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A hospital microwave system for library telecommunication.

The medical library of the Olin E. Teague Veterans' Center needed access to an online integrated library system at a site eighty miles away. The center already operated a tower-to-tower microwave for teleconferencing and the library was able to use this as a temporary means of communication with the distant online system. The microwave link performed satisfactorily, leading to consideration of its use for other library applications.

Hospital Bed Capacity, 500 and over↗

The Virtual Naval Hospital: a digital library for naval primary care providers and patients.

OBJECTIVE: To deliver optimal patient care and promote wellness, naval providers and patients require convenient access to medical information from isolated duty stations. The Internet can lower barriers to accessing information. The goal of this study was to determine the technical feasibility of using the Internet to deliver medical information to isolated naval points of care. METHODS: A digital library for naval primary care providers and patients with an integrated, problem-based interface was developed. The Virtual Naval Hospital (http:/(/)www.vnh.org) was evaluated from sea, undersea, and shore. RESULTS: The digital library was a popular resource. Access to it is currently limited because few ships have Internet access. CONCLUSIONS: The technical feasibility of delivering a digital library of medical information to the deckplates was proven. The digital library will realize its potential when satellite-based access to the Internet becomes available. In the interim, the digital library will also be distributed on CD-ROM.

CD-ROM↗

Ward libraries.

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Hospitals↗

Children in hospital: I. Survey of library and book provision.

Between 1989 and 1991 two related research projects were undertaken by the authors at the Department of Information and Library Studies, Aberystwyth, into services for children in hospital. This article summarizes the findings of the first of the projects, a survey of book and library services to children in hospital, giving a national profile of provision. It demonstrates a substantial provision of reading and other materials available to children in hospital but a small number of library services, as such. Nurses, teachers and hospital play staff generally exploited these materials for pleasure, educational and therapeutic purposes. The survey was based on questionnaires sent to all hospitals in the UK which treated children and was addressed, where possible, to hospital librarians, otherwise to the senior paediatric nurse. A shorter questionnaire was also addressed to all local authority Young People's and Schools Library services for a public library or school library perspective. Where there was evidence of the use of reading therapy, a further questionnaire was sent to explore its practice. A second article will discuss the results of the second project, which was devoted to a further exploration of reading therapy with children in hospital.

Bibliotherapy↗

A rural virtual health sciences library project: research findings with implications for next generation library services.

PURPOSE: The Shared Hospital Electronic Library of Southern Indiana (SHELSI) research project was designed to determine whether access to a virtual health sciences library and training in its use would support medical decision making in rural southern Indiana and achieve the same level of impact seen by targeted information services provided by health sciences librarians in urban hospitals. METHODS: Based on the results of a needs assessment, a virtual medical library was created; various levels of training were provided. Virtual library users were asked to complete a Likert-type survey, which included questions on intent of use and impact of use. At the conclusion of the project period, structured interviews were conducted. RESULTS: Impact of the virtual health sciences library showed a strong correlation with the impact of information provided by health sciences librarians. Both interventions resulted in avoidance of adverse health events. Data collected from the structured interviews confirmed the perceived value of the virtual library. CONCLUSION: While librarians continue to hold a strong position in supporting information access for health care providers, their roles in the information age must begin to move away from providing information toward selecting and organizing knowledge resources and instruction in their use.

Computer User Training↗

A survey of patient access to hospital and medical school libraries.

The American Medical Association (AMA) Library and Information Management Division conducted a survey of 481 randomly selected hospital and medical center libraries. Data were obtained from 307 libraries (63.8%). The tabulated results showed that 58.1% of responding libraries allow patient access without restrictions. Another 19.9% allow patient access with restrictions, such as physician approval (13.4%) or various other limitations (6.5%). Many of the surveyed librarians (67%) said their institutions have separate nontechnical libraries for patients. Medical library access was strongly or somewhat supported by 89.6% of the respondents; 6.1% were somewhat opposed, and 4.3% were strongly opposed to patient access. Approximately 10% of the libraries surveyed provided no patient education forum. The AMA trustees used the results of the survey in deciding whether to encourage hospitals and medical schools to make their libraries accessible for use by patients and their families.

Libraries, Hospital↗

Hospital librarianship in the United States: at the crossroads.

This paper examines recent developments in hospital librarianship in the United States, including the current status of hospital-based clinical library services. Several examples of hospital library services are presented that demonstrate some characteristics of struggling and thriving services. The implications of the informationist concept are considered. The continuation of the hospital librarian's primary role in support of patient care is explored, as core competencies are reexamined for relevancy in the new millennium.

Ethics, Professional↗

End-user searching: impetus for an expanding information management and technology role for the hospital librarian.

Using the results of the 1993 Medical Library Association (MLA) Hospital Libraries Section survey of hospital-based end-user search services, this article describes how end-user search services can become an impetus for an expanded information management and technology role for the hospital librarian. An end-user services implementation plan is presented that focuses on software, hardware, finances, policies, staff allocations and responsibilities, educational program design, and program evaluation. Possibilities for extending end-user search services into information technology and informatics, specialized end-user search systems, and Internet access are described. Future opportunities are identified for expanding the hospital librarian's role in the face of changing health care management, advances in information technology, and increasing end-user expectations.

Computer Communication Networks↗