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Outreach librarians: the view from the NHSSarah Lewis, Clinical Outreach LibrarianBuckinghamshire Healthcare NHS Trust
Integrated Trust – acute and community, split into 5 clinical divisions
2 acute hospitals – Aylesbury (includes A&E) and High Wycombe
5 community hospitals including Thame, Oxon Almost 6000 staff Covers all of Buckinghamshire except Milton Keynes National Spinal Injuries Centre – home of the
paralympics Keogh Review
About Buckinghamshire Healthcare NHS Trust
Based in Postgraduate Education Centre at Stoke Mandeville Hospital
7 staff (3 part time) – includes library manager and 3WTE qualified librarians
Outreach librarians assigned to support specific clinical teams
Funded partly by Health Education Thames Valley Wessex and Trust contributions
Many of our online resources are purchased at national or regional level
Many of our library users or potential library users are not based at Stoke Mandeville and/or do not have ready access to PCs
Many staff have not studied for a long time / not confident in their IT skills
We also support GP practices in Bucks
About the library
Who I am and what my job is
Clinical Outreach LibrarianLead on library support for:
• Clinical Divisions of Integrated Medicine and also Integrated Elderly Care
• Issues that relate to nursing staff in the Trust regardless of division
• GP practices and community based staff• Library training programme
Support means:• Literature searches on behalf of staff for patient
care, guidelines, audits, research• Training –literature searching, critical appraisal, study
skills• Outreach – presentations, inductions, pop up libraries,
ward rounds• Support at journal clubs
Where I came from
Graduate Trainee, University
College Suffolk
1996-1997
Included 3 months in nursing library, Ipswich Hospital
MA Library &
Information Studies, Loughborou
gh University
Dissertation on clinical librarianship (librarians on ward rounds)which led to the first successful UK clinical librarian service in Leicester
1997-1998
Junior Subject Librarian:
Theology & Distance Learning,
Westminster College, Oxford –
later OBU
1998-2001
Copyright clearance for distance learning resource packs; liaison with academic departments; literature searches; support for summer schools; basic internet skills training; Chartership
Knowledge Support
Librarian, Southern Health NHS Foundation
Trust
Ward rounds in medium secure unit for mentally ill offenders; library site manager – including 1 move and 1 closure; 2 weeks in Ghana supporting library at Kintampo Rural Health Training School; Regional Athens administrator
Mental health Librarian,
Berkshire Shared Services
Literature searches, current awareness, training, visits to community sites, library site move; literature search protocols for NHS researchers ; website design
2001-2006
2006-2013
A day in the life of a clinical outreach
librarian…
…is a decision between the chair
or the trolley (would like to say
ipad but…)
A day in the life of… Or my to do list
Skills and attributes of an outreach librarian
From To ToResponding to search requests
Generating searches Anticipating searches
Sending lots of results Highly focussed selectionsSending unordered lists Grading results by quality of
evidenceSummarising results
Staying in the library Going out to clinical settings to understand context
Receiving ‘thank you’ emails Evaluating impact of searches7 day deadlines 48 hour turnaround Some sameday
deadlines3 or 4 searches a month Sometimes 20 or more searches a month
Development of searching skills
Development of training skills
From To ToBasic internet searching Literature searching Appraising
quality of evidence / statistics
Face to face training Using technology to deliver training
Training in the library Delivering training in clinical settings
Remote/online training
‘Wing it’ style training Formal session planning and evaluation
Just power point presentations
Facilitating groups / Prezi
Generic content Tailored to individual interests / skill level
Development of marketing skills
From To ToWorking mainly in the library in reactive, supportive role
Marketing yourself by being more visible in the Trust
Gaining the trust of clinical staff for them to see you as a valued colleague
Ready made marketing materials from national source and using generic promotional resources
Design and plan own marketing materials which can be targeted to specific staff groups
From creating library displays and hosting events in the library
Hosting stands at conferences, inductions, pop up libraries
Getting involved Trust-wide events
Leaflets, emails and websites Social media Apps?Focussing on promoting our traditional library services
Promoting our general information skills applicable to other areas
Promoting new books received in the library
Highlighting e-books – QR codes etc
Subject –based alerting services by email
RSS feeds / Netvibes/ Yahoo Pipes Highly personalised, high impact CA using collaborative database
Five year Forward plan - extending integrated working between GPs, social care, acute care
Revalidation for nurses as well as doctors NHS planning becomes more localised 7 day working Staff recruitment & retention Efficiency and value for money Ageing population with comorbidities Personalised care Quality and safety agenda Privatisation Research agenda Telehealthcare Expert patients More care at home rather than hospital
Looking to the future…the NHS Agenda
NHS libraries are going to have to work leaner & smarter, become more digital, more persuasive and diversify to meet these needs and to be seen as an essential service
Ask
Find
AppraiseApply
Evaluate
How will my role develop in the future?
Evidence-based practice cycle
Literature searches• Making increasingly
diffuse sources of information easier to discover – eg mobile apps, clinical information systems
• More support for patient/carer groups – what are their information needs?
• More complex searches relating to patients with co-morbidities
Increasing role in helping staff to overcome barriers in putting evidence into practice – coaching skills
• Develop techniques/software/ use data analytics to summarise findings more easily and for more searches
Greater understanding of research methodology to help staff measure effectiveness of initiatives and also to measure library impact
Participate in Trust projects which encourage innovation – understand the process of launching a new idea and getting it on the commercial market
How will my role develop in the future?
We have an objective but undervalued view of different issues faced by teams across the whole organisation (from IT to clinical audit to research to GP practices) and barriers to the seamless flow of information
Knowledge Management
Knowledge for Healthcare: a development framework, 2014
http://hee.nhs.uk/wp-content/blogs.dir/321/files/2014/12/Knowledge-for-healthcare-framework.pdf
“The healthcare library and knowledge workforce requires enhanced skills, including synthesising information, knowledge management, marketing, website design and usability testing”
The national view
National training programme
How do we develop our skills so we can harness the power of cognitive computing whilst retaining our value as information professionals?
And coming in the not too distant future…
[email protected] 315427www.buckshealthcare.nhs.uk/libraryhttp://buckshealthcare.nhs.libguides.com/library
Contact details