Systems Librarianship Through the Lens of an Open Systems Framework in a Hospital Library Setting: A Case Report.

Systems librarianship, when merged with the position of informationist, evolves into the identity of the systems informationist in the hospital setting. The Health Sciences Library at Geisinger has successfully implemented a systems informationist role within an open systems framework. The duties of the systems informationist are framed here using: input for information-seeking behavior; throughput of clinical support for patient care; output by user experience in research and education; and feedback to elevate operational excellence. This case report contributes a focused approach to systems librarianship, providing examples for other hospital libraries that may be interested in developing their own Systems Services.

Assessment of Library Services in Pediatric Hospitals in the United States and Canada.

This study reports on a 2022 survey of pediatric hospital librarians in the U.S. and Canada to assess the status of staffing, resources, and services in their libraries. The report compares the data against the MLA Hospital Library Caucus Standards (2022) and the Canadian Hospital Library Association Standards (2020). The report also provides a comparison of the libraries' rankings using the Regional U.S. News & World Report Best Children's Hospitals and Magnet status. This approach is intended to determine how librarians and library services at hospitals that are recognized by the above programs differ from those that are not recognized.

Electronic Table of Contents Service: Still "Forwarding" 11 Years Later.

An electronic table of contents (eToC) program was implemented by a medical librarian more than 11 years ago at a pediatric hospital (now a clinical and academic health system) with the goal of saving healthcare providers time and assisting them in staying current on the literature in their specific disciplines and/or general medicine. The eToC program still remains a highly popular service with more than 180 clinicians participating. This paper describes the implementation and maintenance of the program.

Assessing Diversity in Hospital Library Collections.

Public libraries have conducted collection diversity audits, but this is the first known report of a diversity audit in the hospital library community. A two-part questionnaire was sent to hospital librarians to determine their use of diversity audits in collection management and to provide a tool for a preliminary assessment of their collections' diversity. Results of the questionnaire indicate that developing diversity within hospital library collections is important to these respondents. These librarians also support diversity in their library personnel, open access, researching critical gaps, and programming.

Interlibrary loan and document delivery in North American health sciences libraries during the early months of the COVID-19 pandemic.

Objective: The study purpose was to understand how early months of the COVID-19 pandemic altered interlibrary loan (ILL) and document delivery (DD) in North American health science libraries (HSLs), specifically the decision-making and workflow adjustments associated with accessing their own collections and obtaining content not available via ILL. Methods: Researchers distributed an online 26-question survey through 24 health science library email lists from January 6-February 7, 2021. Respondents reported their library's ILL and DD activities from March-August 2020, including ILL/DD usage and policies, collection access, decision-making, and workflow adjustments. In addition to calculating frequencies, cross-tabulation and statistical tests were performed to test a priori potential associations. Two researchers independently and thematically analyzed responses to the 2 open-ended questions and reached consensus on themes. Results: Hospital libraries represented 52% (n=226/431) of respondents, along with 42% academic (n=179) and 6% (n=26) multi-type or other special. Only 1% (n=5) closed completely with no remote services, but many, 45% (n=194), ceased ILL of print materials. More than half (n=246/423; 58%) agreed that ILL requests likely to be filled from print remained unfilled more than is typical. Open-ended questions yielded 5 themes on ILL/DD staffing, setup, and systems; 6 on impacts for libraries and library users. Conclusion: Lack of communication regarding collection availability and staffing resulted in delayed or unfilled requests. Hospital and academic libraries made similar decisions about continuing services but reported different experiences in areas such as purchasing digital content. Hybrid ILL/DD workflows may continue for managing these services.

Hospital Librarians Meet the Challenges of the COVID-19 Pandemic.

When the COVID-19 pandemic arrived in the United States in early 2020, it caused an information explosion in the health science literature. Researchers wanted to share their results quickly, so they utilized sources that were not indexed in conventional databases. Hospital librarians stepped up to meet the information and public health challenges of the pandemic. They developed alternate strategies to provide services and resources remotely at a time when their physical libraries were closed to comply with the need for social distancing and compliance with public health recommendations.

Alternatives to Google Suite Applications.

Librarians adopted and utilized web-based Google suite applications as a method of collaborating with each other on projects, research, and professional association membership duties. However, as cybercriminals have begun to exploit these tools to infect healthcare networks with ransomware, many hospital IT departments have blocked access to Google applications. This paper provides a background on security risks to healthcare institutions and possible alternatives to Google applications hospital librarians can use to continue collaborating.

Improving Nurses' Skills and Supporting a Culture of Evidence-Based Practice.

Evidence-based practice is critical to hospitals achieving high quality performance measures, improving patient outcomes, and reducing mortality and costs. Nurses who perform evidence-based care report greater job satisfaction, which leads to less turnover or occupational burnout. Librarians play an essential role in establishing an evidence-based culture in their organizations and supporting the nursing staff so that they are not only competent, but also confident in meeting evidence-based competencies. Action steps librarians can take include augmenting their collections with evidence-based resources, collaborating with staff to help them find the best evidence, and assisting with the first four steps of the evidence-based practice model.

Appraising the Community of Practice at a Hospital Library System Using a Critical Librarianship Lens.

The Kaiser Permanente health sciences librarians created inter-regional policies to standardize and guide the work of all librarians across regions. In response to the larger organization's emphasis on promoting diversity and equity in healthcare and the workplace, the library policies have evolved over time to include aspects of critical librarianship in the information services that the Kaiser Permanente librarians provide to their organization. The article describes how the inter-regional group of hospital librarians provide information services through a critical librarianship lens and provides examples of how other health sciences librarians can incorporate these principles to expand their services.

Translational Personas and Hospital Library Services.

Academic health centers, CTSA hubs, and hospital libraries experience similar funding challenges and charges to do more with less. In recent years academic health center and hospital librarians have risen to these challenges by examining their service models, and beyond that, examining their patron base and users' needs. To meet the needs of employees, patients, and those who assist patients, hospital librarians can employ the CTS Personas, a project of the Clinical and Translational Science Awards (CTSA) Program National Center for Data to Health. The Persona profiles, which outline the motivations, goals, pain points, wants, and needs of twelve employees and two patients in translational science, provide vital information and insights that can inform everything from designing software tools and educational services, to advertising these services, to designing impactful and collaborative library spaces.

La biblioteca de hospital en Portugal: la visión de los bibliotecarios / Hospital libraries in Portugal: a librarian's view

El objetivo de este trabajo fue identificar la perspectiva profesional de los bibliotecarios y de las bibliotecas de hospital en Portugal y su proyección futura. Se trata de un estudio descriptivo, por medio de una investigación no experimental, basada en un método de análisis cualitativo. Para este estudio se utilizó una muestra de 13 profesionales que, de alguna manera, tienen una conexión/conocimiento con el trabajo desarrollado en las bibliotecas hospitalarias. Se buscó disponer de una muestra que cubriera el país de norte a sur para que los resultados pudieran ser representativos de la realidad portuguesa. Los resultados indican que los profesionales que trabajan en las bibliotecas del área de salud en Portugal consideran que no existe una formación profesional específica para este campo con características muy particulares frente a otras realidades bibliotecarias. Además, estiman que los profesionales de la salud que trabajan en bibliotecas deberían estar integrados a los equipos clínicos y de investigación de sus instituciones. Por otra parte, dada la importancia que tiene hoy la medicina basada en la evidencia, se hace necesario el desarrollo de nuevos roles que los bibliotecarios deben asumir. También consideran que corresponde al bibliotecario de la salud asumir los desafíos, invertir en la actualización y adquisición continua de habilidades, fortalecer su papel en las instituciones en las que se inserta, y justificar, de este modo, el valor añadido de la profesión(AU)

The purpose of the study was to identify the professional perspective of hospital libraries and librarians in Portugal and their future projection. A qualitative non-experimental descriptive study was conducted of a sample of 13 professionals related to / acquainted with the work of hospital libraries. The sample was intended to cover the entire country from north to south, so that the results obtained would be representative of Portuguese reality. Results show that professionals from health libraries in Portugal consider that no specific professional training is available for this field, which is characterized by very particular features unique to this library type. They also think that health professionals working at libraries should be incorporated into the clinical and research teams of their institutions. On the other hand, and given the current importance of evidence-based medicine, it is necessary to develop new roles to be undertaken by librarians. They also consider that librarians should accept the challenges, invest time and energy in permanent skill acquisition and update, and strengthen their role at their institutions, thus justifying the added value of the profession(AU)

Librarian Consults Through Epic: New Opportunities for Collaboration and Education.

The Center for Families Resource Library at St. Louis Children's Hospital was integrated into the hospital's new Epic electronic medical records system in June 2018. The new system enables clinicians to request consults from the Center for Families Resource Library. The librarian can participate more actively and collaboratively with patient education by providing reliable health information and charting it as part of the patient's permanent record. The article reviews improvements over the former system and reveals an enhanced role for the health services librarian.

How One Library's Health Information Center Expanded Its Marketing Plan.

When Preston Medical Library moved inside the Medical Center in September 2014, the new patient library, called the Health Information Center (HIC), was added. This addition is a patient focused, consumer health library that, among other things, offers health information and books. After the initial marketing plan was implemented, a task force was created to focus specifically on marketing the consumer health library and its resources. This article discusses how the task force revamped the marketing strategy to include outreach into the medical center's waiting rooms and other opportunities for collaboration.

Developing a Cancer-Focused Library Survey - Assessing the Current Environment and Planning for the Future.

The primary goal of this project is to understand how each National Cancer Institute-designated cancer center library, and all libraries that support cancer research, function within their institutions. Through an in-depth survey focused on three major areas (staff, content and tools procurement, and user services), the research team hopes to determine how a cancer-centric library can be successful in supporting quality patient care, research excellence, and education. Additionally, the survey will examine the necessary minimum staffing levels for librarians and information professionals based on organizational size and degree of research focus. The survey will seek out the new skills librarians will need to deliver optimal services. The survey will also explore how content libraries purchase reflects and maps to constituents' current medical and research activities. Libraries within a research intense environment have a responsibility to align with researchers and health care professionals to provide resources and services that support their workflows. Cancer libraries need to be attuned to their institutions' missions, whether that includes excellent patient care, research endeavors, or cutting-edge educational programs. The information gathered from the survey will provide data for this research team to define the vision and standards of excellence for a cancer specialized research library.

Taking the Pulse of the University of Tennessee Medical Center's Health Literacy Knowledge.

Low health literacy is well documented in East Tennessee. Before addressing the issue, librarians at the Preston Medical Library, University of Tennessee Medical Center in Knoxville, Tennessee, conducted a needs assessment of hospital staff to determine their knowledge of health literacy and the need for training. As a follow-up, library staff conducted training sessions for nurses through classes, small group meetings, and staff huddles. The result is an increased dialogue of health literacy at the hospital, along with new research projects, a forum, and a summit meeting.

Demonstrating Value in Federal Medical Center Libraries.

Librarians in the federal sector, like librarians in other medical center libraries, increasingly find it necessary to prove their worth to administrators of their facilities in order to keep their libraries open. The Federal Libraries Section of the Medical Library Association developed a survey for use by federal librarians to help them quantify the value of library reference services provided. Using this survey, these librarians gathered statistics to show the library's effect on patient care, education, and administrative questions.

The Librarian's Contribution to Continuing Medical Education.

At many hospitals, including Robert Wood Johnson (RWJ) University Hospital Rahway, librarians facilitate continuing medical education (CME) programs, sometimes working in that capacity as much as in their traditional librarian functions such as reference, research, cataloging, and bibliographic instruction. This column traces the relationship between the two aspects of the RWJ Rahway's CME coordinator and health sciences librarian's job to demonstrate that, because of their duties and skills, medical librarians can meaningfully contribute to hospitals' CME programs. The worlds of librarianship and CME are further connected by the same goal: the dissemination of information.

The comparison of printed resources bacterial contamination in libraries of Al-Zahra Hospital and Sciences Faculty of Isfahan University and the determination of their antibiotic sensitivity pattern.

INTRODUCTION: During the library loan process, the printed resources can be a carrier of pathogenic bacteria. In this study, it was tried to compare the Bacterial Contamination Rates and their antibiotic sensitivity pattern in printed resources of a hospital and a non-hospital library. METHODS: This is a cross-sectional study. Returning books from the Al-Zahra hospital library and library of Sciences faculty of Isfahan University provides the research community. The sample size, 96 cases, was calculated using quota sampling. For sampling sterile swab dipped in trypticase soy broth medium and transfer trypticase soy broth medium were used. To identify different type of isolated bacteria from Gram-staining test and biochemical tests such as; TSI, IMViC and etc., were used. RESULTS: 76 (79.2%) and 20 (20.8%) of cultured samples were negative and positive, the respectively. Of 20 positive samples, 11 samples (55%) belong to the family Enterobacteriaceae that after detecting by Differential teste identified all 11 samples of Enterobacter that all of them were sensitive to Gentamicin and Ofloxacin. Also the most resistance to Nitrofurantoin and Amikacin was observed. 9 cases remained (45%) were coagulase-negative Staphylococcus that all of them were sensitive to the Trimethoprim-sulfamethoxazole and Cephalexin antibiotics also the most resistance to Cefixime was observed. CONCLUSION: Considering that the Enterobacter sp and coagulase-negative Staphylococcus were separated from the books, the books as well as other hospital and medical equipment can transmit the infection to librarians, library users, patients and hospital staff, and also it can produce serious infections in patients with immune deficiency.

Health Literacy's Influence on Consumer Libraries.

Health literacy has been redefined in recent years to move beyond an individual's own communication skills to include the skills of persons working within health care organizations, including librarians. Provision of consumer health services and resources, while a long-standing practice in hospital libraries, has also been redefined. As definitions of health literacy have evolved, so too have hospital librarian services as they embrace their role within health literacy. Many hospital medical and consumer health librarians have developed programs, services, and collaborations to further health literacy awareness, education, and initiatives for consumers, health care professionals, and their parent organizations.

Question Safari: Seeking Questions in Their Natural Habitat. A Case Report.

Due to the demanding schedules of nurses, many clinical queries generated during patient care are forgotten before the nurse has time to conduct a search. This article describes a new clinical librarian service, Question Safari, created in partnership with the Nursing Research & Evidence-Based Practice initiative to help mitigate this issue and to support patient care.