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An evidence-based approach
to engaging healthcare users
 in a journals review project

        Anne Murphy BA DLIS MSc
                  Head Librarian
                Tallaght Hospital
     35th UKSG Conference, 27th March 2012
Tallaght Hospital, Dublin




Provide tertiary service to 400,000 people in 3 counties
   National referral centre for some clinical specialities
“Academic libraries have
         always operated in a fairly
        economically disadvantaged
            environment and are
        frequently the first to suffer
        budget cutbacks in times of
              difficult financial
              circumstances.”
Fallon, MP 2011. The status of the Irish Research eLibrary. World Libraries. 18(2)
http://www.worlib.org/vol18no2/fallonprint_v18n2.shtml
Health libraries in Ireland
             “Within the health
             sector, library
             services, like all other
             areas, are struggling
             with reduced
             budgets, loss of expert
             staff and increased
             demand from users.
             The network so
             carefully built is now
             under serious threat.”
             SHELLI Report, Health Sciences
Tallaght Hospital Library




          Library website:
          Evidence & reference
          databases
          300 journals in 2009
          12,000 books
Pills, Pillows and Inhalers




Photograph by kind permission of Tommy Walsh, Clinical Photographer, Tallaght Hospital
Autumn 2010
Informed Decisions




   Build datasets of
metrics and evaluations
‘equitable,
              expedient and
                                          affable’
Carey R et al. An evidence-based approach for gaining faculty acceptance in a serials cancellation
   project. Collection Management, 2006. 30(2)59-72.
Project Objectives




 Retain the most relevant, valued and
  used journals
 Protect good relationship with staff
 Meet the budget target
Journals
              Secure funding
                   9%

    Package
      8%

    Core
     1%




              For review
                 82%

   286 journals in total
        236 for review
User survey


                    Rating scale:
                    1. Essential
                    2. Cancel only if necessary
                    3. May be cancelled
                    4. Cancel

       Surveyed 500 senior clinical and
management staff using 43 standardised
   forms adjusted for each department
Journal metrics

                  Cost
             Usage
       Cost per use
Respondents

       Management             Other professionals
          5%                          2%


                             Medical
             Allied Health    47%
                  29%

Response rates:  Nursing
100% Rheumatology 17%
12% Surgery
                       36% response rate
25%2011
7%
Hospital
average
in
The decision-making process
      
Round 1 – Identify definite
         keepers



30 titles
Round 2: two thresholds

                           Cost > €2,000
                                     OR
                               < 1O uses


44 journals tagged for probable
cancellation
9 journals identified for purchase
Round 3

 55 journals identified
 for cancellation




      Departmental /
      Speciality titles
Round 4




 18 journals
identified for
 cancellation
                 Departmental /
                 Speciality titles
TOTAL
        73
titles identified for cancellation
Project Report 2011




Key Message: Use the journals
Feedback




“This is very interesting...”
Number of journal subscriptions
 350
       300     286
 300
 250                    213
 200
 150
 100
 50
  0

       2009    2010     2011
Post-operative Review
The
decision-
making        Successfully
process       managed
proved        staff
successful    expectations

Librarians’
knowledge
is crucial
2012
User survey 2012

     Leaner and cleaner



     Increased the number
     surveyed to 550 and
     decreased the number of
     customised forms to 31
nmnmm
            nmnmn
            mnmnm
            nmnmn
            mnmnm
            nmnmn
            mnmnm
            nnmnmn
            mnm


             Consider all these titles as core reading
  Two specialist journals is a minimum
Two [...] journals for a teaching hospital is a
                                     disgrace
Respondents in 2012
Management                  Other Professionals
   7%                               4%



             Allied      Medical
             Health       41%
              29%
                  Nursing
                   19%


                      34% response rate
The decision-making process
Baseline of 300 Journals in 2009



                 31
                            Retained
                            Cancelled in 2010
            73
                      182   Cancelled in 2011
                            Cancelled in 2012


       14

 Total of 118 cancelled titles in 3 years
Number of Journals
350
      300
300          286

250
                    213
200                        182

150
100
50
 0
      2009   2010   2011   2012
Midpoint of 2012 Project
           Report back to hospital
            staff in April 2012
           Leverage staff advocacy
            for their information
            needs to be met
           Survey staff about their
            use of the published
            literature, discovery
            methods and their
            experience of the
            research publishing
            process
Supply on demand?

                        Did not
                      indicate a
                      preference

                          28%
                                              Yes
                                  No          46%
                                 26%

Source: AMNCH Library survey, November 2010
Photographs by kind permission of Tommy Walsh, Clinical Photographer, Tallaght Hospital

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Evidence based approach to engaging users in a journals review project

  • 1. An evidence-based approach to engaging healthcare users in a journals review project Anne Murphy BA DLIS MSc Head Librarian Tallaght Hospital 35th UKSG Conference, 27th March 2012
  • 2. Tallaght Hospital, Dublin Provide tertiary service to 400,000 people in 3 counties National referral centre for some clinical specialities
  • 3. “Academic libraries have always operated in a fairly economically disadvantaged environment and are frequently the first to suffer budget cutbacks in times of difficult financial circumstances.” Fallon, MP 2011. The status of the Irish Research eLibrary. World Libraries. 18(2) http://www.worlib.org/vol18no2/fallonprint_v18n2.shtml
  • 4. Health libraries in Ireland “Within the health sector, library services, like all other areas, are struggling with reduced budgets, loss of expert staff and increased demand from users. The network so carefully built is now under serious threat.” SHELLI Report, Health Sciences
  • 5. Tallaght Hospital Library Library website: Evidence & reference databases 300 journals in 2009 12,000 books
  • 6. Pills, Pillows and Inhalers Photograph by kind permission of Tommy Walsh, Clinical Photographer, Tallaght Hospital
  • 8. Informed Decisions Build datasets of metrics and evaluations
  • 9. ‘equitable, expedient and affable’ Carey R et al. An evidence-based approach for gaining faculty acceptance in a serials cancellation project. Collection Management, 2006. 30(2)59-72.
  • 10. Project Objectives  Retain the most relevant, valued and used journals  Protect good relationship with staff  Meet the budget target
  • 11. Journals Secure funding 9% Package 8% Core 1% For review 82% 286 journals in total 236 for review
  • 12. User survey Rating scale: 1. Essential 2. Cancel only if necessary 3. May be cancelled 4. Cancel Surveyed 500 senior clinical and management staff using 43 standardised forms adjusted for each department
  • 13. Journal metrics Cost Usage Cost per use
  • 14. Respondents Management Other professionals 5% 2% Medical Allied Health 47% 29% Response rates: Nursing 100% Rheumatology 17% 12% Surgery 36% response rate
  • 17. Round 1 – Identify definite keepers 30 titles
  • 18. Round 2: two thresholds Cost > €2,000 OR < 1O uses 44 journals tagged for probable cancellation 9 journals identified for purchase
  • 19. Round 3 55 journals identified for cancellation Departmental / Speciality titles
  • 20. Round 4 18 journals identified for cancellation Departmental / Speciality titles
  • 21. TOTAL 73 titles identified for cancellation
  • 22. Project Report 2011 Key Message: Use the journals
  • 23. Feedback “This is very interesting...”
  • 24. Number of journal subscriptions 350 300 286 300 250 213 200 150 100 50 0 2009 2010 2011
  • 25. Post-operative Review The decision- making Successfully process managed proved staff successful expectations Librarians’ knowledge is crucial
  • 26. 2012
  • 27. User survey 2012 Leaner and cleaner Increased the number surveyed to 550 and decreased the number of customised forms to 31
  • 28. nmnmm nmnmn mnmnm nmnmn mnmnm nmnmn mnmnm nnmnmn mnm Consider all these titles as core reading Two specialist journals is a minimum Two [...] journals for a teaching hospital is a disgrace
  • 29. Respondents in 2012 Management Other Professionals 7% 4% Allied Medical Health 41% 29% Nursing 19% 34% response rate
  • 31. Baseline of 300 Journals in 2009 31 Retained Cancelled in 2010 73 182 Cancelled in 2011 Cancelled in 2012 14 Total of 118 cancelled titles in 3 years
  • 32. Number of Journals 350 300 300 286 250 213 200 182 150 100 50 0 2009 2010 2011 2012
  • 33. Midpoint of 2012 Project  Report back to hospital staff in April 2012  Leverage staff advocacy for their information needs to be met  Survey staff about their use of the published literature, discovery methods and their experience of the research publishing process
  • 34. Supply on demand? Did not indicate a preference 28% Yes No 46% 26% Source: AMNCH Library survey, November 2010
  • 35. Photographs by kind permission of Tommy Walsh, Clinical Photographer, Tallaght Hospital