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Hospital Library Caucus: HLC Immersion Resources

Information for Hospital Librarians

Hi all,

This page has been created to allow all those who attended the Immersion Session " Novel Librarian Collaborations: Stronger Together" at MLA 2024 to review the Roundtable discussions and access useful resources

If you have any questions or comments please contact caroline.marshall@cshs.org.

Consumer Health

Consumer Health Articles

  • Brock, Ashley (2022). Health Information on Demand: Library Orders in the Electronic Medical Record. Journal of Hospital Librarianship, 22(4), 326-332. https://doi.org/10.1080/15323269.2022.2127299
  • Epstein, Helen-Ann Brown (2023). Building Health Literacy by Enhancing Electronic Health Records With Information Connections: A Partnership of Health Science Librarians and IS Departments. Journal of Consumer Health on the Internet27(2), 225–231. https://doi.org/10.1080/15398285.2023.2204721
  • Hansen, Judy (2019). Librarian Consults Through Epic: New Opportunities for Collaboration and Education” Medical Reference Services Quarterly, 38(3), 293-299. https://doi.org/10.1080/02763869.2019.1623610
  • Lake, Erica & Steidinger, Shawn (2020). Embedding Library Support into the Electronic Health Record: Key Considerations When Developing a New Service. Journal of Hospital Librarianship, 20(1), 56-63. https://doi.org/10.1080/15323269.2020.1705148
  • Volk, Ruti, and Obeid, Nabeel (2019). What Can We Do about Dr. Google? Using the Electronic Medical Record (EMR) to Prescribe Reliable Online Patient Education. Journal of the Medical Library Association, 107(4), 606–608. https://doi.org/10.5195/jmla.2019.774

Magnet Designation

Notes:

Purchase Certification Books 

       Magnet requires nurses to have higher certifications.

      These books are an inexpensive way for a library to support the Magnet journey

 

 Nursing Research Council

Sit on your hospital's Research Council.  It's a great way to get know what research is going on and to contribute

A good opportunity to meet nurses from other departments

 

Citation Management Software

Learn a software citation package.  Zotero and Mendeley are free.  

This can be a useful skill to help nurses with their publications

 

Solo Librarians

Artificial Intelligence

 

Artificial Intelligence Table Summary

 

Each table discussed in this session discussed a current or past project according the topic of the table. Since Artificial Intelligence (AI) is relatively new and there may be few if any projects to discuss the table decided to AI within libraries and hospital and academic medical institutions.

It is essential to get involved in some way, examples of involvement were:

  • LibGuide with AI information library patrons to learn more
  • Sponsor research studies
  • Host discussions
  • Get on committees or working groups
  • Partner/assist with educators on how to wrap AI into the curriculum responsibly
  • Work with students on using AI responsibly
  • Be the copyright or licensing authority regarding library resources your institution might want to use as data for the AI
    • Involve legal department regarding licenses and copyright
  • Help create a rubric or checklist for departments to use to determine if they have the basics to create an AI feasible and the time and personnel to accomplish it
  • It is important for librarians to be more aware of different types of AI and different AI programs.

  • Not all AI’s are LLM generative AI programs like ChatGPT
    • Many people do not know difference between generative AI and machine learning
  • There are a lot of legitimate and helpful AI programs one can use as tools in the work place
    • Grammarly, Scite.ai, ResearchRabbit, etc.
  • Need to know more about what the AI is designed to do and what type of information it is using for data.
    • Important to know for bias
    • Important to know for how to use
  • Knowing more about the types of AI and their differences is important not just from a usability perspective but also to help others within the institution if they want to create one.

  • Ithaka S&R Generative AI Product Tracker
  • AMA. 2023. Advancing AI in medical education through ethics, evidence and equity.
  • Health AI Partnership
  • World Health Organization. 2024. Ethics and governance of artificial intelligence for health: Guidance on large multi-modal models.

 

 

Wellness

Well-being Resources

Well-being is a positive state experienced by individuals and societies. Similar to health, it is a resource for daily life and is determined by social, economic and environmental conditions. -World Health Organization

Wellness is the active pursuit of activities, choices and lifestyles that lead to a state of holistic health. -Global Wellness Institute

ALA-APA Wellness Eight Elements of Wellness https://ala-apa.org/wellness/

APA Bystander Intervention Guide https://www.apa.org/pi/health-equity/bystander-intervention

Be Well MLA https://www.mlanet.org/be-well-mla

CDC Disability and Health Promotion https://www.cdc.gov/ncbddd/disabilityandhealth/index.html

CDC The National Institute for Occupational Safety and Health (NIOSH) Impact Wellbeing Guide https://www.cdc.gov/niosh/impactwellbeing/guide/default.html

Funaro, M. C., Rojiani, R., & Norton, M. J. (2019). Improving community well-being through collaborative initiatives at a medical library. Journal of the Medical Library Association : JMLA, 107(3), 425–431. https://doi.org/10.5195/jmla.2019.486

Global Wellness Institute Wellness Evidence https://globalwellnessinstitute.org/wellnessevidence/

Keller, S., & Heimlich, L. (2024). Connection Between Knowing and Doing? A Mixed Methods Exploration of Librarian Wellness Behaviors. Journal of Hospital Librarianship, 1–19. https://doi.org/10.1080/15323269.2024.2323909

The WHO-5 Well-Being Index is a questionnaire that measures current mental well-being (time frame the previous two weeks). https://www.psykiatri-regionh.dk/who-5/who-5-questionnaires/Pages/default.aspx

Clinical Rounding

Clinical Librarian Journal Articles

  • Blake, L., Yang, F. M., Brandon, H., Wilson, B., & Page, R. (2018). A Clinical Librarian Embedded in Medical Education: Patient-Centered Encounters for Preclinical Medical Students. Medical reference services quarterly37(1), 19–30.  https://doi.org/10.1080/02763869.2018.1404384
  • Brian, R., Orlov, N., Werner, D., Martin, S. K., Arora, V. M., & Alkureishi, M. (2018). Evaluating the impact of clinical librarians on clinical questions during inpatient rounds. Journal of the Medical Library Association : JMLA106(2), 175–183. https://doi.org/10.5195/jmla.2018.254
  • Carlson, R., & Towner Wright, S. (2021). Essential Services of Clinical Librarians in Academic and Health Care Settings: A Cross-Sectional Study. Medical reference services quarterly40(2), 168–187.  https://doi.org/10.1080/02763869.2021.1912570
  • Hartfiel, N., Sadera, G., Treadway, V., Lawrence, C., & Tudor Edwards, R. (2021). A clinical librarian in a hospital critical care unit may generate a positive return on investment. Health information and libraries journal38(2), 97–112. https://doi.org/10.1111/hir.12332
  • Zarghani, M., Nemati-Anaraki, L., Dinpajoo, Z., Ghamgosar, A., Khani, S., & Khazaee-Pool, M. (2021). Skills and key education needed for clinical librarians: an exploratory study from the librarians' perspectives. BMC medical informatics and decision making21(1), 240. https://doi.org/10.1186/s12911-021-01601-y

Research Books

Hospital Wide Committees

Michelle Bass

Patient Education and Health Literacy

Your hospital/health system has vendor produced materials for patient education.  In fact, one of these resources is integrated into your electronic health record system.  However, you have a few service lines, and physicians, who need or want more detailed documentation for their patients.  There is a need for homegrown patient education materials. Your hospital asks you to serve as the chair of the patient education and health literacy committee.

Issues to consider:

-        File management

-        File naming

-        Health literacy best practices

-        Translation to languages other than English

-        Subject matter expert participation

What I did: Started with a formal certification as a Health Literacy Specialist from Institute for Healthcare Advancement.  Led Interprofessional grand rounds on health literate organization attributes during Health Literacy month in October.  Used Microsoft List to produce an audit of all current homegrown patient education materials.  As we have not had a clear mechanism (or funding line) for translation of homegrown materials, did education and promotion of our two vendor resources for patient education materials, both of which at a minimum have documentation in English and Spanish.  Created a workflow whereby both of our vendor options had to be checked to see if comparable or complementary materials were available for specific patient education material topics. When possible, we now use vendor options with translations rather than maintaining English language only homegrown materials.

 

Ethics Committee

Within the first few months on the job, you are asked if the library can purchase a few copies of a print book.  You inquire as to the use case and are told it’s for the Ethics committee to review a few chapters.  You find the book available as an unlimited seat ebook and send to the committee.  Impressed with your quick turn around, you are asked if there are similar resources on other topics and if you’d like to join the committee.

After joining, you see the administrative needs of this group, especially for requesting and scheduling consultations.  Using your product management skills, you volunteer to help come up with a workflow for scheduling using your secure messaging system and the input of the committee chairs.

Then there is a leadership turnover and two new co-chairs.  There are some difficult consults and seeming unawareness of the actual purpose of the Ethics committee by some staff in the hospital.  A more formal structure and communication campaign is needed.

What we are doing/did:

Our physician lead, who will have formal time carved out our her appointment to serve as the chair of the ethics committee on July 1, 2024, connected the group with one of the instructors from her masters in ethics program at Johns Hopkins.  He provides a two hour interactive session with the committee, which is recorded for those unable to attend, about how the ethics consultation service works at his hospital and provides an overview of the four quadrant approach to an ethics consult. Sensing further education would be helpful, you and the co-chairs sign up to participate in the Harvard Ethics Consultation Skills course in June 2024.

With regard to resources on ethics for the committee, I am updating the intranet page with links to bioethics journals and books on consultations.  For consultations, I do literature searches on the main concerns and look for clinical precedent for treatment considerations.

  Basia Delawska-Elliott,

 I work for a large health system. We have a team of 12 supporting 52 hospitals across 7 states. This means that there is an opportunity to get involved on a local, state, division, and system level. I am a member of several committees and councils on each of those levels.

Several librarians on our team participate in the Nursing Research & Clinical Scholarship Council, which is a system Council. The Council provides tools and resources for clinical scholarship and nursing research. This includes basic things, such as creating poster templates, but also developing a mentorship network, supporting nursing research teams, organizing nursing conferences, creating educational programs, etc. Our team of librarians is involved in all those initiatives.

As part of the council, we have developed virtual continuing education classes that are part of the research and evidence-based practice curriculum. Recently we taught searching and evidence appraisal, and provided search consultation in the inaugural Nursing Research Fellowship program. We have also supported a Virtual Nursing Journal Club, and we have created a nursing collection in our repository, where we collect presentations and articles, and host the nursing conference content.

Locally, I am a member of the Nursing Research Council at the hospital where my office is located. The council reviews research proposals, helps guide nurses through the research process, and supports the Magnet program.

While this is not committee work – I have been embedded in a couple of research projects by nursing teams, including writing and revising the IRB submission. I have also participated in meetings with Magnet appraisers.

Most recently, I have been asked to join the Nursing Policy Review Committee. I provided a search to inform the work of the committee, I am reviewing the policies, and I will be creating a vocabulary to help make the policies findable.

Finally, I participate in the Graduate Medical Education Committee as a guest. Only faculty and resident representatives are members of the committee, but I am included in the roster, and I have the opportunity to give input and share library resources.

My general advice – make yourself visible. If possible, attend grand rounds, Schwartz round, leadership meetings, and safety huddles. All those settings give you an opportunity to learn more about what is happening at your organization.

Resources

Journals:

Miles A. A solo hospital librarian’s experience in clinical informatics. Med Ref Serv Q. 2015;34(2):232-239. doi:10.1080/02763869.2015.1019762

Patterson JA. Committing to Committees: Proactive Outreach through Committee Participation and Involvement. Journal of Hospital Librarianship. 2023;23(3):189-198. doi:10.1080/15323269.2023.2224145

Harvey S. Institutional Review Boards: Another Way for Hospital Librarians to Add Value to Their Organization. Journal of Hospital Librarianship. 2003;3(2):99-102. doi:10.1300/J186v03n02_09

Brandes S, Wells K, Bandy M. Invite yourself to the table: librarian contributions to the electronic medical record. Med Ref Serv Q. 2013;32(3):358-364. doi:10.1080/02763869.2013.807087

Price C, Kudchadkar SR, Basyal PS, et al. Librarian integration into health care conferences: a case report. J Med Libr Assoc. 2020;108(2):278-285. doi:10.5195/jmla.2020.803

Larsen BA, Sinha DP. Librarians Embedded in Ethics. Journal of Hospital Librarianship. 2016;16(3):199-208. doi:10.1080/15323269.2016.1188036

Zeblisky KA, Birr RA, Aguiñaga AL, Drachman D, Mathieson K. Rethinking Your Involvement: A Survey on Hospital Library Committee Participation. Journal of Hospital Librarianship. 2013;13(1):47-58. doi:10.1080/15323269.2013.743361

Montague E, Day TE, Barry D, et al. The case for information fiduciaries: The implementation of a data ethics checklist at Seattle Children’s Hospital. J Am Med Inform Assoc. 2021;28(3):650-652. doi:10.1093/jamia/ocaa307

Schwartz DG, Blobaum PM, Shipman JP, Markwell LG, Marshall JG. The health sciences librarian in medical education: a vital pathways project task force. J Med Libr Assoc. 2009;97(4):280-284. doi:10.3163/1536-5050.97.4.012

Frumento KS, Keating J. The Role of the Hospital Librarian on an Institutional Review Board. Journal of Hospital Librarianship. Published online December 1, 2007. doi:10.1300/J186v07n04_08

 

Books:

Harnett SM, Cantwell LP, eds. Finding Your Seat at the Table: Roles for Librarians on Institutional Regulatory Boards and Committees. Rowman & Littlefield; 2022.

Dewey A, Holecek A, eds. The Nurse’s Healthcare Ethics Committee Handbook: Use of Leadership, Advocacy, and Empowerment to Develop a Nurse-Led Ethics Committee. Sigma Theta Tau International; 2018.