Norris & Perilla, 1996) when presenting to their primary care physician for a visit. Hierarchical multiple regression analyses were conducted to examine unique contributions of emotional abuse and neglect variables on symptom measures while controlling for childhood sexual and physical abuse and lifetime trauma exposure. RESULTS: A history of emotional abuse and neglect was associated with increased anxiety, depression, posttraumatic stress and physical symptoms, as well as lifetime trauma exposure. Physical and sexual abuse and lifetime trauma were also significant predictors of physical and psychological symptoms. Hierarchical multiple regressions demonstrated that emotional abuse and neglect predicted symptomatology in these women even when controlling for other types of abuse and lifetime trauma exposure. CONCLUSIONS: Long-standing behavioral consequences may arise as a result of childhood emotional abuse and neglect, specifically, poorer emotional and physical functioning, and vulnerability to further trauma exposure.     

A classroom observational study of Qatar's independent schools: Instruction and school reform

Qatar initiated a K–12 national educational reform in 2001. However, there is limited information on the instructional practices of the teachers in the reform schools. This project was an observational study of classrooms with a stratified random sample of the first six cohorts of reform schools. Specifically, 156 classrooms were observed in 29 reform schools. Instructional differences were noted in schools with different gender of students and were moderated by school level. Implications of findings were discussed pertaining to implementation of the Qatar national reform and professional development needs of teachers.     

Child Care Quality and Children's Engagement

The goal of this study was to understand the relationship between child care quality and children's engagement behavior. Seventy-eight toddlers from 17 child care centers were individually observed to determine the percentage of time they spent in sophisticated, unsophisticated, or differentiated engagement, or focused attention. The percentage of group engagement in classroom activities was recorded as well. Program quality ratings consisted of measures of the classroom environments, including the teachers. All the contextual quality measures but 1 were associated with unsophisticated engagement. Only global classroom quality was related to sophisticated engagement. The percentage of toddlers engaged in activities was associated with other program quality measures but not with observations of individual child engagement conducted at different times.