Digital Libraries in a Clinical Setting: Friend or Foe?
- First Online:
Clinical requirements for quick accessibility to reputable, up-to-date information have increased the importance of web accessible digital libraries for this user community. To understand the social and organisational impacts of ward-accessible digital libraries (DLs) for clinicians, we conducted a study of clinicians’ perceptions of electronic information resources within a large London based hospital. The results highlight that although these resources appear to be a relatively innocuous means of information provision (i.e. no sensitive data) social and organisational issues can impede effective technology deployment. Clinical social structures, which produce information — and technology — hoarding behaviours can result from poor training, support and DL usability.
Unable to display preview. Download preview PDF.
- 1.Adams, A.: Multimedia information changes the whole privacy ballgame. in proceedings of computers freedom and privacy 2000: challenging the assumptions. ACM Press CHI Conference Publications. (2000) 25–32Google Scholar
- 2.Adams, A. & Sasse, M. A.: Privacy issues in ubiquitous multimedia environments: Wake sleeping dogs, or let them lie? In Proceedings of INTERACT’ 99, Edinburgh. (1999) 214–221Google Scholar
- 3.Adams, A. & Sasse, M. A.: Taming the wolf in sheep’s clothing: privacy in multimedia communications. In Proceedings of ACM multimedia’ 99, Orlando. (1999) 101–107Google Scholar
- 4.Adams, A. & Sasse, M. A.: The user is not the enemy. In Communications of ACM. (Dec. 1999) 40–46Google Scholar
- 5.Blandford, A., Stelmaszewska, H. & Bryan-Kinns, N.: Use of multiple digital libraries: a case study. To appear in Proc. JCDL 2001.Google Scholar
- 7.Covi, L. & Kling, R.: Organisational dimensions of effective digital library use: Closed rational and open natural systems model. In Kiesler, S (ed) Culture of the Internet. Lawrence Erlbaum Associates, New Jersey (1997) 343–360Google Scholar
- 8.Gremy, F. and Bonnin, M.: Evaluation of automatic health information systems: what and how?, in Assessment and evaluation of information technologies. In Gennip, E. and Talmon, J.L. (eds.), “medicine van”. Amsterdam: IOS Press (1995) 9–20Google Scholar
- 12.Heathfield, H., Pitty, D. and Hanka, R.: Evaluating information technology in health care: barriers and challenges BMJ, 316, (1998) 1959–1961Google Scholar
- 13.Levy, S., Bradley, M. J. M., Swanston, M. T. and Wilson, S.: Power as a concept in the evaluation of telehealth. In Organisation development in health care: Strategies issues in health care management Rushmer, R. K., Davies, H. T. O., Tavakoli, M. and Malek, M. (eds). (2001) Ashgate Publishing Ltd.Google Scholar
- 14.Marchionini, G. Nolet, V. Williams, H. Ding, W. Beale Jr., J. Rose, A. Gordon, A. Enomoto, E. and Harbinson, L.: Content + Connectivity ⇒ Community: Digital Resources for a learning community. In proceedings of ACM digital Libraries (DL’97), Philadelphia, ACM Press. (1997) 212–220CrossRefGoogle Scholar
- 16.Moody, D and Shanks, G.: Using knowledge management and the Internet to support evidence based practice. A medical case study, submitted to Australasian Conference on Information Systems. (1999)Google Scholar
- 17.Morgan, G.: Images of organization”. London: Sage (1991)Google Scholar
- 18.Richman, J.: Medicine and Health. London: Longman (1987)Google Scholar
- 19.Sackett, D., Rosenberg, W., Gray, M., Haynes, B. & Richardson, S.: Evidence based medicine: what it is and what it isn’t. BMJ, 312, (1996) 71–72Google Scholar
- 24.Stevenson, C. & Cooper, N.: Qualitative and Quantitative research. The Psychologist: Bulletin of the British Psychological Society, April (1997) 159–160Google Scholar
- 25.Strauss, A. & Corbin, J.: Basics of qualitative research: grounded theory procedures and techniques. Sage, Newbury Park. (1990)Google Scholar
- 26.Symon, G., Long, K & Ellis, J.: The Coordination of work activities: co-operation and conflict in a hospital context Computer supported cooperative work, 5(1) (1996) 1–31Google Scholar
- 27.Turner, B.: Medical Power and Social Knowledge. London: Sage (1987)Google Scholar
- 28.Wyatt, J.: The clinical information access project, New South Wales: lessons from an NeLH precursor in proceedings of Advances in clinical knowledge management. Presented at ACKM 3 (2000) http://www.ucl.ac.uk/kmc/kmc2/News/ACKM/ackm3/wyatt.html