<ul><li>Librarians  – Information specialists in health care  </li></ul><ul><li>institut ion s have a constantly increasin...
<ul><li>Clinicians can do their  own   research.  </li></ul><ul><li>All they need is  </li></ul><ul><li>time </li></ul><ul...
Many times clinicians’ searches do not give proper results <ul><li>Librarians face a great challenge to participate in </l...
How to find the best evidence for patients’  t Clinicians need additional training on skills for using  and searching of m...
Clinicians were in obligation to participate on congresses with paper or poster presentation They needed to retrieve new i...
 
91 clinicians’ requests to information specialist for searching databases Seventy six of them (84%), failed in in searchin...
 
 
<ul><li>Old habit to retrieve information from electronic sources by  </li></ul><ul><li>using only one or two key words or...
<ul><li>Some of them have  no technical environment (lack of computers at clinics or internet )  </li></ul><ul><li>The mos...
<ul><li>Combining key words, often result by “no matches”  </li></ul><ul><li>full text of new scientific information  (art...
The most important literature:
By searching evidence based medicine (EBM) databases, information specialist solved 84% requests Problem with not finding ...
 
 
Seventeen clinicians reported they had  lack of time  for literature search because of clinical practice One of the reason...
<ul><li>What happens after providing all these articles? </li></ul><ul><ul><ul><li>Everyday's clinical practice limit   po...
<ul><li>Evidence Based Medicine as a Continuing Medical Eucation  </li></ul><ul><li>Supported by: </li></ul><ul><li>Americ...
<ul><li>Development in medical research </li></ul><ul><li>is constantly present </li></ul><ul><li>actual and numerous data...
<ul><li>Librarians in health care institutions become also educators </li></ul><ul><li>They have to : </li></ul><ul><li>te...
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ROLE OF LIBRARIAN IN HEALTH CARE INSTITUTIONS

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Librarians in health care institutions get an increasing role in searching adequate literature. New technologies and open access to medical databases offer new ways in providing medical literature. In addition clinicians have more possibilities to get scientific information. The aim of this research is to assess the role of information specialists in supporting Evidence Based Health Care as a part of activities of Continuing Medical Education (CME). The research is based on 91 clinicians’ requests to the information specialist for searching databases concerning patients’ care during October 2006. They could not reach adequate literature by themselves for different reasons. Using only Google for their search was not enough.
By searching Evidenced Based Medicine (EBM) sources, the information specialist solved 85% of the requests. Searching for literature failed in 15 % only, caused by copyright of publisher and denied access to the data source. EBM has an increasing influence on information specialists’ work and includes only the best evidence from recent clinical practices.
Experience and skills of information specialist in the retrieval process supporting EBM avoids accumulation of unnecessary literature, makes searching databases short, valuable, time -efficient and useful to the maximal extent.

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ROLE OF LIBRARIAN IN HEALTH CARE INSTITUTIONS

  1. 2. <ul><li>Librarians – Information specialists in health care </li></ul><ul><li>institut ion s have a constantly increasing role in </li></ul><ul><li>searching proper literature. </li></ul><ul><li>Through the advent of the Internet, access to the medical information basically changed </li></ul><ul><li>More and more databases with free access to medical information appear constantly </li></ul><ul><li>All needed data is available at only a few clicks away </li></ul><ul><li>Information provided only by Google is not complete nor enough </li></ul>
  2. 3. <ul><li>Clinicians can do their own research. </li></ul><ul><li>All they need is </li></ul><ul><li>time </li></ul><ul><li>access to databases </li></ul><ul><li>information seeking skills </li></ul><ul><li>technical environment ( computers at clinics, internet) </li></ul><ul><li>and interests </li></ul><ul><li>But this is not often the case! </li></ul>
  3. 4. Many times clinicians’ searches do not give proper results <ul><li>Librarians face a great challenge to participate in </li></ul><ul><li>clinicians’ searches, offer new information and </li></ul><ul><li>identify </li></ul><ul><li>select </li></ul><ul><li>evaluate </li></ul><ul><li>systematize </li></ul><ul><li>the necessary literature </li></ul>
  4. 5. How to find the best evidence for patients’ t Clinicians need additional training on skills for using and searching of medical databases (presentations of new medical databases and workshops) New achievements in medicine demand new approaches in diagnostics and treatments. Only the best evidence on treatments, appropriate literature, along with good contact and dialogue with patient can give a successful treatment. treatment
  5. 6. Clinicians were in obligation to participate on congresses with paper or poster presentation They needed to retrieve new information
  6. 8. 91 clinicians’ requests to information specialist for searching databases Seventy six of them (84%), failed in in searching literature for various reasons They reported &quot;no access to medical databases“ for different reasons
  7. 11. <ul><li>Old habit to retrieve information from electronic sources by </li></ul><ul><li>using only one or two key words or wrong combination of words, without Medical Subject Headings (MESH) </li></ul><ul><li>Results in </li></ul><ul><li>many unnecessary data </li></ul><ul><li>and accumulation of inappropriate literature </li></ul>
  8. 12. <ul><li>Some of them have no technical environment (lack of computers at clinics or internet ) </li></ul><ul><li>The most common problem is </li></ul><ul><li>Results: “no matches” </li></ul><ul><li>Clinicians need training in question building skills </li></ul>
  9. 13. <ul><li>Combining key words, often result by “no matches” </li></ul><ul><li>full text of new scientific information (articles and guidelines) is not accessible </li></ul><ul><li>Everyday's clinical practice limit possibilities to read all provided literature </li></ul><ul><ul><li>Only clinical practice and contact with patients offer more chances to reach the literature based on the best evidence in clinical practice </li></ul></ul>
  10. 14. The most important literature:
  11. 15. By searching evidence based medicine (EBM) databases, information specialist solved 84% requests Problem with not finding articles was caused by unable to access to database and copyright of authors
  12. 18. Seventeen clinicians reported they had lack of time for literature search because of clinical practice One of the reasons is surely also lack of interest about new technologies The easiest way to retrieve literature is to consult librarian
  13. 19. <ul><li>What happens after providing all these articles? </li></ul><ul><ul><ul><li>Everyday's clinical practice limit possibilities to read all provided literature </li></ul></ul></ul><ul><ul><li>But also </li></ul></ul><ul><ul><ul><ul><li>Clinical practice and contact with patients offer more chances to reach the literature based on the best evidence in clinical practice </li></ul></ul></ul></ul>
  14. 20. <ul><li>Evidence Based Medicine as a Continuing Medical Eucation </li></ul><ul><li>Supported by: </li></ul><ul><li>American College of Physicians (ACP) </li></ul><ul><li>British Medical Association MBA </li></ul><ul><li>Cochrane Collaboration and U.S. Agency for Health and Quality. </li></ul>
  15. 21. <ul><li>Development in medical research </li></ul><ul><li>is constantly present </li></ul><ul><li>actual and numerous databases are precious and rich resources of medical investigation – research </li></ul>
  16. 22. <ul><li>Librarians in health care institutions become also educators </li></ul><ul><li>They have to : </li></ul><ul><li>teach medical staff and students </li></ul><ul><li>“ How to get fundamental and advanced skills in medical base retrieval?” </li></ul>

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