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Characteristics of early adopters of end-user online searching in the health professions 总被引：1，自引：0，他引：1
J G Marshall 《Bulletin of the Medical Library Association》1989,77(1):48-55
This paper examines end-user, online searching using data from a questionnaire mailed to 150 Canadian health professionals in practice settings. The response rate was 83% (n = 124). The data provide a demographic profile of early adopters of end-user searching in the health care community. Positive correlations with the user's level of implementation of end-user searching were found for the following variables: amount of time spent in research activities, amount of system training received, and use of Medical Subject Headings (MeSH). There was a negative association between the amount of time spent in patient care and implementation level. General practitioners and family physicians had lower implementation levels than physicians in other specialties. Successful implementers were more likely to be computer literate and to place a high value on formal information sources such as books, journals, and libraries. Health professionals using so-called "user-friendly" or menu-based software had lower levels of personal commitment to using online databases, as measured by a combination of continuance of use, willingness to pay personally, type of recommendations made to colleagues, and hardware ownership. 相似文献
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Joanne Gard Marshall Julia Sollenberger Sharon Easterby-Gannett Lynn Kasner Morgan Mary Lou Klem Susan K. Cavanaugh Kathleen Burr Oliver Cheryl A. Thompson Neil Romanosky Sue Hunter 《Journal of the Medical Library Association》2013,101(1):38-46
Objective:
The research conducted a large-scale, multisite study on the value and impact of library and information services on patient care.Methods:
The study used: (1) 2 initial focus groups of librarians; (2) a web-based survey of physicians, residents, and nurses at 56 library sites serving 118 hospitals; and (3) 24 follow-up telephone interviews. Survey respondents were asked to base their responses on a recent incident in which they had sought information for patient care.Results:
Of the 16,122 survey respondents, 3/4 said that they had definitely or probably handled aspects of the patient care situation differently as a result of the information. Among the reported changes were advice given to the patient (48%), diagnosis (25%), and choice of drugs (33%), other treatment (31%), and tests (23%). Almost all of the respondents (95%) said the information resulted in a better informed clinical decision. Respondents reported that the information allowed them to avoid the following adverse events: patient misunderstanding of the disease (23%), additional tests (19%), misdiagnosis (13%), adverse drug reactions (13%), medication errors (12%), and patient mortality (6%).Conclusions:
Library and information resources were perceived as valuable, and the information obtained was seen as having an impact on patient care.Highlights
- Library and information resources were perceived as valuable, and the information obtained was seen as having an impact on patient care.
- Electronic access to information resources from multiple locations has increased the ability of health professionals to use these resources for improved patient care.
- The roles of librarians are diversifying to include management of electronic resources, user instruction and support, specialized research and clinical information search services, and involvement in institution-level quality improvement.
- It is possible to conduct a large-scale, multisite study on the value and impact of library services on patient care.
Implications
- Ongoing studies of the value and impact of library and information resources will be important for advocacy and quality improvement.
- Community-Based Participative Research methods hold promise as a way of ensuring the relevance of future research.
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The impact of the hospital library on clinical decision making: the Rochester study. 总被引：1，自引：0，他引：1
J G Marshall 《Bulletin of the Medical Library Association》1992,80(2):169-178
In these times of economic constraint, libraries of all types are under increasing pressure to evaluate their services. Hospital libraries face a particular challenge because the goals of the health care system demand that the relevance of library services to patient care be determined. The hospital librarians in Rochester, New York, responded to this challenge by developing a research project that explored the impact of library services on clinical decision making. A systematically sampled group of 448 physicians in the Rochester area agreed to participate in the study between September 1990 and March 1991. The physicians were asked to request some information related to a current clinical case and then to evaluate its impact on the care of their patients. Senior medical staff or administrators acted as study facilitators in each of the fifteen participating hospitals. As a result of the information provided by the library, 80% of the 208 physicians who returned their questionnaires said that they probably or definitely handled some aspect of patient care differently than they would have handled it otherwise. Changes in the following specific aspects of care were reported by the physicians: diagnosis (29%), choice of tests (51%), choice of drugs (45%), reduced length of hospital stay (19%), and advice given to the patient (72%). Physicians also said that the information provided by the library contributed to their ability to avoid the following: hospital admission (12%), patient mortality (19%), hospital-acquired infection (8%), surgery (21%), and additional tests or procedures (49%). The physicians rated the information provided by the library more highly than that provided by other information sources such as diagnostic imaging, lab tests, and discussions with colleagues. In addition to confirming earlier research findings that information provided by hospital libraries is perceived by physicians as having a significant impact on clinical decision making, the results increase our store of scientific knowledge about the specific nature and extent of the impact of information provided by the hospital library. 相似文献
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Cynthia J. Vaughn 《Medical reference services quarterly》2013,32(2):143-153
In order to evaluate a new Clinical Medical Librarian (CML) service at Preston Medical Library in Knoxville, Tennessee, the three departments participating in the service were surveyed and interviewed. Participants in the study shed light on how much impact the attendance of a librarian at rounds and other meetings has had on their patient care decisions as well as their use of the library. Overall, the CML service has been well received by residents and faculty and will continue to serve at least these three departments. 相似文献
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The Alfred Taubman Medical Library at the University of Michigan has offered instruction in online literature searching to third-year pharmacy students as a component of the course "Drug Information and Scientific Literature Evaluation" since 1983. In the spring of 1989, a follow-up study was conducted to assess the impact of instruction on four classes of graduates. Of a pool of 151 graduates, 90 (60%) responded to a mailed questionnaire on their use of information and computerized literature searching. The respondents were divided into four subgroups: end-user searchers, users of intermediaries, end users who used intermediaries, and those who did not use computerized literature search systems. Seventy-two percent of the respondents used some type of computerized literature searching, and 42% performed their own searches. The four subgroups differed in general computer use, familiarity with MEDLINE search terminology, information use, reasons for using or not using literature searching, and characteristics of searches (i.e., type, time frame, amount, and frequency). Training in end-user search systems appears to have had an impact on the continued use of computerized literature searching several years after the formal educational program. 相似文献
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James E Andrews Kevin A Pearce Carol Ireson Margaret M Love 《Journal of the Medical Library Association》2005,93(2):206-212
OBJECTIVE: The aim of this study was to examine the information-seeking behaviors (e.g., information resource usage patterns, access to types of sources and to medical libraries, and use of particular information technologies) of members in a primary care practice-based research network (PBRN) to inform future efforts supporting primary care practitioners in their daily care of patients. METHODS: Every primary care practitioner who was a member of the Kentucky Ambulatory Network-including family practitioners, general practitioners, nurse practitioners, and physician assistants-was surveyed. The cross-sectional survey included twenty-six questions to investigate the information-seeking behavior of primary care practitioners. RESULTS: The response rate was 51% (59 of 116). Most practitioners (58%) stated they sought information to support patient care several times per week, and most (68%) noted they do this while the patient waited. Many practitioners (40%) never or almost never perform literature searches from online sources such as MEDLINE, although 44% said they did so a few times per month. A significant correlation between use of online sources and use of print sources suggests that those who seek online information more frequently than those who do not also seek information from print sources frequently, and vice versa. Access to medical libraries was also reported as high. CONCLUSIONS: Consistent with previous studies, the primary care practitioners in this rural PBRN reported more frequent use of print and interpersonal sources compared to online sources. There appeared to be, however, a clear difference between those practitioners who are more likely to seek information, regardless of format, and those who are less inclined. Future interventions will need to address such barriers as time, cost, and information-seeking skills. 相似文献
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Clinical medical librarian: the last unicorn? 总被引：1，自引：0，他引：1
In the information age of the 1990s, the clinical medical librarian (CML) concept, like many other personalized library services, is often criticized as being too labor-intensive and expensive; others praise its advantages. To determine the attitudes of medical school library directors and clinical department heads toward implementation and feasibility of a CML program, forty randomly selected medical schools were surveyed. A double-blind procedure was used to sample department heads in internal medicine, pediatrics, and surgery, as well as health sciences library directors identified by the Association of Academic Health Sciences Library Directors (AAHSLD) annual statistics. The survey instrument was designed to measure responses to the following attitudinal variables: acceptance and nonacceptance of a CML program; importance to patient care, education, and research; influence on information-seeking patterns of health care professionals; ethical issues; CML extension services; and costs. Seventy-nine usable questionnaires out of a total of 120 (66%) were obtained from clinical medical personnel, and 30 usable questionnaires out of a total of 40 (75%) were obtained from medical school library directors. Survey results indicated significant differences between clinical medical personnel and library personnel regarding attitudes toward CML influence on information-seeking patterns, ethics, alternative CML services, and costs. Survey results also indicated a continuing strong support for CML programs in the medical school setting; however, differences of opinion existed toward defining the role of the CML and determining responsibility for funding. 相似文献
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W W Stead 《Bulletin of the Medical Library Association》1988,76(3):242-247
Duke University Medical Center conducted a strategic planning process focused on information management needs beginning in 1983 and ending in 1985. That effort concluded that the institution was ready to establish an Integrated Academic Information Management System (IAIMS). A model was proposed in which information management was to be achieved through integrated distributed resources. The elements of the IAIMS model are ongoing policy development and planning; communications; an electronic library or resource inventory; coordination of the development or selection of the end-user function; user support; and ongoing evaluation. This model is being tested to determine its effectiveness in meeting the administrative, patient care, research, and educational needs of a basic science department and a clinical science department at Duke University. 相似文献
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Debra J. Slone 《Library & information science research》2003,25(4):403-418
This study analyzed observations and interviews of 31 participants, who were divided into six age groups, to understand the influence of end-user goals and experience on Internet search approaches. Users who lacked experience approached the Internet similarly no matter what the age group. Children and older adults were more likely to lack online search experience than other users. In addition, children and older adults were more homogeneous than other users in that they had a narrow range of situational goals, whereas users in other groups had a wide range of situational goals. The study has implications for user services and research in end-user searching. An understanding of the influence of age, experience, and goals on Internet search patterns might guide how, how much, and in what format information should be presented in the future. Knowledge gained from this study can also form the basis of hypotheses for larger studies. 相似文献
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Background: In 2005, the University of Calgary entered into a contract to provide library services to the staff and physicians of Alberta Health Services Calgary Zone (AHS CZ), creating the Health Information Network Calgary (HINC). Objectives: A user satisfaction survey was contractually required to determine whether the new library service model created through the agreement with the University of Calgary was successful. Our additional objective was to determine whether information and resources provided through the HINC were making an impact on patient care. Methods: A user satisfaction survey of 18 questions was created in collaboration with AHS CZ contract partners and distributed using the snowball or convenience sample method. Results: Six hundred and ninety-four surveys were returned. Of respondents, 75% use the HINC library services. More importantly, 43% of respondents indicated that search results provided by library staff had a direct impact on patient care decisions. Conclusions: Alberta Health Services Calgary Zone staff are satisfied with the new service delivery model, they are taking advantage of the services offered, and using library provided information to improve patient care. 相似文献
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A.A. Oduwole 《International Information and Library Review》2013,45(3):109-118
This study is aimed at examining the impact of an institution's medical library on the clinical decision-making of medical officers in two Nigerian University Teaching Hospitals. Medical information sources consulted by medical officers in Nigeria University teaching hospitals were examined. The results of the study revealed that the information provided by the library was appropriate to their clinical decisions. Medics rely mostly on their institution's library and personal data collections for information. Information is sought for the purposes of managing patients, evaluating new drugs, and support for the diagnosis of ailments. Scientific and technical journals, Index Medicus, Excerpta Medical, CD-ROM (MEDLINE) databases and foreign magazines are widely consulted. Respondents judged the library collection as fair. The study recommends that the existing medical libraries and information centers in Nigeria be well stocked for the retraining of librarians in modern information technology. 相似文献
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《International Information and Library Review》1999,31(3):109-118
This study is aimed at examining the impact of an institution's medical library on the clinical decision-making of medical officers in two Nigerian University Teaching Hospitals. Medical information sources consulted by medical officers in Nigeria University teaching hospitals were examined. The results of the study revealed that the information provided by the library was appropriate to their clinical decisions. Medics rely mostly on their institution's library and personal data collections for information. Information is sought for the purposes of managing patients, evaluating new drugs, and support for the diagnosis of ailments. Scientific and technical journals, Index Medicus, Excerpta Medical, CD-ROM (MEDLINE) databases and foreign magazines are widely consulted. Respondents judged the library collection as fair. The study recommends that the existing medical libraries and information centers in Nigeria be well stocked for the retraining of librarians in modern information technology. 相似文献
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Effectiveness of an information program requires cooperation between those who make decisions and those who explain them to the various persons and groups affected. This study explores difficulties between public affairs officers and their commanders in the U. S. Air Force. A census survey, analyzing questionnaire responses of 118 com’ manding officers, compared preferred to perceived actual time allocations of their public affairs officers across sixteen job assignments. Results indicate low levels of agreement between what commanders perceive as happening and what they prefer. Discussion focuses on four specific problem areas and possible explanations. Directions for improved working relationships are identified. 相似文献
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Hsu PP 《Medical reference services quarterly》1991,10(1):49-64
The University of Florida Health Science Center Library (UF-HSCL) surveyed MEDLINE end-user activities of the faculty from the six colleges which the UF-HSCL serves. A questionnaire was developed and sent to all faculty members. The Basic SAS program was used to analyze the collected data. This survey was intended to identify the users, the reasons for faculty members not being end users, the purpose for searching MEDLINE, the information retrieval methods, the level of end-user satisfaction, and the librarian's role in information retrieval activities. Many findings from this survey were in agreement with those of the 1988 study by the National Library of Medicine. 相似文献