Jill Barr-Walker

Evidence-based information needs of public health workers: a systematized review

Objective This study assessed public health workers’ evidence-based information needs, based on a review of the literature using a systematic search strategy. This study is based on a thesis project conducted as part of the author’s master’s in public health coursework and is considered a systematized review. Methods Four databases were searched for English-language articles published between 2005 and 2015: PubMed, Web of Science, Library Literature & Information Science Index, and Library, Information Science & Technology Abstracts (LISTA). Studies were excluded if there was no primary data collection, the population in the study was not identified as public health workers, “information” was not defined according to specific criteria, or evidence-based information and public health workers were not the major focus. Studies included in the final analysis underwent data extraction, critical appraisal using CASP and STROBE checklists, and thematic analysis. Results Thirty-three research studies were identified in the search, including twenty-one using quantitative methods and twelve using qualitative methods. Critical appraisal revealed many potential biases, particularly in the validity of research. Thematic analysis revealed five common themes: (1) definition of information needs, (2) current information-seeking behavior and use, (3) definition of evidence-based information, (4) barriers to information needs, and (5) public health–specific issues. Conclusions Recommendations are given for how librarians can increase the use of evidence-based information in public health research, practice, and policy making. Further research using rigorous methodologies and transparent reporting practices in a wider variety of settings is needed to further evaluate public health workers’ information needs.

Creating an Outreach Program for Postdoctoral Scholars

Postdoctoral scholars are a group of library users that are often overlooked by academic librarians designing outreach services. The science librarian at New York University–Abu Dhabi created an outreach program to ensure that postdocs at this university were aware of library services available to them. Steps for creating a successful outreach program for postdocs include creating a master list of postdoctoral scholars, orienting new postdocs while reaching out to existing researchers, identifying and working with lab managers, traveling to postdoc work spaces, and constantly evaluating and adapting outreach efforts to meet the changing needs of this community.

Reducing medical-surgical inpatient falls and injuries with videos, icons and alarms

Background Inpatient falls and subsequent injuries are among the most common hospital-acquired conditions with few effective prevention methods. Objective To evaluate the effectiveness of patient education videos and fall prevention visual signalling icons when added to bed exit alarms in improving acutely hospitalised medical-surgical inpatient fall and injury rates. Design Performance improvement study with historic control. Setting Four medical-surgical units in one US public acute care hospital. Study participants Adult medical-surgical inpatients units. Interventions A 4 min video was shown to patients by trained volunteers. Icons of individual patient risk factors and interventions were placed at patients’ bedsides. Beds with integrated three-mode sensitivity exit alarms were activated for confused patients at risk of falling. Main outcome measures The main outcome measure is the incident rate per 1000 patient days (PDs) for patient falls, falls with any injury and falls with serious injury. The incident rate ratio (IRR) for each measure compared January 2009–September 2010 (baseline) with the follow-up period of January 2015–December 2015 (intervention). Results Falls decreased 20% from 4.78 to 3.80 per 1000 PDs (IRR 0.80, 95% CI 0.66 to 0.96); falls with any injury decreased 40% from 1.01 to 0.61 per 1000 PDs (IRR 0.60, 95% CI 0.38 to 0.94); and falls with serious injury 85% from 0.159 to 0.023 per 1000 PDs (IRR 0.15, 95% CI 0.01 to 0.85). Icons were not fully implemented. Conclusion The first known significant reduction of falls, falls with injury and falls with serious injury among medical-surgical inpatients was achieved. Patient education and continued use of bed exit alarms were associated with large decreases in injury. Icons require further testing. Multicentre randomised controlled trials are needed to confirm the effectiveness of icons and video interventions and exit alarms.

Experiences of women who travel to England for abortions: an exploratory pilot study

Abstract Objectives: Restrictive policies that limit access to abortion often lead women to seek services abroad. We present results from an exploratory study aimed at documenting the socio-demographic characteristics, travel and abortion-seeking experiences of non-resident women seeking abortions in the UK. Methods: Between August 2014 and March 2015, we surveyed a convenience sample of 58 non-UK residents seeking abortions at three British Pregnancy Advisory Service (BPAS) abortion clinics in England in order to better understand the experiences of non-resident women who travel to the UK seeking abortion services. Results: Participants travelled to England from 14 countries in Europe and the Middle East. Twenty-six percent of participants reported gestational ages between 14 and 20 weeks, and 14% (n = 8) were beyond 20 weeks since their last menstrual period (LMP). More women from Western Europe sought abortions beyond 13 weeks gestation than from any other region. Women reported seeking abortion outside of their country of residence for a variety of reasons, most commonly, that abortion was not legal (51%), followed by having passed the gestational limit for a legal abortion (31%). Women paid an average of £631 for travel expenses, and an average of £210 for accommodation. More than half of women in our study found it difficult to cover travel costs. Conclusions: Understanding how and why women seek abortion care far from their countries of residence is an important topic for future research and could help to inform abortion-related policy decisions in the UK and in Europe.

Start-Up Library: My Experience at NYU Abu Dhabi

NYU Abu Dhabi (NYUAD), as a relatively new campus of New York University, embodies the vision of the Global Network University (GNU). In my three years as instruction and public services librarian at NYUAD, I have experienced many of the challenges and rewards that creating a new library in the Middle East and within the GNU can provide. Above all, I have learned that collaboration, innovation, and awareness of local culture are critical skills necessary for start-up libraries in new environments. It is my hope that staff members in branch campus libraries, libraries with small user populations, new libraries, and international libraries can identify with and learn from my experiences as an original staff member of the NYUAD Library.

Creating value through outreach in a hospital setting: a case study from Zuckerberg San Francisco General Hospital Library

Background Hospital libraries must often demonstrate value to users who are not aware of their services. Zuckerberg San Francisco General Hospital (ZSFG) Library aimed to increase patient and staff awareness using innovative outreach methods through our involvement in a Summerfest health fair and a National Medical Librarians Month event. Case Presentation At 2 hospital events, ZSFG Library staff and volunteers used a game show–style approach involving active learning to teach attendees about library resources and services. Across events, there were 300 attendees and 167 in-depth discussions of library resources with the librarian, including 54 demonstrations. After implementing these new outreach efforts, the number of attendees increased by over 240% and meaningful interactions increased by 1,300% from the previous year’s event. Our value analysis indicates an overall positive effect with 14 minutes of total library staff time spent per meaningful interaction. Conclusions The use of a spinnable wheel for asking participants library-related questions and a television monitor to demonstrate library resources greatly increased the number of attendees and fostered new staff connections, resulting in several in-service trainings and search requests. Future recommendations for outreach events include enlisting the help of volunteers to record attendance data, creating materials in multiple languages, and integrating library involvement into existing hospital events. These recommendations may decrease the amount of library staff time spent in return for each meaningful interaction, creating increased value for less time.

Differentiated HIV care in sub-Saharan Africa: a scoping review to inform antiretroviral therapy provision for stable HIV-infected individuals in Kenya.

ABSTRACT Many gaps in care exist for provision of antiretroviral therapy (ART) in sub-Saharan Africa. Differentiated HIV care tailors provision of ART for patients based on their level of acuity, providing alternatives for where, by whom, and how often care occurs. We conducted a scoping review to assess novel differentiated care models for ART provision for stable HIV-infected adults in sub-Saharan Africa, and how these models can be used to guide differentiated care implementation in Kenya. A systematic search was conducted using PubMed, Embase, Web of Science, Popline, Cochrane Library, and African Index Medicus between January 2006 and January 2017. Grey literature searches and handsearching were also used. We included articles that quantitatively assessed the health, acceptability, and cost-effectiveness of differentiated HIV care. Two reviewers independently performed article screening, data extraction and determination of inclusion for analysis. We included 40 publications involving over 240,000 participants spanning nine countries in sub-Saharan Africa – 54.4% evaluated clinical outcomes, 23.5% evaluated acceptability outcomes, and 22.1% evaluated cost outcomes. Differentiated care models included: facility fast-track drug refills and appointment spacing, facility or community-based ART groups, community ART distribution points or home-based care, and task-shifting or decentralization of care. Studies suggest that these approaches had similar outcomes in viral load suppression and retention in care and were acceptable alternatives to standard HIV care. No clear results could be inferred for studies investigating task shifting and those reporting cost-effectiveness outcomes. Kenya has started to scale up differentiated care models, but further evaluation, quality improvement and research studies should be performed as different models are rolled out.