共查询到20条相似文献，搜索用时 31 毫秒
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Laura Cobus 《Journal of the Medical Library Association》2008,96(1):28-33
Objective: The paper reviews the core competencies for public health professionals presented in the Institute of Medicine''s (IOM''s) report, Who Will Keep the Public Healthy: Educating Public Health Professionals for the 21st Century; describes improving information literacy (IL) as a mechanism for integrating the core competencies in public health education; and showcases IL as an opportunity for solidifying partnerships between academic librarians and public health educators.Methods: The IOM competencies, along with explicit examples of library support from a literature review of current IL trends in the health sciences, are analyzed.Results: Librarians can play a fundamental role in implementing the IOM''s core competencies in shaping public health education for the twenty-first century. A partnership between public health educators and librarians through a transdisciplinary approach is recommended.Conclusions: IL skills and competencies integrated into public health curricula through a collaborative partnership between public health educators and librarians can help integrate the IOM''s core competencies and improve public health education.
Highlights
- Exploring and solidifying transdisciplinary partnerships with public health educators and librarians through curriculum-integrated information literacy (IL) is one avenue to continue successful education of public health professionals.
Implications
- Librarians can be considered public health collaborators essential to the twenty-first century education of health professionals.
- Future research is required to effectively evaluate the best practices of curriculum-integrated IL into public health education.
- Transdisciplinary research is advantageous for achieving the shared goal of educating public health professionals.
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Rebecca N. Jerome Nunzia Bettinsoli Giuse S. Trent Rosenbloom Patrick G. Arbogast 《Journal of the Medical Library Association》2008,96(1):34-41
Objective: The research evaluated strategies for facilitating physician adoption of an evidence-based medicine literature request feature recently integrated into an existing electronic medical record (EMR) system.Methods: This prospective study explored use of the service by 137 primary care physicians by using service usage statistics and focus group and survey components. The frequency of physicians'' requests for literature via the EMR during a 10-month period was examined to explore the impact of several enhanced communication strategies launched mid-way through the observation period. A focus group and a 25-item survey explored physicians'' experiences with the service.Results: There was no detectable difference in the proportion of physicians utilizing the service after implementation of the customized communication strategies (11% in each time period, P=1.0, McNemar''s test). Forty-eight physicians (35%) responded to the survey. Respondents who had used the service (n=19) indicated that information provided through the service was highly relevant to clinical practice (mean rating 4.6, scale 1 “not relevant”–5 “highly relevant”), and most (n=15) reported sharing the information with colleagues.Conclusion: The enhanced communication strategies, though well received, did not significantly affect use of the service. However, physicians noted the relevance and utility of librarian-summarized evidence from the literature, highlighting the potential benefits of providing expert librarian services in clinical workflow.
Highlights
- The communication strategies implemented during the study did not induce a noticeable increase in questions from physicians through the electronic medical record system.
- Surveyed physicians were generally satisfied with the evidence-based medicine literature request service and noted several resulting changes in clinical practice associated with librarian-provided evidence.
- Survey respondents viewed the monthly “evidence alert” newsletter, one of the communication strategies, as particularly effective, and it has become an integrated facet of the service.
Implications
- Librarians may contribute significantly to effective patient care by providing evidence to support the clinical decision-making process.
- The study''s findings emphasize the complexity of facilitating the adoption of services providing evidence for clinical practice.
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Melissa L. Rethlefsen Mary Piorun J. Dale Prince 《Journal of the Medical Library Association》2009,97(4):253-259
Objectives:
The research evaluated participant satisfaction with the content and format of the “Web 2.0 101: Introduction to Second Generation Web Tools” course and measured the impact of the course on participants'' self-evaluated knowledge of Web 2.0 tools.Methods:
The “Web 2.0 101” online course was based loosely on the Learning 2.0 model. Content was provided through a course blog and covered a wide range of Web 2.0 tools. All Medical Library Association members were invited to participate. Participants were asked to complete a post-course survey. Respondents who completed the entire course or who completed part of the course self-evaluated their knowledge of nine social software tools and concepts prior to and after the course using a Likert scale. Additional qualitative information about course strengths and weaknesses was also gathered.Results:
Respondents'' self-ratings showed a significant change in perceived knowledge for each tool, using a matched pair Wilcoxon signed rank analysis (P<0.0001 for each tool/concept). Overall satisfaction with the course appeared high. Hands-on exercises were the most frequently identified strength of the course; the length and time-consuming nature of the course were considered weaknesses by some.Conclusion:
Learning 2.0-style courses, though demanding time and self-motivation from participants, can increase knowledge of Web 2.0 tools.Highlights
- Course participants'' knowledge of Web 2.0 tools increased significantly.
- Medical Library Association members liked the online course format, particularly the hands-on exercises and self-pacing.
- There was no significant difference in course completion rate or course satisfaction among participants from academic, hospital, or other library settings.
- Few survey respondents pointed specifically to workplace technology blocking as a reason for non-completion, though this underestimates the effect of such blocking on hospital and corporate library staff.
Implications
- MLA members appreciate having online continuing education (CE) courses. New short, online CE courses were developed based on the findings of this survey.
- Hands-on exercises may improve learning and increase motivation.
- Time and self-motivation are necessary for completing online courses.
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Ninfa Pe?a-Purcell 《Journal of the Medical Library Association》2008,96(2):101-107
Purpose: The research examined use of the Internet to seek health information among Hispanics in the United States.Methods: A secondary analysis used the Impact of the Internet and Advertising on Patients and Physicians, 2000–2001, survey data. Pearson''s χ2 test, multivariate analysis of variance (MANOVA), analysis of variance (ANOVA), and independent samples t tests were conducted to test for relationships and differences between facets of Hispanic and non-Hispanic white online health information seeking.Results: Findings indicated lower Internet health information seeking among Hispanics (28.9%, n=72) than non-Hispanic whites (35.6%, n=883). On a scale of 1 (strongly agree) to 4 (strongly disagree), Hispanics were likely to agree that Internet health information improves understanding of medical conditions and treatments (M=1.65), gives patients confidence to talk to doctors about health concerns (M=1.67), and helps patients get treatment they would not otherwise receive (M=2.23). Hispanics viewed their skills in assessing Internet health information as good. Overall ratings were also positive for items related to sharing Internet health information with a doctor. Conflicting with these findings, Hispanics (M=3.33) and non-Hispanic whites (M=3.46) reported that physician-patient relationships worsened as a result of bringing online health information to a visit (scale 1=a lot better to 5=a lot worse).Conclusion: This study provides further evidence of differences in Internet health information seeking among Hispanics and non-Hispanic whites. Cultural discordance may be a possible explanation for Hispanics'' view that the Internet negatively impacts physician-patient relationships. Strategies to increase Hispanics'' access to Internet health information will likely help them become empowered and educated consumers, potentially having a favorable impact on health outcomes.
Highlights
- Consistent with prior studies, a lower proportion of Hispanics compared to non-Hispanic whites reported using the Internet to seek health information.
- Overall, Hispanics tended to agree that the Internet is a helpful resource for health information.
- Hispanics and non-Hispanic whites reported that bringing Internet health information to doctors'' visits worsened the physician-patient relationship.
- Consistent with prior literature, the odds of seeking Internet health information were decreased for Hispanics with low (<$25,000) and middle ($25,000– $49,000) household incomes.
Implications
- More studies are needed to provide evidence to develop culturally appropriate interventions to examine differences in Internet use and potential digital disparities among Hispanics.
- Concurrent with increasing Hispanics'' use of Internet health information, efforts to address the Internet''s impact on physician-patient relationship are warranted.
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Suzanne F Grefsheim Susan C Whitmore Barbara A Rapp Jocelyn A Rankin Rex R Robison Candace C Canto 《Journal of the Medical Library Association》2010,98(2):147-156
Background:
To encourage evidence-based practice, an Annals of Internal Medicine editorial called for a new professional on clinical teams: an informationist trained in science or medicine as well as information science.Objectives:
The study explored the effects of informationists on information behaviors of clinical research teams, specifically, frequency of seeking information for clinical or research decisions, range of resources consulted, perceptions about access to information, confidence in adequacy of literature searches, and effects on decision making and practice. It also explored perceptions about training and experience needed for successful informationists.Methods:
Exploratory focus groups and key interviews were followed by baseline and follow-up surveys conducted with researchers and clinicians receiving the service. Survey data were analyzed with Pearson''s chi-square or Fisher''s exact test.Results:
Comparing 2006 to 2004 survey responses, the researchers found that study participants reported: seeking answers to questions more frequently, spending more time seeking or using information, believing time was less of an obstacle to finding or using information, using more information resources, and feeling greater satisfaction with their ability to find answers. Participants'' opinions on informationists'' qualifications evolved to include both subject knowledge and information searching expertise.Conclusion:
Over time, clinical research teams with informationists demonstrated changes in their information behaviors, and they valued an informationist''s subject matter expertise more.Highlights
- Informationist involvement in traditional team activities—going on rounds and searching and critically evaluating the literature—increased over time.
- As the relationship between a clinical team and informationist developed, activities expanded to include projects such as development of wikis, databases, and websites.
- Clinical teams came to view subject knowledge as key to an informationist''s preparation; however, their expertise as information scientists was valued most highly.
- “Initiative,” approaching research staff in their workplace, was the one personal trait focus group participants agreed on as most desirable for an informationist.
- When first introduced to the concept, researchers cited customization of services to team needs as a major benefit.
Implications
- To assure a successful informationist program, libraries must be prepared to commit time and money.
- Whether informationists or not, librarians should be prepared to support users'' increased need for genetics and molecular biology information.
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Jocelyn A. Rankin Suzanne F. Grefsheim Candace C. Canto 《Journal of the Medical Library Association》2008,96(3):194-206
Purpose:
A systematic literature review was conducted to synthesize what is known about informationists, highlight program models, and suggest areas for future research.Methods:
Articles retrieved through database searching were reviewed for relevance. Informationist case reports were identified and coded according to an attributes checklist. Data from other retained publications were synthesized under broad themes. The few research studies found were reviewed for level of evidence.Results:
Of 113 papers reviewed, the study identified 7 classic and 8 emerging informationist programs. Two major models are apparent, clinical and research, with priorities differing according to program maturity. The literature synthesis also brought together current thinking about informationist qualifications; practice roles; setting characteristics; education and training; organizational, programmatic, and service provider success factors; and challenges and barriers. Program outcomes to date are reported, and future research topics suggested. Specific findings will assist informationist program planners.Conclusions:
While the informationist concept remains in the early adopter stage, it appears that domain knowledge, continuous learning, and embedding (working in context) are essential to success. The need for librarians to transition to greater specialization and libraries to emphasize customized service was underscored. A research agenda focused on information management, dissemination, behaviors, and economics is proposed.Highlights
- After years of emphasizing the generalist librarian, health sciences librarians must become more specialized, paralleling the health care environment in which they work.
- An embedded informationist is more likely to achieve credibility, acceptance, and sustainability than an impersonal information service provided at a distance.
- Subject expertise is essential for the informationist.
- Model informationist programs with the greatest stability are library funded.
- Because informationist programs are inherently targeted to small groups, multisite studies are necessary to achieve robust evaluation.
Implications
- A library starting an informationist program should review existing models, identify local needs, set program objectives, and then select the most appropriate approaches for its users.
- Programmatic emphasis should be placed on both technical and service excellence.
- Organizational commitment is needed for knowledge integration into practice and for the informationists'' lifelong learning.
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Todd S. Harwell Dionne Gesink Law Jennifer L. Ander Steven D. Helgerson 《Journal of the Medical Library Association》2008,96(2):134-137
Objective: The paper provides an overview of a strategy to increase utilization of online bibliographic databases by public health workers.Methods: A web-based survey of professional staff in the Montana Department of Public Health and Human Services was conducted to assess their use of and interest in training in online bibliographic databases. Based on the findings from the assessment, the department, in collaboration with the state university, provided brief ninety-minute training sessions for interested staff on the use of PubMed.Results: Seventy of 115 (61%) of staff completed the survey. Only 39% of staff reported using an online bibliographic database to conduct a literature search in the past year, and only 10% (n=7) reported having ever received any training in their use. Perceived proficiency with the use of PubMed was higher upon completion of the brief training. The majority of training participants (n=27) indicated that they were very likely to use PubMed in the next year to search the literature.Conclusions: A collaboratively designed training can increase public health workers'' proficiency in and intentions of using online bibliographic databases.
Highlights
- A web-based assessment of Montana public health workers identified a lack of training in and use of online bibliographic databases and an interest in receiving training in their use.
- Brief training in the use of online bibliographic databases increased state public health workers'' self-assessed proficiency in and intentions of using these resources.
Implications
- Low-cost strategies, such as inexpensive web-survey tools, to assess staff needs and brief training sessions for public health workers were effective in increasing public health workers'' self-assessed proficiency in using online bibliographic databases.
- Collaboration between state health departments and universities to design and provide relevant training in the use of online bibliographic databases is an effective approach to addressing public health workers'' skills in using these resources.
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Kathleen Burr Oliver Prudence Dalrymple Harold P. Lehmann Deborah Ann McClellan Karen A. Robinson Claire Twose 《Journal of the Medical Library Association》2008,96(1):50-57
Objective: The objectives were (1) to develop an academic, graduate-level course designed for information professionals seeking to bring evidence to clinical medicine and public health practice and to address, in the course approach, the “real-world” time constraints of these domains and (2) to further specify and realize identified elements of the “informationist” concept.Setting: The course took place at the Division of Health Sciences Informatics, School of Medicine, Johns Hopkins University.Participants: A multidisciplinary faculty, selected for their expertise in the course core competencies, and three students, two post-graduate National Library of Medicine (NLM) informationist fellows and one NLM second-year associate, participated in the research.Intervention: A 1.5-credit, graduate-level course, “Informationist Seminar: Bringing the Evidence to Practice,” was offered in October to December 2006. In this team-taught course, a series of lectures by course faculty and panel discussions involving outside experts were combined with in-class discussion, homework exercises, and a major project that involved choosing and answering, in both oral and written form, a real-world question based on a case scenario in clinical or public health practice.Conclusion: This course represents an approach that could be replicated in other academic health centers with similar pools of expertise. Ongoing journal clubs that reiterate the question-and-answer process with new questions derived from clinical and public health practice and incorporate peer review and faculty mentoring would reinforce the skills acquired in the seminar.
Highlights
- Interdisciplinary faculty designed and offered a graduate-level course to teach the skills required by an informationist in clinical and public health practice, further elaborating a model for preparing informationists.
Implications
- This scalable approach to teaching skills for the transfer of evidence into practice could be replicated in academic health centers with similar pools of expertise; such replication could contribute data toward validating this training approach.
- Greater clarity on an appropriate, or “good enough,” standard of evidence for supporting point-of-action decision making is needed.
- Based on the assumption that practicing skills increases confidence and the likelihood that skills will be applied, this course included mentored practice of oral and written evidence presentation skills. Further research could determine whether a course that includes such mentored practice increases the likelihood that students will apply their newly acquired skills.
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Objective: The research analyzes usage of a major biomedical library''s pre-1993 print journal collection.Methodology: In July 2003, in preparation for a renovation and expansion project, the Biomedical Library at the University of California, San Diego, moved all of its pre-1993 journal volumes off-site, with the exception of twenty-two heavily used titles. Patrons wishing to consult one of these stored volumes could request that it be delivered to the library for their use. In the spring of 2006, an analysis was made of these requests.Results: By July of 2006, 79,827 journal volumes published in 1992 or earlier had been requested from storage. The number of requests received declined with age of publication. The usage distribution exhibited a “long tail”: 50% of the 79,827 requests were for journal volumes published before 1986. The availability of electronic access dramatically reduced the chance that corresponding print journal volumes would be requested.Conclusions: The older biomedical print journal literature appears to be of continued value to the biomedical research community. When electronic access was provided to the older literature, demand for older print volumes declined dramatically.
Highlights
- Analysis of requests for stored biomedical journal volumes published prior to 1993 indicates that older biomedical journal literature receives substantial use: during this 3-year study, there were nearly 80,000 requests for journal volumes published in 1992 or earlier, with half the requests for volumes published from 1986–1992 and 40% of the request for volumes published from 1970–1985. These results indicate that retaining older print volumes, or providing easy access to the older literature through electronic journals or other means, will likely be required to meet user information needs.
- Use of older journal volumes varies by title and by user population, and a small number of journal titles were responsible for most of the use.
- Requests for older print biomedical journal titles dropped significantly when electronic access became available.
Implications
- Biomedical libraries should carefully consider implications of eliminating on-site access to older journal literature for users and budgets.
- Removing access to older journal literature may result in higher demand for interlibrary loan and document delivery services.
- Biomedical libraries can safely substitute reliable electronic access to older literature to meet ongoing needs for this information, thereby creating space for other purposes.
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Valerie A. Lynn Arpita Bose Susan J. Boehmer 《Journal of the Medical Library Association》2010,98(1):57-64
Objectives:
Attending professional continuing education (CE) is an important component of librarianship. This research study identified librarians'' preferences in delivery modalities of instruction for professional CE. The study also identified influential factors associated with attending CE classes.Methods:
Five instruction-delivery modalities and six influential factors were identified for inclusion in an online survey. The survey completed by members of the American Library Association (ALA), Special Libraries Association (SLA), and Medical Library Association (MLA) provided the data for analysis of librarian preferences and influential factors.Results:
The majority of respondents were MLA members, followed by ALA and SLA members. Librarians from all three library associations preferred the face-to-face instructional modality. The most influential factor associated with the decision to attend a professional CE class was cost.Conclusions:
All five instruction-delivery modalities present useful structures for imparting professional CE. As librarians'' experience with different modalities increases and as technology improves, preferences in instruction delivery may shift. But at present, face-to-face remains the most preferred modality. Based on the results of this study, cost was the most influential factor associated with attending a CE class. This may change as additional influential factors are identified and analyzed in future studies.Highlights
- Despite the many technological advances in the education arena, librarians prefer face-to-face instruction (direct interaction with instructors and other participants, hands-on experience, focused learning). This creates a dilemma as increased budgetary constraints are a barrier to attending face-to-face professional continuing education (CE) classes.
- Librarians in all age groups preferred the traditional classroom style of face-to-face instruction to web-based methods.
Implications
- Instructors and course designers face a challenge in incorporating the perceived advantages of face-to-face instruction into the more affordable modalities of online instruction.
- As cost becomes more of a factor for attending professional CE classes, web-based asynchronous and synchronous modalities offer important, less expensive, alternatives.
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Julie G. Kosteniuk Debra G. Morgan Carl K. D'Arcy 《Journal of the Medical Library Association》2013,101(1):32-37
Objectives:
The research determined (1) the information sources that family physicians (FPs) most commonly use to update their general medical knowledge and to make specific clinical decisions, and (2) the information sources FPs found to be most physically accessible, intellectually accessible (easy to understand), reliable (trustworthy), and relevant to their needs.Methods:
A cross-sectional postal survey of 792 FPs and locum tenens, in full-time or part-time medical practice, currently practicing or on leave of absence in the Canadian province of Saskatchewan was conducted during the period of January to April 2008.Results:
Of 666 eligible physicians, 331 completed and returned surveys, resulting in a response rate of 49.7% (331/666). Medical textbooks and colleagues in the main patient care setting were the top 2 sources for the purpose of making specific clinical decisions. Medical textbooks were most frequently considered by FPs to be reliable (trustworthy), and colleagues in the main patient care setting were most physically accessible (easy to access).Conclusions:
When making specific clinical decisions, FPs were most likely to use information from sources that they considered to be reliable and generally physically accessible, suggesting that FPs can best be supported by facilitating easy and convenient access to high-quality information.Highlights
- Medical textbooks were the most popular information source for family physicians'' (FPs'') clinical decision-making purposes, and medical journals were the most popular information source for the purpose of updating FPs'' general medical knowledge.
- FPs considered medical textbooks to be the most reliable (trustworthy) source, colleagues the most physically accessible, and continuing medical education the most relevant and intellectually accessible.
- The lowest ranked information sources across all four attributes were personal digital assistants, mental health professionals, pharmaceutical sales representatives, and other decision aids.
Implications
- The most popular information sources for clinical decision-making purposes among FPs were sources characterized as reliable and generally physically accessible.
- This study suggests the need for further research into interventions that target information access barriers in FPs'' practice settings and the promotion of reliable evidence for FPs'' clinical decision-making purposes.
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Dean Hendrix 《Journal of the Medical Library Association》2008,96(4):324-334
Objective:
The objective of this study was to analyze bibliometric data from ISI, National Institutes of Health (NIH)–funding data, and faculty size information for Association of American Medical Colleges (AAMC) member schools during 1997 to 2007 to assess research productivity and impact.Methods:
This study gathered and synthesized 10 metrics for almost all AAMC medical schools (n = 123): (1) total number of published articles per medical school, (2) total number of citations to published articles per medical school, (3) average number of citations per article, (4) institutional impact indices, (5) institutional percentages of articles with zero citations, (6) annual average number of faculty per medical school, (7) total amount of NIH funding per medical school, (8) average amount of NIH grant money awarded per faculty member, (9) average number of articles per faculty member, and (10) average number of citations per faculty member. Using principal components analysis, the author calculated the relationships between measures, if they existed.Results:
Principal components analysis revealed 3 major clusters of variables that accounted for 91% of the total variance: (1) institutional research productivity, (2) research influence or impact, and (3) individual faculty research productivity. Depending on the variables in each cluster, medical school research may be appropriately evaluated in a more nuanced way. Significant correlations exist between extracted factors, indicating an interrelatedness of all variables. Total NIH funding may relate more strongly to the quality of the research than the quantity of the research. The elimination of medical schools with outliers in 1 or more indicators (n = 20) altered the analysis considerably.Conclusions:
Though popular, ordinal rankings cannot adequately describe the multidimensional nature of a medical school''s research productivity and impact. This study provides statistics that can be used in conjunction with other sound methodologies to provide a more authentic view of a medical school''s research. The large variance of the collected data suggests that refining bibliometric data by discipline, peer groups, or journal information may provide a more precise assessment.Highlights
- Principal components analysis discovered three clusters of variables: (1) institutional research productivity, (2) research influence or impact, and (3) individual faculty research productivity.
- The associations between size-independent measures (e.g., average number of citations/article) were more significant than associations between size-independent bibliometric measures and size-dependent (e.g., number of faculty) bibliometric measures and vice versa, except in the case of total National Institutes of Health (NIH) funding.
- The factor coefficients, or loadings, for total NIH funding may associate more with the quality of research rather than the quantity of research.
- The removal of twenty outliers, fourteen highly productive or influential medical schools and six medical schools with relatively low research profiles, changed the results of the analysis significantly.
- This study''s broad institutional bibliometric data sets cannot be extrapolated to specific departments at the studied medical schools.
Implications
- Librarians, administrators, and faculty should use several methodologies in tandem with bibliometric data when evaluating institutions'' research impact and productivity.
- Health sciences librarians should not make use of university rankings materials lacking strong methodological foundations.
- This study''s bibliometric data may provide a starting point or point of comparison for future assessments.