Thesis (Ed. D.)--Northern Arizona University, 1991. / "May 1991"--Thesis t.p. Includes bibliographical references (leaves 100-104).

Thesis (Ed. D.)--Northern Arizona University, 1991. / "May 1991"--Thesis t.p. Includes bibliographical references (leaves 100-104).

ABSTRACT Information literacy skills training should be utilised by libraries as a strategy for transforming non-library users into constant users by teaching them appropriate skills that can impact on their knowledge and attitudes towards the utilisation of library resources. Although libraries do provide training aimed at making students conscious of the range of library resources and services and how to use them in their studies and career development, it has regrettably been observed that the skills and services are not well utilised by many. Students in many institutions still rely heavily on the librarian even after receiving training. This has also been observed at the Sefako Makgatho Health Sciences University (SMU) library. This study titled, An assessment of the attitudes of undergraduate students towards information literacy training: Sefako Makgatho Health Sciences University (SMU) Library as case study, therefore addressed the following research problem: To what extent does the information literacy skills training offered at the Sefako Makgatho Health Sciences University (SMU) Library affect students’ attitudes towards information literacy training and use of information retrieval systems? The study was aimed at offering 2015 first year students at the Sefako Makgatho Health Sciences University and the librarian responsible for information literacy skills training an opportunity to express their perceptions and feelings about the library’s information literacy skills training programme and the use of information retrieval systems. The study also aimed at determining barriers that students experience in independently and effectively utilising library services and systems and identifying possible gaps in the training. The study also looked at aspects of the training that influenced students positively. A case study of first year students from the Schools of Medicine, Pathology and Pre-Clinical Sciences, Oral Health Sciences and Health Care Sciences at SMU was conducted using a mixed methods approach, collecting and analysing quantitative and qualitative data. It employed questionnaires (for quantitative data), focus group interviews (for qualitative data) and an interview with the librarian responsible for information literacy training (qualitative data). Data were collected from the 14th October to the 06th November 2015. A total of 394 questionnaires were distributed, 225 questionnaires were returned and 219 were sufficiently completed to be useful. Four focus group interviews were held with 18 first year students; all schools were represented. Students contributed ideas and voiced their opinions about the value of information literacy skills training for their studies, future career and their everyday life. They shared perceptions on their satisfaction with the skills learned and had the opportunity to rank the skills they have improved as a result of the training. Students confirmed that the training programme was indeed valuable and required for various aspects of their life, studies and career. They learned the skills needed when searching for information. Their effort and time for searching, locating, finding, accessing, evaluating and using information from the shelves, catalogue, internet and databases had also been decreased. Some of the gaps identified by students were that they struggled with acquiring new skills as they had no prior exposure to libraries and computers, the classes were overcrowded and uncontrollable, the scope covered was too wide for one session, the training was overwhelming and the timing of the year wrong. Students also made suggestions and recommendations, for example continuous or monthly training, online training sessions, small group sessions, facilitation training for the trainers and including basic computer training. The practical recommendations from the study, which include the student recommendations, can be utilised to improve information literacy skills training at Sefako Makgatho Health Sciences University Library, and also hold value for other academic contexts. From a theoretical viewpoint, theories of self-efficacy and affordance theory can be explored in further work. / Mini Dissertation (MIT)--University of Pretoria, 2016. / Sefako Makgatho Health Sciences University / Carnegie Corporation of New York / Information Science / MIT / Unrestricted

Magister Bibliothecologiae - MBibl / South Africa

Information Science / M. A. (Information Science)

The applicability of SERVPERF as a tool for judging the quality of services used by biomedical information professionals was tested using standard statistical procedures. Data was gathered nationally via a combination of electronic and non-electronic forms, from Area Health Education Center (AHEC) information professionals and the results consolidated to provide information for the study. It was determined that SERVPERF was applicable in making judgements about service quality for AHEC information professionals. Their perceptions about service quality tended to have a greater influence than did their level of actual satisfaction on whether or not they planned to use a particular service in the future. There is currently no validated tool available to ascertain the quality of services offered to these valuable members of the rural health care team. This dissertation proposes to provide such a tool, and to serve as a guide or template for other professionals seeking a means to judge service quality in their own disciplines.

No description available.

ABSTRACT Clinical evidence technologies (CETs) are information sources derived from medical research literature that may assist health care providers in continued learning, decision-making, and patient care. Examples of CETs include: MEDLINE/PubMed and Cochrane Reviews, research journal literature, print and electronic medical texts, clinical topic summaries, guidelines, and interactive decision tools. Clinicians utilize CETs to find answers to questions that arise during patient care. However, it was unclear if CETs had a measurable impact on provider practice or patient outcomes. A literature review identified twenty-two articles evaluating CETs’ impact. Study designs included surveys, observational studies, randomized controlled trials and quasi-experimental methods. The review revealed mixed evidence of CET impact on provider-level outcomes such as improved diagnoses and treatments, and on patient level outcomes such as length of hospital stay and mortality. Additional research was needed to determine whether certain CETs or CET types have impact on patient care outcomes in clinically targeted areas. We conducted a cluster-randomized controlled trial (CRCT) to evaluate the effect of a dermatology-focused CET (VisualDx) when used by primary care providers. We found no difference in the patient skin disease outcomes of resolution of symptoms and return visits for the same problem in that trial. Thirty-two PCPs and 433 patients participated. In proportional hazards modelling adjusted for provider clusters, the time from index visit to skin problem resolution was similar in both groups (Hazard Ratio=0.92; 95% Confidence Interval (CI)=0.70, 1.21; P=0.54). Patient follow-up appointments did not differ significantly between groups (Odds Ratio=1.26; CI=0.94, 1.70; P=0.29). In a follow up mixed-methods study, we sought to understand why VisualDx did not make a difference. All CRCT provider participants were surveyed about their experience in the trial. VisualDx users (intervention arm) were interviewed about their experience using the CET. Ease of access and usefulness for patient communication facilitated successful use while irrelevant search results and use of other sources were barriers. Although PCPs reported benefits, they did not perceive the CET as useful often enough to motivate using it frequently or exclusively, thereby reducing the likelihood of it making a difference in the problem resolution and return appointment outcomes. There was no difference in skin problem resolution or number of follow-up visits when PCPs used VisualDx. PCPs did not perceive VisualDx as “useful” often enough for to use it frequently, or exclusively, thereby reducing the likelihood of this CET making a difference in patient-level outcomes.

A quantitative survey was conducted in two Canberra hospitals that aimed at ascertaining the impact of information provided by medical libraries on clinical decision making. Specifically, this research study investigated clinical, cognitive and quality value of information provided by the medical librarians to the management of patients and doctors' ability to handle clinical cases differently as a result of such information. Furthermore, the relative value of information received from the library was assessed by comparing it to the value of information received from other sources in dealing with clinical problems. The research involved medical specialists and registrars affiliated with these hospitals. Doctors were asked to select any clinical situation which they frequently or currently encounter and for which further information would be useful to them. Once their information requests were identified, they were then asked to present such requests to the hospital library. In order to avoid any special treatment, participants were urged not to identify themselves to the library staff as partaking in the study. It was important that participants did not search for the information themselves. The doctors were asked to evaluate the material provided by the library in relation to clinical care and, thereafter, complete a short questionnaire. This research took place between October 1994 and March 1995. The questionnaires were sent to 288 doctors. This represented the total population of specialists and registrars affiliated with both hospitals at the time of the study. Analysis of the results is based on a 34% useable response rate. Medical specialists were by far the higher number of respondents (70%) as compared with registrars (30%). Eighty-one per cent of the doctors said that the information provided by the library refreshed their memory and 82% said that it would contribute to better quality of medical care. Eighty-six per cent indicated that some of this information was new to them and 99% said that the information provided was up to date. Ninety-four per cent said that the information provided by the library was of clinical value to them. As the result of the information provided by the library 75% of respondents would either definitely or probably handle some aspects of the clinical situation differently than they would have done it otherwise. The level of importance of the change for the optimal care of patients was assessed with 54% regarding it as important, 42% as moderately important. Specifically, as the result of the information provided, the doctors were able to change the following: diagnosis 10%, choice of lab tests 20%, choice of other diagnostic investigations 24%, choice of drugs 27%, choice of other management 58%, reduce length of hospitalisation 10%, post-operative care of patients 25%, advice given to patients 47%. On the basis of the received information the doctors were able to avoid the following: hospitalisation of patients 11%, risk of hospital acquired infection 8%, surgical intervention 19%, tests or other investigation 23%, additional out-patient visits 12%. Discussions with colleagues were reported to be most valued sources of information for the purpose of clinical decisions (59%), followed by diagnostic imaging (49%), librarian (45%), lab tests (42%) and patients' medical records (30%). The librarian's role as contributing to the process of clinical decisions was rated highly with 88% ranking it as either important or moderately important. The results of significance p test statistic performed at 0.05 significance level suggested that, for this study, there was a significant relationship between the frequency of library use and doctors' ability to change the choice of laboratory tests, diagnostic investigations, and the choice of prescribed drugs. The results of this research study demonstrate that medical librarians can positively contribute to clinical management of patients by providing timely and accurate information. Further research is recommended in order to determine the impact of the whole range of library services on health care outcomes.

Thesis (Ph. D.)--University of Pittsburgh,1996. / "97-09426." Includes bibliographical references (leaves 143-148).