scholarly journals A User Survey Finds That a Hospital Library Literature Search Service Has a Direct Impact on Patient Care

2015 ◽  
Vol 10 (3) ◽  
pp. 108
Author(s):  
Elizabeth Margaret Stovold

A Review of: Farrell, A., Mason, J. (2014). Evaluating the Impact of Literature Searching Services on Patient Care Through the Use of a Quick-Assessment Tool. Journal of the Canadian Health Libraries Association, 35(3),116-123. doi: 10.5596/c14-030 Abstract Objective – To assess the impact of a library provided literature search service on patient care. Design – Multiple choice questionnaire survey. Setting – Hospital library. Subjects – 54 library users who had requested a literature search and indicated the primary purpose of their request was patient care. Methods – A multiple choice questionnaire survey was designed, building on previously published library impact surveys and best practice guidelines, with input from staff in the local research department. The survey was reviewed by library staff, researchers and prospective respondents and piloted. The survey was sent out with the answers to literature search requests and a small incentive was offered to those who completed the survey. The survey was followed up with reminders. Main results – The response rate was 57.5% (n=54/94). The most common staff groups requesting literature searches were physicians (33.3%), nurses (22.2%), therapists (16.7%), pharmacists (11.1%) and residents (7.4%). The majority stated that their questions had been answered (77.8%), while 18.5% indicated their questions had been partially answered, for reasons such as the answer leading to more questions, or parts of the question had not been addressed. Two (3.7%) of the respondents’ questions were not answered, either because no answer existed, or because the question didn’t contain enough detail. Of those who replied that their question had been answered, 64.3% judged the information to have had an immediate impact on patient treatment or management. Other uses of the information included refreshing memory, avoiding an adverse event, diagnosing a patient, or preventing a referral. The percentage of respondents judging there to be no immediate impact on patient care was 16.7%. The impact on diagnosis and treatment was further investigated in those who had said there had been an immediate impact, with 22.2% saying the information determined their choice of drug, 29.6% saying the information confirmed their choice of drug, while 18.5% stated the information changed their choice of drug. All respondents replied that they intended to use this information in the future, regardless of whether the information had an immediate impact, or if their question had been answered. Conclusion – The authors concluded that the survey results show hospital libraries can have an impact on patient care through a literature searching service. They also found that the library was answering its literature service users’ questions.

Author(s):  
Ashley Farrell ◽  
Jeff Mason

Objectives: To evaluate the impact of literature searching services on patient care, and to create a validated quick-assessment tool to be used by other libraries to assess their own literature searching services. Methods: All users of the Regina Qu’Appelle Health Region Health Sciences Library who requested a literature search for the purposes of patient care were emailed a link to a short survey as a preamble to search results sent using LibAnswers. A reminder was sent one week after the initial invitation. Responses were collected using FluidSurveys. Face and content validation of the survey were conducted with prospective respondents, librarians, and research support staff followed by a short pilot phase to assess reliability. Results: Fifty-four responses were received for a response rate of 57.5%. Immediate impacts of the information provided included confirming, changing, or determining a diagnosis (7.1%) or treatment plan (64.3%); avoiding adverse events (9.5%); and preventing (4.8%) or initiating (2.4%) a referral or consultation to another department. Future uses for the information provided include changing the approach to particular (27.8%) or future (55.6%) patients, sharing with colleagues (68.5%), and teaching (42.6%). Conclusions: Libraries do effect change in patient care. It is possible for hospital libraries to assess the impact a service such as literature searching has on patient care without requiring a major time investment from library users. Librarians in similar settings are encouraged to further validate and use this tool to more easily compare the impact hospital libraries have on patients.


Author(s):  
Gijs J.Q. Verkerk ◽  
Lisanne van der Molen-Meulmeester ◽  
Mattijs W. Alsem

PURPOSE: Although the Canadian Occupational Performance Measure (COPM) is used with children, it is unclear how they and their parents experience this. This study aims to investigate the opinions of children and their parents about the COPM when it is used with children. METHODS: Semi-structured interviews were performed with 23 children varying in age between 8 and 18 years. The transcripts of the interviews were analysed using MAXQDA software to discover overarching themes. Parents’ responses to an eight-item multiple-choice questionnaire were analysed using SPSS software. RESULTS: Five themes extracted from the interviews with the children show: My way of doing the COPM; The COPM shows my own problems and wishes for change; The COPM is important for identifying the support I need; The influence of my parents and my therapist; and The COPM is suitable for me. The children experienced the COPM as a valuable tool for determining and measuring the impact of an intervention. The parents experienced the COPM as suitable for their child and judged that the child’s scores were useful for showing the outcome of an intervention. CONCLUSION: Both the children and their parents valued the COPM as an outcome measure for intervention.


1994 ◽  
Vol 48 (2) ◽  
pp. 171-179 ◽  
Author(s):  
Marshall S. Scott ◽  
Marisue Grzybowski ◽  
Sue Webb

Reports the findings of a questionnaire survey designed to examine the impact of pastoral care on patient care and job satisfaction of registered nurses (N-280) employed in a metropolitan hospital. Suggests that educational strategies be explored as a way of broadening the perspectives of nurses regarding reasons for consulting pastoral care departments.


2018 ◽  
Vol 10 (1) ◽  
pp. 81-87
Author(s):  
Inga Lena Grønlund ◽  
Malene Wøhlk Gundersen ◽  
Tordis Korvald ◽  
Elisabeth Karlsen ◽  
Anne Tangen ◽  
...  

AbstractThe popularity of the review article as a publication type has increased dramatically during the last decades. As the number of single studies published each year has reached staggering heights, the need to summarize or synthesize these has proportionally increased. As one of their core services libraries throughout Norway provides access for their users to as much of the published research as possible. Unfortunately, that is not equivalent to enabling the users to locate relevant research. This is a challenge often requiring a special skill set and expertise in literature searching, both which is often found among specialized librarians. Requests from researchers at OsloMet – Oslo Metropolitan University (formerly Oslo and Akershus University College of Applied Sciences) for assistance from the librarians in performing systematic literature searches was the basis in developing the literature search service described in this article. How a typical request for a literature search is handled, what the product comprises and which aspects that will be prioritized in the future is expounded. Furthermore, the authors describe some of the experiences in launching this service as a service charging the researchers for librarian assistance on an hourly basis. Finally, challenges and unresolved issues are commented on.     


1995 ◽  
Vol 2 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Katherine N. Moore

Noncompliance exasperates health care professionals, leaves them worrying about the effective outcome of medical care, and results in noncompliant patients being labelled as 'difficult' or 'troublesome'. It is suggested that professionals who label a patient as noncompliant are following convenient paternalistic principles rather than considering the impact of a prescribed regimen on an individual patient. In this paper, the author considers autonomy and respect to be foremost in patient care. Further, compliance does not necessarily indicate that both professional and patient have developed a collaborative understanding relationship. Noncompliance is described as a lack of recognition by the health care professional of the meaning of the regimen to the patient. Treatment interventions will be most successful when the patient participates in the prescription. Without acknowledgement of the patient as an equal partner, and listening to his or her narrative, care will be, at best, paternalistic. Les soignants peuvent devenir exasperes par les malades qui n'acquiescent pas à leur traitement. Cela laisse les soignants souciant des résultats de leurs soins et abouti à ce que les malades sont qualifiés de difficiles ou insoumis. On propose ici que le personnel qui traite les malades d'insoumis suit des principes paternalistes plutôt que de considérer les suites des regimes prescrits pour les particuliers. Dans cet article l'auteur considère l'autonomie et le respet comme primordiaux pour les soins. L'acqiescement ne veut pas toujours dire que malades et infirmiers/ères ont développés des rapports collaborateurs. Le refus d'acquiescer est aperçu comme un manque de reconnaissance par la personne soignante de la significance du traitement médical du malade. Les interventions réussissent le mieux quant les malades participent à leurs soins. Si l'on n'accepte pas les malades comme partenaires en écoutant leurs récits, les soins sont au plus du paternalisme. Die Ablehnung der verordneten Behandlung durch die Patienten kann das Pflege personal zur Verzweiflung bringen und den Ausgang der Behandlung in Frage stellen und führt dazu, die Patienten als schwierig oder problematisch einzustrafen. Hier wird die Ansicht vertreten, dass das Pflegepersonal, das Patienten als unkooperativ oder ablehnend bezeichnet, einem paternalistischen Prinzip folgt und nicht an die Wirkung denkt, die die verschriebene Behandlung auf einzelne Patienten hat. In diesem Artikel bezeichnet die Autorin die Selstbestimmung der Patienten und den Respekt ihnen gegenüber als das Wichtigste in der Krankenpflege. Fügsamkeit deutet nicht unbedingt auf eine Zusammenarbeit zwischen Patienten und Pflegenden hin. Zuwiderhandlung der Patienten wird als Mangel an Verständnis von Seiten des Pflegepersonals gesehen, das die Bedeutung, die die Behandlung für Patienten hat, nicht einzuschatzen weiss. Die Behandlung wird nur dann den grösstmöglichen Erfolg bringen, wenn die Patienten daran teilnehmen. Wenn Patienten nicht als gleichberechtigte Partner angesehen werden, deren Meinungen gehört und respektiert werden, ist die Pflege höchstens patemalistisch.


2016 ◽  
Vol 3 ◽  
pp. JMECD.S20377 ◽  
Author(s):  
Susan F. McLean

Introduction Case-based learning (CBL) is a newer modality of teaching healthcare. In order to evaluate how CBL is currently used, a literature search and review was completed. Methods A literature search was completed using an OVID© database using PubMed as the data source, 1946-8/1/2015. Key words used were “Case-based learning” and “medical education”, and 360 articles were retrieved. Of these, 70 articles were selected to review for location, human health care related fields of study, number of students, topics, delivery methods, and student level. Results All major continents had studies on CBL. Education levels were 64% undergraduate and 34% graduate. Medicine was the most frequently represented field, with articles on nursing, occupational therapy, allied health, child development and dentistry. Mean number of students per study was 214 (7–3105). The top 3 most common methods of delivery were live presentation in 49%, followed by computer or web-based in 20% followed by mixed modalities in 19%. The top 3 outcome evaluations were: survey of participants, knowledge test, and test plus survey, with practice outcomes less frequent. Selected studies were reviewed in greater detail, highlighting advantages and disadvantages of CBL, comparisons to Problem-based learning, variety of fields in healthcare, variety in student experience, curriculum implementation, and finally impact on patient care. Conclusions CBL is a teaching tool used in a variety of medical fields using human cases to impart relevance and aid in connecting theory to practice. The impact of CBL can reach from simple knowledge gains to changing patient care outcomes.


2019 ◽  
Vol 8 (2) ◽  
pp. e000631 ◽  
Author(s):  
Linda Hoinville ◽  
Cath Taylor ◽  
Magda Zasada ◽  
Ross Warner ◽  
Emma Pottle ◽  
...  

BackgroundCancer is diagnosed and managed by multidisciplinary teams (MDTs) in the UK and worldwide, these teams meet regularly in MDT meetings (MDMs) to discuss individual patient treatment options. Rising cancer incidence and increasing case complexity have increased pressure on MDMs. Streamlining discussions has been suggested as a way to enhance efficiency and to ensure high-quality discussion of complex cases.MethodsSecondary analysis of quantitative and qualitative data from a national survey of 1220 MDT members regarding their views about streamlining MDM discussions.ResultsThe majority of participants agreed that streamlining discussions may be beneficial although variable interpretations of ‘streamlining’ were apparent. Agreement levels varied significantly by tumour type and occupational group. The main reason for opposing streamlining were concerns about the possible impact on the quality and safety of patient care. Participants suggested a range of alternative approaches for improving efficiency in MDMs in addition to the use of treatment protocols and pre-MDT meetings.ConclusionsThis work complements previous analyses in supporting the development of tumour-specific guidance for streamlining MDM discussions considering a range of approaches. The information provided about the variation in opinions between MDT for different tumour types will inform the development of these guidelines. The evidence for variation in opinions between those in different occupational groups and the reasons underlying these opinions will facilitate their implementation. The impact of any changes in MDM practices on the quality and safety of patient care requires evaluation.


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