Listening to our clinical colleagues: how are they finding their evidence to support Trust clinical governance?

Publicover, Mary; Giles, Gwen; Bolton, Barbara; Shemilt, Clare; Urquhart, Christine

doi:10.1111/j.1471-1842.2006.00680.x

Cited by 4 publications

(5 citation statements)

References 10 publications

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“…Point‐of‐care information tools must compete with the wealth of information held on the Internet, and many valuable information resources are often overlooked in favour of more easily accessible search engines such as Google . However, it can take a considerable amount of time and skill to retrieve quality, evidence‐based biomedical information from the Internet.…”

Section: What Is Already Known On This Topicmentioning

confidence: 99%

“…Point-of-care information tools must compete with the wealth of information held on the Internet, and many valuable information resources are often overlooked in favour of more easily accessible search engines such as Google. 13,14 However, it can take a considerable amount of time and skill to retrieve quality, evidence-based biomedical information from the Internet. Many studies suggest that some physicians have poor information literacy skills; 15,16 therefore, POC tools need to be easy to use and efficient for clinicians to use them.…”

Section: What Is Already Known On This Topicmentioning

confidence: 99%

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How doctors make use of online, point‐of‐care clinical decision support systems: a case study of UpToDate©

Addison

Whitcombe

Glover

2012

Health Info Libraries J

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Background: Online point-of-care evidence-based information tools are becoming increasingly popular. Objectives: To discover how doctors actually use one such tool -UpToDate -in clinical practice. Methods: An online survey was distributed to doctors at healthcare organisations in the north-west of England which subscribed to UpToDate. Some survey questions asked for quantifiable data (e.g. demographic details), whilst other questions were open-ended and sought examples of clinical scenarios and actual point-of-care use of UpToDate. Open-ended responses were then analysed into emerging themes.Results: The open-ended responses include evidence illustrating a large variety of clinical scenarios in which the use of UpToDate influenced clinical practice. Conclusions: These results show how just one point-of-care tool is used in a variety of ways that benefit the patient, the doctor and the healthcare organisation. Direct quotations reported will provide compelling evidence for librarians to present to senior managers who may be unsure of the value of point-of-care tools in clinical practice.

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Section: What Is Already Known On This Topicmentioning

confidence: 99%

Section: What Is Already Known On This Topicmentioning

confidence: 99%

How doctors make use of online, point‐of‐care clinical decision support systems: a case study of UpToDate©

Addison

Whitcombe

Glover

2012

Health Info Libraries J

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“… 12 and Publicover et al. 13 have found that many users are not aware of the range of professional competencies of LIS staff. However, results from this local context also suggest that the gap between what the library offers in its ‘core’ resources is somewhat at odds with the perceptions of some users.…”

Section: Discussionmentioning

confidence: 99%

A review and rationalisation of journal subscriptions undertaken by a library and information service in a Mental Health Trust in North-East England in 2009

Steele

2011

Health Information &Amp; Libraries Journal

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Aim: To describe the methods and processes used in an evaluation of local journal subscriptions in a mental health trust and to suggest possible further areas of investigation were similar exercises to be undertaken again. Method and Results: Results from a user questionnaire were analysed along with e-journal usage statistics and data from local document supply activity. Conclusions: Journal reviews can yield surprising results. Carrying out a user survey is valuable in highlighting awareness of e-resources more generally and thus in providing evidence for marketing ⁄ information literacy initiatives. Future journal reviews should undertake impact analysis as potent evidence for continued expenditure on journals in this age of austerity.Keywords: collection development, electronic journals, health care, health science, journals, librarianship, libraries, marketing and publicity. Key Messages Implications for Practice• NHS Library ⁄ Knowledge Services should undertake regular analysis of journal subscriptions. This should comprise some solicitation of user feedback as well as measurements of usage. User feedback can often yield surprising results.• Marketing of journal subscriptions and more targeted signposting of resources should be priorities.• Library and Information Service (LIS) information skills training should consider more general interventions such as highlighting available online journals through link resolvers and A-Z lists as well as more advanced training in searching bibliographic databases.• User surveys are an excellent way of raising the profile of the LIS and can themselves serve as a marketing tool. Implications for Policy• Library staff should not assume that users are fully aware of the range of journal subscriptions offered. Awareness is often less than we think.• A future review should consider the value of journals more in quantifiable financial terms, e.g. by applying a return on investment (ROI) calculation. If it can be shown that having a LIS saves the organisation money through its subscriptions and inter-library loan service, this would be excellent evidence of the benefits of the LIS.• Future journal evaluations should undertake impact analysis to find evidence of 'how' staff are using journals, rather than just 'how many' staff are accessing them. This may provide convincing evidence for continuing funding in this challenging financial climate. Because a significant number of LIS users rarely (or never) visit service points, and therefore do not give verbal feedback to LIS staff, the Trust LIS Committee requested that a thorough review should take place to determine whether current journal subscriptions were meeting the needs of users and potential users. Previously, decisions on journal subscriptions were taken by library staff using their expertise and experience, ad hoc methods such as personal recommendations from users, perusal of impact factors and reading lists from organisations such as the Royal College of Psychiatrists.These methods are sound, but it was decide...

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“…Finally, the tool‐kit drew from a survey carried out in 2005, in the Birmingham and Black Country Strategic Health Authority area that examined library and information services support for clinical governance. This research 21 was relevant to the tool‐kit development as librarians had conducted interviews, using a critical incident approach, and one of the aims of the project was to enhance the librarians’ research skills. This helped to indicate how librarians might team up to audit services in each other's library sites.…”

Section: Methodsmentioning

confidence: 99%

The value and impact of information provided through library services for patient care: developing guidance for best practice

Weightman

Urquhart

Spink

et al. 2009

Health Info Libraries J

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Introduction : Previous impact tool-kits for UK health libraries required updating to reflect recent evidence and changes in library services. The National Knowledge Service funded development of updated guidance. Methods : Survey tools were developed based on previous impact studies and a systematic review. The resulting draft questionnaire survey was tested at four sites, and the interview schedule was investigated in a fifth area. A literature search in assia , Google Scholar, intute , lisa , lista , scirus , Social Sciences Citation Index (Web of Knowledge), and the major UK University and National Libraries Catalogue ( copac ), identified ways to improve response rates. Other expert advice contributed to the guidance. Results : The resulting guidance contains evidence-based advice and a planning pathway for conducting an impact survey as a service audit. The survey tools (critical incident questionnaire and interview schedule) are available online. The evidence-based advice recommends personalizing the request, assuring confidentiality, and using follow-up reminders. Questionnaires should be brief, and small incentives, such as a lottery draw should be considered. Bias is minimized if the survey is conducted and analysed by independent researchers. Conclusion : The guidance is a starting point for a pragmatic survey to assess the impact of health library services.

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Listening to our clinical colleagues: how are they finding their evidence to support Trust clinical governance?

Cited by 4 publications

References 10 publications

How doctors make use of online, point‐of‐care clinical decision support systems: a case study of UpToDate©

How doctors make use of online, point‐of‐care clinical decision support systems: a case study of UpToDate©

A review and rationalisation of journal subscriptions undertaken by a library and information service in a Mental Health Trust in North-East England in 2009

The value and impact of information provided through library services for patient care: developing guidance for best practice

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