RESUMEN
Hospital librarians receive invites to teach thinking and searching in an evidence-based way and critical appraisal of the literature to nurses. With these invitations, the hospital librarians play a central role in establishing an evidence-based culture in the hospital and contribute to the nursing staff feeling competent and confident in fulfilling evidence-based competencies. This author just prepared a 17-minute online talk as part of an international nursing webinar on "searching nursing literature in an evidence-based way." Using this experience, remembering other teaching and presentation experiences, and some "help" from AI tools, this experienced hospital librarian suggests decision points for colleagues to create a meaningful, practical information session for nurses and introduce to some AI tools along the way.
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Práctica Clínica Basada en la Evidencia , Bibliotecólogos , Humanos , Práctica Clínica Basada en la Evidencia/educaciónRESUMEN
In 2007, Diane Ream Rourke published in this journal, the history and explanation for Baptist Hospital in Florida to include its library on its successful Magnet journey. This article draws heavily from American Nursing Credentialing Center (ANCC) Magnet Information pages. It begins with a quick review of the history of the Program, further suggestions for a librarian's contribution to obtain Magnet Recognition and a brief current literature review on the values Magnet Recognition brings to a hospital's economics, patient care, and nursing staff. The quick history review and suggestions on the librarian contribution to the Magnet journey are based on an invited CE course by this author. The literature review on the values Magnet Recognition brings to a hospital's economics, patient care, and nursing staff was part of a presentation this author prepared for the Chief of Nursing. This author was a Magnet Champion and Magnet exemplar when Virtua Health first earned its first Magnet designation.
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Bibliotecólogos , Imanes , Humanos , Florida , Hospitales , Centros de InformaciónRESUMEN
At the writing of this article at the start of November 2021, 247,416,351 persons have died of COVID-19 worldwide and 46,815,210 have died in the United States.1 Along with the tragic loss has come an infodemic-the widespread of misinformation in social media and published literature. Infodemiology is the study of analyzing the relationship between channels of health information demands and health information supply. Healthcare providers have an important role to quash this misinformation at all information access points. Hospital Librarians and other health information professionals also have a role to play to work with other health professionals, to dispel this misinformation. This article speaks to those two subjects and highlights Dear Pandemic.org and "Those Nerdy Girls."
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COVID-19 , Medios de Comunicación Sociales , Comunicación , Femenino , Humanos , Pandemias , SARS-CoV-2 , Estados UnidosRESUMEN
Erich Meyerhoff was an academic health sciences librarian and a distinguished member of the Medical Library Association when he was invited to present the Janet Doe Lecture in 1977. His lecture on the state of the association is considered one of the finest Doe lectures and is still relevant more than forty years later, not only from an historical perspective, but also for his projections for the future and his prescient comments about the future of hospital librarianship and the important role of women in the association. Key 1977 Doe lecture topics are reviewed and updated in the context of the current health sciences library environment.
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Congresos como Asunto/historia , Bibliotecólogos/historia , Bibliotecas Médicas/historia , Asociaciones de Bibliotecas/historia , Bibliotecología/historia , Adulto , Femenino , Historia del Siglo XX , Historia del Siglo XXI , Humanos , Masculino , Persona de Mediana Edad , Estados UnidosRESUMEN
Hypertension is increasingly common in sub-Saharan Africa, and rates of hypertension control are low. Use of traditional herbal medicines (THM) is common among adults in sub-Saharan Africa and may affect hypertension therapy. We searched Ovid MEDLINE, Ovid EMBASE, and Web of Knowledge in June 2013 to find studies about THM use among hypertensive patients living in sub-Saharan Africa. Two independent reviewers evaluated titles and abstracts. Qualifying references were reviewed in full text. Data were extracted using a standardized questionnaire. Four hundred and eighty-one references were retrieved, and four articles from two countries met criteria for inclusion. The prevalence of THM use was 25-65% (average 38.6%). THM was the most common type of complementary and alternative medicines used by patients (86.7-96.6%). Among THM users, 47.5% concomitantly used both allopathic medicine and THM. Increased age (p<0.001), male sex (RR 2.58), belief in a supernatural cause of hypertension (RR 2.11), and family history of hypertension (OR 1.78) were positively associated with THM use, while belief that hypertension is preventable was negatively associated with THM use (OR 0.57). More than one-third of adults with hypertension in sub-Saharan Africa use THM. Half of these patients use THM concurrently with allopathic medicine. Healthcare workers in sub-Saharan Africa must discuss THM use with their hypertensive patients. More research is urgently needed to define the impact of THM use on hypertension control and outcomes in sub-Saharan Africa.
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Hipertensión/diagnóstico , Hipertensión/tratamiento farmacológico , Fitoterapia/métodos , Adulto , África del Sur del Sahara , Anciano , Determinación de la Presión Sanguínea , Países en Desarrollo , Femenino , Medicina de Hierbas/métodos , Humanos , Masculino , Persona de Mediana Edad , Medición de Riesgo , Índice de Severidad de la Enfermedad , Resultado del TratamientoAsunto(s)
Infecciones por VIH/prevención & control , Seropositividad para VIH , Asignación de Recursos para la Atención de Salud/tendencias , Prevención Primaria/tendencias , Desarrollo de Programa , Conducta de Reducción del Riesgo , Conducta Sexual , Parejas Sexuales , África , Fármacos Anti-VIH/administración & dosificación , Fármacos Anti-VIH/economía , Femenino , Infecciones por VIH/epidemiología , Infecciones por VIH/transmisión , Seronegatividad para VIH , Humanos , Masculino , Prevención Primaria/métodos , Salud Pública/tendencias , Ensayos Clínicos Controlados Aleatorios como Asunto , Asunción de Riesgos , Tailandia , UgandaRESUMEN
Primary health care workers (HCWs) in low- and middle-income settings (LMIC) often work in challenging conditions in remote, rural areas, in isolation from the rest of the health system and particularly specialist care. Much attention has been given to implementation of interventions to support quality and performance improvement for workers in such settings. However, little is known about the design of such initiatives and which approaches predominate, let alone those that are most effective. We aimed for a broad understanding of what distinguishes different approaches to primary HCW support and performance improvement and to clarify the existing evidence as well as gaps in evidence in order to inform decision-making and design of programs intended to support and improve the performance of health workers in these settings. We systematically searched the literature for articles addressing this topic, and undertook a comparative review to document the principal approaches to performance and quality improvement for primary HCWs in LMIC settings. We identified 40 eligible papers reporting on interventions that we categorized into five different approaches: (1) supervision and supportive supervision; (2) mentoring; (3) tools and aids; (4) quality improvement methods, and (5) coaching. The variety of study designs and quality/performance indicators precluded a formal quantitative data synthesis. The most extensive literature was on supervision, but there was little clarity on what defines the most effective approach to the supervision activities themselves, let alone the design and implementation of supervision programs. The mentoring literature was limited, and largely focused on clinical skills building and educational strategies. Further research on how best to incorporate mentorship into pre-service clinical training, while maintaining its function within the routine health system, is needed. There is insufficient evidence to draw conclusions about coaching in this setting, however a review of the corporate and the business school literature is warranted to identify transferrable approaches. A substantial literature exists on tools, but significant variation in approaches makes comparison challenging. We found examples of effective individual projects and designs in specific settings, but there was a lack of comparative research on tools across approaches or across settings, and no systematic analysis within specific approaches to provide evidence with clear generalizability. Future research should prioritize comparative intervention trials to establish clear global standards for performance and quality improvement initiatives. Such standards will be critical to creating and sustaining a well-functioning health workforce and for global initiatives such as universal health coverage.
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Agentes Comunitarios de Salud , Atención a la Salud/métodos , Atención Primaria de Salud , Competencia Clínica , Agentes Comunitarios de Salud/normas , Países en Desarrollo , Humanos , Mentores , Mejoramiento de la CalidadRESUMEN
Since 1997, the Global Polio Eradication Initiative has sponsored regular door-to-door polio immunisation campaigns in northern Nigeria. On 30 July 2015, the country was finally declared poliofree, a hard won success. At various times, polio eradication has been threatened by rumours and community tensions. For example, in 2003, local Imams, traditional leaders and politicians declared a polio campaign boycott, due to the concerns about the safety of the polio vaccine. Although the campaigns resumed in 2004, many parents continued to refuse vaccination because of the persistence of rumours of vaccine contamination, and anger about the poor state of health services for conditions other than polio. To address this, UNICEF and Nigerian Government partners piloted two interventions: (1) mobile 'health camps' to provide ambulatory care for conditions other than polio and (2) an audiovisual clip about vaccine safety and other health issues, shareable on multimedia mobile phones via Bluetooth pairing. The mobile phone survey found that Bluetooth compatible messages could rapidly spread behavioural health messages in low-literacy communities. The health camps roughly doubled polio vaccine uptake in the urban ward where it was piloted. This suggests that polio eradication would have been accelerated by improving primary health care services.
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Actitud Frente a la Salud , Agentes Comunitarios de Salud/organización & administración , Promoción de la Salud/organización & administración , Programas de Inmunización/organización & administración , Aceptación de la Atención de Salud/psicología , Poliomielitis/prevención & control , Adolescente , Adulto , Anciano , Teléfono Celular/estadística & datos numéricos , Niño , Preescolar , Agentes Comunitarios de Salud/tendencias , Comorbilidad , Escolaridad , Femenino , Promoción de la Salud/métodos , Promoción de la Salud/estadística & datos numéricos , Humanos , Programas de Inmunización/métodos , Programas de Inmunización/estadística & datos numéricos , Lactante , Recién Nacido , Masculino , Estado Civil , Persona de Mediana Edad , Multimedia , Programas Nacionales de Salud/organización & administración , Programas Nacionales de Salud/estadística & datos numéricos , Nigeria , Aceptación de la Atención de Salud/estadística & datos numéricos , Poliomielitis/inmunología , Vacunas contra Poliovirus/administración & dosificación , Vacunas contra Poliovirus/provisión & distribución , Adulto JovenAsunto(s)
Coito , Infecciones por VIH/transmisión , Femenino , Humanos , Masculino , Conducta Sexual , Parejas Sexuales , Encuestas y CuestionariosAsunto(s)
Organización de la Financiación/economía , Salud Global , Necesidades y Demandas de Servicios de Salud/economía , Síndrome de Inmunodeficiencia Adquirida/prevención & control , Organización de la Financiación/organización & administración , Gastos en Salud , Consejos de Planificación en Salud/organización & administración , Humanos , Cooperación Internacional , Malaria/prevención & control , Tuberculosis/prevención & controlAsunto(s)
Infecciones por VIH/epidemiología , Infecciones por VIH/transmisión , Parejas Sexuales , África del Sur del Sahara/epidemiología , Brotes de Enfermedades , Femenino , Humanos , Masculino , Conducta Sexual , Enfermedades de Transmisión Sexual/epidemiología , Enfermedades de Transmisión Sexual/transmisiónRESUMEN
OBJECTIVE: To assess the effects of librarian-provided services in healthcare settings on patient, healthcare provider, and researcher outcomes. MATERIALS AND METHODS: Medline, CINAHL, ERIC, LISA (Library and Information Science Abstracts), and the Cochrane Central Register of Controlled Trials were searched from inception to June 2013. Studies involving librarian-provided services for patients encountering the healthcare system, healthcare providers, or researchers were eligible for inclusion. All librarian-provided services in healthcare settings were considered as an intervention, including hospitals, primary care settings, or public health clinics. RESULTS: Twenty-five articles fulfilled our eligibility criteria, including 22 primary publications and three companion reports. The majority of studies (15/22 primary publications) examined librarians providing instruction in literature searching to healthcare trainees, and measured literature searching proficiency. Other studies analyzed librarian-provided literature searching services and instruction in question formulation as well as the impact of librarian-provided services on patient length of stay in hospital. No studies were found that investigated librarians providing direct services to researchers or patients in healthcare settings. CONCLUSIONS: Librarian-provided services directed to participants in training programs (eg, students, residents) improve skills in searching the literature to facilitate the integration of research evidence into clinical decision-making. Services provided to clinicians were shown to be effective in saving time for health professionals and providing relevant information for decision-making. Two studies indicated patient length of stay was reduced when clinicians requested literature searches related to a patient's case.