Steele Rachel, Tiffin Paul A
Lanchester Road Hospital, Durham.
Wolfson Research Institute for Health and Wellbeing, Stockton on Tees.
Psychiatr Bull (2014). 2014 Feb;38(1):29-35. doi: 10.1192/pb.bp.112.042382.
Aims and method To evaluate the feasibility of integrating a clinical librarian (CL) within four mental health teams. A CL was attached to three clinical teams and the Trustwide Psychology Research and Clinical Governance Structure for 12 months. Requests for evidence syntheses were recorded. The perceived impact of individual evidence summaries on staff activities was evaluated using a brief online questionnaire. Results Overall, 82 requests for evidence summaries were received: 50% related to evidence for individual patient care, 23% to generic clinical issues and 27% were on management/corporate topics. In the questionnaires 105 participants indicated that the most common impact on their practice was advice given to colleagues (51 respondents), closely followed by the evidence summaries stimulating new ideas for patient care or treatment (50 respondents). Clinical implications The integration of a CL into clinical and corporate teams is feasible and perceived as having an impact on staff activities. A CL may be able to collate 'personalised evidence' which may enhance individualised healthcare. In some cases the usual concept of a hierarchy of evidence may not easily apply, with case reports providing guidance which may be more applicable than population-based studies.
目的与方法 评估在四个心理健康团队中配备临床图书馆员（CL）的可行性。一名临床图书馆员被分配到三个临床团队以及全信托范围的心理学研究与临床治理结构中，为期12个月。记录了对证据综合的请求。使用一份简短的在线问卷评估了个别证据摘要对工作人员活动的感知影响。结果 总体而言，共收到82份证据摘要请求：50%与个体患者护理证据相关，23%与一般临床问题相关，27%涉及管理/机构主题。在问卷中，105名参与者表示，对其实践最常见的影响是为同事提供的建议（51名受访者），紧随其后的是证据摘要激发了对患者护理或治疗的新想法（50名受访者）。临床意义 将临床图书馆员纳入临床和机构团队是可行的，并且被认为对工作人员活动有影响。临床图书馆员可能能够整理“个性化证据”，这可能会加强个性化医疗。在某些情况下，通常的证据等级概念可能不易适用，病例报告提供的指导可能比基于人群的研究更适用。
