The Lived Experience and Training Needs of Librarians Serving at the Clinical Point-of-Care

This study examines the emotional experiences and perceptions of librarians embedded into clinical care teams and how those perceptions affect their training and preparation needs. Qualitative research methodologies were applied to textual data drawn from focus groups (n = 21), interviews (n = 2), and an online survey (n = 167), supplemented by quantitative survey data. Phenomenological results show librarians experience strongly affective responses to clinical rounding. Important factors include personal confidence; relationships with team members, patients, and families; and the stressful environment. Analysis of librarians’ perceived educational needs indicates that training must address specialized subjects including medical knowledge, clinical culture, and institutional politics.     

Public Access Microcomputers Part I

No abstract available for this article.     

Clinical Pharmacology: A Comprehensive Drug Reference

Abstract

This column discusses the point-of-care tool Clinical Pharmacology. This review is primarily intended for newer health sciences librarians who are learning about drug references and clinical decision-making support systems or health sciences librarians making collection development decisions, although any librarian will find this review useful. A sample search will be provided to highlight the database’s unique features as well as a comparison to other resources.     

美国《临床化学杂志》栏目和版面设置对中文期刊的启示

期刊设置栏目能体现出期刊内容的大致轮廓及传播信息的类别和范围,为读者的检索和阅读提供方便,是期刊总体设计的一个重要的组成部分.医学期刊栏目的科学设置不仅能够起到导读的作用,而且能够吸引优秀稿件,帮助作者在投稿时对文章进行准确定位.国内期刊常设的栏目大同小异,缺少个性和特色.本文介绍美国《临床化学杂志》栏目设置的特点,总结该刊值得借鉴之处,希望能对扩大国内科技期刊读者群体和提高期刊的社会效益和经济效益有所帮助.     

Teaching Pragmatic Psychodynamic Psychotherapy to Graduate Social Work Students

Evolving developments in psychodynamic theory have strengthened it as an evidence-based approach and have made it concordant with social work’s strengths-based, multicultural perspective. An elective focused on teaching fundamental concepts of psychodynamic psychotherapy was developed for graduate social work students based on Kolb’s theory of experiential learning, applied to Summers and Barber’s pragmatic model of psychodynamic psychotherapy. Data were collected based on students’ experienced self-efficacy with specific competencies in psychodynamic psychotherapy in the first, sixth, and last class. Outcomes were positive, and the data were used to make specific suggestions to strengthen course outcomes.     

Factors Influencing M.S.W. Students' Interest in Clinical Practice

This study utilizes linear and log‐linear stochastic models to examine the impact that a variety of variables (including graduate education) have on M.S.W. students' desires to work in clinical practice. Data was collected biannually (between 1992 and 1998) from a complete population sample of all students entering and exiting accredited graduate programs of social work in California (n = 5,793). The influences of past practice experiences, professional motivations, socio‐demographic characteristics, ideological affiliations, and education and training experiences while a graduate students were all examined. Findings suggest that there is tremendous commonality in the variability of interest toward doing clinical practice among all student groups both before and after the completion of graduate studies. Male and female students, students of varied ethnic, social class and political identifications/affiliations, along with students of varied ages did not differ in their desire or interest to engage in clinical practice. The desire to prepare for private practice had the strongest influence—that was maintained over the course of their education—on students' interests in clinical social work. Desires to work with the poor were not associated with students' desires to be clinicians who wish to apply their trade across a wide variety of problems and populations.     

临床实践指南网络资源及元数据分析

介绍临床实践指南网络资源的分布,分析临床实践指南资源的元数据及元数据方案,为情报研究人员进一步开发和利用临床实践指南网络资源打下基础。     

Impaired motor control after sport-related concussion could increase risk for musculoskeletal injury: Implications for clinical management and rehabilitation

This review presents a conceptual framework and supporting evidence that links impaired motor control after sport-related concussion(SRC)to increased risk for musculoskeletal injury.Multiple studies have found that athletes who are post-SRC have higher risk for musculoskeletal injury compared to their counterparts.A small body of research suggests that impairments in motor control are associated with musculoskeletal injury risk.Motor control involves the perception and processing of sensory information and subsequent coordination of motor output within the central nervous system to perform a motor task.Motor control is inclusive of motor planning and motor learning.If sensory information is not accurately perceived or there is interference with sensory information processing and cognition,motor function will be altered,and an athlete may become vulnerable to injury during sport participation.Athletes with SRC show neuroanatomic and neurophysiological changes relevant to motor control even after meeting return to sport criteria,including a normal neurological examination,resolution of symptoms,and return to baseline function on traditional concussion testing.In conjunction,altered motor function is demonstrated after SRC in muscle activation and force production,movement patterns,balance/postural stability,and motor task performance,especially performance of a motor task paired with a cognitive task(i.e.,dual-task condition).The clinical implications of this conceptual framework include a need to intentionally address motor control impairments after SRC to mitigate musculoskeletal injury risk and to monitor motor control as the athlete progresses through the return to sport continuum.     

Do organizational variables influence satisfaction with nursing student practices?

Clinical practices are a vital component in the education of registered nursing students. This study analyzed the influence of organizational variables on satisfaction with clinical practices. A cross-sectional study design involved 572 registered nursing students. Two statistical methodologies, hierarchical regression models and qualitative comparative analysis of diffuse sets, were used for data analysis. In the hierarchical regression models the number of students supervised predicted satisfaction with clinical educator (β = -.22; p ≤ .001), environment (β = -.13; p ≤ .05) and overall satisfaction (β = -.15; p ≤ .05). However, in the qualitative comparative analysis, the type of center, as well as the number of services assigned to the clinical educator and the number of students per clinical educator period were conditions that influence satisfaction with clinical practices. The type of center and the clinical educator are key factors related to registered nursing students’ satisfaction with clinical practices.