Maybe the following articles could be useful
Atlas, M. C., E. M. Smigielski, et al. (2003). "Case studies from morning
report: librarians' role in helping residents find evidence-based clinical
information." Med Ref Serv Q 22(3): 1-14.
In primary care specialties, Morning Report is a traditional
vehicle for expanding medical residents' training in diagnosis and
treatment. At one academic medical center, residents and faculty in the
Department of Family and Community Medicine use case-based teaching,
centered around planning and reviewing patient management, to review
intriguing cases from patient encounters in the department's hospital
service. Seeking to improve the level of evidence-based information
exchanged at Morning Report, department leaders invited reference librarians
from the health sciences library to attend weekly Morning Report. The
librarians saw this as an opportunity not only to improve residents'
information-seeking skills, but also to improve librarians' teaching skills
and understanding of the needs of users in clinical settings. This paper
describes the evolution of librarians' involvement in Morning Report,
examples of the kinds of contributions librarians have made in this setting,
and changes made in Morning Report sessions to facilitate this activity.
Brookman, A., A. Lovell, et al. (2006). "What do clinicians want from us? An
evaluation of Brighton and Sussex University Hospitals NHS Trust clinical
librarian service and its implications for developing futureworking
patterns." Health Info Libr J 23 Suppl 1: 10-21.
Abstract Background: The Clinical Librarian (CL) Service at
Brighton was established in 2003 with the aim of providing high-quality
evidence to designated teams and fostering an evidence-based culture.
Objective: To evaluate the CL service at Brighton and discuss the
implication of the findings. Methods: A combination of internally collected
data (n = 167), and an external evaluation of the service by questionnaires
(n = 86) of users and non-users and interviews (n = 9) of users. Results:
Internal data suggest that the service is valued by its users and that
patient care and continuing professional development are the most common
uses for searches (confirmed by the external study); that searches generally
result in some change in knowledge; and that this knowledge is disseminated.
The external study found that visibility of the CL was crucial to the
effectiveness of the role and that clinicians used the service mostly to get
access to a wider range of resources and/or to save time. Users wanted the
CL to include evaluative annotation with the results, and for the CL role to
become more embedded in the team. Interview results expanded on the issues
of integration of the CL and the need for annotation of results.
Conclusions: To be most effective, CLs would be dedicated to one team, but
financial constraints make this unlikely. Alternative working patterns are
suggested as a possible compromise.
Traditi, L. K., J. M. Le Ber, et al. (2004). "From both sides now:
librarians' experiences at the Rocky Mountain Evidence-Based Health Care
Workshop." J Med Libr Assoc 92(1): 72-7.
The Colorado Health Outcomes (COHO) Department of the School of
Medicine at the University of Colorado Health Sciences Center (UCHSC)
coordinates the Rocky Mountain Evidence-Based Health Care (EBHC) Workshop,
which has been held annually since 1999. The goals of the workshop include
helping participants-physicians, pharmacists, health care policy makers,
journalists and librarians-learn and apply skills for critically appraising
medical research literature and for effective use of evidence-based
information resources. Participants are encouraged to share ideas and to
plan local services and instruction for those working in clinical settings.
Each year, librarians from UCHSC Denison Memorial Library participate as
faculty by teaching searching skills (PubMed, Cochrane Library, ACP Journal
Club, etc.), providing support to small groups, and staffing two computer
labs. In 2002, Denison Library received a National Network of Libraries of
Medicine (NN/LM) MidContinental Region Impact Award to fund the attendance
of three health sciences librarians from the MidContinental Region, an
academic education librarian, a clinical medical librarian, and a department
librarian. In this paper, the participating librarians share the lessons
they learned about how health care practitioners approach evidence-based
practice. The participating librarians also share how they incorporated
these lessons into their support of evidence-based practice related to
teaching about evidence-based resources, assisting health care practitioners
with developing answerable questions, enhancing the clinician-librarian
partnership, and assisting practitioners in selecting evidence-based
resources for quick answers to clinical questions.
Tod, A. M., B. Bond, et al. (2007). "Exploring the contribution of the
Clinical Librarian to facilitating evidence-based nursing." J Clin Nurs
16(4): 621-9.
Aim. To examine the potential role of the Clinical Librarian in
facilitating evidence-based practice of nurses in acute hospital settings
and develop a model for the role. Background. There is a growing policy and
professional expectation that nurses will seek out and apply evidence in
their clinical practice. Studies have demonstrated that nurses experience
barriers in working with an evidence-based approach. The role of Clinical
Librarian has been used in other countries and within medicine to overcome
some of the barriers to evidence-based practice. There are limitations in
the previous work in terms of rigour of evaluation, scope of the Clinical
Librarian role and application to nursing in a UK setting. Design. A
qualitative consultation of 72 nurses in acute care settings. Methods. Six
consultation group interviews of between 4-19 participants. Written records
were recorded by the scribe. Content analysis was undertaken to identify the
range and frequency of comments. Results. Clinical questions currently go
unanswered because of barriers of time, skills deficits and access to
resources. Literature searching, skills training and evidence dissemination
were the main areas of work the staff requested that a Clinical Librarian
should undertake. It was anticipated that the Clinical Librarian could
interact and work productively with nursing staff with a limited but regular
presence on the ward. Interim communication could be via e-mail, phone and
written suggestions and requests for work. It was seen to be vital that the
Clinical Librarian worked in partnership with staff to build evidence-based
practice capacity and ensure clinical relevance of the work. Conclusions.
This study has generated the first model for the Clinical Librarian role
with an emphasis on nursing. It is derived from the views of clinical
nurses. Recommendations are made for the implementation and evaluation of
such a role. Relevance to clinical practice. The Clinical Librarian could be
an invaluable support to promoting evidence-based nursing.
Schwing, L. J. and E. E. Coldsmith (2005). "Librarians as hidden gems in a
clinical team." Med Ref Serv Q 24(1): 29-39.
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.
Irina Ibraghimova,
Medical Information Resources Coordinator,
American International Health Alliance
toolkit.lrcnetwork.org
www.aiha.com
From: Evidence based health (EBH)
[mailto:[log in to unmask]] On Behalf Of Kamlesh Bhargava
Sent: Monday, May 19, 2008 1:07 PM
To: [log in to unmask]
Subject: EBM for Librarians
Dear Colleagues,
Greetings from the land of perpetual sunshine.
I have been invited to the National Library Association in Oman to give a
talk on "The Librarians role in Evidence based practice of Medicine". I
would be grateful if those who have done similar talks could share their
experience.
--
Kamlesh Bhargava
Senior Consultant
Family Medicine and Public Health
SQ University
Oman 123
email [log in to unmask]
