Librarians' Electronic Resource Reviews Network (LERRN): a free citation database for resource reviews.

Electronic resource reviews written by librarians are a valuable way to identify potential content platforms and stay current on new resources. Resource-focused articles can also assist with learning about useful features, training others, and marketing to potential user groups. However, articles evaluating or highlighting innovative uses of resources may be published in disparate journals or online platforms and are not collocated. Small or solo-staffed libraries may not subscribe to library and information sciences databases or journals that contain reviews of electronic resources. And many of these reviews or other useful articles are open access. With this in mind, the main aim of the LERRN citation database was to create a freely available citation database that brings together electronic resource reviews and other content that can assist librarians in appraising and using electronic resources.

User Testing of the Veteran Delegation Tool: Qualitative Inquiry.

BACKGROUND: Informal caregivers, or care partners, provide critical support to care recipients when managing health care. Veterans Health Administration (VHA) priorities identify care partners as vital in supporting veterans' care management. The Veteran Delegation Tool (VDT) is VHA's Health Insurance Portability and Accountability Act-compliant solution for care partners to comanage veterans' care through VHA's electronic health portal. Human-centered design approaches in VDT development are needed to inform enhancements aimed at promoting uptake and sustained use. OBJECTIVE: The objective of this prospective descriptive quality improvement project was to use a human-centered design approach to examine VDT use perceptions and practical experiences. METHODS: This project was conducted using a 4-phase approach: frame, discover, design, and deliver. The frame phase designed the protocol and prepared the VDT system for testing. This paper reports on the discover phase, which used semistructured and follow-up interviews and user testing to examine VDT's benefits, facilitators, and barriers. The discover phase data informed the design and deliver phases, which are underway. RESULTS: Veterans (24/54, 44%), care partners (21/54, 39%), and individuals who represented dual roles (9/54, 17%)-namely veteran care partner (4/54, 7%), veteran clinical provider (2/54, 4%), and care partner provider (3/54, 6%)-participated in semistructured interviews in the discover phase. A subsample of these participants (3/54, 6%) participated in the follow-up interviews and user testing. Analysis of the semistructured interviews indicated convergence on the respondents' perceptions of VDT's benefits, facilitators, and barriers and recommendations for improving VDT. The perceived benefits were authorized access, comanagement of care needs on the web, communication with the clinical team, access to resources, and ease of burden. Perceived barriers were nonrecognition of the benefits of VDT, technical literacy access issues, increased stress in or burden on care partners, and personal health information security. Participant experiences across 4 VDT activity domains were upgrade to My HealtheVet Premium account, registration, sign-in, and use. User testing demonstrated users' challenges to register, navigate, and use VDT. Findings informed VDT development enhancements and recommendations. CONCLUSIONS: Care partners need Health Insurance Portability and Accountability Act-compliant access to electronic health portals to assist with care management. VDT is VHA's solution, allowing communication among delegates, veterans, and clinical care teams. Users value VDT's potential use and benefits, while access and navigation improvements to ensure uptake and sustained use are needed. Future efforts need to iteratively evaluate the human-centered phases, design and deliver, of VDT to target audiences. Continued efforts to understand and respond to care partners' needs are warranted.

Hot Topics: Keeping Patrons in the Loop to Promote Research Engagement and Professional Growth.

The creation of the current awareness service, Hot Topics, provides opportunities for research engagement while preventing duplicate literature requests and information silos across three campuses. The service provides additional opportunities for the librarians to promote and enhance library resources and services, support evidence-based practice, as well as participate in research projects and studies. Additionally, the service continues the librarians' support of both the American Nurses Credentialing Center's Magnet and Joint Commission reaccreditation efforts.

Exploring Informational Needs of Parents of Children with Intestinal Failure: A Thematic Analysis.

PURPOSE: Information seeking has been observed to be important for the coping and empowerment of parents of children with rare diseases. This study was conducted to understand the education needs of families of children with pediatric intestinal failure (IF) and how technology might be effectively leveraged to address these needs. DESIGN AND METHODS: A qualitative methodology using thematic analysis was utilized. Purposeful sampling was adopted to recruit 10 parents/caregivers of children with IF. Participants participated in a 1:1 semi-structured interview. Interviews were recorded, transcribed and themes identified through open and focused coding. RESULTS: Four themes emerged: (1) reliable electronic or printed information resources relevant to their child's unique needs were lacking; (2) an educational program with in-person and hands-on learning was preferred for transition to home; (3) practical and relatable information was valued over medical knowledge as children's needs evolved; and (4) creation of electronic resources would be useful for information seeking and sharing. CONCLUSION: To cope with the responsibilities of caring for a child with IF, participants sought information beyond what they received. Participants preferred a blended approach of care team discussions and electronic tools for receiving knowledge and skills. Parents' connections with other caregivers was important for practical day-to-day management information, as well as supporting their well-being. PRACTICE IMPLICATIONS: Development and implementation of accessible digital resources with emphasis on practical information is required. Beyond medical and practical informational needs, building resilience and supporting psychologic needs for parents/caregivers of children with IF emerged as important needs to address.

Information-Seeking Behaviors of Medical Faculty at a Qatar Academic Medical Institution.

Medical faculty are among the most important user groups at any academic medical library. Knowing how medical faculty identify, access, and use information is important for collection development and instruction. This study found that medical faculty at an institution in Qatar identified information access and use as vital in their professional duties. However, they also noted limitations that warrant attention by the library to better serve this user group. Further, the results of this study were compared to a similar study of medical faculty in the United States, with noted similarities and differences in their access and use of information.

Now Tell Us What You Want: Information-Seeking Habits of Health Sciences Faculty.

Over the years, library collections have vastly changed due to an ever-growing presence of resources available online. Many libraries have experienced a dramatic decrease in the circulation of physical materials with the shift to online availability of materials. It is of great value to ensure libraries are meeting the needs of their users, and this can be accomplished by identifying their information-seeking patterns. The aim of this article is to examine how faculty use the library and to identify what services and resources are of value to their work.

Tablet-based disclosure counselling for HIV-infected children, adolescents, and their caregivers: a pilot study.

BACKGROUND: Overwhelmed, under-trained medical staff working in resource-limited settings need efficient resources for HIV disclosure counselling. The objective of this study was to describe providers' experiences using tablet computers for disclosure-related counselling with HIV-infected children and their caregivers in western Kenya, with additional perspectives from adolescents. METHODS: A qualitative study design was implemented at three HIV clinics in western Kenya (Bumala, Busia and Port Victoria) within the Academic Model Providing Access to Healthcare (AMPATH) partnership. Twenty-one healthcare providers involved with paediatric disclosure were recruited and enrolled in the study. Initial interviews focused on understanding current disclosure practices and barriers. Tablets containing disclosure-related resources were distributed. Resources included short narrative videos created in this context to highlight issues relevant to child HIV disclosure. RESULTS: Providers reported tablets improved disclosure, child participation, and medication adherence. All reported that reviewing materials increased their knowledge and comfort with disclosure. The most frequently used materials were the narrative videos and an animated video explaining the importance of medication adherence. Time was a major barrier for using the tablet. Clinician self-education persisted at one-year follow-up. Adolescents expressed enjoyment from viewing the tablet resources and had a better understanding of the importance of medication adherence. CONCLUSIONS: Tablet computers containing resources for disclosure are an acceptable and potentially effective resource to help providers support families with disclosure. Further work is needed to train the clinical providers in using the resources in a developmentally appropriate manner, and to develop new resources on adolescent-specific and HIV-related topics.

YouTube as a source of information for patients considering surgery for ulcerative colitis.

BACKGROUND: With the range of health information online, assessing the resources that patients access may improve the content of preoperative information. Our aim was to assess the content of the most viewed videos on YouTube related to surgery for ulcerative colitis (UC). METHODS: YouTube was searched for videos containing information on surgery for UC. The 50 most viewed videos were identified and user interaction analyzed. Upload source was classified as patient, individual health care professional (HCP), or hospital/professional association. Video content was categorized using an inductive thematic analysis on a purposive sample list of videos. The overarching theme of each video was classified once data saturation was achieved. RESULTS: Thirty videos were uploaded by patients, 15 by hospitals and 5 by HCPs. Seventeen videos (34%) discussed life after surgery. Sixteen of these were uploaded by patients who had previously undergone surgery for UC. No videos of this theme were uploaded by HCPs. Ten videos (20%) described a number of different operations. Other themes identified were alternative health therapies (12%), colonoscopy (12%), life with UC (8%), miscellaneous (8%), and education for HCPs (6%). Patient uploaded videos had significantly more comments (P = 0.0079), with 28% of comments on patient videos being users requesting further information. CONCLUSIONS: Understanding the sequelae of surgery is most important to preoperative patients. There are a lack of professional videos addressing this topic on YouTube. HCPs must participate in the production of videos and adapt preoperative consultations to address common preoperative concerns.

Use of Electronic Resources for Psychiatry Clerkship Learning: A Medical Student Survey.

OBJECTIVE: The primary aim of this study is to examine medical students' use patterns, preferences, and perceptions of electronic educational resources available for psychiatry clerkship learning. METHODS: Eligible participants included medical students who had completed the psychiatry clerkship during a 24-month period. An internet-based questionnaire was used to collect information regarding the outcomes described above. RESULTS: A total of 68 medical students responded to the survey. Most respondents reported high utilization of electronic resources on an array of devices for psychiatry clerkship learning and indicated a preference for electronic over print resources. The most commonly endorsed barriers to the use of electronic resources were that the source contained irrelevant and non-specific content, access was associated with a financial cost, and faculty guidance on recommended resources was insufficient. Respondents indicated a wish for more psychiatry-specific electronic learning resources. CONCLUSION: The authors' results suggest that a demand exists for high-quality electronic and portable learning tools that are relevant to medical student education in psychiatry. Psychiatry educators are usefully positioned to be involved in the development of such resources.

Medication safety and pharmacovigilance resources for the ambulatory care setting: enhancing patient safety.

Reputable medication safety resources are fundamental to assist in reducing medication errors and educating consumers. The purpose of this article is to describe medication safety and pharmacovigilance electronic and mobile resources that are available to pharmacists to enhance patient safety in the ambulatory care setting at the national level through the US Food and Drug Administration (FDA), Drug Enforcement Administration (DEA), American Medicine Chest Challenge, and Institute for Safe Medication Practices (ISMP). Information concerning drug disposal methods is available through the FDA, DEA, and the American Medicine Chest Challenge Rx Drop app. The ISMP provides a variety of tools for reporting and preventing medication errors including Assess-ERR and ConsumerMedSafety.org. Risk Evaluation and Mitigation Strategies (REMS) were created as a requirement of the FDA Amendments Act of 2007 to ensure that the drug's benefits outweigh the risks. Health care professionals are encouraged to report adverse drug events through the FDA's MedWatch reporting system. Pharmacists have a variety of useful resources for their medication safety and pharmacovigilance toolbox. Studies should evaluate the use of these resources by pharmacists and consumers.

Evaluating the appropriateness of AccessMedicine in integrated biochemistry learning for chinese medical students.

Recently, Chinese medical education has exhibited a shifting trend from teacher-centered instruction to student-centered learning, which usually includes a self-directed learning process. Providing students with high-quality and appropriate supplemental resources is necessary for their self-directed learning. This study aimed to investigate the appropriateness of AccessMedicine, an online medical resource, for first-year medical students at Tongji University in China. In the randomized controlled trial, 42 students were stratified by gender and grade point average (GPA) and randomly assigned to either the control group or AccessMedicine group. The students' learning outcomes were assessed with quizzes, including tests before and after learning and a final examination. Paired t-tests and two-way analysis of variance were performed for statistical analysis. We found that AccessMedicine-assisted learning improved student performance on tests and decreased the overall failure rate in the final examination. Further analysis showed that the final examination score of the subgroup with high GPAs in the AccessMedicine group significantly increased, but not that of the subgroup with low GPAs, indicating that AccessMedicine-assisted learning was more beneficial for good students than for poor students. A survey showed that professional vocabularies were the greatest obstacles to learning with AccessMedicine. Moreover, English language skills greatly affected the students' learning outcomes for the English resource but not those for the Chinese resource. Taken together, our results demonstrated that AccessMedicine was appropriate for Chinese medical education and improved the learning outcomes of students, especially students with high GPAs and a good command over the English language. © 2019 International Union of Biochemistry and Molecular Biology, 47(3):272-278, 2019.

The Use of Virtual and Augmented Reality in Anatomy Teaching.

This article was migrated. The article was marked as recommended. Background - There is a demand for new and efficient tools to teach anatomical sciences. Rapid developments in virtual reality (VR) and augmented reality (AR) mean educational use of the technology is becoming increasingly viable. However, uptake of this technology in anatomy teaching is still limited. This brief review aims to examine the effectiveness of VR/AR in anatomy teaching and includes evaluation of: head mounted devices (HMDs), stereoscopic projectors and screens, AR Magic Mirrors and AR Magic Books. Methods - PubMed, Scopus and Google Scholar were searched for relevant articles from 2013 to 29 th June 2018. Results - Students' academic performance was equal to or better than control methods for all four types of technology. All studies found high levels of student satisfaction for VR/AR teaching methods. Discussion - Various confounding factors and the large heterogeneity between studies are likely to have a major impact on results. Further research into the depth and longevity of learning in the different teaching methods, as well as their cost-effectiveness, would be beneficial for prospective institutions.

The utility and impact of information communication technology (ICT) for pre-registration nurse education: A narrative synthesis systematic review.

OBJECTIVES: To evaluate and summarise the utility and impact of information communication technology (ICT) in enhancing student performance and the learning environment in pre-registration nursing. DESIGN: A systematic review of empirical research across a range of themes in ICT health-related education. DATA SOURCES: Science Direct, Cinahl, AMED, MEDLINE, PubMed, ASSIA, OVID and OVID SP (2008-2014). Further date parameters were imposed by theme. REVIEW METHODS: Evidence was reviewed by narrative synthesis, adopting Caldwell's appraisal framework and CASP for qualitative methods. Selection and inclusion was grounded in the PICOS structure, with language requirements (English), and further parameters were guided by theme appropriateness. RESULTS: Fifty studies were selected for review across six domains: reusable learning objects, media, audience response systems, e-portfolios, computer-based assessment and faculty adoption of e-learning. Educational ICT was found to be non-inferior to traditional teaching, while offering benefits to teaching and learning efficiency. Where support is in place, ICT improves the learning environment for staff and students, but human and environmental barriers need to be addressed. CONCLUSION: This review illuminates more advantages for ICT in nurse training than previously. The key advantage of flexibility is supported, though with little evidence for effect on depth of learning.

Electronic Health Literacy Skills among Medical and Dental Interns at B P Koirala Institute of Health Sciences.

BACKGROUND: Appropriate use of the available electronic resources is important for decision making in health. The use of electronic resources in health care is universal. The study measures the eHealth literacy skills among the medical and dental interns of the B P Koirala Institute of Health Sciences (BPKIHS), Nepal. METHODS: Self administered electronic Health Literacy Scale (eHEALS) was used to collect data from 125 medical and dental interns at BPKIHS. The interns represent immediate past medical student and soon to be professional doctor. RESULTS: A quarter of interns are not sure about the usefulness of internet resources for health. The interns have limited knowledge about right resources in the internet. They are not equipped to tell useful resources from the not-useful ones in the internet. CONCLUSIONS: There is a need to pay attention to the eHealth Literacy needs of the interns. Further research may be needed to generate evidence on what interventions may be specific to meet the ehealth literacy needs of the medical and dental interns.

The Internet School of Medicine: use of electronic resources by medical trainees and the reliability of those resources.

BACKGROUND: Electronic sources of medical information are plentiful, and numerous studies have demonstrated the use of the Internet by patients and the variable reliability of these sources. Studies have investigated neither the use of web-based resources by residents, nor the reliability of the information available on these websites. METHODS: A web-based survey was distributed to surgical residents in Michigan and third- and fourth-year medical students at an American allopathic and osteopathic medical school and a Caribbean allopathic school regarding their preferred sources of medical information in various situations. A set of 254 queries simulating those faced by medical trainees on rounds, on a written examination, or during patient care was developed. The top 5 electronic resources cited by the trainees were evaluated for their ability to answer these questions accurately, using standard textbooks as the point of reference. RESULTS: The respondents reported a wide variety of overall preferred resources. Most of the 73 responding medical trainees favored textbooks or board review books for prolonged studying, but electronic resources are frequently used for quick studying, clinical decision-making questions, and medication queries. The most commonly used electronic resources were UpToDate, Google, Medscape, Wikipedia, and Epocrates. UpToDate and Epocrates had the highest percentage of correct answers (47%) and Wikipedia had the lowest (26%). Epocrates also had the highest percentage of wrong answers (30%), whereas Google had the lowest percentage (18%). All resources had a significant number of questions that they were unable to answer. DISCUSSION: Though hardcopy books have not been completely replaced by electronic resources, more than half of medical students and nearly half of residents prefer web-based sources of information. For quick questions and studying, both groups prefer Internet sources. However, the most commonly used electronic resources fail to answer clinical queries more than half of the time and have an alarmingly high rate of inaccurate information.

Usabilidad de los catálogos de las bibliotecas universitarias: propuesta metodológica de evaluación / University library catalogue usability: a methodological proposal of evaluation

La integración de diferentes recursos de información ha convertido el catálogo de las bibliotecas universitarias en un elemento esencial de acceso al sistema de información académica. Este hecho ha potenciado la aplicación de los principios y métodos de usabilidad, que conforman una herramienta de incuestionable valor para crear entornos de interacción hombre-máquina más sencillos, fiables y seguros. Se exponen algunos de los principios fundamentales de la usabilidad, así como sus métodos y procesos de aplicación en entornos generales. Por último, se establece una propuesta con las características propias de la aplicación de la usabilidad a sedes Web de bibliotecas universitarias.

Abstract Integrated access to different information resources has turned academic libraries catalogues in a fundamental element for specialized information retrieval. This circumstance has reinforced the application of principles and usability, which constitute a very valuable tool in order to create simpler, more reliable and safer human-computer interactions environments. This article is centred on the essential principles of usability and on its processes to be applied in general fields. Finally, a methodological proposal for measuring usability characteristics in academic libraries websites is suggested.