Transcript Slide 1
Review of the Clinical Librarian
Service
Jane Surtees
[email protected]
Clinical Librarian
Royal Derby Hospital
Derby Hospitals NHS Foundation Trust
Methodology
Questionnaire and accompanying letter
Sent to all staff on wards and departments that have named clinical
librarian
496 sent in total
110 returned – started data analysis at 91
27 agreed to follow up interview
6 month + period
Results
Following discussion focusing on:
Staff profile
Information needs profile
Resources used
Impact of information gained
Satisfaction
Job
Other
Student
Other admin
GP practice staff
Managers
Support Staff
Ambulance Staff
Scientific
Community Nursing
Acute Nursing
Other Medical Staff
GP
Consultant
Amount
Staff Profile
35
30
25
20
15
10
5
0
Information Needs Profile
CONSULTANTS
Direct patient care
Personal research
Clinical governance/guideline development & teaching
NURSES
Direct patient care
Teaching
CPD related
SCIENTIFIC, THERAPEUTIC & TECHNICAL
Direct patient care
CPD related
Audit & Service development
Information Needs Profile
- Type of Information
All three job groups sought this information with the
most frequency:
Guidelines on management of illness/condition
Most recent information on a subject
Specific drug/therapy related
Resources Used
CONSULTANTS
Internet
Personal journal/book collection
Databases such as Medline
NURSES
Internet
Reference textbooks/manuals
Library staff
SCIENTIFIC, THERAPEUTIC & TECHNICAL
Library staff
Internet and Reference textbooks/manuals
Impact of information
gained
All three groups cited variations on these categories
with most frequency as being the immediate
impact of information gained:
Relevant
Accurate
Current
Provided new knowledge
Will share information with colleagues
Interviews
Arbitrary classification used
Reinforced findings from questionnaires
Patient care related
Most respondents search at work
Most popular resources internet and clinical librarian
Information needs deemed to be partial/incomplete
Confirmed that the information would aid both immediate
and future decision making
Search halted once clinical librarian contacted
Information potentially leading to improvement in QOL for
patient and/or family
Clinical librarian saves TIME
Literature Searching Service
2009-2010: a review
Literature Searching Service 09-10:
A Review
December 2008 - Review document submitted on
statistics recorded by LKS
Kept for many stakeholders including departmental,
directorate, regional and national organisations
These statistics are recorded to support:
– EBP; Feedback; Keeping track of number of requests;
Housekeeping; Service Development; Improvement;
Workforce Planning; Education; Training needs;
Financial; Budgeting; HR; Monitoring activity.
Literature Searching Service 09-10:
A Review
Focus group created
Development of toolkit and set of guidelines
Captured LKS statistics on:
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–
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Literature Searching Activity
Current Awareness Activity
Operations Activity
Training Activity
Literature Searching Service 09-10:
A Review
Excel spreadsheet created to capture and record literature
search statistics
Contents taken from literature search form
Added features:
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Look up codes
Predetermined drop-down menus
“on-time” feature
Individual codes for each literature search
Pivot tables – “who”, “where”, “what purpose”
Literature Searches 2009
N = 403
Breakdown by job role
Literature Searches 2009
Highest number of requests for general patient care
Most requests in Sep/Oct
Literature Searches 2010
N = 402
Literature Searches 2010
Majority service development followed by patient care
Online Feedback Form
Received 82 responses in total (20.34% of all literature searches
completed).
Alerted users of the literature searching service to respond to the
survey via two email drops carried out at 6 month intervals
This proved productive and gave a response rate which is sufficient to
draw some tentative conclusions.
The survey contained 15 questions - the first five questions pertained
to the users name, directorate, department, contact details and search
topic.
How relevant were the results to
your search request?
Have You Read The Summary Sheet
Provided?
If You Did Read The Summary, Was
It….
What Was The Immediate Impact Of The
Information Provided On Your
Knowledge?
Did The Information Impact On Any
Of The Following Areas?
How Did You Hear About The
Literature Search Service?
How Would You Rate This Service?
Conclusions
Perceived favourably by users
Integral part of clinical teams
Contribution to direct patient care
Demand currently exceeds supply
Current model of clinical librarianship is one that
is endorsed in literature
Time saving
Unique position to facilitate evidence based
practice
Conclusions Cont’d
Literature search service valued by clinical &
managerial staff
Impact on patient care confirmed by clinical users
Encouraging users to seek out best evidence
Support managerial decision making as well as
clinical need
Key link in clinical & EBP chain
With potential changes on horizon, need to think
innovatively how service can safeguard itself
Thank you for listening.
Questions?