A randomized trial of librarian educational participation in clinical settings

Marshall, Joanne Gard; Neufeld, Vic

doi:10.1097/00001888-198105000-00005

Cited by 26 publications

(31 citation statements)

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“…Od subjektivnih parametara potrebno je istaknuti mišljenje sudionika projekta, i to: "nova "izmišljotina" nove glavne sestre". Istovjetno navedeno mišljenje opisano je i u prije publiciranim istraživanjima koja opisuju kreiranje baza podataka [3,8,9], a verificiran je kao važan uzrok produljenja vremenakreiranja novih informatičkih alata [3,9]. Nadalje, za edukaciju sudionika u oblikovanju baze podataka bio je potreban znatno dulji vremenski period od predviđenoga.…”

Section: Rasprava/discussionunclassified

The creation of database pertinent to nurses/technicians at University Hospital Centre [UHC] Zagreb

Rimac

Hudorović

2016

SG/NJ

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Au tor za ko res pon den ci ju/Corresponding aut hor: Branka Rimac, RN, Msc., University Hospital Centre Zagreb, Kišpatićeva 12, 10000 Zagreb, Croatia • Tel: +385-98-45 79 20 • E-mail:branka. rimac@zg.t-com.hr Received August 15 th 2015;Accepted September 6 th 2015;Oblikovanje baze podataka medicinskih sestara/tehničara u Kliničkom bolničkom centru [ Uvod/IntroductionStupanj kvalitete rukovođenja u velikim bolničkim sustavimauvelike ovisi o mogućnostima uporabe informacijske tehnologije te obimu potrebnih znanja rukovoditelja zdravstvenog sustava o mogućnostima uporabe i povećanja kvalitete svakodnevnih radnih aktivnosti uporabom iste. Poče-ci uporabe informacijske tehnologije, u tijeku devedesetih godina 20-tog stoljeća, kod medicinskih sestara/tehničara uzrokovao je znatnu nelagodu, uz postojanje subjektivnog osjećaja straha, zbog uporabe do tada nepoznate tehnologije [1, 2, 3]. Sve navedeno uzrokovalo je da su medicinske sestre/tehničari informaciju tehnologiju rabili u premalom SažetakOblikovanje baze podataka medicinskih sestara/tehničara važan je alat u Bolničkom informatičkom sustavu [BIS]. Implementacija BIS-a omogućuje povećanje stupnja kvalitete medicinskim sestrama/tehničarima u što kvalitetnijem obavljanju uvriježenih svakodnevnih aktivnosti [zdravstvena njega], a jednostavan je alat za bilježenje dnevne evidencije rada, općih i specifičnih znanja i kompetencija medicinskih sestara/tehničara. Iz tablica [Office 10, MS Excel, Microsoft Corporation, Seattle, USA] koje su dostupne kadrovskoj službi zdravstvene ustanove, a koje sadržavaju podatke o stručnim kvalifikacijama te demografske podatke o svakom pojedinom zaposleniku, prikupljeni su potrebiti čimbenici koji su sustavno informatički analizirani, te je izrađena baza podataka zdravstvene ustanove. Svrha izrade takve baze podataka mogućnost je brzog i jednostavnog pretraživanja. Po završetku izrade baze podataka, a zbog zadovoljavajuće funkcionalnosti iste, zdravstvena ustanova, temeljem opisane baze podataka, izradila je i baze podataka za nezdravstvene i zdravstvene djelatnike drugih kvalifikacija. Ključne riječi: baza podataka • klinički bolnički centar • medicinske sestre Kratki naslov: Baza podataka i Klinički bolnički centar Zagreb AbstractThe database of nurses / technicians is an important tool of the hospital information system [HIS]. Implementation of HIS allows increased level of delivering quality healthcare by nurses / technicians, and at the same time improves the level of quality in the execution of the established daily activities [health care]. Also it is a simple tool for recording the daily work activities, general and specific knowledge and competencies of nurses / technicians. The tables [Office 10, MS Excel, Microsoft Corporation, Seattle, USA] available to personnel department of the institution, that contains information about the professional qualifications and demographic information about each employee collected are necessary factors that are systematically analyzed by computer, and developed a database of health inst...

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Section: Rasprava/discussionunclassified

The creation of database pertinent to nurses/technicians at University Hospital Centre [UHC] Zagreb

Rimac

Hudorović

2016

SG/NJ

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“…These findings have a number of potential implications; for example, allied health professionals, especially those with cross-team responsibilities, might be better utilized as information resources. Also, the sense of confusion and lack of structure around research knowledge uptake and sharing articulated by the teams might call for more formal integration of processes for introducing and integrating research findings into practice [47,48], including better use of emerging technologies to facilitate knowledge use and consideration of a formal role, such as an information specialist, in care settings [23,49,50].…”

Section: Discussionmentioning

confidence: 99%

“…This new role for information professionals could include being a part of PHCT as a human information intermediary or information specialist. Previous research has found this type of role, now often referred to as knowledge broker [58] but previously called "clirücal librarian," to be beneficial in improving communication and knowledge sharing in teams, and, in the case of clinical librarians, there is evidence of some impact on patient outcomes when librarians participate in hospitalbased clinical rounds [20,23,47,48,50]. However, this role has not been studied extensively in primary care settings, and the impact of knowledge broker roles in other settings is uncertain [59].…”

Section: Discussionmentioning

confidence: 99%

Knowledge flow and exchange in interdisciplinary primary health care teams (PHCTs): an exploratory study

Sibbald¹,

Wathen²,

Kothari³

et al. 2013

J Med Libr Assoc

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Information sharing in interdisciplinary teams is a complex and multifaceted process. Specific interventions need to be improved such as formalizing modes of communication, better organizing knowledge-sharing activities, and improving the active use of allied health professionals. Despite movement toward team-based models, senior physicians are often gatekeepers of uptake of new evidence and changes in practice.

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“…The development of strategies for efficient identification and appraisal of evidence; 12,[17][18][19] 2. The creation of systematic reviews of the effects of healthcare, such as those prepared and maintained by the Cochrane Collaboration (www.cochranelibrary.com); and 3.…”

Section: Bringing the Library To The Bedsidementioning

confidence: 99%

What drove the Evidence Cart? Bringing the library to the bedside

2016

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We saw an 87-year-old woman (Mrs. T) who had been transferred from a long-term care facility with delirium and a pelvic fracture resulting from a fall. She had a medical history suggestive of moderate Alzheimer's dementia, osteoporosis and type 2 diabetes. She was taking calcium, vitamin D and metformin. On admission, we found that she had a urinary tract infection, which we felt was contributing to her delirium. When we reviewed her situation with our clinical team, a few questions were raised about her management plan including: To answer these questions outside opening hours at our hospital library in 1996, we needed to walk to our office (10 min or three floors away) and access the CDs for Best Evidence or The Cochrane Library that we had purchased. This wasn't a practical solution during busy 'clinical rounds' -meetings of the medical team to review and discuss patients admitted to our service. Our clinical team was on call (or on take) every fourth day, requiring the team to assess patients seen in the Accident and Emergency department for possible admission to the medicine inpatient service. We met during the evening of the on-call period to review and discuss any patients who had been assessed by that time. These are called on-call or on-take rounds. Our medical team also met on the morning after the on-call period to see and discuss all patients who had been admitted. These are called post-call or post-take rounds.In all of these circumstances we needed information! When we were the team responsible for admissions to the general internal medicine inpatient units, we admitted 20 to 30 patients like Mrs. T during each on-call period. Each day, our clinical team provided care for 40 patients on average. As clinicians providing care for patients with complex healthcare needs like Mrs. T, we were challenged by the need to find and apply evidence in our decision-making.Our clinical experiences were reflected in published reports of the experiences of others. Clinicians said they needed evidence twice a week (for example, about the accuracy of diagnostic tests, the predictive power of prognostic markers, the comparative effectiveness and safety of interventions); and they tended to get it from textbooks, journals and colleagues. 1 When clinicians were shadowed, researchers found that they really needed information! Clinical questions arose twice for every three outpatients and five times for every inpatient.2 Traditional sources for this information were inadequate. They were either out-of-date textbooks 3 , frequently wrong experts 4 , ineffective didactic continuing medical education 5 , or in a plethora of journal articles, which were too overwhelming in number and too variable in quality for practical clinical use. 6This situation was further complicated by the limited time there is to 'read around' our patients. In surveys that we conducted during more than 20 Grand Rounds in the UK, the median time spent reading around patients ranged from no reading for house officers, to 20 min/week among senior house ...

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A randomized trial of librarian educational participation in clinical settings

Cited by 26 publications

References 0 publications

The creation of database pertinent to nurses/technicians at University Hospital Centre [UHC] Zagreb

The creation of database pertinent to nurses/technicians at University Hospital Centre [UHC] Zagreb

Knowledge flow and exchange in interdisciplinary primary health care teams (PHCTs): an exploratory study

What drove the Evidence Cart? Bringing the library to the bedside

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