Negotiating concepts of evidencebased practice in the provision of good service for nursing and allied health professionals.Health Info Libr J2文档.pdf

DOI: 10.1111/hir.12167 Negotiating concepts of evidence-based practice in the provision of good service for nursing and allied health professionals Jill McTavish London Health Sciences Centre, London, ON, Canada Abstract Objective: The principles of evidence-based medicine have been critiqued by the ‘caring’ professions, such as nursing and social work, and evidence-informed medicine has been proposed as a more client-centred, integrative approach to practice. The purpose of this study was to explore how Canadian health science librarians who serve nurses and allied health professionals define good service and how they negotiate evidence-based principles in their searching strategies. Method : Twenty-two librarians completed a 30 minute, semi-structured phone interview about strategies for providing good service and supporting evidence-based services. Participants were also asked to respond to three challenging search scenarios. Analysis of results used grounded theory methods. Results : Participants’ definitions of good service and strategies for supporting evidence-based practice involved discussions about types of services provided, aspects of the librarian providing the service and aspects of the information provided during the service. Analysis of search scenarios revealed four justifica- tions librarians rely upon when providing evidence that is in opposition to what their patron hopes to receive (evidentiary, ethical, practice-based and boundaries of the profession). Conclusion: The findings of this study suggest that health science librarians are both constrained and enabled by the principles of evidence-based medicine and especially by understandings of ‘best evidence’. Keywords: evidence-based medicine (EBM); evidence hierarchy; librarianship, health science; Librari