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The library as finals resting place: expanding service to health sciences students during final exams.

To increase services to health sciences students during their final exam period, and to demonstrate to campus administration that the library is in tune with the students' fluctuating needs, the Kornhauser Health Sciences Library, University of Louisville, increased its hours of operation; created an inviting, comfortable environment; and offered free snacks and drinks for the students. The event, coined the "Finals Resting Place," was a positive public relations tool that strengthened the library's relationship with its students. Moreover, it reinforced the library's role and mission to the campus administration, particularly that of the dental and medical schools.

Allied Health Personnel↗

What words and where? Applying usability testing techniques to name a new live reference service.

OBJECTIVE: A user-focused design approach was taken to develop a new "live reference" service at the Health Sciences Library, University of Saskatchewan. The name of the service, the placement of the links, and the design of a graphical button were seen as key elements in creating service awareness and its subsequent use. METHODS: To ensure library users recognized and understood the label for the new service, selected library users were given an opportunity to choose a phrase that would best describe the service. The top two preferred phrases were then placed on the library Web pages as text and graphic images for further testing. Some pages had links in multiple locations to determine which placement worked best. Task-based usability testing was carried out with participants who were unaware of the new service. Participants were observed as they completed seven Website tasks arranged in increasing levels of difficulty to see whether they would notice the live reference service and seek assistance. RESULTS: The high level of recognition and use of the service indicate that the label name and link placement were effective with library Website users. CONCLUSIONS: Using user-centered design methodology helped ensure that the new live reference service was visible and used and demonstrated the effectiveness of the user-centered design approach for adding new services to an existing Website.

Computer Communication Networks↗

Meeting the urgency for document delivery in clinical medicine.

A Document Delivery library project was designed to improve delivery of information to health professionals in the Washington DC/Baltimore area. The project goals were to enhance delivery of full text documents and accelerate interlibrary loan services. The aim was to provide direct library services in the clinical arena by facilitating access to the articles needed by practitioners and clinical investigators. The objectives were to (1) design, develop and implement a comprehensive Document Delivery System (DDS) for the Library Information System (LIS) which included interlibrary loan, photocopy services and facsimile transmission capabilities; (2) establish a multi-university Library Knowledge Network for resource sharing; and (3) evaluate the project. The DDS and facsimile service are described and project data and outcomes are reported. Today, the participating libraries can use electronic means to share interlibrary loans. Georgetown users have responded favorably to the DDS and Fax services.

Clinical Medicine↗

The clinical librarian: new team member for a Family Practice Inpatient Service.

A clinical librarian program was developed for the Family Practice Inpatient Service at the San Francisco General Hospital Medical Center. Objectives of this special service were: (1) to provide relevant articles and other printed resources relating to patient care problems; (2) to alert the team to library resources; (3) to assist the attending physicians in building a reading file for the inpatient service; and (4) to determine library service needs of the team. Two patient cases are included which illustrate how the clinical librarian service functioned. The program was successful and is recommended for inclusion in other family practice programs or inpatient units.

Family Practice↗

Bringing the medical library to the office desktop.

This demonstration illustrates LRC Remote Computer Services- a dual operating system, multi-protocol system for delivering medical library services to the medical professional's desktop. A working model draws resources from CD-ROM and magnetic media file services, Novell and AppleTalk network protocol suites and gating, LAN and asynchronous (dial-in) access strategies, commercial applications for MS-DOS and Macintosh workstations and custom user interfaces. The demonstration includes a discussion of issues relevant to the delivery of said services, particularly with respect to maintenance, security, training/support, staffing, software licensing and costs.

CD-ROM↗

The information handling techniques of research (laboratory and clinical) scientists: preliminary indications of current practice.

This paper arises from a longitudinal study concerning the impact of information technology developments on the information handling techniques of research (laboratory and clinical) scientists from the perspective of perceived value or benefit based on subjective evaluation by users. The project's main method of data collection is the semi-structured interview utilizing samples from various categories of Imperial Cancer Research Fund (ICRF) staff plus a composite external comparison group. This method is complemented by analyses of Library and Information Services Department's (LIS's) records (particularly statistics of database usage and requests relating to document supply) and, where possible, indications of other software usage (to provide further background to the degree of electronic activity of users). This paper focuses on the ICRF staff sample only and reports selected results obtained from interviews during the first phase of the project, October 1992-September 1993, which give preliminary indications of the information handling techniques of research scientists at that time.

Attitude of Health Personnel↗

Health care, information needs, and outreach: reaching Ohio's rural citizens.

As a rural state, Ohio has a vital interest in addressing rural health and information needs. NetWellness is a Web-based consumer health information service that focuses on the needs of the residents of Ohio. Health sciences faculty from the state's three Carnegie Research I universities--University of Cincinnati, Case Western Reserve University, and The Ohio State University--create and evaluate content and provide Ask an Expert service to all visitors. Through partnerships at the state and local levels, involving public, private, commercial, and noncommercial organizations, NetWellness has grown from a regional demonstration project in 1995 to a key statewide service. Collaboration with public libraries, complemented by alliances with kindergarten through twelfth grade agencies, makes NetWellness Ohio's essential health information resource.

Health Education↗

The implementation, evaluation, and refinement of a manual SDI service.

The Missouri Institute of Psychiatry Library has implemented an inexpensive, manual SDI (Selective Dissemination of Information) service based upon the monthly issues of Index Medicus. The implementation and refinement of the system are documented, and the very favorable response to the system is examined. The SDI service is compared to Current Contents, with the finding that 60 percent of the SDI participants prefer it to Current Contents. For this select portion of researchers the Index Medicus SDI is the more suitable mode of current awareness. For a significant portion of the MIP staff, however, the scope of Index Medicus is too restricted to suitably replace Current Contents. All SDI users find it a highly acceptable current awareness service for use in addition to Current Contents and have indicated the desire to continue participation in the service.

Abstracting and Indexing↗

New approaches to addressing information needs in local public health agencies.

For local Public Health agencies to be fully responsive to community needs, staff must have ready access to up-to-date and accurate information. During the last several years, the Hamilton-Wentworth Department of Public Health Services (DPHS), a Teaching Health Unit affiliated with McMaster University, has been developing new information services including establishment of a specialized library on site; education sessions on the use of information stored in this library and in the Hamilton-Wentworth Health Library Network; innovative approaches to tailoring information services to staff needs including on-site access to on-line literature databases; and establishment of a group to retrieve and report community health data. In the initial three years of operation, surveys of Hamilton-Wentworth staff and a comparison health unit (Niagara) revealed that staff most frequently sought information from managers and support staff, as well as from personal books, articles and journals. Over half (57%) of the Hamilton-Wentworth staff reported use of the DPHS library, whereas 28% of Niagara Regional Health Unit staff reported use of their library. Other information services, for example, bibliographic indexes on population health, were less frequently used. Plans to increase their use are discussed.

Canada↗

The Moody Medical Library and its historical relevance.

The historical development of the Medical Branch Library from the Medical Department of Soulé University, established in 1861, to the present is traced. The powerful growth stimulus that was provided by Dr. Chauncey Leake is recognized as is the important influence more recently of Dr. Truman G. Blocker, Jr. The new Moody Medical Library Building and the services and financing of the library are described.

History, 19th Century↗

Development of SDI services from a manual current awareness service to SDILINE.

The Reference Department of The Milton S. Hershey Medical Center Library has offered SDI service to the faculty for over three and one-half years. This study traces the development of SDI services from a manual Current Awareness Service (CAS), with the incorporation of Index Medicus photocopies, to the National Library of Medicine's SDILINE (Selective Dissemination of Information On-LINE). Over 24% of the Medical Center's faculty currently receive SDILINE service. Through questionnaires, the two systems are evaluated and compared. There was 100% return on both questionnaires. Both the manual CAS and SDILINE were favorably received by the faculty, but SDILINE was chosen unanimously as the preferred service. A subscription fee for SDILINE did not significantly affect the system's use. Conclusions reached through the questionnaires indicate that constant evaluation of subject profiles and interaction between the librarian and the user are necessary for optimum use of any SDI service.

Costs and Cost Analysis↗

MEDLINEplus: building and maintaining the National Library of Medicine's consumer health Web service.

MEDLINEplus is a Web-based consumer health information resource, made available by the National Library of Medicine (NLM). MEDLINEplus has been designed to provide consumers with a well-organized, selective Web site facilitating access to reliable full-text health information. In addition to full-text resources, MEDLINEplus directs consumers to dictionaries, organizations, directories, libraries, and clearinghouses for answers to health questions. For each health topic, MEDLINEplus includes a preformulated MEDLINE search created by librarians. The site has been designed to match consumer language to medical terminology. NLM has used advances in database and Web technologies to build and maintain MEDLINEplus, allowing health sciences librarians to contribute remotely to the resource. This article describes the development and implementation of MEDLINEplus, its supporting technology, and plans for future development.

Community Participation↗

Who uses NHS libraries? Preliminary results from a survey of postgraduate medical libraries in North East Thames.

Recent changes have made Regional Deans fund-holders for postgraduate medical education. Allocations from the Dean's budget often fund NHS library infrastructure and associated costs arising from the information and study needs of junior medical staff. To provide adequate levels of stock and services for all library users requires funding from all appropriate sources. This paper describes a survey carried out in North East Thames to facilitate appropriate funding by and for user groups other than junior doctors. The wide variation in results is discussed. The survey is not seen as definitive, but as part of the beginning of the evolutionary process of allocating funds for libraries serving postgraduate medical education and other users. Further research is suggested, particularly in other Regions, to provide comparative data.

Education, Medical, Continuing↗

Medical library development at the University of Ibadan, Nigeria.

While libraries of all kinds in Nigeria have many problems, some medical libraries are well established and are giving the services expected of such libraries anywhere. In current conditions of restricted finance and distance from metropolitan countries, consultation and cooperation in serials acquisitions together with union catalogs of serials would be of great value. Modern copying methods make this practical. Union catalogs of monographs would also be valuable. Two new major medical libraries are projected-one half-built, the other still at the planning stage. Each must be planned to give area services rather than purely local and internal services.

Libraries, Medical↗

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↗

Hospital and corporate information services: introducing a new column.

Successful hospital and corporate libraries offer customized resources and services to meet the needs of their dynamic organizations. Concepts such as customer-driven, service-oriented and value-added are central to these libraries. Serving decision makers and integrating the library into the decision-making process of the organization is critical. Future articles in this new column will further explore the underlying philosophies and the specialized resources and services that characterize these libraries.

Decision Making, Organizational↗