The impact of libraries and informationists on patient and population care: a mixed-methods study.

Objective: While several studies have examined the effectiveness of librarian interactions with clinicians and impact of librarians on patient care, no studies have explored a library's effects on population care. The goal of this study was to investigate the library's impact on both patient and population care. Methods: Using a sequential exploratory mixed-methods design, we first interviewed a small set of clinicians and researchers active in patient and population care. Based on the themes that we discovered through coding the interviews, we created a survey that was sent to faculty in the health sciences and the health system. Results: We collected data from a representative sample of our population. We discovered that all respondents value the library and informationists, using our services most for teaching, publishing, presenting, and professional development. Conclusion: We now have data to support our value to our population and to show where we can do more work to improve the use of our services. Our study shows the value of doing a mixed-methods sequential exploration in which themes that are important to our user community were identified prior to launching a large-scale survey.

Effect of librarian collaboration on otolaryngology systematic review and meta-analysis quality.

Objective: To determine if librarian collaboration was associated with improved database search quality, search reproducibility, and systematic review reporting in otolaryngology systematic reviews and meta-analyses. Methods: In this retrospective cross-sectional study, PubMed was queried for systematic reviews and meta-analyses published in otolaryngology journals in 2010, 2015, and 2021. Two researchers independently extracted data. Two librarians independently rated search strategy reproducibility and quality for each article. The main outcomes include association of librarian involvement with study reporting quality, search quality, and publication metrics in otolaryngology systematic reviews and meta-analyses. Categorical data were compared with Chi-Squared tests or Fisher's Exact tests. Continuous variables were compared via Mann Whitney U Tests for two groups, and Kruskal-Wallis Tests for three or more groups. Results: Of 559 articles retrieved, 505 were analyzed. More studies indicated librarian involvement in 2021 (n=72, 20.7%) compared to 2015 (n=14, 10.4%) and 2010 (n=2, 9.0%) (p=0.04). 2021 studies showed improvements in properly using a reporting tool (p<0.001), number of databases queried (p<0.001), describing date of database searches (p<0.001), and including a flow diagram (p<0.001). Librarian involvement was associated with using reporting tools (p<0.001), increased number of databases queried (p<0.001), describing date of database search (p=0.002), mentioning search peer reviewer (p=0.02), and reproducibility of search strategies (p<0.001). For search strategy quality, librarian involvement was associated with greater use of "Boolean & proximity operators" (p=0.004), "subject headings" (p<0.001), "text word searching" (p<0.001), and "spelling/syntax/line numbers" (p<0.001). Studies with librarian involvement were associated with publication in journals with higher impact factors for 2015 (p=0.003) and 2021 (p<0.001). Conclusion: Librarian involvement was associated with improved reporting quality and search strategy quality. Our study supports the inclusion of librarians in review teams, and journal editing and peer reviewing teams.

MEDLINE citation tool accuracy: an analysis in two platforms.

Background: Libraries provide access to databases with auto-cite features embedded into the services; however, the accuracy of these auto-cite buttons is not very high in humanities and social sciences databases. Case Presentation: This case compares two biomedical databases, Ovid MEDLINE and PubMed, to see if either is reliable enough to confidently recommend to students for use when writing papers. A total of 60 citations were assessed, 30 citations from each citation generator, based on the top 30 articles in PubMed from 2010 to 2020. Conclusions: Error rates were higher in Ovid MEDLINE than PubMed but neither database platform provided error-free references. The auto-cite tools were not reliable. Zero of the 60 citations examined were 100% correct. Librarians should continue to advise students not to rely solely upon citation generators in these biomedical databases.

Two Decades of Futility: The Decline of Medical/Health Science Librarian Salaries.

While medical and health science librarians' median salaries have increased over the last forty years; however, inflation-adjusted salaries are lower than in 2008. Utilizing data from the Medical Library Association's salary surveys from 1983 to 2023, this column explores median salary changes over time by discussing the median salary's performance against inflation and how the 2008 recession and the 2020 COVID-19 pandemic impacted salaries. From 2017 to 2023, the median salary increased by 18%, but after adjusting for inflation, the median salary decreased by almost 6%. The findings have serious implications for recruitment and retention in medical and health sciences librarianship.

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.

Integrating Medical Librarians in Evidence-Based Medical Practice in Africa: A Survey of Current Practices and Challenges.

Librarians' involvement in Evidence-Based Medical Practice (EBMP) has been widely reported from the Global North. The cross-sectional study designed a survey to investigate how African medical librarians integrate into EBMP. The respondents comprised medical librarians from 12 African countries. Findings revealed that African medical librarians are mostly involved in EBMP activities related to resource use, management, and evidence dissemination. The leading EBMP tools reportedly used or promoted by the librarians include UpToDate and Cochrane Library, while the leading challenges encountered in offering support for EBMP are related to skill deficiency, poor funding, and poor internet connectivity.

Responding to technological advances.

The International Perspectives and Initiatives Regular Feature seeks to expand the Health Information and Libraries Journal's global coverage of health library and knowledge practice. The current focus of this Regular Feature is how health library and knowledge services are responding to technological advances.

Transforming health science libraries around the globe: The impact of technology.

This article presents an analysis of seven articles published within the International Perspectives and Initiatives regular feature series on the impact of technology on the provision of health information. The articles provide a road map of how technology is facilitating new and enhanced services for library users in seven countries: Australia, Bangladesh, China, England, Germany, Sweden and the United States. Although there are differences in how countries are implementing technological solutions, only one describes problems in leveraging technology to improve library services. Authors from the remaining six countries describe how they ensure that the 21st century library consults with its user groups and find way of using the latest applications.

Developing a governance process for apps can help enhance and change the skills base and visibility of health librarians.

The traditional qualifications and work of a health librarian may not, at first glance, seem like they readily lend themselves to the wider work of an organisation. Too often librarians are seen as experts in a small specialist field. However, as librarians, we know that at our core is extensive digital experience and knowledge as well as a core set of transferrable skills that can be adapted to meet the ever-changing needs of the organisation. This article describes how the library evidence team became part of a wider board project to develop a governance system for Apps. It also describes how the skills of librarians can be developed to work in this area and raise the profile of the team within the board.

How do search systems impact systematic searching? A qualitative study.

Objective: Systematic reviews and other evidence synthesis projects require systematic search methods. Search systems require several essential attributes to support systematic searching; however, many systems used in evidence synthesis fail to meet one or more of these requirements. I undertook a qualitative study to examine the effects of these limitations on systematic searching and how searchers select information sources for evidence synthesis projects. Methods: Qualitative data were collected from interviews with twelve systematic searchers. Data were analyzed using reflexive thematic analysis. Results: I used thematic analysis to identify two key themes relating to search systems: systems shape search processes, and systematic searching occurs within the information market. Many systems required for systematic reviews, in particular sources of unpublished studies, are not designed for systematic searching. Participants described various workarounds for the limitations they encounter in these systems. Economic factors influence searchers' selection of sources to search, as well as the degree to which vendors prioritize these users. Conclusion: Interviews with systematic searchers suggest priorities for improving search systems, and barriers to improvement that must be overcome. Vendors must understand the unique requirements of systematic searching and recognize systematic searchers as a distinct group of users. Better interfaces and improved functionality will result in more efficient evidence synthesis.

Implementing a Personal Librarian Program to Rebuild Connections With Medical Students.

Health sciences librarians may be experiencing a fundamental sense of disconnection from medical students as the reliance on online resources and post-pandemic acceptance of remote learning chip away at use of the physical library. In response, librarians have investigated a variety of virtual approaches to counter the loss of face-to-face contact with patrons. Numerous reports in the literature explore ways to build virtual relationships with patrons. This case study discusses a project by the Savitt Medical Library of the University of Nevada, Reno School of Medicine to implement a Personal Librarian Program that promoted communication between librarians and learners.

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.

Virtual Reference at Health Sciences Libraries in the Time of COVID-19.

Virtual reference services have become a staple in many libraries, but these services reached a new level of importance when in-person reference shut down in response to COVID-19. This descriptive study aims to discover how health sciences librarians utilized virtual reference services in response to the pandemic. A survey was developed and distributed to health sciences librarians. The survey addressed the status of virtual reference services before and during the COVID-19 pandemic as well as any changes that are seen as libraries reopen. Virtual reference shifted heavily to video conferencing during the pandemic both for librarians at home and those remaining onsite.

Themes in Health Sciences Librarianship Literature, 2016-2020: A Keyword and Subject Analysis.

Previous investigations into trends in Library and Information Science literature have revealed changes in the topics librarians publish on over time, with older studies highlighting classification and indexing, and information retrieval and more recent studies highlighting keywords such as Internet, information technology, digital libraries, and again, information retrieval. No similar investigation has been conducted on current publication trends by health sciences librarians. This study analyzes the top themes on which health sciences librarians published from 2016 to 2020 by examining the frequency of keywords. Keywords and subject headings were analyzed from The Journal of the Medical Library Association, Medical References Services Quarterly, The Journal of Hospital Librarianship, and The Journal of Electronic Resources in Medical Libraries. A total of 8,806 keywords were downloaded for analysis and organized into 292 categories during taxonomy creation. The ten most frequent themes were: libraries, information, education, humans, demography, librarian, geographical locations, research, electronic resources, and technology. The study also found that data, psychiatry and psychology, informatics, and publishing were other key themes, indicating that health sciences librarians are publishing on a wide range of topics. Some keywords that appeared only once, such as telecommuting and flexible staffing, suggest emerging areas of research for librarians.

Trends In... Librarians and Faculty Status.

Within academic libraries there are a variety of models for faculty status or classification applicable to librarians within their institutions. Some librarian positions are tenure track, some are non-tenure track, and some are classified as non-faculty administrative staff roles. This column will outline things to consider when a librarian classified as staff, professional or non-faculty is approached to take on a faculty role in an academic department outside of the library or is presented with the opportunity to pursue faculty status as a librarian. Having these statuses has benefits as well as challenges which should be considered before taking on such a role.

An overview of the capabilities of ChatGPT for medical writing and its implications for academic integrity.

The artificial intelligence (AI) tool ChatGPT, which is based on a large language model (LLM), is gaining popularity in academic institutions, notably in the medical field. This article provides a brief overview of the capabilities of ChatGPT for medical writing and its implications for academic integrity. It provides a list of AI generative tools, common use of AI generative tools for medical writing, and provides a list of AI generative text detection tools. It also provides recommendations for policymakers, information professionals, and medical faculty for the constructive use of AI generative tools and related technology. It also highlights the role of health sciences librarians and educators in protecting students from generating text through ChatGPT in their academic work.

Medical librarians and little free libraries: Connecting rural communities to health information.

BACKGROUND: Consumer health libraries connect communities to reliable and accurate health information while Little Free Libraries (LFL) provide communities globally with access to free books with a 'take one leave one' type policy. OBJECTIVES: To discuss how medical librarians used already established LFLs as outreach opportunities to provide consumer health books to rural locations in East Tennessee's Appalachia region in the United States. METHODS: Researchers reviewed the population's literacy levels, the Index of Medical Underservice scores, and the availability of established LFLs. Twenty-two established LFL locations were selected and one new LFL was built for an eye clinic. Eleven health books were purchased for each established LFL, and 33 books were purchased for the new LFL. RESULTS: Researchers went back to each location 5 months after delivery. 90% of the books were taken from the already established LFLs. Ten books were taken from the new LFL. DISCUSSION: Using already established LFLs is a great opportunity to provide relevant health information to rural communities. The new LFL allowed for a partnership between the library and a rural eye clinic. CONCLUSION: By distributing health books to already established LFLs, researchers brought relevant health information books to rural and medically underserved communities.

New to health information, library or knowledge work .

Dissertations into Practice is changing. Details on how those new to health information, library and knowledge work can get involved coming shortly.

Children's Librarians' and Library Associates' Use of Music and Perceptions on Music in Library Programming: An Initial Exploration.

Literacy is a common goal of early childhood programs in libraries. Through the "Every Child Ready to Read" initiative of the American Library Association, librarians emphasize educating caregivers and parents to work with their children on early literacy skills (Every Child Ready to Read, n.d.).This program identifies singing as one of five core practices in early childhood library literacy programming. Based on this priority on singing in early childhood library programming, there seems to be a valuing of music by library organizers. However, little is known about the musical background and preparation of librarians and library associates who lead storytimes. This instrumental case study of children's librarians and library associates' documented the use of music by participants in library storytime programming (n = 13) as well as their perceptions about music. The researchers employed qualitative data analysis procedures to arrive at four themes, which encompassed the participants' positive perceptions of the role of music in children's lives; participants' passion for early literacy; their emphasis on family mentoring; and the diverse music backgrounds that led to diverse approaches of incorporating music into library programming. In our discussion we note the similarities between our population and early childhood generalist teachers who use music in their classrooms, suggesting potential application of prior research. We conclude with implications for librarians and library associates, early childhood teachers, and the early childhood music community.

The case of the disappearing librarians: analyzing documentation of librarians' contributions to systematic reviews.

Objective: The study aimed to analyze the documented role of a librarian in published systematic reviews and meta-analyses whose registered protocols mentioned librarian involvement. The intention was to identify how, or if, librarians' involvement was formally documented, how their contributions were described, and if there were any potential connections between this documentation and basic metrics of search reproducibility and quality. Methods: Reviews whose PROSPERO protocols were registered in 2017 and 2018 and that also specifically mentioned a librarian were analyzed for documentation of the librarian's involvement. Language describing the librarian and their involvement was gathered and coded, and additional information about the review, including search strategy details, was also collected. Results: A total of 209 reviews were found and analyzed. Of these, 28% had a librarian co-author, 41% named a librarian in the acknowledgements section, and 78% mentioned the contribution of a librarian within the body of the review. However, mentions of a librarian within the review were often generic ("a librarian") and in 31% of all reviews analyzed no librarian was specified by name. In 9% of the reviews, there was no reference to a librarian found at all. Language about librarians' contributions usually only referenced their work with search strategy development. Reviews with librarian coauthors typically described the librarian's work in active voice centering the librarian, unlike reviews without librarian coauthors. Most reviews had reproducible search strategies that utilized subject headings and keywords, but some had flawed or missing strategies. Conclusion: Even among this set of reviews, where librarian involvement was specified at the protocol level, librarians' contributions were often described with minimal, or even no, language in the final published review. Much room for improvement appears to remain in terms of how librarians' work is documented.