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Management by agreement: contracting for library services in South West Thames.

On 1 April 1991, the financial base of the NHS underwent its most dramatic change since its inception in 1948. All NHS services are now based on contracts and this has major implications for library services. This change was perceived by the South West Thames Regional Library Service as presenting a unique opportunity and the paper outlines the background to the thinking and the strategy adopted to meet the challenges. Sources of library funding and precise spending details were identified by means of a survey and contracts agreed covering all NHS staff in each of the 13 districts. The contracts are operating as 'shadow contracts' for 1991-92 allowing a valuable period of evaluation and monitoring before any money actually changes hands. The survey form for collecting library budgetary information and the service agreement are included as Appendices to the article.

Budgets

Developing multidisciplinary library services in trust hospitals: a case study at the City Hospitals Sunderland NHS Trust.

The paper describes an example of good practice in the establishment of multidisciplinary library services at a Trust hospital. In 1995, City Hospitals Sunderland NHS Trust commissioned a survey to determine their needs for library services for all staff. The results of the survey and the recommendations are described. The Trust's further actions are briefly noted. This case study is set into the wider context of the need for well-resourced library and information services within the NHS. The constraints under which such developments operate are listed.

Accreditation

Perspectives on medical school library services in Turkey.

This paper gives a brief overview of medical education in Turkey and shows the impact of established social, educational, and economic patterns upon current medical library services. Current statistical information is given on the twenty-two medical school libraries in Turkey. Principal problems and chief accomplishments with library services are highlighted and discussed.

Libraries, Medical

Providing library services for an enterostomal therapy nursing education program.

Serving a hospital-based educational program such as the School of Enterostomal Therapy (E.T.) provides the opportunity to teach library skills and expand library services to meet the needs of a growing specialty. This article includes: a synopsis of the E.T. educational program, a history of the specialty, and an explanation of the separate library services provided to students and faculty. Search strategy developed to more easily access literature pertinent to the E.T. nurse is described and examples given.

Colostomy

From poor farm to medical center: a century of library services to the Los Angeles County/University of Southern California Medical Center.

As its centennial approaches, the history and development of library services to the patients and professional staff of the Los Angeles County/University of Southern California Medical Center is traced from the early days when the library was housed in the cafeteria of the dispensary to its present position of being first point of access to library service for one of the largest teaching hospitals in the country. Its recent affiliation with the Norris Medical Library of the University of Southern California School of Medicine is explained. The change in emphasis from patients' library to health sciences library is illustrated, and the contribution of the library to the Cumulative Index to Nursing Literature is detailed.

California

Enhancing library services: an exploration in meeting customer needs through total quality management.

Total Quality Management (TQM) is a process which focuses on understanding customer needs and improving customer service and satisfaction. A TQM committee was created at the Devereux Foundation's Professional Library to assess user satisfaction and make recommendations for improving library services to better meet consumer needs. The committee distributed a satisfaction survey to 156 of the most likely library users and 84 (54%) were returned. Overall, survey results indicate that most consumers are satisfied with the materials and services provided by the Professional Library. Recommendations for improving library services and strategies for implementing these recommendations are discussed.

Consumer Behavior

NHS Regional Librarians Group evidence to the Functions and Manpower Review 1993-94. Management of library services in the proposed new structure.

The mission of the library and information service is to ensure that the knowledge base of health care is available and accessible to all providers, purchasers and consumers, and to promote and encourage its effective use. Access should be free at the point of use. Library services should be a national and regional responsibility. The close association with Postgraduate and Continuing Medical and Dental Education should continue. Clear terms of reference for library and information services should guarantee access to these services for all National Health Service (NHS) staff. There should be greater emphasis on quality aspects of information. Information Management and Technology (IM & T) strategy should take full account of the needs of library and information services so that the NHS investment in information networks can be fully realized. Good practice in library and information services should be identified, promoted and disseminated. National Health Service Management Executive (NHS-ME) initiatives which affect the library services of the NHS should be co-ordinated. A working party of users and librarians, working within the Functions and Manpower Review implementation process, should define a structure for the management and provision of NHS library services which gives the most value for money.

Education, Medical, Continuing

Selection of library services by post-registration nursing, midwifery and health visiting students.

This paper describes a small-scale survey undertaken with 300 nurses, midwives and health visitors on post-registration courses and registered for the ENB Higher Award. The aim was threefold: first to examine reasons for electing to use particular libraries; second, the relationship between workplace, home, teaching site and choice of library services; and third, the use of library enquiry services. There was a 56% response rate to the postal questionnaire and results indicated that the key factor in selecting a library was availability of resources rather than convenience to home or workplace. The third largest group of respondents worked in community organizations with little or no on-site access to resources and were dependent on access to other libraries. Most who used the library for literature searching needed to seek help in spite of preliminary user education sessions. Similar levels of assistance were needed to locate journals and use the computerized book catalogue. The paper recommends explicit information on strategic entry points, necessity of a broad central collection, integration of information retrieval into post-registration courses, use of self-study packs, better trust/university liaison and recognition of the need for resource transfer from teaching to learning.

Allied Health Personnel

Integrating library services and continuing education.

This paper presents an innovative integration of library services and continuing education (CE). While print material is an important continuing education information source for physicians, its volume is overwhelming. Librarians have developed the use of a variety of methods, including online data bases such as MEDLINE, to simplify and expedite access to printed information. Combining a library information delivery system with formal continuing education course activities can enhance the educational potential of two popular learning methods.

Data Collection