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Partnering with the Health
   Disciplines: Challenges
      and Opportunities




Robin Featherstone
April 7th, 2009
Presentation available at: http://uwohealthlibrarian.blogspot.com/
Topic


       The Health Sciences Librarians at the Allyn and Betty
       Taylor Library collaborate with research, clinical, and
       teaching faculty in many health disciplines, students at
       all levels, and librarian colleagues. These user groups
       are located across the Western campus, in the
       hospitals and on the distributed medical campus.

       Please describe the challenges and opportunities that
       are involved in establishing and maintaining effective
       communication and productive relationships with
       members of these diverse groups.




Featherstone                                                      4/7/09
Outline



       User groups

       Challenges

       Opportunities

       Sustainability

       Questions




Featherstone             4/7/09
Users




4/7/09   Featherstone   4
Undergraduate Programs



               Faculty of Health Sciences    Schulich School of Medicine &
                                                       Dentistry
               Bachelor of Health Sciences   Basic Medical Sciences
               Kinesiology                   Dentistry*

               Nursing*                      Medicine*

                                             Combined Programs (Medicine with
                                             Engineering, Bachelor of Medical
                                             Sciences with Business)




Featherstone                                                                    4/7/09
Graduate, Postgrad &
    Postdoc Programs

                 Faculty of Health Sciences        Schulich School of Medicine &
                                                             Dentistry
               Communication Sciences and         Clinical Dental Fellowship Program
               Disorders
               Health & Rehabilitation Sciences   Dental Clinician Scientist Program

               Kinesiology                        Internationally Trained Dentists

               Nursing                            MD/PhD

               Occupational Therapy               Orthodontics

               Physical Therapy                   Postdocs

                                                  Postgraduate Medical Education

                                                  Residency Programs

Featherstone                                                                           4/7/09
Research Centres*


                  Faculty of Health Sciences        Schulich School of Medicine &
                                                              Dentistry
                Canadian Centre for Activity and   Canadian Research and Development
                Aging                              Centre for Probiotics
                International Centre for Olympic   Canadian Surgical Technologies &
                Studies                            Advanced Robotics (CSTAR)
                National Centre for Audiology      Centre for Pain Research

                                                   Centre for Studies in Family Medicine

                                                   Centre for Critical Illness Research

                                                   Centre for Vascular Imaging Research



               *Not including dozens of other research groups, clinics, networks & units

Featherstone                                                                               4/7/09
Educational Partnerships


               Faculty of Health Sciences   Schulich School of Medicine &
                                                      Dentistry
               Fanshawe College             University of Windsor




                                            Southwestern Ontario Medical
                                            Education Network (SWOMEN)

Featherstone                                                                4/7/09
Clinical Education Settings



               Faculty of Health Sciences     Schulich School of Medicine &
                                                        Dentistry
                                Affiliated Teaching Hospitals
                                  Clinical Education Suites
                                       Clinical Skills Lab
                         Out-patient Clinics (both private and public)
                                    Acute Care Hospitals
                                  Long Term Care Facilities
                                            Schools




Featherstone                                                                  4/7/09
Clinical Experience Sites




    Western Catchment Area for
    clinical education sites:

    Extends from Sarnia/Windsor in
    the west, to Owen Sound in the
    north and to Kitchener/Waterloo
    in the east.




Featherstone                          4/7/09
Librarian Colleagues


       Southwestern Ontario Health Libraries Information
        Network (SOHLIN)

       Western Ontario Health Knowledge Network (WOHKN)




Featherstone                                                4/7/09
Health Discipline User
    Overview

       Diverse & geographically dispersed

       Not heavy users of physical library spaces

       Early adopters of mobile/handheld devices (McAlearney,
        2004)

       Early adopters of social software (Giustini, 2006) but less
        likely to implement in professional settings due to privacy
        concerns and standards of care issues (Hawn, 2009)

       View “traditional” library services as most important in a
        liaison program (Tennant 2006; Yang, 2000)




Featherstone                                                          4/7/09
Health Discipline User
    Overview

       Medical students, in particular, have packed schedules which
        make course-integrated instruction difficult (Tennant et al.,
        2006)

       Email is the preferred mode of communication from librarian
        liaisons to users in the health disciplines (Glynn & Wu, 2003;
        Tennant et al., 2006; Tennant et al., 2001)

       Nurses had the highest awareness (97.1%) of library liaison
        services (Tennant et al., 2006)

       Medical residents had the lowest awareness (16.0%) of
        library liaison services (Tennant et al., 2006)




Featherstone                                                             4/7/09
Challenges




4/7/09   Featherstone
Challenge –
    Remote Access

    “Generally, electronic resources have made faculty and
      students less reliant on liaisons for help with their
      research [...]” (Glynn & Wu, 2003, p. 122)



    “[Electronic access] has been highly appreciated by
      clients but it has also changed the nature of the
      relationship with them as it has reduced their need
      to access the physical space of the library and
      reduced the opportunity for contact between
      them and liaison librarians.” (Rodwell & Fairbairn,
      2008, p. 119)

Featherstone                                                  4/7/09
Challenge – Indirect
    Communication Channels
Email 1: From Lucy V. to Fanshawe Help Desk – Nov 3

   - Do you know how I can get access to articles from the Western site?

Email 2: From Lucy V. to Valerie W. (Fanshawe’s Support Services Officer) – Nov 5

   - Help! How do I access articles from the Western site. Helpdesk was not helpful in this
   case.

Email 3: From Valerie W. to Denice L. (Western’s Nursing Admin Officer) – Nov 7

   -Hi Denice: Lucy V. is a Yr 2 Collaborative clinical teacher. How can I help her get access to
   the UWO library?

Email 4: From Denice L. to me – Nov 12

   -Hi Robin, are you able to help with this request?



Featherstone                                                                                  4/7/09
Challenge - Geography


       Me again, Robin. What's the slickest, quickest, and
       most expedited process for getting Ross-Kerr & Wood
       (2003) book into Debbie's hands within 2-3
       days for final N3322E assignment?

       Doing so, that is, without her having to make a road
       trip to London? Sarnia is the closest city to her. Thanks
       for advising.




Featherstone                                                       4/7/09
Challenge –
    Expectations


       Do you think I can stop by tomorrow quickly and just
       make sure I did my references right. My class is done
       at 1030 and my paper is due at 4. So anytime in
       between would be much appreciated.




Featherstone                                                   4/7/09
Challenge – Time




Featherstone           4/7/09
General Observations


       Challenges:
          Managing expectations
          Opening communication channels
          Making services and collections accessible to distance students

       Work depends on building personal relationships

       Effort to redefine the liaison role may not appeal to all
        users

       Balancing act between innovation and maintenance




Featherstone                                                                4/7/09
Opportunities




4/7/09   Featherstone
Opportunity –
    Educative Task


    “The complexity of the information environment has,
      however, allowed liaison librarians to grasp the function
      of information literacy as one of the ways to re-
      integrate themselves with the faculties and their
      clients.” (Rodwell & Fairbairn, 2008, p.119)




Featherstone                                                      4/7/09
Opportunity – Electronic
    Communications




Featherstone                   4/7/09
Opportunity – Alternative
    Communication Channels




Featherstone                    4/7/09
Opportunity –
    Virtual Instruction




Featherstone              4/7/09
Opportunity –
    Faculty Partnerships




Featherstone               4/7/09
Opportunity – Curricula
    Development




Featherstone                  4/7/09
Opportunity –
    Collaborative Research


       Health informatics

       International demand for electronic health records

       Increasing emphasis on EBP (Evidence Based Practice)
        in clinical settings

       Interprofessional Education

       Health education is a signature area for research at
        Western



Featherstone                                                   4/7/09
Opportunity –
    Collaborative Teaching

       Leverage partnerships with hospital libraries to extend
        information literacy and/or EBP into clinical practice
        settings

       Academic librarians play a part in simulated clinical
        practice




Featherstone                                                      4/7/09
General Observations


       Challenges are “good” – demand is there

       Opportunities are abundant (and growing)

       Opportunity to redefine library roles




Featherstone                                       4/7/09
Sustainability




4/7/09   Featherstone     31
Sustaining Innovation


       Emphasis on innovation and development of new ways
        to operate with users in the health disciplines



    “The social climate surrounding innovation has much to
      do with how it is perceived. And perception has much
      to do with the success or lack thereof of any innovation
      [...]. A primary political area for reflection is that
      of readiness: it matters a great deal whether or
      not a public is ready for the innovation” (Deiss,
      2004).



Featherstone                                                     4/7/09
What are users in the health
    disciplines telling us?




Featherstone                       4/7/09
Conclusions


       Innovation needs to be coupled with continual
        assessment

       Cannot assume with such a diverse user group

       Must be flexible – willing to change course

       Productive relationships will be built on innovation and
        sustained through assessment and flexibility




Featherstone                                                       4/7/09
References


    Deiss, K. J. (2004). Innovation and strategy: Risk and choice in shaping user-centered
      libraries. Library Trends, 53(1), 17-32.

    Giustini, D. (2006). How Web 2.0 is changing medicine. BMJ, 333, 1283-1284.

    Glynn, T., & Wu, C. (2003). New roles and opportunities for academic library liaisons: a
       survey and recommendations. Reference Services Review, 31(2), 122-128.

    Hawn, C. (2009). Take two aspirin and tweet me in the morning: How Twitter, Facebook, and
      other social media are reshaping health care. Health Affairs, 28(2), 361-368.

    McAlearney, A. S., Schweikhart, S. B., & Medow, M. A. (2004). Doctors’ experience with
      handheld computers in clinical practice: qualitative study. BMJ, 328, 1162.

    Rodwell, J., & Fairbairn, L. (2008). Dangerous liaisons? Defining the faculty liaison librarian
      service model, its effectiveness and sustainability. Library Management, 29(1/2), 116-124.

    Tennant, M. R., Cataldo, T. T., Sherwill-Navarro, P. & Jesano, R. (2006) Evaluation of a liaison
      librarian program: Client and liaison perspectives. Journal of the Medical Library
      Association, 94(4), 402-409.

Featherstone                                                                                           4/7/09
Questions?

         rfeathe@uwo.ca




4/7/09   Featherstone

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Partnering with the Health Disciplines

  • 1. Partnering with the Health Disciplines: Challenges and Opportunities Robin Featherstone April 7th, 2009 Presentation available at: http://uwohealthlibrarian.blogspot.com/
  • 2. Topic The Health Sciences Librarians at the Allyn and Betty Taylor Library collaborate with research, clinical, and teaching faculty in many health disciplines, students at all levels, and librarian colleagues. These user groups are located across the Western campus, in the hospitals and on the distributed medical campus. Please describe the challenges and opportunities that are involved in establishing and maintaining effective communication and productive relationships with members of these diverse groups. Featherstone 4/7/09
  • 3. Outline  User groups  Challenges  Opportunities  Sustainability  Questions Featherstone 4/7/09
  • 4. Users 4/7/09 Featherstone 4
  • 5. Undergraduate Programs Faculty of Health Sciences Schulich School of Medicine & Dentistry Bachelor of Health Sciences Basic Medical Sciences Kinesiology Dentistry* Nursing* Medicine* Combined Programs (Medicine with Engineering, Bachelor of Medical Sciences with Business) Featherstone 4/7/09
  • 6. Graduate, Postgrad & Postdoc Programs Faculty of Health Sciences Schulich School of Medicine & Dentistry Communication Sciences and Clinical Dental Fellowship Program Disorders Health & Rehabilitation Sciences Dental Clinician Scientist Program Kinesiology Internationally Trained Dentists Nursing MD/PhD Occupational Therapy Orthodontics Physical Therapy Postdocs Postgraduate Medical Education Residency Programs Featherstone 4/7/09
  • 7. Research Centres* Faculty of Health Sciences Schulich School of Medicine & Dentistry Canadian Centre for Activity and Canadian Research and Development Aging Centre for Probiotics International Centre for Olympic Canadian Surgical Technologies & Studies Advanced Robotics (CSTAR) National Centre for Audiology Centre for Pain Research Centre for Studies in Family Medicine Centre for Critical Illness Research Centre for Vascular Imaging Research *Not including dozens of other research groups, clinics, networks & units Featherstone 4/7/09
  • 8. Educational Partnerships Faculty of Health Sciences Schulich School of Medicine & Dentistry Fanshawe College University of Windsor Southwestern Ontario Medical Education Network (SWOMEN) Featherstone 4/7/09
  • 9. Clinical Education Settings Faculty of Health Sciences Schulich School of Medicine & Dentistry Affiliated Teaching Hospitals Clinical Education Suites Clinical Skills Lab Out-patient Clinics (both private and public) Acute Care Hospitals Long Term Care Facilities Schools Featherstone 4/7/09
  • 10. Clinical Experience Sites Western Catchment Area for clinical education sites: Extends from Sarnia/Windsor in the west, to Owen Sound in the north and to Kitchener/Waterloo in the east. Featherstone 4/7/09
  • 11. Librarian Colleagues  Southwestern Ontario Health Libraries Information Network (SOHLIN)  Western Ontario Health Knowledge Network (WOHKN) Featherstone 4/7/09
  • 12. Health Discipline User Overview  Diverse & geographically dispersed  Not heavy users of physical library spaces  Early adopters of mobile/handheld devices (McAlearney, 2004)  Early adopters of social software (Giustini, 2006) but less likely to implement in professional settings due to privacy concerns and standards of care issues (Hawn, 2009)  View “traditional” library services as most important in a liaison program (Tennant 2006; Yang, 2000) Featherstone 4/7/09
  • 13. Health Discipline User Overview  Medical students, in particular, have packed schedules which make course-integrated instruction difficult (Tennant et al., 2006)  Email is the preferred mode of communication from librarian liaisons to users in the health disciplines (Glynn & Wu, 2003; Tennant et al., 2006; Tennant et al., 2001)  Nurses had the highest awareness (97.1%) of library liaison services (Tennant et al., 2006)  Medical residents had the lowest awareness (16.0%) of library liaison services (Tennant et al., 2006) Featherstone 4/7/09
  • 14. Challenges 4/7/09 Featherstone
  • 15. Challenge – Remote Access “Generally, electronic resources have made faculty and students less reliant on liaisons for help with their research [...]” (Glynn & Wu, 2003, p. 122) “[Electronic access] has been highly appreciated by clients but it has also changed the nature of the relationship with them as it has reduced their need to access the physical space of the library and reduced the opportunity for contact between them and liaison librarians.” (Rodwell & Fairbairn, 2008, p. 119) Featherstone 4/7/09
  • 16. Challenge – Indirect Communication Channels Email 1: From Lucy V. to Fanshawe Help Desk – Nov 3 - Do you know how I can get access to articles from the Western site? Email 2: From Lucy V. to Valerie W. (Fanshawe’s Support Services Officer) – Nov 5 - Help! How do I access articles from the Western site. Helpdesk was not helpful in this case. Email 3: From Valerie W. to Denice L. (Western’s Nursing Admin Officer) – Nov 7 -Hi Denice: Lucy V. is a Yr 2 Collaborative clinical teacher. How can I help her get access to the UWO library? Email 4: From Denice L. to me – Nov 12 -Hi Robin, are you able to help with this request? Featherstone 4/7/09
  • 17. Challenge - Geography Me again, Robin. What's the slickest, quickest, and most expedited process for getting Ross-Kerr & Wood (2003) book into Debbie's hands within 2-3 days for final N3322E assignment? Doing so, that is, without her having to make a road trip to London? Sarnia is the closest city to her. Thanks for advising. Featherstone 4/7/09
  • 18. Challenge – Expectations Do you think I can stop by tomorrow quickly and just make sure I did my references right. My class is done at 1030 and my paper is due at 4. So anytime in between would be much appreciated. Featherstone 4/7/09
  • 20. General Observations  Challenges: Managing expectations Opening communication channels Making services and collections accessible to distance students  Work depends on building personal relationships  Effort to redefine the liaison role may not appeal to all users  Balancing act between innovation and maintenance Featherstone 4/7/09
  • 21. Opportunities 4/7/09 Featherstone
  • 22. Opportunity – Educative Task “The complexity of the information environment has, however, allowed liaison librarians to grasp the function of information literacy as one of the ways to re- integrate themselves with the faculties and their clients.” (Rodwell & Fairbairn, 2008, p.119) Featherstone 4/7/09
  • 23. Opportunity – Electronic Communications Featherstone 4/7/09
  • 24. Opportunity – Alternative Communication Channels Featherstone 4/7/09
  • 25. Opportunity – Virtual Instruction Featherstone 4/7/09
  • 26. Opportunity – Faculty Partnerships Featherstone 4/7/09
  • 27. Opportunity – Curricula Development Featherstone 4/7/09
  • 28. Opportunity – Collaborative Research  Health informatics  International demand for electronic health records  Increasing emphasis on EBP (Evidence Based Practice) in clinical settings  Interprofessional Education  Health education is a signature area for research at Western Featherstone 4/7/09
  • 29. Opportunity – Collaborative Teaching  Leverage partnerships with hospital libraries to extend information literacy and/or EBP into clinical practice settings  Academic librarians play a part in simulated clinical practice Featherstone 4/7/09
  • 30. General Observations  Challenges are “good” – demand is there  Opportunities are abundant (and growing)  Opportunity to redefine library roles Featherstone 4/7/09
  • 31. Sustainability 4/7/09 Featherstone 31
  • 32. Sustaining Innovation  Emphasis on innovation and development of new ways to operate with users in the health disciplines “The social climate surrounding innovation has much to do with how it is perceived. And perception has much to do with the success or lack thereof of any innovation [...]. A primary political area for reflection is that of readiness: it matters a great deal whether or not a public is ready for the innovation” (Deiss, 2004). Featherstone 4/7/09
  • 33. What are users in the health disciplines telling us? Featherstone 4/7/09
  • 34. Conclusions  Innovation needs to be coupled with continual assessment  Cannot assume with such a diverse user group  Must be flexible – willing to change course  Productive relationships will be built on innovation and sustained through assessment and flexibility Featherstone 4/7/09
  • 35. References Deiss, K. J. (2004). Innovation and strategy: Risk and choice in shaping user-centered libraries. Library Trends, 53(1), 17-32. Giustini, D. (2006). How Web 2.0 is changing medicine. BMJ, 333, 1283-1284. Glynn, T., & Wu, C. (2003). New roles and opportunities for academic library liaisons: a survey and recommendations. Reference Services Review, 31(2), 122-128. Hawn, C. (2009). Take two aspirin and tweet me in the morning: How Twitter, Facebook, and other social media are reshaping health care. Health Affairs, 28(2), 361-368. McAlearney, A. S., Schweikhart, S. B., & Medow, M. A. (2004). Doctors’ experience with handheld computers in clinical practice: qualitative study. BMJ, 328, 1162. Rodwell, J., & Fairbairn, L. (2008). Dangerous liaisons? Defining the faculty liaison librarian service model, its effectiveness and sustainability. Library Management, 29(1/2), 116-124. Tennant, M. R., Cataldo, T. T., Sherwill-Navarro, P. & Jesano, R. (2006) Evaluation of a liaison librarian program: Client and liaison perspectives. Journal of the Medical Library Association, 94(4), 402-409. Featherstone 4/7/09
  • 36. Questions? rfeathe@uwo.ca 4/7/09 Featherstone