¿Conocéis cómo trabaja un bibliotecari@ médico? ¿Qué aportan a las instituciones sanitarias? Y ¿para el beneficio de los pacientes?
Hace unas semanas, estuvimos hablando varios compañeros de bibliotecas médicas de hospital, sobre unos artículos muy interesantes, donde explican la labor de los bibliotecarios. (bibliotecarios y personal de la biblioteca).
En dichos artículos explican cómo cada vez, se trabaja en la sanidad en equipos multidisciplinares, y donde la figura del bibliotecario es cada vez más valorada.
Como por ejemplo, con títulos como:
- El impacto de los servicios bibliotecarios clínicos en los pacientes y las organizaciones sanitarias.
- Evaluación del impacto de un proyecto de promoción de los servicios bibliotecarios y de información a la atención primaria en Nottingham, Reino Unido.
- Efectos de servicios bibliotecarios proporcionados en establecimientos de salud: una revisión sistemática.
- El Valor y el impacto de la información proporcionada a través de los servicios de biblioteca para el cuidado del paciente
Os dejo unos cuantos artículos, donde explican cómo se trabaja y resultados de dichos estudios.
Gracias por la iniciativa a los compañeros, que han ido recopilando dicha información.
Seguiremos aportando más bibliografía.
1.- Health Info Libr J. 2016 Jun;33(2):100-20. doi: 10.1111/hir.12136. Epub 2016 Feb 17.
The impact of clinical librarian services on patients and health care organisations.
Systematic reviews have found limited evidence of effectiveness and impact of clinical librarians (CLs) due to the poor quality of reporting, scale and design of previous studies.
To measure specific CL impact on organisational and patient outcomes using a robust approach that helps CLs develop research skills.
Questionnaire and interviews.
Clinical librarians contribute to a wide range of outcomes in the short and longer term reflecting organisational priorities and objectives. These include direct contributions to choice of intervention (36%) diagnosis (26%) quality of life (25%), increased patient involvement in decision making (26%) and cost savings and risk management including avoiding tests, referrals, readmissions and reducing length of stay (28%).
Interventions provided by CL’s are complex and each contributes to multiple outcomes of importance to health care organisations.
This study is unique in taking a wide view of potential and specific impacts to which CLs contribute across health care organisations. It is the largest UK evaluation of CL services to date and demonstrates CLs affect direct patient care, improve quality and save money. Future researchers are urged to use the tools presented to collect data on the same outcomes to build a significant and comprehensive international evidence base about the effectiveness and impact of clinical librarian services.
2.- Health Info Libr J. 2009 Jun;26(2):136-42. doi: 10.1111/j.1471-1842.2008.00789.x.
The impact of library services in primary care trusts in NHS North West England: a large-scale retrospective quantitative study of online resource usage in relation to types of service.
Within NHS North West England there are 24 primary care trusts (PCTs), all with access to different types of library services. This study aims to evaluate the impact the type of library service has on online resource usage.
We conducted a large-scale retrospective quantitative study across all PCT staff in NHS NW England using Athens sessions log data. We studied the Athens log usage of 30,381 staff, with 8,273 active Athens accounts and 100,599 sessions from 1 January 2007 to 31 December 2007.
In 2007, PCTs with outreach librarians achieved 43% penetration of staff with active Athens accounts compared with PCTs with their own library service (28.23%); PCTs with service level agreements (SLAs) with acute hospital library services (22.5%) and with no library service (19.68%). This pattern was also observed when we looked at the average number of Athens user sessions per person, and usage of Dialog Datastar databases and Proquest full text journal collections.
Our findings have shown a correlation of e-resource usage and type of library service. Outreach librarians have proved to be an efficient model for promoting and driving up resources usage. PCTs with no library service have shown the lowest level of resource usage.
3.- Health Info Libr J. 2006 Mar;23(1):64-8.
Evaluating the impact of a project promoting library and information services to primary care in Nottingham, UK.
Doney L1. PMID: 16466501
4.- Bull Med Libr Assoc. 1985 Jan;73(1):43-6.
Evaluating the impact of library services on the quality and cost of medical care.
Recent federal regulations have minimized the role of the hospital library in contributing to the quality of medical care and in lowering hospital costs. We trace the events that have led to these assumptions and discuss the complex problem of evaluating the impact of library services. Current research on the value and effectiveness of information is outlined.
5.- J Am Med Inform Assoc. 2014 Nov-Dec;21(6):1118-24. doi: 10.1136/amiajnl-2014-002825. Epub 2014 May 28.
Effects of librarian-provided services in healthcare settings: a systematic review.
To assess the effects of librarian-provided services in healthcare settings on patient, healthcare provider, and researcher outcomes.
MATERIALS AND METHODS:
Medline, CINAHL, ERIC, LISA (Library and Information Science Abstracts), and the Cochrane Central Register of Controlled Trials were searched from inception to June 2013. Studies involving librarian-provided services for patients encountering the healthcare system, healthcare providers, or researchers were eligible for inclusion. All librarian-provided services in healthcare settings were considered as an intervention, including hospitals, primary care settings, or public health clinics.
Twenty-five articles fulfilled our eligibility criteria, including 22 primary publications and three companion reports. The majority of studies (15/22 primary publications) examined librarians providing instruction in literature searching to healthcare trainees, and measured literature searching proficiency. Other studies analyzed librarian-provided literature searching services and instruction in question formulation as well as the impact of librarian-provided services on patient length of stay in hospital. No studies were found that investigated librarians providing direct services to researchers or patients in healthcare settings.
Librarian-provided services directed to participants in training programs (eg, students, residents) improve skills in searching the literature to facilitate the integration of research evidence into clinical decision-making. Services provided to clinicians were shown to be effective in saving time for health professionals and providing relevant information for decision-making. Two studies indicated patient length of stay was reduced when clinicians requested literature searches related to a patient’s case.
Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
Librarians; Library Services; Medical Informatics; Systematic Review
6.- Health Info Libr J. 2005 Mar;22(1):4-25.
The value and impact of information provided through library services for patient care: a systematic review.
An updated systematic review was carried out of research studies looking at the value and impact of library services on health outcomes for patients and time saved by health professionals.
A comprehensive systematic search was undertaken of the published literature to September 2003 in ERIC, LISA, MEDLINE, PREMEDLINE, EMBASE, the Cochrane Controlled Trials Register and Google. Some handsearching was carried out, reference lists were scanned and experts in the field were contacted. Twenty-eight research studies of professionally led libraries for health-care staff, including clinical librarian projects, met the inclusion criterion of at least one health or ‘time saved’ outcome. Papers were critically appraised using internationally accepted criteria. Data were extracted and results were summarised using a narrative format as the studies were heterogeneous and precluded a statistical analysis.
There is evidence of impact from both traditional and clinical librarian services. The higher quality studies of traditional services measured impacts of 37-97% on general patient care, 10-31% on diagnosis, 20-51% on choice of tests, 27-45% on choice of therapy and 10-19% on reduced length of stay. Four studies of clinical librarian projects suggested that professionals saved time as a result of clinical librarian input, and two of these studies showed evidence of cost-effectiveness. However, the clinical librarian studies were generally smaller, with poorer quality standards.
Research studies suggest that professionally led library services have an impact on health outcomes for patients and may lead to time savings for health-care professionals. The available studies vary greatly in quality but the better quality studies also suggest positive impacts. Good practice can be gathered from these studies to guide the development of a pragmatic survey for library services that includes the direct effects for patients among the outcome measures.
7.- Health Info Libr J. 2006 Jun;23(2):118-25.
Demonstrating the positive impact of information support on patient care in primary care: a rapid literature review.
To review the literature on the positive impact of information services, or information resources, on patient care in primary care.
To identify and summarize key papers on which librarians might draw in making the case for investment, and to highlight gaps in the research evidence Methodology: A rapid literature review was conducted in the summer of 2005.
There is a small body of evidence to demonstrate the positive impact of library and information services on the direct care of patients as well as a beneficial impact on the care of future patients through the application of evidence to multiple patients.
There is relatively limited research evidence of the impact of information, and library services, in primary care, in comparison with hospital settings and the research available is generally reliant on small samples. There is a lack of impact studies conducted with non-clinical staff. The review highlights the value of critical incident technique (CIT). It is possible to gather evidence of the potential for information services to deliver cost savings.
8.- Health Info Libr J. 2002 Mar;19(1):1-13.
Determining the impact of health library services on patient care: a review of the literature.
The impact of health library information has been studied in a number of settings and populations. This review examines both the methods employed and the outcomes reported in a series of impact studies conducted in four countries since the late 1980’s. It demonstrates that health library information can affect patient care outcomes in various ways and has high cognitive and clinical value in diagnosing and treating patients. But there remains no agreed technique or methodology for determining the level of this impact. In many cases evaluation of the health library’s impact will be located within a central process of evaluation of the greater organization to which the library belongs. Consequently, local ad hoc evaluation is rarely reported outside an organization. The author considers the question of whether it is worthwhile doing an impact study and what form it might take. The author concludes by identifying seminal papers on the topic.