We had our second library journal club today and it went well. Two presentations and lots of debate.
First of all, we discussed
The need for clarity in evidence-based commissioning, published in May 2011 in the Health Service Journal. This is a very important study into how commissioners use evidence in their decision-making, and where they get their evidence from. Some of what they found was encouraging - guidelines and other secondary sources rank surprisingly high; the use of management consultants was blessedly low - but there is much to worry a traditional NHS library service.
Commissioners need a far wider spectrum of evidence than most health care staff, wider than NHS librarians are used to providing. They need research evidence, yes, but they also want public health data, local benchmarking data, expert opinion, examples of best practice and narratives of implementation. How much better are we than anyone else at providing this information? We need to be better. We need to be flexible enough to learn new approaches and provide what commissioners want. The
Commissioning Wiki is a good start but it's up to us to use it and demonstrate our value to a whole new user group.
Next up was a 2006 commentary by Andrew Booth in Evidence-Based Library and Information Practice:
The unteachable in pursuit of the unreadable. A typically obfuscatory Boothean title questioning whether librarians are willing or able to learn from trials and meta-analyses of library practice. Is evidence-based librarianship generating the right sort of evidence; the sort of evidence that library professionals are actually going to use?
Despite Booth's presumably intentional ruffling of feathers, there are some interesting points here. Librarians make decisions based on consultation, literature reviewing, focus groups and user evaluation... why then is evidence-based librarianship shoe-horned into the medical model of controlled investigation and synthesis? Perhaps EBL should simply be about doing what we're already doing, but writing it up at the end for others to consider and interpret.
There is still a requirement to carefully formulate questions and identify meaningful outcome measures - no easy task, either one - but this form of EBL is appealing, and something that we all agreed to give some thought to over the coming months.