Libraries for nurses. II. Lincoln County Hospital.
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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.
The Countway Library, Boston, was the nation's first Regional Medical Library under the Regional Medical Library Program of the NLM. New England Regional Medical Library Service (NERMLS) began in October 1967 and is the outgrowth of traditional extramural services of the Harvard and Boston Medical Libraries (constituents of the Countway). During the first year over 27,000 requests were received of which 84 percent were filled. Some problems of document delivery (and their solution) are recounted. Other activities were: a limited amount of reference work; distribution of a Serials List; and planning for a region-wide medical library service. Proposals call for consultation and education, regional reference service, and improved document delivery service. Emphasis is placed on the role of the Community Hospital as a center for continuing education and the need to strengthen and assist hospital medical libraries. With the Postgraduate Medical Institute, Boston, NERMLS assisted in the compilation of a small physician-selected medical Core Collection which would serve as a minimum standard collection for community hospital libraries.
A recent solicitation over the MEDLIB-L e-mail discussion list revealed over thirty diverse examples of hospital library-based interlibrary cooperative initiatives currently underway. Many are familiar and have been featured in the professional literature. Most go unreported and unrecognized however, comprising invisible resource-sharing infrastructures that hospital librarians painstakingly piece together in order to provide their clients with expanded service options. This paper, drawing from the MEDLIB-L survey as well as descriptions in the published literature, provides a broad overview of such recent interlibrary cooperative efforts. Examples include interlibrary loan networks, collective purchasing initiatives, holder-of-record or union catalog access agreements, arrangements to provide e-mail and Internet access, and consortia to share electronic resources. Examples were chosen based on the initiatives' diversity of participants, and represent a wide range of locations across the United States. Such initiatives focus on local, statewide, or regional collaboration, and several involve partnerships between academic medical center libraries and regional hospital libraries. An early example of a hospital-based interlibrary cooperative IAIMS effort is described, pointing to future possibilities involving the Internet and regional hospital system intranets.
The librarian of a hospital medical library that was opened to the public three years ago records her observations on the response of public users and the hospital's professional staffs.
During the past three years, from terminals within Beth Israel Hospital, Boston, 3,654 persons used a computer program called PaperChase to search the medical literature. While performing 39,022 searches, these persons had 1,976,421 references displayed and selected 449,690 of them for printing. Throughout this period, the program underwent continual modification. Each year the number of searches increased--from 10,678 to 11,541 to 16,803. Each year the percentage of new users who were unsuccessful decreased--from 16 to 13 to 11. By the end of the third year, 549 people had completed 20 or more searches. PaperChase enables people to search the medical literature themselves, and thus provides a new experience in computerized bibliographic retrieval. When made available without charge in a teaching hospital, PaperChase is widely used.
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