J Med Libr Assoc. 2021 Jul 1;109(3):483-489. doi: 10.5195/jmla.2021.1167.
Over a decade ago, the Hill report argued that a shift in vision was required to change the perception of National Health Service (NHS) Library and Knowledge Services (LKS) in England from "book repositories" to essential services that underpin clinical decision-making by patients, carers, and health care professionals. Health Education England's advocates embedding librarians within clinical and management teams in order to provide access to high-quality evidence at the point of need.
In April 2019, Royal Papworth Hospital relocated twelve miles from its historic village location in Papworth Everard to its new state-of-the-art hospital on the Cambridge Biomedical Campus. The design for this new hospital did not accommodate a traditional library space and therefore necessitated a transformation of the LKS. The organization opted to embed the LKS staff into the clinical setting and relegate 80% of the print collection to off-site storage. This project and its associated steps are presented as an example of health care library transformation.
Embedding the LKS team in the clinical setting, engaging in proactive outreach activity, and improving our marketing led to a 44% increase in literature searches requested compared to the same eleven-month period in the previous year. A 40% decrease in our print book loans indicates additional barriers to using a click-and-collect service and the need for greater investment in our e-book provision. However, early outcomes for our best-fit service transformation are positive. Having an open, dual mindset has enabled the service to embrace change and maximize emerging opportunities to collaborate with clinical staff on new projects.
十多年前，希尔报告认为，需要转变观念，将英国国民保健服务（NHS）图书馆和知识服务（LKS）从“图书仓库”转变为支撑患者、护理人员和医疗保健专业人员临床决策的基本服务。英格兰健康教育署主张将图书管理员嵌入临床和管理团队中，以便在需要时提供高质量的证据。
2019 年 4 月，皇家帕普沃思医院（Royal Papworth Hospital）从位于 Papworth Everard 历史悠久的村庄的原址搬迁了 12 英里，迁至剑桥生物医学园区的新的最先进的医院。该新医院的设计没有容纳传统图书馆空间，因此需要对 LKS 进行改造。该组织选择将 LKS 员工嵌入临床环境中，并将 80%的印刷馆藏转移到离线存储。该项目及其相关步骤被作为医疗保健图书馆转型的一个例子。
将 LKS 团队嵌入临床环境中，开展积极主动的外展活动，并改进我们的营销，导致文献检索请求比前一年同期增加了 44%。我们的印刷书籍借阅量减少了 40%，这表明点击和收集服务的使用存在更多障碍，并且需要在我们的电子书供应方面进行更多投资。然而，我们最佳契合服务转型的早期成果是积极的。开放、双重思维模式使服务能够接受变革，并最大限度地利用与临床工作人员合作开展新项目的新兴机会。
