Emerging roles of health information professionals for library and information science curriculum development: a scoping review
Keywords:Health Sciences Librarianship, Health Information Professionals, Graduate Library Curriculum, Code of Ethics, Professional Core Competency, Enabling Competency, Research-Based Evidence
AbstractObjective:This scoping review identified the emerging and evolving roles of health information professionals (HIPs) in a range of tasks and settings, as they adapt to varied user needs, while keeping up with changing medical landscapes to provide evidence-based information support in grand rounds and scholarly research. The review aims to inform library school students about expected entry-level job qualifications and faculty about adaptable changes to specialized HIP curricula.
Methods: The authors examined 268 peer-reviewed journal articles that concentrated on evolving HIP roles, professional settings, and contexts by retrieving results from several multidisciplinary databases.
Results: HIPs, who generally serve as “embedded librarians,” are taking on more active roles as collaborators, research experts, and liaisons, replacing more passive and exclusive roles as information providers and outreach agents or research assistants. These evolving roles in the reviewed literature were broken into nine categories in approximate order of prominence.
Conclusions: A new model linking these evolving roles to the Medical Library Association (MLA) fundamental professional competencies was developed to provide an operational examination and research-based evidence for adapting HIP continuing education curriculum learning outcomes, course content and delivery, and student career pathways for existing graduate HIP specialization courses in library programs. The model indicates each role’s connection to the MLA professional competencies, based on MLA’s detailed description of each competency. A better understanding of HIP demands and expectations will enhance the capacity of library programs to prepare students in HIP specializations.
This article has been approved for the Medical Library Association’s Independent Reading Program.
Medical Library Association. Explore a Career in Health Sciences Information [Internet]. Chicago, IL: The Association [rev. 2017; cited 12 Jul 2018]. <http://www.mlanet.org/page/explore-this-career>.
Detlefsen EG. Teaching about teaching and instruction on instruction: a challenge for health sciences library education. J Med Libr Assoc. 2012 Oct;100(4):244–50. DOI: http://dx.doi.org/10.3163/1536-5050.100.4.005.
Greyson D, Surette S, Dennett L, Chatterley T. “You’re just one of the group when you’re embedded”: report from a mixed-method investigation of the research-embedded health librarian experience. J Med Libr Assoc. 2013 Oct;101(4):287–97. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.010.
Blake L, Ballance D. Teaching evidence-based practice in the hospital and the library: two different groups, one course. Med Ref Serv Q. 2013 Jan;32(1):100–10.
Wilson V. Academic librarians have concerns about their role as teachers. a review of: Walter, Scott. Librarians as teachers: a qualitative inquiry into professional identity. Coll Res Libr. 2008 Oct;3(3):73–5.
King SB, Lapidus M. Metropolis revisited: the evolving role of librarians in informatics education for the health professions. J Med Libr Assoc. 2015 Jan;103(1):14–8. DOI: http://dx.doi.org/10.3163/1536-5050.103.1.003.
Medical Library Association. MLA competencies for lifelong learning and professional success [Internet]. Chicago, IL: The Association [rev. 2017; cited 23 Mar 2018]. <http://www.mlanet.org/page/mla-competencies-2017>.
Blake L, Mears K, Davies K, Ballance D, Shipman P, Connolly-Brown M, Gaines J. Adapting an embedded model of librarianship, college by college. Med Ref Serv Q, 2014 Jul;33(3):264–77.
Brady K, Kraft M. Embedded & clinical librarianship: administrative support for vital new roles. J Libr Adm. 2012 Nov;52(8):716–30.
Dennett L, Chatterley T, Greyson D, Surette S. Embedded health librarianship: the Canadian landscape. J Can Health Libr Assoc. 2013 Aug;34(2):61–8.
Wu L, Mi M. Sustaining librarian vitality: embedded librarianship model for health sciences libraries. Med Ref Serv Q. 2013 Jul;32(3):257–65.
Aitken EM, Powelson SE, Reaume RD, Ghali WA. Involving clinical librarians at the point of care: results of a controlled intervention. Acad Med. 2011 Dec;86(12):1508–12.
Babish J. Evidence-based medicine morning report: overview and role of the librarian. J Hosp Librariansh. 2003 Mar;3(4);35–45.
Aldrich AM, Schulte SJ. Establishing a new clinical informationist role in an academic health sciences center. Med Ref Serv Q. 2014 Apr;33(2):136–46.
Polger M. The informationist: ten years later. J Hosp Librariansh. 2010 Oct;10(4):363–79.
Sathe NA, Jerome R, Giuse NB. Librarian-perceived barriers to the implementation of the informationist/information specialist in context role. J Med Libr Assoc. 2007 Jul;95(3):270–4. DOI: http://dx.doi.org/10.3163/1536-5050.95.3.270.
Sullo E, Gomes AW. A profession without limits: the changing role of reference librarians. Med Ref Serv Q. 2016 Apr;35(2):145–57.
Cooper ID, Crum JA. New activities and changing roles of health sciences librarians: a systematic review, 1990–2012. J Med Libr Assoc. 2013 Oct;101(4):268–77. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.008.
King S, Murray H, MacDonald K. Evolving a collaborative matrix for teaching informatics online to health sciences students at the Massachusetts College of Pharmacy and Health Sciences. J Can Health Libr Assoc. 2010;31(3):109–14.
Phinney J, Horsman AR. Satellite stories: capturing professional experiences of academic health sciences librarians working in delocalized health sciences programs. J Med Libr Assoc. 2018 Jan;106(1):74–80. DOI: http://dx.doi.org/10.5195/jmla.2018.214.
Teal J, Wax D, Eldredge J, Hendrix I. Instructional objectives: a means to designing effective instructional sessions for hospital librarians. J Hosp Librariansh. 2004 Jun;4(2):47–56.
Phillips RM, Bonsteel SH. The faculty and information specialist partnership: stimulating student interest and experiential learning. Nurse Educ. 2010 May;35(3):136–8. DOI: http://dx.doi.org/10.1097/NNE.0b013e3181d95090.
Alcock L. Low level evidence suggests that librarian-led instruction in evidence based practice is effective regardless of instructional model. Evidence Based Libr Inf Pr. 2017 Jun;12(2):163–5.
Shurtz S. Thinking outside the classroom: providing student-centered informatics instruction to first– and second-year medical students. Med Ref Serv Q. 2009 Jul;28(3):275–81.
Blumenthal J, Mays B, Weinfeld J, Banks M, Shaffer J. Defining and assessing medical informatics competencies. Med Ref Serv Q. 2005;24(2):95–102.
De Jager-Loftus D, Midyette JD, Harvey B. A community of practice: librarians in a biomedical research network. Med Ref Serv Q. 2014 Jan;33(1):60–74.
Bartkowiak BA, Safford LA, Stratman EJ. Assessing the impact of a medical librarian on identification of valid and actionable practice gaps for a continuing medical education committee. J Contin Educ Health Prof. 2014 Summer;34(3):186–94. DOI: http://dx.doi.org/10.1002/chp.21244. (Subscription required.)
Maggio LA, Durieux N, Tannery NH. Librarians in evidence-based medicine curricula: a qualitative study of librarian roles, training, and desires for future development. Med Ref Serv Q. 2015;34(4):428–40. DOI: http://dx.doi.org/10.1080/02763869.2015.1082375.
Reinbold S. Using the ADDIE model in designing library instruction. Med Ref Serv Q. 2013 Jul;32(3):244–56.
Butera G, Gomes AW, Kakar S. Expanding our roles: embedded in curriculum design. Med Ref Serv Q. 2014 Jul;33(3):292–301. DOI: http://dx.doi.org/10.1080/02763869.2014.925688.
Aken SN. Health informatics for medical librarians [review]. J Med Libr Assoc. 2010 Apr;98(2):184–6. DOI: http://dx.doi.org/10.3163/1536-5050.98.2.016.
Albert KM. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. Med Ref Serv Q. 2007 Fall;26(3):1–19.
Avallone C. Integrating information resources and services into the electronic health record (EHR). J Med Libr Assoc. 2014 Oct;102(4):235. DOI: http://dx.doi.org/10.3163/1536-5050.102.4.003.
Brandes S, Wells K, Bandy M. Invite yourself to the table: librarian contributions to the electronic medical record. Med Ref Serv Q. 2013 Jul;32(3):358–64. DOI: http://dx.doi.org/10.1080/02763869.2013.807087.
Corbett M, Deardorff A, Kovar-Gough I. Emerging data management roles for health librarians in electronic medical records [reprinted from the 2013 Login Canada Student Paper Prize]. J Can Health Libr Assoc. 2014 Aug;32(2):55–9. DOI: http://dx.doi.org/10.5596/c14-022.
Fowler SA, Yaeger LH, Yu F, Doerhoff D, Schoening P, Kelly B. Electronic health record: integrating evidence-based information at the point of clinical decision making. J Med Libr Assoc. 2014 Jan;102(1):52–5. DOI: http://dx.doi.org/10.3163/1536-5050.102.1.010.
Gutzman KE, Bales ME, Belter CW, Chambers T, Chan L, Holmes KL, Lu YL, Palmer LA, Reznik-Zellen RC, Sarli CC, Suiter AM, Wheeler TR. Research evaluation support services in biomedical libraries. J Med Libr Assoc. 2018 Jan;106(1):1–14. DOI: http://dx.doi.org/10.5195/jmla.2018.205.
Perry G, Weldon S. Consumer health informatics research: implications for consumers, health information professionals, and researchers. J Consum Health Internet. 2005;9(2):1–10.
Tarver T, Jones DA, Adams M, Garcia A. The librarian’s role in linking patients to their personal health data and contextual information. Med Ref Serv Q. 2013 Oct;32(4):459–67. DOI: http://dx.doi.org/10.1080/02763869.2013.837730.
Bushhousen E. Electronic health records and hospital librarians. J Hosp Librariansh. 2013 Jan;13(1):66–70.
Grier P, Murphy B. On the trail of an EHR. J Hosp Librariansh. 2015 Jan;15(1):99–108.
Haynes C. Linking to knowledge-based systems from the electronic health record: the librarian’s role. J Hosp Librariansh. 2007 Sep;7(4):121–9. DOI: http://dx.doi.org/10.1300/J186v07n04_09.
Helms AJ, Bradford KD, Warren NJ, Schwartz DG. Bioinformatics opportunities for health sciences librarians and information professionals. J Med Libr Assoc. 2004 Oct;92(4):489–93.
Lyon JA, Tennant MR, Messner KR, Osterbur DL. Carving a niche: establishing bioinformatics collaborations. J Med Libr Assoc. 2006 Jul;94(3):330–5.
Dalrymple PW, Roderer NK. Education for health information professionals: perspectives from health informatics in the U.S. Educ Inf. 2010 Mar;28(1):45–55.
Thibodeau PL, Funk CJ. Trends in hospital librarianship and hospital library services: 1989 to 2006. J Med Libr Assoc. 2009 Oct;97(4):273–9. DOI: http://dx.doi.org/10.3163/1536-5050.97.4.011.
Harris R, Mayo A, Prince JD, Tooey MJ. Creating shared campus experiences: the library as culture club. J Med Libr Assoc. 2013 Oct;101(4):254–6. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.005.
Shipman JP, Stoddart JM, Peay WJ. Spaces that support redefined roles of academic health sciences librarians. J Med Libr Assoc. 2013 Jul;101(3):179–84. DOI: http://dx.doi.org/10.3163/1536-5050.101.3.006.
Orick JT. The business of negotiating for hospital librarians. Med Ref Serv Q. 2004 Fall;23(3):61–9.
Featherstone RM. The disaster information specialist: an emerging role for health librarians. J Libr Adm. 2012 Nov;52(8):731–53. DOI: http://dx.doi.org/10.1080/01930826.2012.746875.
Featherstone RM, Boldt RG, Torabi N, Konrad SL. Provision of pandemic disease information by health sciences librarians: a multisite comparative case series. J Med Libr Assoc. 2012 Apr;100(2):104–12. DOI: http://dx.doi.org/10.3163/1536-5050.100.2.008.
Donahue AE, Featherstone RM. New roles for hospital librarians: a benchmarking survey of disaster management activities. J Med Libr Assoc. 2013 Oct;101(4):315–8. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.014.
Dunikowski LG, Embrey AC, Hawkes WG, Riedlinger JE, Taliaferro MG, Van Hine PM. The Health Association Libraries Section survey: finding clues to changing roles. J Med Libr Assoc. 2013 Oct;101(4):318–22. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.015.
Schneider J. Information therapy and librarians: quality prescriptions for health. J Hosp Librariansh. 2005 Dec;5(4):73–80. DOI: http://dx.doi.org/10.1300/J186v05n04_07.
Butson LC, Pauly RR. A librarian’s role in enhancing patients’ knowledge and self-advocacy. J Hosp Librariansh. 2013 Oct;13(4):362–72. DOI: http://dx.doi.org/10.1080/15323269.2013.834194.
Egeland M. Hospital librarians: from consumer health to patient education and beyond. J Hosp Librariansh. 2015 Jan;15(1):65–76. DOI: http://dx.doi.org/10.1080/15323269.2015.982944.
Mi M, Zhang Y. Culturally competent library services and related factors among health sciences librarians: an exploratory study. J Med Libr Assoc. 2017 Apr;105(2):132–9. DOI: http://dx.doi.org/10.5195/jmla.2017.203.
Hawkins BW, Morris M, Nguyen T, Siegel J, Vardell E. Advancing the conversation: next steps for lesbian, gay, bisexual, trans, and queer (LGBTQ) health sciences librarianship. J Med Libr Assoc. 2017 Oct;105(4):316–27. DOI: http://dx.doi.org/10.5195/jmla.2017.206.
Morris M, Hawkins B. Towards a new specialization in health librarianship: LGBTQ health. J Can Health Libr Assoc. 2016 Apr;37(1):20–3. DOI: http://dx.doi.org/10.5596/c16-007.
Orebaugh M. Instigating and influencing patient engagement: a hospital library’s contributions to patient health and organizational success. J Hosp Librariansh. 2014 Apr;14(2):109–19. DOI: http://dx.doi.org/10.1080/15323269.2014.888511.
Smith C, Hundal S, Keselman A. Knowledge gaps among public librarians seeking vaccination information: a qualitative study. J Consumer Health Internet. 2014 Feb;18(1):44–66. DOI: http://dx.doi.org/10.1080/15398285.2014.869168.
Tan MC, Maggio LA. Expert searcher, teacher, content manager, and patient advocate: an exploratory study of clinical librarian roles. J Med Libr Assoc. 2013 Jan;101(1):63–72. DOI: http://dx.doi.org/10.3163/1536-5050.101.1.010.
Carbo T. Challenges for libraries creating one world: information ethics and policy issues for medical librarians. J Med Libr Assoc. 2003 Jul;91(3):281–4.
Harvey S. Institutional review boards: another way for hospital librarians to add value to their organization. J Hosp Librariansh. 2003 Jun;3(2):99–102.
Dudden RF, Protzko SL. The systematic review team: contributions of the health sciences librarian. Med Ref Serv Q. 2011 Jul;30(3):301–15.
Perry GJ, Kronenfeld MR. Evidence-based practice: a new paradigm brings new opportunities for health sciences librarians. Med Ref Serv Q. 2005 Winter;24(4):1–16.
Sheffield C, Gerber K, Davidson L, Assar S. Transitioning medical specialty collections into virtual clinical tools with added value. J Hosp Librariansh. 2008 Mar;8(1):89–112. DOI: http://dx.doi.org/10.1080/15323260801931997.
Akers K, Amos K. Publishing case studies in health sciences librarianship [editorial]. J Med Libr Assoc. 2017 Apr;105(2):115–8. DOI: http://dx.doi.org/10.5195/jmla.2017.212.
Cruse P, Protzko S. Librarian contributions to clinical practice guidelines. Med Ref Serv Q. 2014 Jul;33(3):327–34. DOI: http://dx.doi.org/10.1080/02763869.2014.925710.
Murphy SA, Boden C. Benchmarking participation of Canadian university health sciences librarians in systematic reviews. J Med Libr Assoc. 2015 Apr;103(2):73–8. DOI: http://dx.doi.org/10.3163/1536-5050.103.2.003.
Harris MR. The librarian’s roles in the systematic review process: a case study. J Med Libr Assoc. 2005 Jan;93(1):81–7.
Meng L, Yi-Bu C, Clintworth WA. Expanding roles in a library-based bioinformatics service program: a case study. J Med Libr Assoc. 2013 Oct;101(4):303–9. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.012.
Bullion J, Brower S. Enhancing the research and publication efforts of health sciences librarians via an academic writing retreat. J Med Libr Assoc. 2017 Oct;105(4):394–9. DOI: http://dx.doi.org/10.5195/jmla.2017.320.
Cheek F. Research support in an academic medical center. Med Ref Serv Q. 2010 Jan;29(1):37–46. DOI: http://dx.doi.org/10.1080/02763860903485068.
Droese P, Peterson N. Utilization of the medical librarian in a state Medicaid program to provide information services geared to health policy and health disparities. J Med Libr Assoc. 2006 Apr;94(2):174–9.
Mayo HG, Pestonjee SF. Creating understandable health information. J Hosp Librariansh. 2004 Dec;4(4):113–8. DOI: http://dx.doi.org/10.1300/J186v04n04_10.
Greyson D. Open access and health librarians in 2011. J Can Health Libr Assoc. 2011 Aug;32(2):45–9.
Mears K, Bandy S. Investigating the need for scholarly communications positions in Association of Academic Health Sciences Libraries member institutions. J Med Libr Assoc. 2017 Apr;105(2):145–9. DOI: http://dx.doi.org/10.5195/jmla.2017.208.
Kean EB. Assessment and impact of a new role as an embedded librarian in nursing online journal clubs. J Med Libr Assoc. 2013 Oct;101(4):335–8. DOI: http://dx.doi.org/10.3163/1536-5050.101.4.018.
Charbonneau DH. Strategies for data management engagement. Med Ref Serv Q. 2013 Jul;32(3):365–74. DOI: http://dx.doi.org/10.1080/02763869.2013.807089.
Tennant MR, Auten B, Botero CE, Butson LC, Edwards ME, Garcia-Milian R, Lyon JA, Norton HF. Changing the face of reference: adapting biomedical and health information services for the classroom, clinic, and beyond. Med Ref Serv Q. 2012 Jul;31(3):280–301. DOI: http://dx.doi.org/10.1080/02763869.2012.698172.
Starr S. The librarian in the cloud: or beware of unintended consequences [editorial]. J Med Libr Assoc. 2011 Oct;99(4):267–9. DOI: http://dx.doi.org/10.3163/1536-5050.99.4.001.