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The nursing interest subgroup: beginning the organization of nursing librarians.

The Nursing Interest Subgroup (NISG) was established in 1980 to act as a focus for librarians providing services to nurses and to encourage understanding between the two professions. The NISG held social events, study days and produced regular newsletters for members. Relationships were developed with NHS Regional Librarians, where they existed, and links made with overseas colleagues. As a subgroup of the Medical, Health and Welfare Libraries Group of the Library Association, the NISG was called to comment upon developments in nurse training and education. Particular concerns were the generally inadequate level of resourcing for library provision, especially for qualified nurses, and the salary scales of nursing librarians. The NISG facilitated the sharing of experience, provided opportunities for professional and educational development and served to raise the profile of nurses' libraries. In 1986 the group was renamed and lives on today as 'Libraries for Nursing'.

Education, Nursing↗

Developing a general practice library: a collaborative project between a GP and librarian.

The authors report on a self-completed questionnaire study from a North Yorkshire based general practice regarding the information needs of its clinicians. The work was carried out with a particular focus on the practice library, and the findings identified that a new approach to maintaining and developing the library was needed. The literature regarding the information needs of primary care clinicians and the role of practice libraries is considered, and compared to those of the clinicians at the practice. Discussion follows on how a collaborative project was set up between the practice and a librarian based at the local NHS Trust library in order to improve the existing practice library. Difficulties encountered and issues unique to the project are explored, including training implications presented by the implementation of electronic resources. Marketing activities implemented are discussed, how the library will operate in its new capacity, and how ongoing support and maintenance of the library will be carried out. It is concluded that although scepticism still exists regarding librarian involvement in practice libraries, collaboration between clinicians and librarians is an effective approach to the successful development and maintenance of a practice library, and recommendations are therefore made for similar collaborative work.

Adult↗

Clinical librarianship in the UK: temporary trend or permanent profession? Part I: a review of the role of the clinical librarian.

BACKGROUND: This paper is the first of a two-part series of articles presenting the role of the clinical librarian (CL) in the UK today. It situates the CL concept historically, and specifically reports the findings from a study in 2002 (Skinner, The Role of the Clinical Librarian in the UK. MSc Dissertation. Loughborough University: Department of Information Science). RELEVANCE: The impetus for the 2002 study was the awareness of an increase in job advertisements within the NHS for roles seeking to enhance the practice of evidence-based medicine, which included elements of clinical librarianship. Therefore the research was undertaken to establish whether this increase was coincidental, or the beginning of a new professional role for librarians. METHODS: A content analysis of CL job advertisements, examining job titles and duties was undertaken. Twenty-three advertisements were scrutinized, and these results are presented here. As a complementary investigation, a postal questionnaire was sent to a sample of practising CLs in the UK. RESULTS: Several duties can be classified as core to the role of the CL. However there is a great diversity of duties attached to this core, reflecting an absence of nationally accepted practice. CONCLUSION: Further work was necessary to assess current practice and how clinical librarianship can continue to grow at local and national levels. This is addressed in Part Two of this series.

Evidence-Based Medicine↗

Two physiotherapists, one librarian and a systematic literature review: collaboration in action.

AIM: This paper explores the processes of collaboration between a librarian and two academic physiotherapists working on a systematic review jointly funded by the University of the West of England (UWE), Bristol, and the Royal National Hospital for Rheumatic Diseases (RNHRD), Bath, UK. The aim of this paper is to describe and evaluate some of the processes of collaboration between the three authors in their work in progress on a funded systematic literature review on the topic of hydrotherapy and pain. METHODS: The vehicle for describing and analysing these processes is a joint (National Health Service Trust and University) funded systematic literature review currently in progress on the topic of hydrotherapy and pain. RESULTS: Systematic review methodology is becoming increasingly complex and is rapidly developing its own research base. Librarian input is a key element in a successful systematic review. CONCLUSIONS: Systematic reviews play a critical role in informing healthcare delivery and research in the UK. The individual nature and inherent complexity of each review demands close collaboration between librarians, academics and clinicians. In addition to enhancing the reviews themselves, there are many other personal and institutional benefits of collaborative working. Consideration may need to be given to library staff structures and roles if these benefits are to be maximized and sustained.

Cooperative Behavior↗

Readiness and capacity of librarians in public libraries to implement a breast cancer outreach and screening campaign in medically underserved communities.

Community-based partnerships are an important means of addressing cancer health disparities in medically underserved communities. Public libraries may be ideal partners in this effort. To assess the readiness and capacity of a public library system to implement cancer recruitment and outreach campaigns, 58 librarians in the Queens Borough Public Library System in New York completed self-administered questionnaires before and after a training on breast health, cancer, and screening. Results indicate that they are interested in participating in a cancer outreach campaign and feel it is a critical need in their community. Many librarians lacked the knowledge about cancer and cancer information resources needed to participate optimally. Nevertheless, librarians provide a cultural bridge to medically underserved communities. Partnering with a public library system to improve access to care has great potential, yet a number of challenges need to be overcome.

Adolescent↗

Expanding rural primary care training by employing information technologies: the need for participation by medical reference librarians.

The use of rural sites to train badly needed primary care providers requires access to sophisticated medical information not traditionally available outside of academic health centers. Medical reference librarians can play a key role in the development of primary care training sites in rural settings. Electronic information technologies, with proactive support from medical reference librarians, can provide current and detailed information without concern for distance from the health science center library. This paper discusses recent developments in technology, describes current challenges to the application of this technology in rural settings, and provides policy recommendations for medical reference librarians to enhance rural primary care training.

Area Health Education Centers↗

A new role for the clinical librarian as educator.

The Clinical Medical Librarian (CML) Program of the Tompkins-McCaw Library is a special instructional initiative to teach third-year medical students the use of information resources in the clinical setting. Librarians spend one week with selected internal medicine teams participating in work rounds and instructing team members in the use of the medical literature. The librarian assists team members to identify and retrieve relevant information through computer workstations located in the hospital. Photocopies of journal articles are made available to team members through the CML document delivery program.

Academic Medical Centers↗

Academic mentorship: an effective professional development strategy for medical reference librarians.

Academic mentorship is a professional development strategy that enables fledgling professionals to take advantage of the skills and expertise of the senior members for professional growth. Although widely practiced in many other professions, academic mentorship has not been widely reported in medical librarianship. Drawing upon personal experience, the author reports the success story of an academic mentorship program implemented in an academic medical library and argues for academic mentorship to be widely adopted in academic medical libraries. This paper first reviews the literature on the concept of mentoring in an academic setting, and then describes the background, rationale, methods, and results of the mentorship programs the author has experienced. Lastly, based upon an analysis of several surveys and studies on coping skills for quality job performance of health sciences reference librarians, the paper discusses mentorship as one effective means to ease a new medical reference librarian's transition from his/her pre-service experience to the professional world of medical librarianship. It calls on other health sciences librarians to consider developing their own mentorship programs to promote their professional development and personal growth.

Humans↗

Librarians as hidden gems in a clinical team.

Medical librarians typically contribute to patient care from the confines of the library in response to practitioners' requests for literature searches, information pearls, and evidence-based information. While this model has long served the needs of active clinicians, the learning environment of residency programs is ripe for innovative librarian involvement. This paper illustrates how the librarian can become part of a clinical team outside of the library and provide real-time reference services while teaching by example. Benefits of the alliance include the integration of disciplines to provide enhanced resident learning and improved patient care.

Cooperative Behavior↗

Evidence-Based Practice: a new paradigm brings new opportunities for health sciences librarians.

It is questionable whether the Evidence-Based Health Care model, whereby end users appraise all potentially pertinent information, is sustainable. A shift to an Evidence-Based Practice model, featuring a new medical knowledge base infrastructure facilitating rapid translation of clinical research into practice should be embraced. This shift would offer new opportunities for health sciences librarians. In this article, the authors: (1) review milestones in the evolution of the health sciences knowledge base; (2) review the evolution of the Evidence- Based Health Care/Practice model of health information utilization; and (3) discuss the significance and implications for health sciences librarians of trends towards an increasingly digital health information environment. The authors suggest new roles for health sciences librarians: partnering to integrate advanced information management technologies into the clinical enterprise and integration into the processes for developing these technologies.

Evidence-Based Medicine↗

EDUCATION FOR MEDICAL LIBRARIANS AROUND THE WORLD.

This paper describes the training of medical librarians in England, the European continent, the United States, Latin America, Israel, and Asia, with special reference to the level of such training (i.e., primarily for practitioners or for those who will make advances in the field). At the end of the paper, there is a short discussion of the need for advancing education for medical librarians, and the personal belief is stated that medical librarians should be trained at the highest level possible to avoid intellectual serfdom, to see that society receives the best return on its investment in medical libraries, and to insure that the help which medical libraries can give to society is actually available where needed.

Africa↗

Subject knowledge in the health sciences library: an online survey of Canadian academic health sciences librarians.

OBJECTIVES: This study investigated whether Canadian academic health sciences librarians found knowledge of the health sciences to be important and, if so, how they acquired and maintained this knowledge. METHODS: Data were gathered using a Web-based questionnaire made available to Canadian academic health sciences librarians. RESULTS: Respondents recognized the need for subject knowledge: 93.3% of respondents indicated that subject knowledge was "very important" or "somewhat important" to doing their job. However, few respondents felt that holding a degree in the health sciences was necessary. Respondents reported devoting on average more than 6 hours per week to continuing education through various means. Reading or browsing health sciences journals, visiting Websites, studying independently, and participating in professional associations were identified by the largest number of participants as the best ways to become and stay informed. CONCLUSIONS: Although more research needs to be done with a larger sample, subject knowledge continues to be important to Canadian academic health sciences librarians. Continuing education, rather than formal degree studies, is the method of choice for obtaining and maintaining this knowledge.

Canada↗

The health sciences librarian as Internet navigator and interpreter.

Over the past several years, thousands of networked information resources have become available to individuals and institutions with access to the Internet. Unfortunately, the dizzying array of computing and networking environments often frustrates end users' attempts to navigate the Internet. Librarians have begun to take responsibility not only for instructing users in the use of basic network tools such as file transfer, remote log-in, and electronic mail, but also for answering questions concerning network access and even information system design. The authors show how, by continuing to adapt to this new and volatile environment, health sciences librarians find themselves playing increasingly important roles in shaping the information policies and practices of their institutions. To illustrate these new roles, the authors review the experiences of health sciences librarians at the University of California, Los Angeles, and the University of California, San Diego. These institutions have varying and complex networking environments, and their biomedical libraries have taken lead roles in clarifying and interpreting their particular Internet features.

California↗

The medical librarian as chief information officer.

The position of chief information officer (CIO) is gaining popularity, especially in the health care field. The results of an informal electronic and telephone survey indicate that few medical librarians have made a career move to CIO even though this might seem like a logical step. This paper examines the qualities required of an effective information management executive, the role CIOs play within organizations, and the career advancement strategies for librarians interested in becoming CIOs. Questionnaire responses are reported from three medical librarians who have made the transition to CIO-type positions, and a case study illustrates the responsibilities of CIOs in health care organizations.

Curriculum↗

Librarian or educator: into the classroom.

There is a traditional view of librarians as keepers of information. This paper reports on the development of a post of Tutor Librarian who is actively involved in nurse education and inservice training. Project 2000 and its accompanying curriculum changes provide an opportunity to develop the Tutor Librarian's role.

Education, Nursing↗

The gay librarian: a comparative analysis of attitudes towards professional gender issues.

Librarianship is a feminized profession, and like teaching, nursing, and social work with which it shares the occupational traits of a "semi-profession," its low status and prestige have been attributed to a negative feminine image. To date, discussion of a corresponding male librarian image, general male issues, and the broader topic of gender issues has been minimal within the profession, while serious discussion of gay male librarians and their professional identity has been virtually nil. This study compares the responses of straight and self-identified gay males to an exploratory survey of male members of the American Library Association. The topics covered by the survey include reasons for entry into the field, the existence and identity of a male librarian stereotype, and gender issues generally, including gender stratification of work and sexual discrimination and/or harassment. Self-identified gay subjects share many characteristics in common with the straight cohort, including the identification of a gay male stereotype and some denial surrounding gender equity issues. On the other hand, the tentative findings of this exploratory study raise the question of whether both gay and straight male subjects overestimate the number of gay men in librarianship. The report concludes with an update on gay issues within the profession since the survey was completed, and recommendations for further research.

Adult↗

Business information sources for health sciences librarians.

As the health care industry becomes more business oriented, health sciences librarians will encounter more patrons seeking business information. Administrators and managers of health care facilities are primarily in need of business information. This paper discusses those resources with which health sciences librarians must be familiar to successfully meet the challenges of these new demands. It identifies traditional and online sources, and emphasizes business sources geared to the health care industry. The business managers of the health care facility represent a new patron market for the health sciences librarian.

Bibliographies as Topic↗

New roles for the medical librarian in an information management environment.

Over the course of the next twenty years libraries will be undergoing significant retooling so that they can move beyond their traditional roles and become the manager of the medical center's information network. As libraries automatic, the role of the medical librarian will change. To manage the change with ease librarians must begin now to equip themselves, their libraries and their clientele to function effectively in the new environment. Developing formalized instructional programs that link individuals to information and to systems that provide those individuals with personal memory extenders and lifelong learning supports will be among the librarian's top priorities.

Environment↗