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Biomedical subjects

Christine Urquhart

Publications and source records attributed to Christine Urquhart.

8 recordsLinked to original sources

Evaluation of the KA24 (Knowledge Access 24) service for health- and social-care staff in London and the south-east of England. Part 1: quantitative.

AIMS AND OBJECTIVES: This two-part paper aims to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the Knowledge Access 24 (KA24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The quantitative evaluation analysed usage rates and user registration with the objective of measuring uptake by previously disadvantaged staff, and to inform the subsequent qualitative survey. METHODS: User and usage data were analysed by type of NHS Trust, by type of user, and by what was being used. The evaluation assessed development in user registration and usage of both databases and journals over a 2-year period. Data were aggregated and analysed both monthly and quarterly. RESULTS: Usage levels increased, but uptake in both the mental health and primary care sectors was comparatively slow. Nurses and allied professionals used the service more than doctors. The increase in usage of full-text journals over the usage of databases was marked. CONCLUSIONS: Previously disadvantaged staff used electronic resources. A qualitative survey was needed to identify the main enablers and barriers to uptake.

Community Health Services↗

Evaluation of the KA24 (Knowledge Access 24) service for health and social care staff in London and the south-east of England. Part 2: qualitative.

AIM AND OBJECTIVES: The aim of this two-part paper is to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the KA24 (Knowledge Access 24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The objectives of the qualitative evaluation were to assess the enablers and barriers to usage, and to assess the impact of the service on patient care. METHODS: Telephone interviews (n = 65) and a questionnaire survey (n = 296) were conducted with various types of user, in various Trust settings. Some non-users were also contacted. Selection of interviewees and questionnaire recipients was not random, and aimed to cover all groups of users representatively. RESULTS: Results show that policy goals were being delivered, with indications of changes to clinical practice, and improved clinical governance. Promotion, training and support needs to be extensive, and tailored to needs, but users are not always aware they need training. The sharing of passwords cast doubts on the reliability of some usage data. CONCLUSIONS: Digital health library services, delivered at the point of care, are changing the way some clinicians practise. A combination of qualitative and quantitative evaluation methods are needed to assess digital library services.

Computer Literacy↗

The information needs and information-seeking behaviours of home-care workers and clients receiving home care.

AIMS AND OBJECTIVES: Discusses findings from doctoral research on the information behaviour of home-care workers and their clients. The paper focuses on the findings, which have implications for health library and information services. SAMPLE AND METHODS: The qualitative research methods included participant observation in the homes of clients (n = 7), over a period of 18 months, in a city in the UK, complemented by in-depth interviews of home-care staff (n = 47). RESULTS: Home-care staff perceived requests for information on a variety of topics as an indivisible part of their caring role. Clients asked for more information than they had in the past, and home-care workers were expected to respond to a wide variety of enquiries about health, welfare, leisure and domestic concerns. Clients trusted their advice as much as they might have trusted members of the family. Home-care workers from an agency used a variety of resources at the agency office to help them, such as leaflets on welfare benefits, and health conditions. Few had used NHS Direct, and library use (by a third of the home-care workers) was generally associated with course work or training. Some family members and home-care staff used self-help groups, but the research found that family members were sometimes reticent to ask advice on sensitive issues in self-help groups. Home-care workers learnt from each other and shared experience. CONCLUSIONS: Libraries and information services need to target provision of formal information carefully, as it is advice and counsel that is required in the home-care setting.

Caregivers↗

Evaluation of distance learning delivery of health information management and health informatics programmes: a UK perspective.

The aim of the article is to review evaluations of distance learning programmes in health information management, in order to identify the critical success factors for such programmes and discuss future directions. The emphasis is on the UK experience, based partly on reflections on the experience of one programme at University of Wales Aberystwyth (now over 10 years old), and partly on a policy review conducted for the NHS Information Authority and the NHS Information Policy Unit. The methods are, as far as possible, those of a systematic review of existing research, with, additionally, an overview of relevant policy developments for lifelong learning. The topics covered include the aims, objectives and educational philosophies of the programmes. The evidence, combined with the UWA experience, indicates the importance of face-to-face interaction, to complement distance or virtual learning. A student-centred approach to curriculum design and delivery is essential.

Competency-Based Education↗