Are Health Sciences Librarians Taking the EBM Challenge?

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Paper presented at the Canadian Association for Information Science (CAIS) Annual Conference, Vancouver, BC, June 5–7, 2008. The paper was also published in the conference proceedings <http://www.cais-acsi.ca/2008proceedings.htm>

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Are Health Sciences Librarians Taking the EBM Challenge?

  1. 1. Are Health Sciences Librarians Taking the Evidence-Based Medicine Challenge? Ping Li, PhD GSLIS, Queens College, City University of New York Lin Wu, MLIS, AHIP Health Sciences Library and Biocommunications Center University of Tennessee Health Science Center Canadian Association for Information Science (CAIS) Annual Conference, Vancouver, BC, June 5–7, 2008
  2. 2. Introduction <ul><li>Evidence-Based Medicine (EBM) </li></ul><ul><li>What is EBM? </li></ul><ul><li>“ The integration of best research evidence with clinical expertise and patient values” (Sackett et al. 2000). </li></ul>
  3. 3. Key Components of EBM <ul><li>Formulating focused and answerable clinical questions </li></ul><ul><li>Finding the best evidence </li></ul><ul><li>Critically appraising the evidence </li></ul><ul><li>Applying results in clinical practice </li></ul><ul><li>Evaluating performance (Babish 2003) </li></ul>
  4. 4. Challenges <ul><li>Health care professionals </li></ul><ul><li>Health sciences librarians </li></ul>
  5. 5. Why Researching? Reference job content analysis Disconnects ?
  6. 6. Research Objective <ul><li>To investigate whether and how health sciences librarians have been taking the evidence-based medicine (EBM) challenge. </li></ul>
  7. 7. Methodology <ul><li>Content analysis </li></ul><ul><ul><li>Job postings from January 2000 through </li></ul></ul><ul><ul><li>December 2007 </li></ul></ul><ul><li>Literature review </li></ul><ul><ul><li>Librarians' EBM-related duties, responsibilities, </li></ul></ul><ul><ul><li>and activities </li></ul></ul>
  8. 8. Results – Content Analysis <ul><li>Total job ads: 726 </li></ul><ul><li>Total reference jobs: 336 (46%) </li></ul><ul><li>Total job ads related to EBM: 54 (16%) </li></ul>
  9. 9. EBM Job Postings by Library Type Library Type Number Percentage Academic 39 72% Special 12 22% Hospital 3 6% Total 54 100%
  10. 10. EBM Job Postings by Year Year Number Percentage 2000 6 11% 2001 8 15% 2002 3 6% 2003 5 9% 2004 8 15% 2005 11 20% 2006 7 13% 2007 6 11% Total 54 100%
  11. 11. Results- 6 EBM Related Variables EBM01: Expertise with/knowledge of EBM resources EBM02: Providing evidence-based medical research EBM03: Contributing to evidence-based initiatives EBM04: Attending morning reports, medical rounds, or journal club EBM05: Teaching EBM EBM06: Supporting evidence-based practice (EBP)
  12. 12. Positions (%) Requesting EBM-Related Qualifications and Duties
  13. 13. Results – Literature Review Sources of Literature <ul><li>PubMed/Medline </li></ul><ul><li>CINAHL </li></ul><ul><li>LISTA </li></ul><ul><li>Academic Search Premier </li></ul>
  14. 14. Results – Literature Review (Cont’d) <ul><li>41 Articles Identified </li></ul><ul><li>Opinion articles </li></ul><ul><li>Articles reporting on librarians’ EBM-related </li></ul><ul><li>activities </li></ul><ul><ul><li>Most are of project nature </li></ul></ul><ul><ul><li>Only 4 articles reported on librarians’ routine </li></ul></ul><ul><ul><li>involvement in EBM-related activities </li></ul></ul>
  15. 15. Results – Literature Review (Cont’d) <ul><li>Librarians’ Project-Related EBM Roles: </li></ul><ul><li>Team members </li></ul><ul><li>Partners </li></ul><ul><li>Played a leading role in 3 projects </li></ul>
  16. 16. Results – Literature Review (Cont’d) <ul><li>Librarians’ Routine EBM-Related Activities </li></ul><ul><li>Participating in the curriculum integration to </li></ul><ul><li>support EBM </li></ul><ul><li>Participating in morning reports to improve </li></ul><ul><li>residents’ information searching skills </li></ul><ul><li>Identifying, supplying, and providing </li></ul><ul><li>training in EBP resources for educational </li></ul><ul><li>programs </li></ul><ul><li>Participating in graduate medical education, </li></ul><ul><li>finding and relating the best evidence to </li></ul><ul><li>clinical problems </li></ul>
  17. 17. Discussion <ul><li>Health sciences librarians </li></ul><ul><li>Library administrators </li></ul><ul><li>EBM practice in health care settings </li></ul>
  18. 18. Conclusions <ul><li>Potential existence of disconnects </li></ul><ul><li>Significances </li></ul><ul><li>Guidance for both employers and employees </li></ul><ul><li>Insight into the training of future librarians </li></ul>
  19. 19. What to Be Done Next? <ul><li>More rigid data to validate the findings </li></ul><ul><li>A survey to investigate health sciences librarians’ actual involvements related to EBM </li></ul>
  20. 20. Reference <ul><li>Sackett, David L., Sharon E. Straus, W. Scott Richardson, </li></ul><ul><li>William Rosenberg, and R. Brian Haynes. 2000. </li></ul><ul><li>Evidence based medicine: how to practice and </li></ul><ul><li>teach EBM. 2nd ed. Edinburgh: Churchill Livingstone. </li></ul><ul><li>Babish, JoAnn. 2003. Evidence-based medicine morning </li></ul><ul><ul><ul><li>report: overview and role of the librarian. Journal of Hospital </li></ul></ul></ul><ul><ul><ul><li>Librarianship 3, no. 4: 35-45.   </li></ul></ul></ul>
  21. 21. <ul><li>Thank you! </li></ul><ul><li>Full paper is available at </li></ul><ul><li>http://www.cais-acsi.ca/2008proceedings.htm </li></ul><ul><li>Ping Li: pli@qc.cuny.edu </li></ul><ul><li>Lin Wu: lwu5@utmem.edu </li></ul>

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