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Embedding the Team Knowledge Officer rolewithin clinical teams via a pilot clinicallibrarian serviceCatherine EbenezerDurh...
Clinical librarian projects: 1Started in USA 1971-Integrate health sciences library services and literaturesearching exp...
Clinical librarian projects: 2Extensive professional literature, includingseveral systematic reviews:Wagner and Byrd (20...
Clinical librarian: a definitionA clinical librarian seeks “ to providequality-assured information to healthprofessionals ...
Role of the clinical librarian• Attendance at clinical meetings• Attendance at / support for journal clubs• Undertaking li...
Models of clinical librarian serviceQuestion and answer servicerequests submitted to CL – literature search results provi...
‘Hill review’Hill, Peter (2008)National Review of NHS Health Library Services in E. London: DHImportant high-level recomm...
Chief Knowledge Officer (CKO)Advocated originally by Muir Gray (1998)“In every NHS organisation someone at boardlevel sh...
Team Knowledge Officer (TKO)“Every clinical or management team in theNHS should identify someone in theteam as “Team Knowl...
Role of the Team Knowledge Officer: 1Supporting the team through: ensuring the dissemination of externally and internall...
Role of the Team Knowledge Officer: 2Has an enabling role in supporting excellence byimproving: awareness of the evidenc...
Role of the Team Knowledge Officer: 3‘Clinical team’ is not defined‘Nature of ‘Team Knowledge Officer’ role isunclear:H...
Gorring et al.Four-month pilot project; librarian attended weeklyteam meetings in two community MH teams to helpgenerate ...
Gorring et al. – reported benefitsLibrarian – built up clinical expertise – clinical context providedimportant background...
Embedding the TKO roleWorking with each team to develop an agreed TeamKnowledge Officer role to be adopted by one or more...
DeliverablesEnhanced information literacy amongclinicians within the participating servicesleading to:Better quality cli...
BenefitsImproved skills in question formulation,information seeking and critical appraisal onthe part of cliniciansImpro...
Issues to considerEvaluation methodologies? – to be determinedInformation needs analyses – required in detailfor each pa...
Questions??
Catherine EbenezerLibrary and Information Services Managercatherine.ebenezer@tewv.nhs.uk01642 83811207920 545634www.netvib...
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Embedding the Team Knowledge Officer role within clinical teams via a pilot clinical librarian service

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Transcript of "Embedding the Team Knowledge Officer role within clinical teams via a pilot clinical librarian service"

  1. 1. Embedding the Team Knowledge Officer rolewithin clinical teams via a pilot clinicallibrarian serviceCatherine EbenezerDurham CAMHS CPD meetingWest Park Hospital29/06/2011
  2. 2. Clinical librarian projects: 1Started in USA 1971-Integrate health sciences library services and literaturesearching expertise of health librarians into clinicalsettingsOvercome time, cost and expertise barriers to adoptionof evidence-based practiceEnhance educational experience of students and juniordoctorsEnable librarian to gain a better understanding of thepatient care context of information needs
  3. 3. Clinical librarian projects: 2Extensive professional literature, includingseveral systematic reviews:Wagner and Byrd (2004)Brettle et al. (2010)Weightman and Williamson (2009)Very few projects in mental health services:Reid et al. (2008) – Barnet PCTUrquhart et al. (2007) – North Wales**Gorring et al. (2010) – Birmingham & Solihull**
  4. 4. Clinical librarian: a definitionA clinical librarian seeks “ to providequality-assured information to healthprofessionals at the point of need tosupport clinical decision making”(Hill, 2008)
  5. 5. Role of the clinical librarian• Attendance at clinical meetings• Attendance at / support for journal clubs• Undertaking literature searches• Evaluating information / criticalappraisal / clinical question answering• Facilitating clinical guideline development• Service promotion and outreach• User education and training
  6. 6. Models of clinical librarian serviceQuestion and answer servicerequests submitted to CL – literature search results provided to userOutreachCL uses a range of means and methods of providing information to users– tries to engage them with library servicesQuestion and answer service plus criticalappraisalresponse to user’s enquiry contains a critically appraised summary ofresultsOutreach plus critical appraisal and synthesisResults of queries include a synthesised critical appraisal(Brettle et al. 2010, p. 12)
  7. 7. ‘Hill review’Hill, Peter (2008)National Review of NHS Health Library Services in E. London: DHImportant high-level recommendations re:Knowledge management within the NHSNHS library and information servicesNever officially endorsed by DHOvertaken by ‘Darzi’- led to breakup of NLHImpetus for many clinical librarian projects
  8. 8. Chief Knowledge Officer (CKO)Advocated originally by Muir Gray (1998)“In every NHS organisation someone at boardlevel should be entrusted with the role of ChiefKnowledge Officer for that organisation.”Role: to provide leadership and oversight toenable all NHS staff to access and apply thebest available evidence in supporting everyaspect of the clinical care of patients.(Recommendation 11)
  9. 9. Team Knowledge Officer (TKO)“Every clinical or management team in theNHS should identify someone in theteam as “Team Knowledge Officer” (orequivalent). The Team KnowledgeOfficer will have responsibility forensuring the effective input of evidenceto enable the team to function properly.”(Recommendation 14)
  10. 10. Role of the Team Knowledge Officer: 1Supporting the team through: ensuring the dissemination of externally and internally generatedevidence, research, information, and data facilitating knowledge sharing participating in horizon scanning by anticipating future service needsWorking in partnership with the Chief KnowledgeOfficer by informing him/her about the team’s issues inmanaging knowledgeIdentifying and participating in relevant networksacross the health community in order to make best useof all available information resources
  11. 11. Role of the Team Knowledge Officer: 2Has an enabling role in supporting excellence byimproving: awareness of the evidence access to the evidenceIdentifies relevant colleagues for liaison within andoutside the organisation, e.g. education and training library and knowledge services information departments other providers of knowledgeMaintains an awareness of relevant developments inhealth care e.g. within their speciality, within healthinformation / health informatics services
  12. 12. Role of the Team Knowledge Officer: 3‘Clinical team’ is not defined‘Nature of ‘Team Knowledge Officer’ role isunclear:Hill – a synonym for ‘clinical librarian’ – advocatedan expansion in the number of clinical librariansserving the needs of a limited range of specialtieswithin acute trustsNLH - an extra responsibility taken on by a clinicianwithin a teamWrangling within directorate!
  13. 13. Gorring et al.Four-month pilot project; librarian attended weeklyteam meetings in two community MH teams to helpgenerate clinical questionsSenior medical or nursing lead was present to facilitatediscussion and clinical question formulationA summary of the evidence on each topic waspresented the following weekEvaluation was conducted using a questionnairesurvey, focus groups and interviews
  14. 14. Gorring et al. – reported benefitsLibrarian – built up clinical expertise – clinical context providedimportant background informationConsultant psychiatrists – having an external person from adifferent professional background attending team meetings wasbeneficial – contributions from librarian were ‘unbiased,unemotional and informed’All clinicians – librarian input a useful training tool – ‘broadenedthe knowledge base’ – better understood ‘the librarian’s potentialrole in enhancing learning’Team member – broke down barriers to visiting and using thelibrarySubstance misuse team - improved ability to formulate clinicalquestions
  15. 15. Embedding the TKO roleWorking with each team to develop an agreed TeamKnowledge Officer role to be adopted by one or moreof the members under the direction of the appropriateclinical leadFour services participating:Durham CAMHSDurham AHPDurham LD (TBC)Clinical psychology research structure – Barry Speak
  16. 16. DeliverablesEnhanced information literacy amongclinicians within the participating servicesleading to:Better quality clinician information seekingA detailed specification for the role of TeamKnowledge Officer which could in principle bereplicated across other servicesProfessional publications giving an account ofthe project
  17. 17. BenefitsImproved skills in question formulation,information seeking and critical appraisal onthe part of cliniciansImproved awareness of information resourcesleading to:Improved clinical effectiveness, patient safetyand patient service qualityAn enhanced reputation for the trust forforward thinking as an early adopter of the TKOrole
  18. 18. Issues to considerEvaluation methodologies? – to be determinedInformation needs analyses – required in detailfor each participating serviceTie-in with Professor Joe Reilly’s work oncurrent awareness for the CEOPossible scenario = a network of TKOs acrossthe trust facilitating research awareness,supported by a (permanent) clinical librarian?
  19. 19. Questions??
  20. 20. Catherine EbenezerLibrary and Information Services Managercatherine.ebenezer@tewv.nhs.uk01642 83811207920 545634www.netvibes.com/tewv-lis#Home
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