Evaluating the impact of clinical librarian services
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1 Evaluating the impact of clinical librarian services Clare Payne¹ Michelle Maden-Jenkins² Alison Brettle³ 1. Mersey Care NHS Trust 2. Edge Hill University 3. Salford University
2 Overview Background Aims of project Methods Results and Conclusions to date Next steps
3 Background Systematic review on evaluation of clinical librarian services (Brettle et al, 2011) Previous systematic reviews provided some evidence up to 2005 Brettle et al (2011) concluded: Impact there is limited evidence that CL Save health professionals time. Positive effect on clinical decision making impact on patient care - diagnosis and the choice of intervention Data collection Poor quality Some recent Improvement can be seen in the reporting of samples and response rates, more work required on data collection and analysis
4 Brettle, et al. (2011) Recommendations Need to increase robustness in methods. Methods chosen should limit bias, be consistent and are reported explicitly CLs measure impact of contribution to patient care rather than directly impacting on patient care. More specific impacts Demonstrating organisational impact is needed
5 Aims and objectives To undertake a multi-method evaluation study on the impact of Clinical Librarian (CL) services in the North West health region. To use a framework that ensures consistent and robust data is collected across all Trusts, providing an increased body of evidence To test the use of the MAP (Making Alignment a Priority) Toolkit in ensuring that evaluations meet organisational objectives To build research capacity amongst a group of clinical librarians
6 Methods: Consistent, robust, data collection Recruitment Managed by experienced researcher Invited to participate at various levels Training and support provided Following recommendations Mixed methods qualitative and quantitative Survey Interviews complex services Independent researcher Actual impact No contribution, has contributed, may contribute
7 Critical Incident Technique (CIT) Respected, established, strong evidence base Numerous disciplines, sectors, service and market research, Library and Information research robust and tried and trusted method of demonstrating impact (Bryant and Gray, 2006) a sound methodological basis for library and information research (Hughes et al., 2007) 17 recent studies Impact of a particular incident Focused, accurate (Urquhart, 2001)
8 Impact outcomes Specific and organisational Can you identify the key drivers for change that are influencing your NHS organisation and its decision making? Do you want to demonstrate how your library service is aligned to the priorities of the NHS? Do you need help critically highlighting how your library adds value and impacts upon organisational change, policy and practice?
9 Decision Making and Evidence Based Practice Patient centred care Quality of care and Improving healthcare outcomes Service development Efficiency, Financial or Risk Management Accountability and transparency
10 Improved Healthcare Outcomes Liberating the NHS, 2010, pp & 6.7, p.49; DOH Business Plan, Coalition priority 2, p.2 & pp Improved quality of life for patient or carers DOH Business Plan , Impact indicator, p.32. Increased patient involvement / Shared decision making Liberating the NHS, 2010, 4.a, p.3 & 2.1-4, p.13; DOH Business Plan , Action 1.5; NHS Constitution 2009, Principle 4, p.3, patient and public right, p.7; Operating Framework , pp.7&24; An Information Revolution, 2010 ; Hill Report, 2008, Purpose 1; CQUIN National Goals , Goal 2;. Improved patient access to information Liberating the NHS, 2010, pp13-16; DOH Business Plan , Action 1.3., pp.7-8; NHS Constitution 2009, Patient and Public Right p.10; An Information Revolution, 2010; Monitor s Compliance Framework , p.49. Improved patient care experience Liberating the NHS, 2010, 4.a, p.3 & 2.1-4, p.13; DOH Business Plan , Action 1.3.i, p7-8; NHS Constitution 2009, Value, Improving lives, p.16; Operating Framework , 2 of 5 mechanisms, p.23.;cquin National Goals , Goal 2; Monitor s Compliance Framework , quality measure for statement of certification.
11
12 Preliminary Results to June Clinical Librarians representing 15 NW NHS Trusts taking part Survey sent for each incident after 6 weeks 149/366 (Response rate of 40.7%) Still ongoing
13 Use of CL Services
14 Overview of results to date
15 Impact on CPD
16 Impact on decision-making & EBP
17 Impact on efficiency
18
19 Next steps Semi-structured interviews Final report and publication Individual trust level analysis and publication for internal consumption
20
21 Conclusion Encouraging results already beginning to see impact (and exactly where) Watch this space.
22 References Brettle, A. Maden-Jenkins, M. Anderson, L. et al. Healthcare librarians and the delivery of critical appraisal training: barriers to involvement. Health Information and Libraries Journal, 2011, 28(1), Pratchett, T., Anderson, L., Edwards, E., et al. Alignment Project NW. Available at: http: alignmentprojectnwlibrarians.pbworks.com Urquhart, C. How do I measure the impact of my service? (Guideline). In: Booth, A., Brice, A. (eds.) Evidence based practice for information professionals a handbook. London: Facet Publishing, 2004: Winning, M. & Beverley, C. Clinical librarianship: a systematic review of the literature. Health Information and Libraries Journal 2003, 20(Suppl. 1), Wagner, K. & Byrd, G. Evaluating the effectiveness of clinical medical librarian programs: a systematic review of the literature. Journal of the Medical Library Association 2004, 92, Weightman, A. & Williamson, J. The value and impact of information provided through library services for patient care: a systematic review. Health Information and Libraries Journal 2005, 22, 4 25.
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