Evaluating the impact of clinical librarians on clinical questions during inpatient rounds
Objective: The investigation sought to determine the effects of a clinical librarian (CL) on inpatient team clinical questioning quality and quantity, learner self-reported literature searching skills, and use of evidence-based medicine (EBM). Methods: Clinical questioning was observed over 50 days...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
University Library System, University of Pittsburgh
2018-04-01
|
| Series: | Journal of the Medical Library Association |
| Subjects: | |
| Online Access: | http://jmla.pitt.edu/ojs/jmla/article/view/254 |
| _version_ | 1819128047414018048 |
|---|---|
| author | Riley Brian Nicola Orlov Debra Werner Shannon K. Martin Vineet M. Arora Maria Alkureishi |
| author_facet | Riley Brian Nicola Orlov Debra Werner Shannon K. Martin Vineet M. Arora Maria Alkureishi |
| author_sort | Riley Brian |
| collection | DOAJ |
| description | Objective: The investigation sought to determine the effects of a clinical librarian (CL) on inpatient team clinical questioning quality and quantity, learner self-reported literature searching skills, and use of evidence-based medicine (EBM).
Methods: Clinical questioning was observed over 50 days of inpatient pediatric and internal medicine attending rounds. A CL was present for 25 days and absent for 25 days. Questioning was compared between groups. Question quality was assessed by a blinded evaluator, who used a rubric adapted from the Fresno Test of Competence in Evidence-Based Medicine. Team members were surveyed to assess perceived impacts of the CL on rounds.
Results: Rounds with a CL (CLR) were associated with significantly increased median number of questions asked (5 questions CLR vs. 3 NCLR; p<0.01) and answered (3 CLR vs. 2 NCLR; p<0.01) compared to rounds without a CL (NCLR). CLR were also associated with increased mean time spent asking (1.39 minutes CLR vs. 0.52 NCLR; p<0.01) and answering (2.15 minutes CLR vs. 1.05 NCLR; p=0.02) questions. Rounding time per patient was not significantly different between CLR and NCLR. Questions during CLR were 2 times higher in adapted Fresno Test quality than during NCLR (p<0.01). Select participants described how the CL’s presence improved their EBM skills and care decisions.
Conclusions: Inpatient CLR were associated with more and improved clinical questioning and subjectively perceived to improve clinicians’ EBM skills. CLs may directly affect patient care; further study is required to assess this. CLs on inpatient rounds may be an effective means for clinicians to learn and use EBM skills. |
| first_indexed | 2024-12-22T08:21:37Z |
| format | Article |
| id | doaj.art-2584bc9907834f68b37a817590dfde68 |
| institution | Directory Open Access Journal |
| issn | 1536-5050 1558-9439 |
| language | English |
| last_indexed | 2024-12-22T08:21:37Z |
| publishDate | 2018-04-01 |
| publisher | University Library System, University of Pittsburgh |
| record_format | Article |
| series | Journal of the Medical Library Association |
| spelling | doaj.art-2584bc9907834f68b37a817590dfde682022-12-21T18:32:44ZengUniversity Library System, University of PittsburghJournal of the Medical Library Association1536-50501558-94392018-04-01106210.5195/jmla.2018.254252Evaluating the impact of clinical librarians on clinical questions during inpatient roundsRiley Brian0Nicola Orlov1Debra Werner2Shannon K. Martin3Vineet M. Arora4Maria Alkureishi5Medical Student, University of Chicago Pritzker School of Medicine, Chicago, ILAssistant Professor of Pediatrics, Department of Academic Pediatrics, University of Chicago, Chicago, ILLibrarian for Science Instruction and Outreach and Biomedical Reference, John Crerar Library, University of Chicago, Chicago, ILAssistant Professor of Medicine, Department of Medicine, University of Chicago, Chicago, ILAssistant Professor of Medicine, Department of Medicine, University of Chicago, Chicago, ILAssistant Professor of Pediatrics, Department of Academic Pediatrics, University of Chicago, Chicago, ILObjective: The investigation sought to determine the effects of a clinical librarian (CL) on inpatient team clinical questioning quality and quantity, learner self-reported literature searching skills, and use of evidence-based medicine (EBM). Methods: Clinical questioning was observed over 50 days of inpatient pediatric and internal medicine attending rounds. A CL was present for 25 days and absent for 25 days. Questioning was compared between groups. Question quality was assessed by a blinded evaluator, who used a rubric adapted from the Fresno Test of Competence in Evidence-Based Medicine. Team members were surveyed to assess perceived impacts of the CL on rounds. Results: Rounds with a CL (CLR) were associated with significantly increased median number of questions asked (5 questions CLR vs. 3 NCLR; p<0.01) and answered (3 CLR vs. 2 NCLR; p<0.01) compared to rounds without a CL (NCLR). CLR were also associated with increased mean time spent asking (1.39 minutes CLR vs. 0.52 NCLR; p<0.01) and answering (2.15 minutes CLR vs. 1.05 NCLR; p=0.02) questions. Rounding time per patient was not significantly different between CLR and NCLR. Questions during CLR were 2 times higher in adapted Fresno Test quality than during NCLR (p<0.01). Select participants described how the CL’s presence improved their EBM skills and care decisions. Conclusions: Inpatient CLR were associated with more and improved clinical questioning and subjectively perceived to improve clinicians’ EBM skills. CLs may directly affect patient care; further study is required to assess this. CLs on inpatient rounds may be an effective means for clinicians to learn and use EBM skills.http://jmla.pitt.edu/ojs/jmla/article/view/254LibrariansLibrary ServicesMedical InformaticsEvidence-Based MedicineEducation, Medical |
| spellingShingle | Riley Brian Nicola Orlov Debra Werner Shannon K. Martin Vineet M. Arora Maria Alkureishi Evaluating the impact of clinical librarians on clinical questions during inpatient rounds Journal of the Medical Library Association Librarians Library Services Medical Informatics Evidence-Based Medicine Education, Medical |
| title | Evaluating the impact of clinical librarians on clinical questions during inpatient rounds |
| title_full | Evaluating the impact of clinical librarians on clinical questions during inpatient rounds |
| title_fullStr | Evaluating the impact of clinical librarians on clinical questions during inpatient rounds |
| title_full_unstemmed | Evaluating the impact of clinical librarians on clinical questions during inpatient rounds |
| title_short | Evaluating the impact of clinical librarians on clinical questions during inpatient rounds |
| title_sort | evaluating the impact of clinical librarians on clinical questions during inpatient rounds |
| topic | Librarians Library Services Medical Informatics Evidence-Based Medicine Education, Medical |
| url | http://jmla.pitt.edu/ojs/jmla/article/view/254 |
| work_keys_str_mv | AT rileybrian evaluatingtheimpactofclinicallibrariansonclinicalquestionsduringinpatientrounds AT nicolaorlov evaluatingtheimpactofclinicallibrariansonclinicalquestionsduringinpatientrounds AT debrawerner evaluatingtheimpactofclinicallibrariansonclinicalquestionsduringinpatientrounds AT shannonkmartin evaluatingtheimpactofclinicallibrariansonclinicalquestionsduringinpatientrounds AT vineetmarora evaluatingtheimpactofclinicallibrariansonclinicalquestionsduringinpatientrounds AT mariaalkureishi evaluatingtheimpactofclinicallibrariansonclinicalquestionsduringinpatientrounds |