Objective: In 2018, the Network of the National Libraries of Medicine (NNLM) launched a sponsorship program to support public library staff in completing the Medical Library Association’s Consumer ...Health Information Specialization (CHIS). The objectives of our study were to: (1) determine whether completion of the sponsored specialization improved ability to provide consumer health information; (2) identify new health information services, programming, and outreach activities at public libraries; (3) investigate benefits of the specialization; and (4) determine the impact of sponsorship on obtaining and continuing the specialization.Methods: We used REDCap to administer a 16-question survey in August 2019 to 224 public library staff who were sponsored during the first year of the program. We measured competence in providing consumer health information aligned with the eight Core Competencies for Providing Consumer Health Information Services 1 as well as new activities at public libraries, benefits of the specialization to public library staff, career gains, and the likelihood of continuing the specialization based on funding.Results: More than 80% of 136 participants reported an increase in core consumer health competencies, with a statistically significant improvement in mean competency scores after completing the specialization. Ninety percent of participants have continued their engagement with NNLM, and more than half offered new health information programs and services. While more than half planned to renew the specialization or obtain the Level II specialization, 72% indicated they would not continue without NNLM sponsorship.Conclusions: Findings indicate that NNLM sponsorship of the CHIS specialization was successful in increasing the capacity of public library staff to provide health information to their communities.
The study evaluates how providers give patient education materials and identifies improvements to comply with Meaningful Use (MU) requirements.
Thirty-eight patient-provider interactions in two ...health care outpatient clinics were observed.
Providers do not uniformly know MU patient education requirements. Providers have individual preferences and find gaps in what is available. Accessing and documenting patient education varies among providers. Embedded electronic health record (EHR) materials, while available, have technical access barriers.
Providers' EHR skills and knowledge levels contribute to non-standardized patient education delivery.
Purpose: The study evaluates how providers give patient education materials and identifies improvements to comply with Meaningful Use (MU) requirements.Methods: Thirty-eight patient-provider ...interactions in two health care outpatient clinics were observed.Results: Providers do not uniformly know MU patient education requirements. Providers have individual preferences and find gaps in what is available. Accessing and documenting patient education varies among providers. Embedded electronic health record (EHR) materials, while available, have technical access barriers.Conclusions: Providers’ EHR skills and knowledge levels contribute to non-standardized patient education delivery.
Digital health technology has become ubiquitous, and it presents many opportunities to improve health management, personalize care, and increase patient engagement. Librarians have a valuable role in ...providing digital health technology services to both consumers and health care professionals. This article shares details on how an interprofessional team at one health care organization developed a digital health technology hub for their patients. Librarian involvement in establishing the service, building the vetted app collection for the hub, and integrating the app collection into clinical care, is discussed.
This is the 2nd update to the 9th edition of these guidelines. We provide recommendations on 17 PICO (Population, Intervention, Comparator, Outcome) questions, four of which have not been addressed ...previously.
We generate strong and weak recommendations based on high-, moderate-, and low-certainty evidence, using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) methodology.
The panel generated 29 guidance statements, 13 of which are graded as strong recommendations, covering aspects of antithrombotic management of VTE from initial management through secondary prevention and risk reduction of postthrombotic syndrome. Four new guidance statements have been added that did not appear in the 9th edition (2012) or 1st update (2016). Eight statements have been substantially modified from the 1st update.
New evidence has emerged since 2016 that further informs the standard of care for patients with VTE. Substantial uncertainty remains regarding important management questions, particularly in limited disease and special patient populations.
Health care providers frequently have complex clinical decision questions that go unanswered due to lack of time or database search skills. They also may face these constraints when attempting to ...provide individualized patient education information. Traditionally, health sciences libraries have utilized rounding to address clinical information needs, but a growing trend is to virtually embed librarians at the point of care through the electronic health record. These services enable providers to request evidence-based information support from the library while in the patient chart and without breaking clinic workflow. This article details one academic health sciences library's experience with developing a new service embedded into the electronic health record. Focus interviews with providers, conversations with stakeholders, and external site visits to organizations with established services, informed a nuanced project proposal for a beta launch. Processes, findings, and considerations are shared to encourage and enable other health sciences libraries to develop similar services.
This is the 2nd update to the 9th edition of these guidelines. We provide recommendations on 17 PICO (Population, Intervention, Comparator, Outcome) questions, four of which have not been addressed ...previously.
We generate strong and weak recommendations based on high-, moderate-, and low-certainty evidence, using GRADE (Grading of Recommendations, Assessment, Development, and Evaluation) methodology.
The panel generated 29 guidance statements, 13 of which are graded as strong recommendations, covering aspects of antithrombotic management of VTE from initial management through secondary prevention and risk reduction of postthrombotic syndrome. Four new guidance statements have been added that did not appear in the 9th edition (2012) or 1st update (2016). Eight statements have been substantially modified from the 1st update.
New evidence has emerged since 2016 that further informs the standard of care for patients with VTE. Substantial uncertainty remains regarding important management questions, particularly in limited disease and special patient populations.
Clinical nurses often struggle with a lack of time and proficiency when it comes to finding and reviewing research. Knowing where to start, and discerning which search terms will retrieve the best ...results, can be arduous. As expert searchers, medical librarians have the skills and knowledge to make significant contributions to the clinical team, helping nurses navigate information resources and research from start to finish. When there is not direct access to a librarian, the toolbox of resources outlined in the article can save nurses' time and effort when they require quality, evidence-based information.
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