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1、Click to edit Master title style,*,Click to edit Master text styles,Second level,Third level,Fourth level,Fifth level,Informationist and Expert Searcher:Critical New(Old)Roles for Health Sciences Librarianship?,Gary D.Byrd,Ph.D.,University at Buffalo(SUNY),An Outline for this Talk,Patient-Centered L

2、ibrarianship:from CMLs to Informationists,Expert Searching:from Intermediaries to Educators to Search Consultants,Knowledge Management:from IAIMS to Decision Support,Research Questions,Training Implications,Patient-Centered Librarianship,Evolving Paradigms:,Clinical Medical Librarians(Clinical Libra

3、rians),Measuring the Impact of Hospital Library Search Services on Patient Care,Informationists,CML Services,Integrate library resources and expertise into the clinical,patient care setting,Overcome time,cost and expertise barriers,Adjunct members of patient care teams,Improve librarians understandi

4、ng of patient care context of questions,information needs,Potential to better anticipate information needs,CML Service Roles,Providing research assistance for clinical faculty,Providing requested articles&bibliographies,Selecting,summarizing,abstracting articles based on observed(anticipated)needs,E

5、ducating students,residents,others on team,Providing information to patients&families,Promoting use of traditional library services,Factors in CML Successes&Failures,Acceptance of librarian as team member,Medical,clinical knowledge of librarian,Librarians willingness to assume CML role,Frequency of

6、team requests and service uses,Costs of personnel and other resources,Budget sources available to support services,CML Evaluative Studies,Only 35 from 1974 to 2001,Mostly,descriptive,(5 used controls),Usually,single,active programs,(5 more general),Most used,actual program data,(1 secondary,1 simula

7、ted),Data collection methods,:use statistics(20),questionnaires,(13),surveys,(10),interviews,(9),Service aspects studied,:,effect on users,(30),program functions,(21),program development,(12),costs,(8),library effects(2),need(1),Impacts studied,:,patient care,(31),educational,(21),library services,(

8、11),research(4),Results of CML Studies,Atypical studies:,Positive recollection of previous services(1977),Programs discontinued due to budget and staff shortages(1980),Review of reported benefits&problems(1974-84),Dept.chairs&librarians mildly receptive to CML concept(1990),Single,active program stu

9、dies:,Weighted average-perceptions of positive impact:,600 users&400“uses included in these studies,Usefulness,quality of information(12 studies)89%,Patient care impact(12 studies)65%,Hospital Libraries&Patient Care,Studies of general impact of hospital library services on quality and costs of patie

10、nt care,King(1986):random,unobtrusive survey of physicians 74%would handle case differently with library-provided information,Marshall(1990-91):Rochester hospitals study;80%would handle case differently,Klein(1989-90):Search services impact on Detroit hospital charges and length of stay;“early MEDLI

11、NE searches lowered costs and patient bed days,The“Informationist Concept,Davidoff&Florance(2000),Annals,editorial,Proposed new,credentialed professional role,Combine knowledge,training and skills of librarian,biostatistician,computer scientist and medical professional,Evidence-based medicine mandat

12、e to bring best evidence to point of care,Institute of Medicine reports(1999,2001)mandate to reduce medical errors,CML Redux,or Something New?,Giuse(1997-98)Vanderbilt Univ.CML experience,Prefigures the informationist movement,“Future of medical librarianship is in the clinical realm,Lack of adequat

13、e CML preparation,Need to“assimilate the culture,Ability to interact on rounds,search effectively,and interpret the literature,The Critical Informationist Difference,(With thanks to Scott Plutchak,2000,BMLA,),More than helping role of librarian at bedside(ambivalence of librarians and physicians),Mo

14、ve information management to mainstream of clinical practice,Clinic driven&funded,not library driven&funded,Nationally recognized standard curriculum,Still librarian,but hybrid steeped in the clinic,Not concerned with survival of librarianship,but the survival of patients,Expert Searching,Evolving P

15、aradigms:,Search intermediary,Educator and trainer of end-user searchers,Expert search collaborator,consultant,Mediated Search Services,Combination of knowledge&skills,(2003 MLA Policy Statement),Knowledge areas:,Subject domain,discipline,or practice,Databases content,structure,&effective use,Retrie

16、val system capabilities,limitations,Mediated Search Services,(cont.),Skills needed:,Clarify,refine&understand context of information needs,Find and effectively use information in all formats,Recognize personal and institutional limitations,Apply retrieval system logic,syntax and weighting,Be mindful and reflective(use iterative and heuristic methods),Use deductive and inductive reasoning,Efficiently evaluate results to fit requestors needs&expectations,Expertly process and edit results to facili