Challenges in Clinical Librarianship Susan Fowler, MLIS

fowler@wustl.edu

Lauren Yaeger, MA, MILSyaegerl@wustl.edu

As members of the multidisciplinary care team we… • Teach health information literacy • Provide evidence to support clinical decisions• Promote library resources and services

Becker Medical Library Strategic Directions 2007-2010#1: “Becker Library will focus its attention on building relationships with BJC

hospitals to dramatically improve delivery of the Library’s clinical resources to all health care workers where School of Medicine physicians practice.”

#2: “Targeting bioinformatics support services to the research and clinical communities at the School of Medicine…”

#3: “…integrating information literacy and information-management skills into specific assignments in the context of course work, clinical experiences and topical subject disciplines.”

#4…

Why Librarians in the Clinical Environment?

Strategic Initiative, Strategy #4

Hospital EmployeeWU Employee WU Student Non-WU

School

Attending Physician

Fellow

ResidentResearcher Nurse

Allied Health Professional

Nursing Student

Medical Student Allied Health

Student

Clinical Librarian

Multidisciplinary Care Teams…A good thing for patients, but also our biggestchallenge. We must know…• Politics of hospitals, academia, healthcare

professionals• History of the institutions and research and how

those combine to create and maintain policies in the delivery of education and health care

• Where we can have the most impact, visibility, and staying power

More Challenges• Fast paced environment • Requires different service delivery model

• Information synthesis• On the fly decision making Is it better to get information in their

hands or teach them how? • Assess urgency How soon do you need this? • Determine required delivery method What is the best way to

get it to you? • Access barriers• Staff (nurses) who use us the most have the least access• Blocked content on hospital network

• YouTube, fb, personal email accounts, Google tools• Slow network speed• Too many clicks = Inaccessible information

Working Around Challenges

• Provide equal service to all because any clinical patron has the potential to advocate for library resources and services

• Achieve health information literate clinicians• Overcome restricted access by providing

information in unrestricted format• Provide and support mobile based health

information resources

Discussion1. Becker serves nurses and nursing students because they are

part of the clinical environment and members of the multidisciplinary care team.

2. How do we turn library patrons into advocates for universal access?

3. How can we support tools like YouTube videos in an unrestricted way?

4. How can we, as librarians, stay on the leading edge of technology and reshape our services and resources to support the changing landscape of information retrieval?• Mobile Devices• Electronic Health Records Systems

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