• Adapting an embedded model of librarianship, college by college.

      Blake, Lindsay; Mears, Kim; Davies, Kathy J; Ballance, Darra; Shipman, Peter; Connolly-Brown, Maryska; Gaines, Julie K.; Georgia Regents University (Taylor & Francis, 2014-07-14)
      Librarians are increasingly moving out of the library and into the wider university setting as patrons spend more time seeking information online and less time visiting the library. The move to embed librarians in colleges, departments, or customer groups has been going on for some time but has recently received more attention as libraries work to find new ways to reach patrons that no longer need to come to the physical library. Few universities have attempted to embed all their librarians. This case study describes how one group of health sciences librarians dispersed its professional staff throughout its campuses and medical centers.
    • Embedded Librarians: Collaborations in Research and Teaching

      Gaines, Julie K.; Mears, Kim; Blake, Lindsay; Davies, Kathy J; Shipman, Peter; Ballance, Darra; Seago, Brenda L; Robert B. Greenblatt, MD Library, Georgia Regents University, Augusta, GA (Georgia Regents University, 2013-03)
      The increased use of online information resources has allowed health sciences librarians to seek new roles outside of the physical library. A proactive approach is needed to provide information at the time and location of need. The Georgia Regents University (GRU) Librarians have responded to this shift by exploring a model of embedded librarianship that provides specialized assistance and deeper involvement at the college level. Embedded librarianship uses a service model that incorporates librarians as active university participants as opposed to the traditional role of service providers.
    • Evaluating an Embedded Program: Increasing Awareness, Expanding Services, and Fulfilling Patron Needs

      Ballance, Darra; Blake, Lindsay; University Libraries (2016-05)
      Introduction: Setting: Augusta University (AU), a comprehensive four-year university Nine colleges, an academic health center and over 8000 students. Campuses include the Health Sciences Campus, Undergraduate campus and Partnership Campus at the University of Georgia Three libraries (Greenblatt, Reese and the Partnership medical school) serve students, faculty and hospital staff. In 2012, Library administration, in collaboration with AU librarians, investigated a service model of librarian integration in their customers’ settings called embedded librarianship. Best practices suggested establishing office space for librarians among their designated customer groups. Once “embedded,” the librarian would become a part of customers’ daily activities and provide information support on-demand and in context. While there are descriptions of many facets of embedded librarian service, there is no comprehensive tool evaluating the activities of embedded librarians that can answer the question: how do patrons perceive the value of embedded librarian services? The embedded librarians at Augusta University sought to measure the awareness and perception of the new service model among clinicians, faculty, and students with a survey instrument. A validated instrument will assist in the proper implementation, maintenance, and evolution of an effective embedded service model.  Methods: Web-based survey, Likert scale and open-ended questions; Distributed by email in April 2015 using Qualtrics; All Augusta University students, full-time faculty, clinicians, and residents in areas where embedded librarians are assigned; Four colleges, two hospital departments, and one institute. Responses were solicited for four weeks; weekly reminder emails were sent, and the librarians personally encouraged participation from their embedded areas. The survey began by defining “embedded librarian.” Respondents who were unfamiliar with the program and unable to identify a librarian from the group were directed out of the survey.  The remaining respondents self-identified as a student, resident, clinician, or faculty member and then were routed to questions specific to their role. Students’ questions related to classwork and use of library resources; faculty questions related to teaching and research; and clinician/resident questions related to patient care and clinical training. Because most faculty also fulfill clinical roles, respondents who identified as faculty or clinician had the opportunity to answer both sets of questions. Results: The survey response rate was 10% with 381 completed forms from 4,408 survey recipients. Fifty-nine percent (59%) of respondents knew that an embedded program existed in their college or institute. 55% had worked with one or more librarians – in this question participants were asked to choose librarians by their picture and name. Of the 45% remaining, we asked why they had not had an opportunity to work with an embedded librarian. Responses indicated 1) Not aware or not known 2) Not doing research yet requiring that level of assistance, 3) have not needed one. The majority of faculty strongly agreed that embedded librarians saved them time and were an integral part of their group.  Analysis of locally collected data reveled that a high number of reference transactions occur in person which corresponds with survey results. Additional review of the data reflected an increasing trend toward librarian collaborations on grants, publications, and presentations. Conclusions: The survey suggests that perception - or how our patrons understand our role and value - may be the area needing the most improvement. To gauge perception of the program, the term “embedded librarian” was first clearly defined, then respondents were asked if they were aware that their college or department had an embedded librarian and finally to identify their embedded librarian from a photograph. It is important to note that all recipients of the survey belonged to a college or department with an embedded librarian. Of 381 responses, only 58% indicated that they were aware that their college or department had an embedded librarian, but nearly 74% were able to correctly identify their embedded librarian by photograph. This suggested that the embedded librarians were familiar faces within those colleges but there is a need to provide more education on embedded roles and services.
    • Factors that influence physicians to practice in rural locations: a review and commentary

      Ballance, Darra; Kornegay, D; Evans, Paul; Medical College of Georgia; Statewide Area Health Education Centers Network (Wiley Online, 2009)
      Rural populations remain underserved by physicians, despite various efforts by medical schools and other institutions/organizations to correct this disparity. We examined the literature on factors that influence rural practice location decisions by physicians to determine what opportunities exist along the entire educational pipeline to entice physicians to, and retain them in, rural areas. Results reported in the literature favor a multidisciplinary or multi-faceted approach that results in more residents and physicians locating their practices in rural areas. The need to define proven strategies is not the pressing issue; rather, the needs are to define the commitments necessary to implement proven strategies, as well as the will to make physician distribution a priority issue in medical education.
    • For the mouths of babes: nutrition literacy outreach to a child care center

      Ballance, Darra; Webb, Nancy C.; Long, Sallie; Georgia Regents University (2014)
    • Improving Library Instruction Through a Faculty Teaching Fellowship

      Ballance, Darra; Blake, Lindsay; Robert B. Greenblatt, M.D. Library (2014)
      Presentation at the 2014 Medical Library Association Southern Chapter Annual Meeting
    • Librarian Contributions to a Revamped Open-Access Public Health Journal

      Ballance, Darra; Mears, Kim; Robert B. Greenblatt, M.D. Library (2017-05)
      Objectives: :To improve the quality of a recently revived online journal, publishing original research in public health. Methods: A health sciences librarian who is embedded in an academic public health institute was asked to assist in the preparation of a recently revived journal for application for review by NLM and the DOAJ. The public health institute serves as the academic partner to a state public health association, which published the journal from 2006-2009. The journal was revived by the institute and association as an open access publication in 2015. The institute, and the association’s board of directors, were very interested in increasing the scholarly value and impact of their publication. Results: Reviewing NLM’s application for indexing in MEDLINE led the librarian (and a colleague) to contribute to additional enhancements: the establishment of a secure archival site, selecting a Creative Commons license, adhering to Open Access ideals, and obtaining a Crossref account for DOIs for each article. The librarian applied to Thomson/Reuters for the journal’s inclusion in the Science Citation Index as a “regional journal.” The journal is in final consideration for inclusion in the DOAJ; applications to NLM and Thomson are awaiting decisions. The librarian works closely with administrative staff as each issue is published to ensure DOIs are assigned correctly. Conclusion: This ongoing project has enhanced the embedded librarian’s value to the public health institute and assisted in the scholarly development of the journal. Design improvements to the web site are being suggested by the librarian and will be submitted to the institute’s director. The institute has begun a research study on state public health associations and barriers to publishing state-level public health research; the librarian is included on the research team for this project as well.
    • Library on Demand: Developing an Education Outreach Webinar Series

      Mears, Kim; Davies, Kathy J; Blake, Lindsay; Ballance, Darra; Connolly-Brown, Maryska; Stuart, Ansley; University Libraries (2016-05)
      Objectives: To describe a collaborative project to host live and recorded instructional webinars; To highlight specific information resources; To promote underused library services Methods: Surveyed library employees to identify potential webinar topics; Established a priority order of topics and a calendar for the webinar series; Identified the technology platforms and best practices for online instruction delivery; Committee members provided technical assistance for both viewers and lecturers, coordinated scheduling, and served as instructors; Created a checklist for promotional procedures Results: Webinar series launched in August 2014; Topics scheduled bimonthly; Recorded webinars available on LibGuide as well as the Libraries’ YouTube channel; 1032 views of the series content since the creation of the LibGuide from June 2014 – March 2016 Conclusions: Developing an online webinar series proved to be a viable method to expand the Libraries’ educational program across campuses and increase librarian technology skills; Future directions include identifying topics and collaboration with the undergraduate library
    • The Many Faces of Embedded Librarianship: How do we Evaluate Effectiveness?

      Blake, Lindsay; Ballance, Darra; Connolly-Brown, Maryska; Davies, Kathy J; Mears, Kim; Shipman, Peter; Gaines, Julie K.; Robert B. Greenblatt, M.D. Library (2014)
      Presentation from the 2014 Medical Library Association Southern Chapter Annual Meeting.
    • Teaching Evidence-Based Practice in the Hospital and the Library: Two Different Groups, One Course

      Blake, Lindsay; Ballance, Darra; Robert B. Greenblatt, MD Library, Georgia Regents University, Augusta, GA (Medical Reference Services Quarterly, 2013)
      Key roles in teaching evidence-based practice (EBP) are of interest to many hospital and academic librarians. This article describes how three academic librarians, in collaboration with the academic medical center's EBP Nursing Council, developed a seminar consisting of three credit hours of instruction in the basics of evidence-based practice. The seminar consists of three core elements: basic principles of EBP and finding literature, clinical experience and integration of knowledge into the hospital setting, and patient education and participation. Emphasis is placed upon analysis of the literature, institutional models of practice change, and the importance of patient roles in guideline development.
    • Using Journal Club to Upgrade Pediatric Residents' Understanding of Evidence-Based Practice

      Hendren, Stephanie; Kouame, Gail; Stuart, Ansley; Shipman, Peter; Ballance, Darra; Yang, Rebecca; Robert B. Greenblatt, M.D. Library (Augusta University, 2018-11-19)
      Objective: To demonstrate how a change from a traditional journal club to an evidence-based assignment in a pediatric hospital strengthened collaboration between hospital residents and medical librarians. Methods: The pediatric department at Augusta University Medical Center decided to revise their existing journal club model to better meet requirements for evidence-based practice content. They approached the Robert B. Greenblatt, M.D. Library to collaborate on a new approach to the assignment. Each third-year resident selected a patient they treated to develop a PICO question, research the literature, and present the findings. The librarians, on average, rounded twice and had an additional meeting with each resident in order to complete the assignment. Librarians worked with the residents in developing answerable research questions, searching the databases, and providing methods to analyze results. Results: The first cohort of 13 residents completed their assignments. At the end of each rotation, the resident presented the patient and findings to the other residents and attending physicians at a designated morning report. Residents also discussed how the literature did or did not apply to their particular patient scenario, and whether the standard hospital procedure was in line with the published evidence. A group discussion about the presented literature directly followed each presentation. Afterwards, a librarian evaluated each resident on specific EBM competencies. Conclusions: The evidence-based assignment offers a different way to engage residents with medical literature and librarians outside a journal club. Residents gained hands-on experience of searching the literature for a specific patient problem and had a platform to share their knowledge with their peers. Librarians utilized the one-on-one interactions to provide tailored literature search instruction based upon the resident’s research topic and results found. A second cohort began in July 2018 and will continue through June 2019.
    • Volunteer clinical faculty: are they satisfied?

      Ballance, Darra; Robert B. Greenblatt MD Library (2012-04)
      Objectives: Discuss which intrinsic and extrinsic rewards are more valued by Georgia community-based faculty; Discuss any differences between the 2008 and 2011 surveys; Discuss what can be done to retain community-based faculty.
    • A Whole New Ballgame: Teaching Evidence Based Practice in the Hospital

      Blake, Lindsay; Ballance, Darra; University Libraries (2012-05)
      Objective: A CE course was created for librarians and nurses to educate both groups on the use of Evidence-Based Practice in the hospital setting. We want to expand this course to suit other health professionals. Setting: A Health Sciences University in Georgia. Design: Three Librarians worked together to create a comprehensive review of Evidence-Based Practice (EBP). The course was created in three parts to cover the basics tenets of EBP, how to apply EBP to the hospital setting, and integrating patient preferences into EBP and patient care. MLA CE credit was obtained for Librarians and Georgia Nursing Association contact hours were obtained for nurses. Participants were given a pre-test and post. IRB approval was granted by the hospital and the academic institution. Findings: Through numerous classes taught to both nurses and librarians we found that EBP knowledge was improved after the 3 hour course. Comments revealed some areas for improvement. Both groups wanted more techniques for evaluating articles to determine if they are evidence-based and wanted more details on statistical information found in these articles. Nurses wanted more information on how to directly apply results, and how to conduct evidence-based research themselves. Conclusion: Because the use of EBP is spreading to more health professions, we are working on redesigning the course to appeal to a wider audience. Physicians have opportunities to receive EBM training, but there are fewer training avenues for nursing and allied health professionals outside of academia. We hope to redevelop our course to appeal to these groups and bring EBP from the colleges into the practice setting.