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NHS/HE Partnership in Sheffield. Alison Little May 2010. Session overview. To outline the library services we deliver from the University of Sheffield to the NHS in Sheffield. To consider the issues raised when working with this model of library provision. - PowerPoint PPT Presentation
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NHS/HE Partnership in SheffieldAlison Little
May 2010
Session overview
To outline the library services we deliver from the University of Sheffield to the NHS in Sheffield.
To consider the issues raised when working with this model of library provision.
To explain the benefits and mutual advantages.
To consider how working with HE customers of today can help us to understand the potential needs of NHS customers of tomorrow.
Who?
Sheffield Teaching Hospitals NHS Foundation Trust
Northern General Hospital (acute adult c1,100 beds)
Royal Hallamshire Hospital (acute adult c850 beds)
Jessop Wing (obstetrics/gynaecology/neonatology)
Weston Park Hospital (specialist cancer centre)
Charles Clifford Dental Hospital (specialist dental services)
Sheffield Teaching Hospitals .. the agreement
Commissioned by the Trust to provide library services to all staff groups and in support of education, research, clinical and management decision making.
Longstanding agreement which results in a significant financial contribution to the Library’s costs.
Service agreement recently put in place to take the service into the future.
Potential user base = over 13,000 staff
HSL represents around 20% of the University of Sheffield Library
STH user base = almost 2,900 users currently using the physical library service This represents almost 50% of “HSL users”
But is that all? Total user base = c3,800 (57%)
What services?
Access to collections and facilities (around 1,000 entries to RHH each month)
Access to staff
Stock
Loans (20,000 per year) and document supply
Orientation and information literacy
Enquiry and reference services
Clinical outreach service
Who’s involved?
Drawbacks
Things were much simpler
in the days of print!
Dual access – two completely separate access arrangements
Access to materials, to buildings, to networks
Customers’ understanding of arrangements
Library staff understanding of arrangements
Management structure,
governance and feedback
Benefits
Staff skills - shared
Staff/service availability - shared
Materials – shared
Physical space – shared
Seeing the transition
What we learn
2 examples:
Methods of teaching
Methods of communicating
Teaching
Problem based learningUses practical problems to stimulate learning
Is a type of inquiry based learning
Requires the skills of information literacy
Inquiry based learning and information literacy “we identify ‘higher order’ information literacy capabilities,
including critical evaluation, synthesis and communication of information, in addition to knowledge of relevant information resources and skills in information searching, as essential for effective IBL”
CILASS http://www.sheffield.ac.uk/cilass/ibl.html
Inquiry based learning: an example
1st year MB/ChB – 2nd assessment: Pharmacology
Students are not taught any aspect of pharmacology through traditional methods.
X
Inquiry based learning: an example
1st year MB/ChB – 2nd assessment: pharmacology50 minute lecture
Guidance on presentation and assessment
Brief overview of EBP, the hierarchy of evidence and introduction to resources
Workshops2 months later ….
Oral presentations in groups
Inquiry based learning: an example
1st year MB/ChB – 2nd assessment: pharmacology: formatWorkshop
Groups of 8; each person takes a drug advert
Work up a PICO analysis
Find background information in etextbooks, ref books
Search Cochrane and Medline
X
Inquiry based learning: an example
1st year MB/ChB – 2nd assessment: pharmacology: formatAssessment
Oral presentation to group (8) and 1 assessor
Oral peer feedback at the session
Written assessor feedback following the session
Students have a responsibility to each other
√
Inquiry based learning: what does it mean?
Information rich?
“Where is the wisdom we have lost in knowledge? Where is the knowledge we have lost in information?”
T.S. Eliot
How can we foster clinicians to be wise knowledgeable and informed?
Eliot, T.S. “The Chorus of Rocks.” Collected Poems, 1909-1962. London:Faber, 1974
Inquiry based learning: what does it mean?
Will learning in this way bring clinicians who are more engaged with patient empowerment and have more questioning minds?
Does it simply mean that we, as NHS Librarians, need to continue the trend?
Does it make no difference to us?
Inquiry based learning: what does it mean?
Actually …….
Are we doing it anyway?
Inquiry based learning: in a sense?
Do you carry out 1-1 sessions to look at a customer’s topic?
Do you encourage customers to bring their own search topic to your training sessions?
Do you encourage discussion and group working at your training sessions?
Is it an irony to teach information skills to help people respond to problems using non IBL/PBL techniques?
Where have we come from?
Edwin Smith Surgical Papyrus (c. 1550 BCE). Case 25. Instruction for a dislocation of his mandible.
With thanks to the James Lind Librarywww.jameslindlibrary.org
Where have we come from?
Translation of Edwin Smith Surgical Papyrus (c. 1550 BCE).
“If you examine a man having a dislocation [wenekh] in his mandible [aret] and you find his mouth open and his mouth does not close for him, you then place your finger[s] [? thumb] on the back of the two rami of the mandible inside his mouth, your two claws [groups of fingers] under his chin, you cause them [i.e. the two mandibles] to fall so they lie in their [correct] place! Thou shalt then say, concerning him, one suffering from a dislocation of his two mandibles, an ailment which I will treat. You should then bind it with imru and honey every day until he recovers.”
With thanks to the James Lind Librarywww.jameslindlibrary.org
And here we are now ….
Is this evidence based?
20 years ago … and it took 20 years!!
The case of the prenatal steroids
Is this evidence based? 1960s
Graham Liggins tests the effects of steroids on pregnancy (in sheep)
Twin lambs delivered early: infused lamb lungs stable, other lamb lungs solid
1970s Simple RCT to test the effects of a single injection of steroids in
mothers undergoing premature labour. Result – this had a positive effect.
Paper rejected by the Lancet New treatment rejected by the RCOG Work not completely ignored; similar studies and a large trial
undertaken – some of it damaging Archie Cochrane criticises the profession for not producing overall
summaries of research
The case of the prenatal steroids
1990s Systematic review on prenatal steroids is conducted; clear
positive results (1998, Oxford database of perinatal trials) The Cochrane Collaboration is established to produce
systematic reviews The meta analysis from the prenatal steroids study becomes
the Cochrane logo RCOG propose 21 clinical guidelines; number 2 = prenatal
steroids The evidence is there; clinical practice changes, almost
overnight
Over to you ….. Did you become unstuck?
No evidence (uncertainty) ? Overwhelming evidence (information rich) ? No clue where to look (knowledge poor) ? No idea but one of the above?
Did you have a Eureka moment?
Share your thoughts with a partner
Communicating
CLEX Report: Higher education in a web 2.0 world
Digital natives; digital world
Web 2.0 technology use pervasive from age 11-15 upwards
Developing a new sense of community and space
Information literacy recognised as an important deficit
Report of an Independent Committee of Inquiry into the impact on higher education of students’ widespread use of web 2.0 technologies. March 2009
The CLEX report
Important implications for teaching and learning
X √
The CLEX report
Brings out issues about ways of communicating
X √
Communication
Who uses web 2.0 technologies to communicate with customers?
How is it taking off?
Not so good? …..
But, what about in the future?
X √
Or even ……
X ?And …………..
? √
Thankyou
Questions???
[email protected]://www.shef.ac.uk/library/libstaff/little.html
http://www.shef.ac.uk/library/services/nhsstaff.html
http://twitter.com/sthlibrarian