Hospital AdministratorHospital AdministratorPerceptions of thePerceptions of theLibraryLibraryElaine R. Martin, DAElaine R...
BackgroundBackground Value Study conducted in NN/LM, MARValue Study conducted in NN/LM, MAR(Fall/Winter 2007)(Fall/Winter...
Participant CharacteristicsParticipant CharacteristicsDistributionDistribution StateState44 CTCT55 MAMA33 MEME44 NHNH33 RI...
Hospital Bed SizeHospital Bed SizeRangeRange CountCount<100<100 55100-199100-199 66200-299200-299 66300-399300-399 00>400>...
Study PurposeStudy Purpose The purpose of this study is two-fold: 1) toThe purpose of this study is two-fold: 1) toinvest...
MethodologyMethodology Qualitative studyQualitative study Librarian interviews of hospital administratorsLibrarian inter...
Interview QuestionsInterview Questions How are competing budgetary needs rankedHow are competing budgetary needs rankedan...
Questions (continued)Questions (continued) Are there one or two specific services or resources that areAre there one or t...
Questions (continued)Questions (continued) What would convince you that the library is anWhat would convince you that the...
Focus Group QuestionsFocus Group Questions The script was divided into two sections. The firstThe script was divided into...
Data CollectionData Collection Transcribed textual data were reviewed throughTranscribed textual data were reviewed throu...
Focus Group 1: ThemesFocus Group 1: Themes Theme 1: Demonstration of value, worthyTheme 1: Demonstration of value, worthy...
Focus Group 1Focus Group 1 Theme 2: Why library is valuableTheme 2: Why library is valuable Library supports educationLi...
Focus Group 1Focus Group 1 Theme 3: How library could show value &Theme 3: How library could show value &doesn’t presentl...
Focus Group 1Focus Group 1 Theme 4: How administrators measure valueTheme 4: How administrators measure value Reporting ...
Focus Group 1Focus Group 1 Theme 5: What administrators value aboutTheme 5: What administrators value aboutlibrarylibrary...
Focus Group 1Focus Group 1 Theme 6: Tone of interviewTheme 6: Tone of interview PositivePositive UpbeatUpbeat Quick; n...
Focus Group 1Focus Group 1 Theme 7: Key pointsTheme 7: Key points Library is valuableLibrary is valuable Go outside the...
Focus Group 1Focus Group 1 Theme 8: SurprisesTheme 8: Surprises Administrator knew my role on committees and/orAdministr...
Focus Group 1Focus Group 1 Theme 9: Follow-upTheme 9: Follow-up Administrator appointed librarian to committeeAdministra...
Focus Group 1Focus Group 1 Theme 10: Librarian value of experienceTheme 10: Librarian value of experience Confidence bui...
Focus Group 2Focus Group 2 Theme 1: Demonstration of value, worthy ofTheme 1: Demonstration of value, worthy offundingfun...
Focus Group 2Focus Group 2 Theme 2: Why library is valuableTheme 2: Why library is valuable Library saves people time; t...
Focus Group 2Focus Group 2 Theme 3: How library could show value andTheme 3: How library could show value anddoesn’tdoesn...
Focus Group 2Focus Group 2 Theme 4: How administrators measure valueTheme 4: How administrators measure value Revenue ge...
Focus Group 2Focus Group 2 Theme 5: What administrators valueTheme 5: What administrators value Administrators did not t...
Focus Group 2Focus Group 2 Theme 6: Tone of interviewTheme 6: Tone of interview DisappointingDisappointing “…“…she valu...
Focus Group 2Focus Group 2 Theme 7: Key pointsTheme 7: Key points Keep a log of anecdotes (showing how informationKeep a...
Focus Group 2Focus Group 2 Theme 8: SurprisesTheme 8: Surprises Administrator could not see value of library inAdministr...
Focus Group 2Focus Group 2 Theme 9: Follow-upTheme 9: Follow-up Administrators wanted to hear results of studyAdministra...
Focus Group 2Focus Group 2 Theme 9: Follow-up continuedTheme 9: Follow-up continued RI library regulation challengedRI l...
Focus Group 2Focus Group 2 Theme 10: Librarian value of experienceTheme 10: Librarian value of experience Opportunity to...
DiscussionDiscussion Tone of focus groups somewhat differentTone of focus groups somewhat different First group particip...
Common ThemesCommon Themes What people say about the library influences administratorWhat people say about the library in...
SummarySummary ““I just think that hospital administrators don’tI just think that hospital administrators don’trealize al...
Next StepsNext Steps MAR Follow-up study to be piloted thisMAR Follow-up study to be piloted thissummer; development of “...
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Hospital Administrator Perceptions of the Library

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A qualitative study conducted by Elaine Martin, DA, Director of UMass Medical Center's Lamar Soutter Library, shows what hospital administrators value about libraries and how they make library budgeting decisions.

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Hospital Administrator Perceptions of the Library

  1. 1. Hospital AdministratorHospital AdministratorPerceptions of thePerceptions of theLibraryLibraryElaine R. Martin, DAElaine R. Martin, DANN/LM, NERNN/LM, NERUniversity of Massachusetts Medical SchoolUniversity of Massachusetts Medical School
  2. 2. BackgroundBackground Value Study conducted in NN/LM, MARValue Study conducted in NN/LM, MAR(Fall/Winter 2007)(Fall/Winter 2007) NER RAC Hospital Library SubcommitteeNER RAC Hospital Library Subcommitteemeeting with decision to repeat the study inmeeting with decision to repeat the study inNER (Spring 2008)NER (Spring 2008) Call for participation (Spring 2008)Call for participation (Spring 2008) NER study conducted (Fall 2008)NER study conducted (Fall 2008)
  3. 3. Participant CharacteristicsParticipant CharacteristicsDistributionDistribution StateState44 CTCT55 MAMA33 MEME44 NHNH33 RIRI22 VTVT
  4. 4. Hospital Bed SizeHospital Bed SizeRangeRange CountCount<100<100 55100-199100-199 66200-299200-299 66300-399300-399 00>400>400 44
  5. 5. Study PurposeStudy Purpose The purpose of this study is two-fold: 1) toThe purpose of this study is two-fold: 1) toinvestigate the views of hospital administratorsinvestigate the views of hospital administratorsabout librarians and library services in theirabout librarians and library services in theirinstitutions and how they make decisions aroundinstitutions and how they make decisions aroundwhat services are provided and funded in theirwhat services are provided and funded in theirhospital; and 2) to explore the views of healthhospital; and 2) to explore the views of healthsciences librarians, informed by interviews withsciences librarians, informed by interviews withhospital administrators on the value of thehospital administrators on the value of thehospital library.hospital library.
  6. 6. MethodologyMethodology Qualitative studyQualitative study Librarian interviews of hospital administratorsLibrarian interviews of hospital administrators Focus groups with librarian interviewersFocus groups with librarian interviewers Analysis of common themesAnalysis of common themes Initial report to RAC Hospital LibraryInitial report to RAC Hospital LibrarySubcommitteeSubcommittee MAHSLIN presentation and next stepsMAHSLIN presentation and next stepsdiscussiondiscussion
  7. 7. Interview QuestionsInterview Questions How are competing budgetary needs rankedHow are competing budgetary needs rankedand prioritized? Do key individuals have aand prioritized? Do key individuals have alouder voice?louder voice? How much budgetary decision-making isHow much budgetary decision-making isdriven by compliance/regulation? Can youdriven by compliance/regulation? Can youprovide an example?provide an example? Are there one or two specific things the libraryAre there one or two specific things the libraryoffers that are especially useful to thisoffers that are especially useful to thisorganization?organization?
  8. 8. Questions (continued)Questions (continued) Are there one or two specific services or resources that areAre there one or two specific services or resources that areespecially useful to you personally at work? When you needespecially useful to you personally at work? When you needinformation for your work, what is your usual approach toinformation for your work, what is your usual approach tofinding answers?finding answers? Is there a challenge or opportunity for our organization whereIs there a challenge or opportunity for our organization wherethe library could be involved? (Examples: performancethe library could be involved? (Examples: performanceimprovement initiatives, or length of stay, or patientimprovement initiatives, or length of stay, or patientsatisfaction)satisfaction) Does your organization involve your librarians in strategicDoes your organization involve your librarians in strategicplanning and/or hospital-wide, mission-critical committees? Ifplanning and/or hospital-wide, mission-critical committees? Ifnot, why not? What might make the librarian more central?not, why not? What might make the librarian more central?What would enhance the librarian’s value to such committees?What would enhance the librarian’s value to such committees?
  9. 9. Questions (continued)Questions (continued) What would convince you that the library is anWhat would convince you that the library is anessential resource, worthy of appropriateessential resource, worthy of appropriatefunding? Can you think of specific measures offunding? Can you think of specific measures oflibrary value that would be convincing to you?library value that would be convincing to you? Is there anything else you would want to sayIs there anything else you would want to sayabout libraries and librarians that would helpabout libraries and librarians that would helpassess the value of these resourcesassess the value of these resources
  10. 10. Focus Group QuestionsFocus Group Questions The script was divided into two sections. The firstThe script was divided into two sections. The firstsection included questions to be answered from thesection included questions to be answered from thepoint of view of the hospital administrator interviewed.point of view of the hospital administrator interviewed.Questions focused on their perceptions of the libraryQuestions focused on their perceptions of the libraryand how to measure its value.and how to measure its value. The second section included questions to be answeredThe second section included questions to be answeredfrom the point of view of the librarian/interviewer.from the point of view of the librarian/interviewer.These questions focused on the librarian’s perceptionThese questions focused on the librarian’s perceptionof the interview and the reaction to it.of the interview and the reaction to it. There were 9 questions in all.There were 9 questions in all.
  11. 11. Data CollectionData Collection Transcribed textual data were reviewed throughTranscribed textual data were reviewed througha continuous process of comparing dataa continuous process of comparing datasegments to other data segments, looking forsegments to other data segments, looking forsimilarities, differences, and themes.similarities, differences, and themes. A list of common themes and subthemes forA list of common themes and subthemes foreach focus group was constructed.each focus group was constructed. Then, a list of common themes across bothThen, a list of common themes across bothfocus groups was constructed.focus groups was constructed.
  12. 12. Focus Group 1: ThemesFocus Group 1: Themes Theme 1: Demonstration of value, worthyTheme 1: Demonstration of value, worthyof fundingof fundingQuantitative statisticsQuantitative statisticsOutcomesOutcomesMedical staff verbal supportMedical staff verbal support
  13. 13. Focus Group 1Focus Group 1 Theme 2: Why library is valuableTheme 2: Why library is valuable Library supports educationLibrary supports educationLibrary supports nurses (magnet status)Library supports nurses (magnet status)Library support of EBM and researchLibrary support of EBM and research
  14. 14. Focus Group 1Focus Group 1 Theme 3: How library could show value &Theme 3: How library could show value &doesn’t presentlydoesn’t presently Press-Ganey (assist with best practices)Press-Ganey (assist with best practices) Show information effects patient outcomes orShow information effects patient outcomes orimprove processesimprove processes Show library saves administrator time which equalsShow library saves administrator time which equalsmoneymoney
  15. 15. Focus Group 1Focus Group 1 Theme 4: How administrators measure valueTheme 4: How administrators measure value Reporting structureReporting structure Juxtaposition of library spaceJuxtaposition of library space Quantitative numbersQuantitative numbers Involvement in communityInvolvement in community Response to administrator questionsResponse to administrator questions
  16. 16. Focus Group 1Focus Group 1 Theme 5: What administrators value aboutTheme 5: What administrators value aboutlibrarylibrary Literature searchesLiterature searches Online resourcesOnline resources Committee workCommittee work BenchmarkingBenchmarking Helping employees going back to school/studentsHelping employees going back to school/students Library as placeLibrary as place ILL serviceILL service
  17. 17. Focus Group 1Focus Group 1 Theme 6: Tone of interviewTheme 6: Tone of interview PositivePositive UpbeatUpbeat Quick; not a lot of thoughtQuick; not a lot of thought Disappointing in lack of depth of the interviewDisappointing in lack of depth of the interview For the most part, librarians new intervieweesFor the most part, librarians new interviewees
  18. 18. Focus Group 1Focus Group 1 Theme 7: Key pointsTheme 7: Key points Library is valuableLibrary is valuable Go outside the library (committees, community)Go outside the library (committees, community) Target administratorsTarget administrators Library as physical place importantLibrary as physical place important Statistics (numbers) importantStatistics (numbers) important Library support for education importantLibrary support for education important
  19. 19. Focus Group 1Focus Group 1 Theme 8: SurprisesTheme 8: Surprises Administrator knew my role on committees and/orAdministrator knew my role on committees and/orsuggested I be on onesuggested I be on one Administrator asked for lit searchAdministrator asked for lit search Administrator saw role of library in EMR andAdministrator saw role of library in EMR andoffered suggestionsoffered suggestions
  20. 20. Focus Group 1Focus Group 1 Theme 9: Follow-upTheme 9: Follow-up Administrator appointed librarian to committeeAdministrator appointed librarian to committee Administrator requested information (lit search)Administrator requested information (lit search) Administrator suggested other contactsAdministrator suggested other contacts More recognition in the hallMore recognition in the hall
  21. 21. Focus Group 1Focus Group 1 Theme 10: Librarian value of experienceTheme 10: Librarian value of experience Confidence buildingConfidence building Opened lines of communicationOpened lines of communication Teachable momentTeachable moment Cache of being in NLM studyCache of being in NLM study
  22. 22. Focus Group 2Focus Group 2 Theme 1: Demonstration of value, worthy ofTheme 1: Demonstration of value, worthy offundingfunding Regulations, compliance, safety, and direct patientRegulations, compliance, safety, and direct patientcare drive fundingcare drive funding IS is valued and library is part of ISIS is valued and library is part of IS Listen to what people say about the libraryListen to what people say about the library(anecdotes); library as “dissatisfier”(anecdotes); library as “dissatisfier” Statistics; dataStatistics; data
  23. 23. Focus Group 2Focus Group 2 Theme 2: Why library is valuableTheme 2: Why library is valuable Library saves people time; time equals moneyLibrary saves people time; time equals money Supports education and community outreachSupports education and community outreach Library doesn’t consume a lot of resourcesLibrary doesn’t consume a lot of resources
  24. 24. Focus Group 2Focus Group 2 Theme 3: How library could show value andTheme 3: How library could show value anddoesn’tdoesn’t Most administrators in this group could not offerMost administrators in this group could not offersuggestionssuggestions One administrator suggested librarian serve onOne administrator suggested librarian serve onPatient Safety or Patient Satisfaction CommitteesPatient Safety or Patient Satisfaction Committees
  25. 25. Focus Group 2Focus Group 2 Theme 4: How administrators measure valueTheme 4: How administrators measure value Revenue generating services are looked at moreRevenue generating services are looked at morefavorablyfavorably Library didn’t consume many resources and wasLibrary didn’t consume many resources and wasbargainbargain They measure value in “dollars and cents”They measure value in “dollars and cents”
  26. 26. Focus Group 2Focus Group 2 Theme 5: What administrators valueTheme 5: What administrators value Administrators did not talk about the value of theAdministrators did not talk about the value of thelibrary in education or patient carelibrary in education or patient care Administrators did not mention specific resourcesAdministrators did not mention specific resources One administrator goes to the library to read theOne administrator goes to the library to read thenewspapernewspaper Statistics--usageStatistics--usage Serving the publicServing the public
  27. 27. Focus Group 2Focus Group 2 Theme 6: Tone of interviewTheme 6: Tone of interview DisappointingDisappointing “…“…she valued the library despite what the futureshe valued the library despite what the futuremay hold.”may hold.” For the most part, librarians did not knowFor the most part, librarians did not knowinterviewees; some were rescheduled more than onceinterviewees; some were rescheduled more than once Not as positive as Focus Group 1Not as positive as Focus Group 1
  28. 28. Focus Group 2Focus Group 2 Theme 7: Key pointsTheme 7: Key points Keep a log of anecdotes (showing how informationKeep a log of anecdotes (showing how informationaffected patient outcomes)affected patient outcomes) Numbers matter (“I’m not going to give up countingNumbers matter (“I’m not going to give up countingthings.”)things.”) Go out of the library; Sell yourselfGo out of the library; Sell yourself Regulations drive funding decisionsRegulations drive funding decisions
  29. 29. Focus Group 2Focus Group 2 Theme 8: SurprisesTheme 8: Surprises Administrator could not see value of library inAdministrator could not see value of library instrategic planningstrategic planning Despite support for library, administrator could notDespite support for library, administrator could notsee how library could help him/hersee how library could help him/her
  30. 30. Focus Group 2Focus Group 2 Theme 9: Follow-upTheme 9: Follow-up Administrators wanted to hear results of studyAdministrators wanted to hear results of study One wanted to attend librarian focus groupOne wanted to attend librarian focus group Administrator came to library open houseAdministrator came to library open house Librarian was asked to provide info for monthlyLibrarian was asked to provide info for monthlyreportreport
  31. 31. Focus Group 2Focus Group 2 Theme 9: Follow-up continuedTheme 9: Follow-up continued RI library regulation challengedRI library regulation challenged Librarians expressed concern about additional rolesLibrarians expressed concern about additional roles(i.e. going outside the library and not having the(i.e. going outside the library and not having theresources to deliver); but one was going to follow-upresources to deliver); but one was going to follow-upabout serving on a Patient Safety committeeabout serving on a Patient Safety committee
  32. 32. Focus Group 2Focus Group 2 Theme 10: Librarian value of experienceTheme 10: Librarian value of experience Opportunity to educate administrator about libraryOpportunity to educate administrator about library Opportunity to change perceptions about libraryOpportunity to change perceptions about library
  33. 33. DiscussionDiscussion Tone of focus groups somewhat differentTone of focus groups somewhat different First group participants knew each other; didFirst group participants knew each other; didthat insert bias or effect more positivethat insert bias or effect more positivecomments about the library?comments about the library? Both groups of librarians saw value inBoth groups of librarians saw value inparticipating in the studyparticipating in the study
  34. 34. Common ThemesCommon Themes What people say about the library influences administratorWhat people say about the library influences administratorfunding decisions and perceptions of the libraryfunding decisions and perceptions of the library Statistics matterStatistics matter Administrators saw value of librarians serving on committeesAdministrators saw value of librarians serving on committees Although administrators could see value of library in education,Although administrators could see value of library in education,they could not see library helping them in their decision makingthey could not see library helping them in their decision making Administrators had difficulty in measuring value of libraryAdministrators had difficulty in measuring value of librarybeyond the numbersbeyond the numbers Lack of specific examples by administrators regarding libraryLack of specific examples by administrators regarding libraryvalue roles in education and patient care except for helpingvalue roles in education and patient care except for helpingnurses with magnet statusnurses with magnet status
  35. 35. SummarySummary ““I just think that hospital administrators don’tI just think that hospital administrators don’trealize all the skills that librarians have…”realize all the skills that librarians have…” ““I’m pleased this opportunity came aboutI’m pleased this opportunity came aboutbecause I probably wouldn’t have tried to get abecause I probably wouldn’t have tried to get ahalf hour of her time…”half hour of her time…” ““I think this has provided a wonderfulI think this has provided a wonderfulopportunity to meet with folks we don’topportunity to meet with folks we don’tordinarily interact with…good or bad…”ordinarily interact with…good or bad…”
  36. 36. Next StepsNext Steps MAR Follow-up study to be piloted thisMAR Follow-up study to be piloted thissummer; development of “toolkit” forsummer; development of “toolkit” forreplicating the studyreplicating the study How do MAHSLIN/NER hospital librariansHow do MAHSLIN/NER hospital librarianswant to follow-up?want to follow-up? Other issues for discussion—impact ofOther issues for discussion—impact ofeconomy on this study—influence on future ofeconomy on this study—influence on future ofhospital libraries in the regionhospital libraries in the region
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