Perrier Laure, Farrell Ann, Ayala A Patricia, Lightfoot David, Kenny Tim, Aaronson Ellen, Allee Nancy, Brigham Tara, Connor Elizabeth, Constantinescu Teodora, Muellenbach Joanne, Epstein Helen-Ann Brown, Weiss Ardis
Li Ka Shing Knowledge Institute, St Michael's Hospital, Toronto, Canada.
Mayo Clinic, Rochester, USA.
J Am Med Inform Assoc. 2014 Nov-Dec;21(6):1118-24. doi: 10.1136/amiajnl-2014-002825. Epub 2014 May 28.
To assess the effects of librarian-provided services in healthcare settings on patient, healthcare provider, and researcher outcomes.
Medline, CINAHL, ERIC, LISA (Library and Information Science Abstracts), and the Cochrane Central Register of Controlled Trials were searched from inception to June 2013. Studies involving librarian-provided services for patients encountering the healthcare system, healthcare providers, or researchers were eligible for inclusion. All librarian-provided services in healthcare settings were considered as an intervention, including hospitals, primary care settings, or public health clinics.
Twenty-five articles fulfilled our eligibility criteria, including 22 primary publications and three companion reports. The majority of studies (15/22 primary publications) examined librarians providing instruction in literature searching to healthcare trainees, and measured literature searching proficiency. Other studies analyzed librarian-provided literature searching services and instruction in question formulation as well as the impact of librarian-provided services on patient length of stay in hospital. No studies were found that investigated librarians providing direct services to researchers or patients in healthcare settings.
Librarian-provided services directed to participants in training programs (eg, students, residents) improve skills in searching the literature to facilitate the integration of research evidence into clinical decision-making. Services provided to clinicians were shown to be effective in saving time for health professionals and providing relevant information for decision-making. Two studies indicated patient length of stay was reduced when clinicians requested literature searches related to a patient's case.
评估图书馆员在医疗环境中提供的服务对患者、医疗服务提供者和研究人员的影响。
检索了Medline、CINAHL、ERIC、LISA（图书馆与信息科学文摘）以及Cochrane对照试验中心注册库，检索时间从建库至2013年6月。纳入涉及图书馆员为接触医疗系统的患者、医疗服务提供者或研究人员提供服务的研究。医疗环境中图书馆员提供的所有服务均被视为一种干预措施，包括医院、基层医疗场所或公共卫生诊所。
25篇文章符合我们的纳入标准，包括22篇主要出版物和3篇配套报告。大多数研究（22篇主要出版物中的15篇）考察了图书馆员为医学实习生提供文献检索指导，并测量了文献检索能力。其他研究分析了图书馆员提供的文献检索服务和提问技巧指导，以及图书馆员提供的服务对患者住院时间的影响。未发现有研究调查图书馆员在医疗环境中为研究人员或患者提供直接服务的情况。
针对培训项目参与者（如学生、住院医师）的图书馆员服务提高了文献检索技能，有助于将研究证据整合到临床决策中。向临床医生提供的服务被证明能有效节省卫生专业人员的时间，并为决策提供相关信息。两项研究表明，当临床医生要求检索与患者病例相关的文献时，患者的住院时间会缩短。
