The role of the clinical librarian: can our experience of supporting clinicians be transferred to managers?

Jacqueline Verschuere, Clinical Librarian.

19/04/2005 IFMH Study Day, Kings Fund, London.

Aim of Service To support the Trust’s Charter in

providing patient care evidence based information, directly to the health professional, at the time of need.

To support the Trust’s Clinical Governance Agenda

To be time effective To facilitate knowledge dissemination To promote a learning environment To raise awareness of the library services

19/04/2005 IFMH Study Day, Kings Fund, London.

Integration to the clinical Integration to the clinical team:team: Initial consultation Vision Driving force Implementation Acceptance Development

19/04/2005 IFMH Study Day, Kings Fund, London.

Feedback comments:Feedback comments: What were your initial thoughts of having a clinical librarian on the team ?What were your initial thoughts of having a clinical librarian on the team ?

I had no idea at all what a clinical librarian was. I had no idea at all what a clinical librarian was. What?What?

What are your current thoughts of the service ?What are your current thoughts of the service ? A good clinical librarian will be a valuable part of any clinical team. A good clinical librarian will be a valuable part of any clinical team. An essential part of the team.An essential part of the team.

How, if at all, has the service impacted on your practice ?How, if at all, has the service impacted on your practice ? I’m more inclined to look into the body of evidence out there and try to apply that to my clinical I’m more inclined to look into the body of evidence out there and try to apply that to my clinical

practice. practice. An immediate answer to my questions that are raised during practice.An immediate answer to my questions that are raised during practice. Stops me working like a robot and makes me think about my practice.Stops me working like a robot and makes me think about my practice. I’ve started reading more.I’ve started reading more.

How have you used the information provided ?How have you used the information provided ? To formulate the management of particular case scenarios, for patient information, for research To formulate the management of particular case scenarios, for patient information, for research

and as a mental exercise to critically appraise the evidence available.and as a mental exercise to critically appraise the evidence available.- The information had major implication on both service and practice.The information had major implication on both service and practice.- To generate discussion.To generate discussion.

19/04/2005 IFMH Study Day, Kings Fund, London.

Clinical Director’s Clinical Director’s statement:statement:

A novel and innovative way of integrating information acquisition and dissemination to the clinical team and patients in a busy clinical environment.

We have a shorter feedback time allowing us to make decisions and amendments to the management of clinical conditions.

This is resulting in faster recovery times and minimising the need for unnecessary follow up visits.

19/04/2005 IFMH Study Day, Kings Fund, London.

Clinical Librarian models:

Evidence in Practice Group model

The ‘info drop’ model

The evidence-plug model

The journal club model

19/04/2005 IFMH Study Day, Kings Fund, London.

Clinical Librarian practice models this one please –just the picture

Evidence in

Practice Group

Clinical Query

Clinical Query

CL summary DiscussionSelectionAppraisal

CL summary DiscussionSelectionAppraisal

Implications to practiceto patients

Implications to practiceto patients

Presentation & Evaluation

of the Evidence

Presentation & Evaluation

of the Evidence

Protocolor

Change inpractice

Protocolor

Change inpractice

Implementand

revise

Implementand

revise

19/04/2005 IFMH Study Day, Kings Fund, London.

The Evidence in Practice Group Facilitating an appropriate environment. Encouraging participation and discussion. Ensuring documentation and direction. Determining impact at all levels. Implementing change . kNowledge management. Greater picture.

19/04/2005 IFMH Study Day, Kings Fund, London.

The ‘info drop’ model and this one – just the picture

Infodrop

The Clinical Librarian provides an information digest on a topic of interest

• to a group of individuals prior to a meeting

OR

• to an individual for group presentation

19/04/2005 IFMH Study Day, Kings Fund, London.

The evidence-plug model

The Clinical Librarian provides:

• automated updates on key areas of interest to specific groups or individuals.

• individual search summaries for sensitive critical incident or legal issues.

19/04/2005 IFMH Study Day, Kings Fund, London.

The journal club modelThe Clinical Librarian facilitates the

evaluation of evidence in providing:

Generic critical appraisal training sessions via library training programme.

Tailored outreach critical appraisal sessions to specific groups.

Attendance at departmental journal clubs.

19/04/2005 IFMH Study Day, Kings Fund, London.

Knowledge is power!

Internet for managers

Coverage: NLH: specialist library –

health management Dialog Datastar – Kings

Fund, HMIC. Health Service Journal –

online Full text health

management journals

19/04/2005 IFMH Study Day, Kings Fund, London.

Summary A clinical librarian works as an integral part

of a clinical team.

There are various models in practice that facilitate CL service use in meeting specific user needs.

Information skills training is a fundamental part of the process.

19/04/2005 IFMH Study Day, Kings Fund, London.

How could the CL service be transferred to managers?

Who are the managers? Where do you find champions? What is the evidence base? How would you market your service? What model would you apply to which

manager/s? What resources do you need in place in

order to deliver such a service?

19/04/2005 IFMH Study Day, Kings Fund, London.

Contact details:

Jacqueline VerschuereClinical Librarian

Clinical Sciences LibraryUniversity Hospitals Coventry & Warwickshire

Clifford Bridge RoadCoventry, CV2 2DX

 Tel: 02476 968838

E-mail: jacqueline.verschuere@uhcw.nhs.uk