Outreach services: issues and challenges.

Tompkins-McCaw Library of Virginia Commonwealth University has planned and implemented four one-year outreach service projects during the past two years. These projects were funded by the National Library of Medicine and the National Network of Libraries of Medicine Southeastern/Atlantic Region. The projects focus on information access for public health nurses, HIV/AIDS information access, and circuit librarian services in rural Southern Virginia. This article documents issues and challenges which have been identified from these projects and suggests ways to resolve them.

"Bridging the information gap" for Virginia public health nurses.

This project was designed to increase the public health nurse's knowledge and use of health science information resources available from the National Library of Medicine's databases through the use of the Grateful Med software program. In 1994, the Tompkins-McCaw Library located on the Medical College of Virginia Campus (MCV) of Virginia Commonwealth University (VCU) was awarded a Nursing Information Access Grant from the Southeastern/Atlantic Region of the National Network of Libraries of Medicine (NN/LM). This project was a collaboration of the Tompkins McCaw Library, the VCU School of Nursing, and The Virginia Department of Health. Sixty public health nurses received Grateful Med training. Session evaluations were conducted and indicate that although public health nurses received training and had access to health science information resources through Grateful Med, subsequent use of the resources was very limited. Similar to reports on information-seeking behaviors of physicians, public health nurses seek information from colleagues, personal collections, and other resources locally available. Reasons for the project's limited success in changing the health science information seeking and utilization practices of public health nurses are discussed, and potential solutions are proposed.

A quality assurance process in health sciences libraries.

A goal of libraries is to assure the improvement of library services. Many organizations have attempted to use standards as a method to assure quality services, but often standards have failed through a lack of individual commitment to those standards and to the methodology used in establishing the standards. Many segments of the health care field have adopted the concept of quality assurance and are applying it to the service and care they provide. This process has the potential to raise or assure quality of service in health sciences libraries. The process involves: selecting a subject for review; developing measurable criteria; ratifying the criteria; evaluating existing services using the criteria; identifying problems; analyzing problems; developing solutions; implementing solutions; and reevaluating services. Two pilot quality assurance studies conducted in the Midwest Health Science Library Network during 1978 are described. Plans are under way to use this process on a regional basis.

Work analysis by random sampling.

Random sampling of work activities using an electronic random alarm mechanism provided a simple and effective way to determine how time was divided between various activities. At each random alarm the subject simply recorded the time and the activity. Analysis of the data led to reassignment of staff functions and also resulted in additional support for certain critical activities.

A two-phased model for library instruction.

This article describes two methods of library orientation and instruction: self-paced audiotapes and computer-assisted instruction (CAI). The tapes are used to orient the user to the libraries' physical facilities, policies, services, and tools, while CAI is used to provide detailed library information in an interactive mode.