The information specialist in the clinical team: Building expertise in evidence-based healthcare

The Clinician Development Program (CDP) is an initiative of Queensland Health’s Quality Improvement and Enhancement Program. At the Royal Brisbane & Royal Women's Hospital Health Service Districts, evidence-base practice (EBP) is an important CDP area in which several projects were carried out in 2002. This paper describes one such project. A medical librarian was invited to accompany the clinical team on morning rounds in the Medical Assessment & Planning Unit (MAPU). The librarian conducted information skills training in the ward and helped clinicians to answer questions directly related to patient care. Questions not answered during the round were followed-up, usually within 48 hours, and responses emailed to the consultant who led the rounds. At the project’s conclusion the librarian was invited to continue as a member of the MAPU clinical team, thus acknowledging the valuable role an information specialist can play in incorporating research evidence into patient care. Clinical librarianship (CL) creates a space, albeit a contentious one, for the health librarian at the bedside. This paper describes an Australian CL project and attempts to demystify the role of an information specialist in EBP. It also highlights some of the challenges facing librarians and clinicians attempting to embed EBP in clinical settings.

POLÍTICA DE COMUNICAÇÃO PARA INSTITUIÇÕES EDUCACIONAIS:O CASO DA REDE METODISTA DE EDUCAÇÃO

O objetivo desta tese foi, primeiramente, identificar as tendências nos processos de Comunicação Institucional e nos modelos de gestão organizacional existentes nas Instituições Metodistas de Ensino Superior localizadas no Brasil, buscando averiguar similaridades e diferenças entre os processos de comunicação decorrentes da implantação da nova estrutura adotada para a gestão da Rede Metodista de Educação e da sua Central de Serviços Compartilhados. Em seguida, propôs-se um modelo de políticas e de diretrizes de comunicação, reunindo as principais atividades relacionadas aos processos de Comunicação Empresarial que foram identificados no decorrer da elaboração desta tese. Como metodologia, utilizou-se da pesquisa qualitativa, pelo fato de ser o método de investigação que melhor se adaptou ao problema proposto. Para definir o tipo de estudo, realizou-se, inicialmente, uma pesquisa exploratória por intermédio de entrevistas feitas com seis executivos da referida Rede, além de cinco gestores que respondem pelas áreas de comunicação e marketing, utilizando-se, para tanto, de questionários contendo perguntas estruturadas e não estruturadas. A partir dos resultados obtidos nas pesquisas, foram analisadas as atividades desenvolvidas pelos departamentos de Recursos Humanos, Tecnologia e Informação e Comunicação e Marketing, para identificar a contribuição de cada um deles na consolidação dos processos de Comunicação Institucional. Concluiu-se que o modelo de diretrizes e políticas de comunicação proposto neste trabalho poderá permitir que tanto a Rede Metodista de Educação como outras instituições de ensino superior balizem suas ações em procedimentos e critérios objetivos, considerados fundamentais para a gestão empresarial.

Diagnosis of type 2 diabetes:A qualitative analysis of patients' emotional reactions and views about information provision

Research about diagnosis of chronic illness indicates this is an emotional time for patients. Information provision is especially salient for diabetes management. Yet current orthodoxy suggests that too much information at the time of diagnosis is unhelpful for patients. In this study, we used in-depth interviews with 40 newly diagnosed type 2 diabetic (T2DM) patients in Scotland, to explore their emotional reactions about diagnosis, and their views about information provision at the time of diagnosis. Data were analysed using a thematic approach. Our results showed three main 'routes' to diagnosis: 'suspected diabetes' route; 'illness' route; and 'routine' route. Those within the 'routine' route described the most varied emotional reactions to their diagnosis. We found that most patients, irrespective of their route to diagnosis, wanted more information about diabetes management at the time of diagnosis. We suggest that practitioners would benefit from being sensitive to the route patients follow to diagnosis, and prompt, simple but detailed advice about T2DM management would be helpful for newly diagnosed patients. © 2004 Elsevier Ireland Ltd. All rights reserved.

Stepping Stones to Information Literacy: a PebblePad case study

Aston University has recently made PebblePad, an e-portfolio or personal learning system, available to all students within the University. The customisable Profiles within PebblePad allow students to self-declare their skills in particular areas, attaching evidence of their skills or an action plan for improvement to each statement. Formal Information Literacy (IL) teaching within Aston University is currently limited to Library & Information Services (LIS) Information Specialists delivering a maximum of one session to each student during each level of their degree. However, many of the skills are continually developed by students during the course of their academic studies. For this project, an IL skills profile was created within PebblePad, which was then promoted to groups of staff and students to complete during the academic session 2009-10. Functionality within PebblePad allowed students to share their IL skills profile, evidence, action plans or any other items they felt were appropriate with an LIS Information Specialist who was able to add comments and offer suggestions for activities to help the student to develop further. Activities were closely related to students’ coursework where possible: suggesting a student kept a short reflective log of their information searching and evaluating process for an upcoming essay, for example. Feedback on the usefulness of the IL Profile will be sought from students through focus groups and the communication tools in PebblePad. In this way, we hope to make students more aware of their IL skills and to offer IL skills support over a longer period of time than a single session can provide. We will present preliminary conclusions about the practicalities and benefits of a self-declaration approach to developing IL skills in students at Aston University.

Service to an interdisciplinary need-group from computerised secondary services

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Organisational change in a social services department

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An evaluation of aerial photography as a source of environmental information

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Access to medical information and the role of english language in an Algerian selected community : media and modes of exchange among the paediatricians

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Leadership in American Evangelical churches:an explanatory theory

DUE TO COPYRIGHT RESTRICTIONS ONLY AVAILABLE FOR CONSULTATION AT ASTON UNIVERSITY LIBRARY AND INFORMATION SERVICES WITH PRIOR ARRANGEMENT This study is about leadership in American Evangelical Churches, which as a sub-set of American Christianity, are growing, while American Christianity as a whole is in decline. As a result evangelicalism is quickly becoming the dominate iteration of American Christianity. It is anecdotal that well led churches grow while poorly led churches do not, yet no one has identified what leadership, in the evangelical church context, is. Researchers have investigated a number of aspects of church leadership (much of it without identifying whether or not the churches under investigation were evangelical or not) but no one has put forth a unified theory linking these aspects together. The purpose of this research is to address that gap and develop a theory that explains how evangelicals view leadership in their local churches. In this study of three churches, dissimilar in size and governance, a purely qualitative approach to data collection and analysis was employed. The study involved 60 interviews that sought points-of-view from top and mid-level leadership along with congregant followers. The study borrowed heavily from Glaser and Strauss (1967) Grounded Theory approach to data analysis. The results developed a theory which provides a unified explanation of how leadership actually works in the three evangelical churches. Several implications for practice are discussed as to the theory's usefulness as a method of leadership education and evaluation. An original discovery was found that an individual's incumbency within the organization was identified as a social power. Limitations to this research are the limitations generally imputed to purely qualitative research in that questions are raised about the theory's applicability to evangelical churches beyond the three studied. The suggestions for further research involve addressing those limitations

Process improvement and quality management systems in the financial services industry:the case for the OPEX quality management system and framework

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Alignment of information systems and organisation structure:developing an executive information systems with a cybernetic method

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Development of two forecasting systems and the design of hard copy information displays

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