Publications by Dr. Perryman
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Item Finding our foundation: Analysis of the LISA database for research retrievability(e-LIS, 2006) Perryman, Carol L.; Lu, DihuiObjective: The primary objective of this study is to examine the Library and Information Science Abstracts (LISA) database to determine if research literature can consistently be retrieved by using keywords identifying the research methodologies used. Question: For the journals named, are articles identified as ‘research’ able to be consistently retrieved by using keywords related to research methodology? Methods: Citations from the top 10 Library and Information Science journals for 2001 as identified by Koufogiannakis, Slater & Crumley (2004) were obtained, then a filter developed by Catherine Beverley (2004) was used independently to identify research articles. The resulting sets of citations were compared, then the two datasets were analyzed in order to consider retrievability and fit for assigned keywords from the LISA database. Results: Although it would need to be tested against a random set of citations rather than the purposive sample tested here, our analysis suggests that retrieval using the descriptor terms alone may succeed in only 31.5% ± 5.2% of attempts, with a 95% confidence interval. Conclusions: The LISA thesaurus is not consistent or sufficiently comprehensive to serve the needs of researchers. Recommendations for the improved retrievability of LIS research literature from the database are made.Item Differences between library instruction conference attendees and their institutional affiliations in the United States and Canada are discernible(University of Alberta Library, 2006) Perryman, Carol L.A review of: Willingham, Patricia, Linda Carder, and Christopher Millson-Martula. “Does a Border Make a Difference? Library Instruction in the United States and Canada.” Journal of Academic Librarianship 32.1 (Jan. 2006): 23-34. Objective – The primary intent of this study was to identify differences among library instruction conference attendees and their institutions between the United States and Canada. The overall hypothesis was that there would be areas of measurable distinction between the two countries. The authors tested nine hypotheses: #1, that the largest number of survey respondents would be employed at large institutions; #2, that statistically, the majority of well-developed instructional programs are found at universities rather than colleges; #3, that beginning programs are more often found at four-year institutions; #4, that program development and technological issues predominate among instructional foci in the early twenty-first century; #5, that more experienced librarians are more likely to attend library instruction conferences; #6, that LOEX (originally an acronym for Library Orientation Exchange) is perceived as the most valuable conference in library instruction; #7, that the impact of conference attendance upon library program development is only moderate; #8, that conference theme and reputation are the two greatest factors contributing to attendance; and #9, that the majority of conference attendees are from the United States. Design – Historical research, and an e-mailed survey. Setting – Libraries and library instruction conferences in the United States and Canada. Subjects – One hundred thirty-two librarians who were attendees at one of three library user instruction conferences: LOEX, LOEX of the West, and WILU (Workshop on Instruction in Library Use). Methods – First, a brief historical review was conducted on the influence of social, economic, and political events on the development of library user instruction, the creation of conferences focused on library instruction in from the United States and Canada, and national surveys looking at institutional support for instructional development. Next, a survey instrument consisting of fifteen demographic and attitudinal questions was sent via e-mail to all 508 attendees of major library instruction conferences (LOEX and WILU for 2001, and LOEX of the West for 2000) in the United States and Canada. Responses from the 132 returned surveys were tabulated and used to evaluate their linked hypotheses. Main results – Of the nine initial hypotheses, five were supported, and the remaining four were either partially supported or rejected. Supported hypotheses included: #1, that most participants in the top library instructional conferences came from institutions with >5,000 student populations; #2, that the majority of fully developed instructional programs were in universities; #5, that librarians with greater seniority were more likely to attend instructional conferences; #7, that conference attendance has only a medium impact on program development at participants’ home institutions; and #9, that most conference attendees come from the United States. Partially supported hypotheses were: #4, that factors most highly rated by participants were program development and technology, and #8, that conference theme and reputation are ranked higher in terms of influence in attendees’ decision to participate in the conferences. Rejected hypotheses included: #3, that “beginning programs are typically found at four-year institutions,” #4, that “program development and technology rank as the two most important instruction-related issues” (note that hypothesis #4 is both rejected and partially supported), and #6, that “LOEX is considered the most valuable conference.” Conclusion – The authors confirmed their overall hypothesis that significant differences exist between the United States and Canada regarding library instructional programs. Although the two countries developed at very different rates prior to the 1960s, technology and cross-border sharing has meant that they are now developing along parallel paths. The authors suggest several avenues for further study including the need to consider attendees over a greater time span, the differences in responses between younger and more senior participants, and questions about the real differences between library instructional programs in Canada and the United States.Item Medicus Deus: A review of factors affecting hospital library services to patients between 1790-1950(2006-07) Perryman, Carol L.QUESTION: What are some of the historical societal, medical, and public health trends leading to today's provision of hospital library services to patients? DATA SOURCES: Literature from the archives of the Bulletin of the Medical Library Association and other library sources, medical journals, primary historical documents, and texts from the history of medicine form the core of this review. STUDY SELECTION: The period of review extends from about 1790 through 1950 and focuses solely on trends in the United States. Of primary concern are explicitly documented examples that appear to illustrate the patient-physician relationship and those between librarians and their patient-patrons during the earliest years of the profession's development. DATA EXTRACTION: An historical timeline was created to allow the identification of major trends that may have affected library services. Multiple literature searches were conducted using library, medical, and health anthropology resources. When possible, primary sources were preferred over reviews. MAIN RESULTS: Juxtapositioning historical events allows the reader to obtain an overview of the roots of consumer health services in medical libraries and to consider their potential legacy in today's health care libraries. CONCLUSION: This review article highlights early developments in hospital library service to patients. Further research is needed to verify a preliminary conclusion that in some medical library settings, services to the general public are shaped by the broader health care environment as it has evolved.Item Evidence-based practice: A revolution in library project management(2007) Perryman, Carol L.; Thibodeau, PatriciaItem Assessing the future: Developing information technology skills for new staff roles in academic medical libraries(2007) Perryman, Carol L.; James, R.; Lackey, C.S.; Peterson, R.Item Tracking theory building and use trends in selected LIS journals: More research is needed(University of Alberta, 2007) Perryman, Carol L.Objective - The authors measure theory incidents occurring in four LIS journals between 1984-2003 in order to examine their number and quality and to analyze them by topic. A third objective, only identified later in the text of the study, was to compare theory development and use between Korean and international journals. Research questions asked include whether LIS has its own theoretical base as a discipline, and what characteristics the theoretical framework has. Design – Bibliometric study. Setting – Journal issues selected from four LIS journals for the time span from 1984 - 2003. Subjects – Two international journals, Journal of the American Society for Information Science and Technology (JASIST) and Library and Information Science Research (LISR) were selected based on their high ranking in the Social Sciences Citation Index (SSCI) impact factors. Two Korean journals, Journal of the Korean Society for Information Management (JKSIM) and Journal of the Korean Society for Library and Information Science (JKSLIS) were selected. Methods - After having determined a definition of theory, and identifying different levels of theory, the authors set up rules for the identification of theory incidents, which are defined as “events in which the author contributed to the development or the use of theory in his/her own paper” (550). Content analysis of 1661 research articles was performed to measure theory incidents according to working definitions. Interrater reliability was ensured by conducting independent coding for “subfield classification, identification of theory incidents, and quality measurement” (555), using a sample of 199 articles (random selection not specified), achieving 94-97% interrater reliability. Incidents, once identified, were evaluated for quality using Dubin’s “efficiency of law” criteria, involving measures of relatedness, directionality, co-variation, rate of change, and “profundity,” defined as the depth to which theory is incorporated into the research study. Main Results - 21.79% (n=362) of the articles contained theory incidents that were analyzed and evaluated. Trend measurement indicated an overall increase, although a slight decrease was shown in the year range 1993-2003. International journals accounted for 61.33% of theory incidents, compared to 38.67% for the Korean journals. T-testing showed that differences in means between Korean and international journals were not statistically significant. Topical theory areas were ranked by frequency. The top five areas were shown to be nearly identical between Korean and international journals. ANOVA was performed with significant results in the difference between efficiency ratings. Conclusion – The authors find that the overall proportion of theory incidents including both theory development and use increased through the 20-year time span examined, and that LIS has established its own theoretical framework based upon the frequency of incidents.Item Does a social network based model of journal metrics improve ranking?(University of Alberta, 2007) Perryman, Carol L.A Review of: Bollen, J., Van de Sompel, H., Smith, J.A., & Luce, R. (2005). Toward alternative metrics of journal impact: A comparison of download and citation data. Information Processing and Management, 41:1419-1440. Objective: To test a new model for measuring journal impact by using principles of social networking. Research questions are as follows: Can valid networks of journal relationships be derived from reader article download patterns registered in a digital library’s server logs? Can social network metrics of journal impact validly be calculated from the structure of such networks? If so, how do the resulting journal impact rankings relate to the ISI impact factor (IF)? Design: Bibliometric, social network centrality analysis Setting: Los Alamos National Laboratory (LANL), New Mexico Subjects: 40,847 full-text articles downloaded from a large digital library by 1,858 unique users over a 6 month period. Methods: Full-text article downloads from a large digital library for a six-month period were examined using social networking analysis methods. ISSNs for journals in which the retrieved articles were published were paired based upon the proximity of use by the same user, based on the supposition that proximal downloads are related in some way. Reader-Generated Networks (RGNs) were then tested for small-world characteristics. The resulting RGN data were then compared with Author-Generated Networks (AGNs) for the same journals indexed in the Institute of Scientific Information (ISI) annual impact factor (IF) rankings, in the Journal Citation Reports (JCR) database. Next, a sample of the AGN-derived pairings was examined by a team of 22 scientists, who were asked to rate the strength of relationships between journals on a five-point scale. Centrality ratings were calculated for the AGN and RGN sets of journals, as well as for the ISI IF. Main results: Closeness and centrality rankings for the ISI IF and the AGN metrics were low, but significant, suggesting that centrality metrics are an acceptable impact metric. Comparison between the RGN and ISI IF data found marked differences, with RGN mirroring local population needs to a much higher degree, and with a non-significant correlation between the ISI IF and RGN ranking, while AGN and RGN centrality rankings show significant centrality and closeness and betweenness correlations. RGN network ranking identified highly localized foci of interest for the LANL, as well as “interest-bridging” subject areas pointing to possible emerging interests among the scientists. Conclusion: The study results appear to successfully demonstrate an alternative to existing journal impact ranking that can more validly and accurately reflect the practices of a local community. The authors suggest that the social network-derived methodology for identification of impact rankings avoids biases intrinsic to ISI IF as a result of frequentist metrics collected from a global user group. Although the authors resist the idea of generalizability due to the local nature of their data, they suggest that the methodology can be successfully used in other settings, and for a more global community. Finally, the authors propose the automated creation of an open-source RGN whose data could be localized for smaller communities, with potentially large implications for the existing publishing industry.Item Information behaviors in an online smoking cessation forum(De Gruyter, 2007-12) Perryman, Carol L.Smoking is a major contributor to morbidity and mortality today, and a focus of attention by primary care practitioners and public health. Few studies take into account the role of community-based information transactions, nor have they examined the information needs of quitting smokers beyond generic patient education pamphlets. A pilot study examines the function and value of information communicated in an online forum dedicated to smoking cessation. Firstly, a Web-based survey was sent to fourteen forum participants known by the author. Twenty questions about medications, decision support sources, the evaluation of those sources, and basic demographic information were asked and the resulting responses were analyzed. Secondly, 371 selected posts from the Web forum were collected to better understand the importance and frequency of specific types of cessation-related information. Several models are discussed in a preliminary attempt to characterize the forum's community-based information behaviors. Survey respondents view the existence of online community-based information resources (in the persons of their community peers) as a major factor in their cessation efforts. Although no attempt was made to generalize findings beyond this initial pilot, gaps were tentatively identified between the support provided by more traditional healthcare practitioners and the information needs experienced by this population. In their provision of a milieu for the exchange of information, online fora may enable support at a depth and quantity unavailable through more immediate channels. Further studies are needed to develop a better understanding of information-related behaviors of this large population.Item Further study is needed to define and measure the use of reflective practice in library and information science(University of Alberta, 2008) Perryman, Carol L.A review of: Grant, Maria J. “The Role of Reflection in the Library and Information Sector: A Systematic Review.” Health Information and Libraries Journal (2007) 24: 155-166. Objectives - To identify and review the literature of reflective practice in Library and Information Science (LIS) in order to understand its role, particularly with regard to health libraries. Design - Systematic review Setting - LIS English-language articles indexed in the Library and Information Science Abstracts (LISA) database and published between 1969 and 2006. Subjects - 929 citations retrieved from the LISA database. Methods - The author conducted free text searches in the LISA database for the terms ‘reflective’ or ‘reflection*’ or ‘reflexion*.’ An initial search series was conducted in 2004 in order to retrieve items published between 1969-2003, then in 2007, for articles published between 2004-2006. In all, 929 article citations were retrieved. Exclusion criteria included those articles addressing the facilitation of reflective practices in others, as well as non-English language, and materials predating 1969. After review, 55 articles met the author’s relevance standard. Citation tracking then added 10 articles to the total. From this dataset, full text articles were obtained where possible, if determined on initial scrutiny to be deserving of further examination. Thirteen articles (.013%) were ultimately selected for analysis. These articles were categorized as analytical or non-analytical, with respect to perspective (individual or organizational), and recency of events (retrospective or recent). In addition, a determination was made about whether the articles’ focus was reflection occurring on (in retrospect to) or in (during) practice. Main results - Of 13 articles, 5 were found to be non-analytical, with the other 6 being analytical. Three of the non-analytical items were the reflections of an individual, while the remaining 2 offered an organizational perspective. The non-analytical accounts were found to be mostly descriptive accounts by an individual, mostly retrospective and offering no consideration of implications for LIS practice. Analytical reflective accounts attempt to systematically appraise events from the recent past, and draw conclusions in order to improve future actions. Conclusion – A gradual increase in the use of analytical reflective practice is demonstrated over the period from 1969-2006, although insufficient examples of the practice were found in the published literature. Reflective practice is likely to be beneficial to LIS practitioners, especially when time is spent in considering the implications of lessons learned from practice.Item The information practices of physical science librarians differ from those of the scientific community: More research is needed to characterize specific information seeking and use(University of Alberta, 2008) Perryman, Carol L.A Review of: Brown, Cecilia M. and Ortega, Lina. “Information-Seeking Behavior of Physical Science Librarians: Does Research Inform Practice?” College & Research Libraries (2005). 66:231-47. Objective – As part of a larger study exploring the information environments of physical science librarians (Ortega & Brown), the authors’ overall objective for this study is to profile physical science librarians’ information behaviours. The authors’ two-part hypothesis was that first, peer-reviewed journals would be preferred over all other sources for research dissemination, resembling the preferences of scientists, and second, that peer-to-peer consultation would predominate for practice-oriented decisions. Design – Mixed methods: survey questionnaire followed by citation and content analysis. Setting – Five internationally disseminated professional association electronic mailing lists whose readership comprised those with interests in science librarianship: the American Library Association (ALA) Science and Technology Section; the American Society for Information Science & Technology (ASIST) Science and Technology Information Special Interest Group; the Special Library Association (SLA) Chemistry Division and its Physics-Astronomy-Mathematics Division; and the American Geological Institute Geoscience Information Society. Subjects – Seventy-two physical science librarians voluntarily responding to an online survey. Methods – A questionnaire was distributed to inquire about physical science librarians’ professional reading practices as well as their perceptions about the applicability of research to their work. Participants were asked to rank preferences among 11 resource types as sources supporting daily business, including personal communication, conference attendance, electronic mailing lists, and scholarly journals. Differences between the mean rankings of preferences were tested for significance by applying the Friedman test with p>0.0005. Journals identified most frequently were analyzed using the Institute for Scientific Information’s (ISI) Web of Science index and Ulrich’s Periodical Index to measure proportions of research and non-research citations, as well as the general topic areas covered by the journals. Next, content analysis was performed for the years 1995, 1997, and 2000 in order to characterize research methodologies used in the previously identified journals according to a previously tested schema (Buscha & Harter). Results from this portion of the study were compared with participants’ responses about journal usage. Main Results – Librarians reported using personal communication (both face-to-face and electronic mailing lists) more frequently as a means of information gathering than professional journals, Web sites, conferences, trade publications, monographs, or ‘other’ resources. Variations in responses appeared to correlate with years in the profession and in the respondents’ time in their current positions, although there are indications that the importance of all information resources to practice and research declines over time. The relative importance of resources is also shown in time spent reading journal literature, less than 5 hours per week for 86% of participants. Conclusion – For the first hypothesis, the authors found that unlike scientists, survey participants did not prefer research publications as vehicles for dissemination of their research results. For the second, librarians ranked peer-reviewed journals third in preference after personal communication and electronic mailing lists as sources of information supporting daily practice, supporting the second hypothesis that respondents would emulate the information use practices of mathematicians.Item Exploring virtual librarianship: Second Life Library 2.0(Taylor & Francis, 2008-10) Perryman, Carol L.In April 2006, Alliance Library System and Online Programming for All Libraries partnered to start the Second Life Library 2.0 in the online world Second Life and in August 2006 purchased an island on the Teen grid of Teen Second Life. Second Life is a virtual world, a descendant of multiplayer online games. Educational institutions have recently been drawn into Second Life's robust economy and vibrant cultural life. The Second Life Library 2.0 works with librarians from around the world and with other educational partners such as TechSoup, WorldBridges, and the New Media Consortium. Second Life Library 2.0 provides “traditional” library services such as ready reference, book discussions, and search assistance, but, at heart, it explores what it means to be a virtual library in a virtual world.Item Thematic categorization and analysis of peer reviewed articles in the LISA database, 2004-2005(University of Alberta, 2009) Perryman, Carol L.A Review of: Gonzalez-Alcaide, Gregorio, Lourdes Castello-Cogolles, Carolina Navarro-Molina, et al. “Library and Information Science Research Areas: Analysis of Journal Articles in LISA.” Journal of the American Society for Information Science and Technology 59.1 (2008): 150-4. Objective – To provide an updated categorization of Library and Information Science (LIS) publications and to identify trends in LIS research. Design – Bibliometric study. Setting – The Library and Information Science Abstracts (LISA) database via the CSA Illumina interface. Subjects – 11,273 item records published from 2004-2005 and indexed in LISA. Methods – First, a search was set up to retrieve all records from 2004-2005, limited to peer review items (called “arbitrated works” by the authors (150)) and excluding book reviews. Second, thematic descriptor terms used for the records were identified. Frequency counts for descriptor term occurrence were compiled using Microsoft Access and Pajek software programs. From the results of this search, the top terms were analyzed using the Kamada-Kawai algorithm in order to eliminate descriptor term co-occurrence frequencies under 30. A cluster analysis was used to depict thematic foci for the remaining records, providing a co-word network that visually identified topic areas of most frequent publication. Conclusions were drawn from these findings, and recommendations for further research were provided. Main Results – The authors identified 18 “thematic research core fields” (152) clustered around three large categories, “World Wide Web”, “Education”, and “Libraries”, plus 12 additional peripheral categories, and provided a schematic of field interrelationships. Conclusion – Domains of greatest focus for research “continue to be of practical and applied nature,” (153) but include increased emphasis on the World Wide Web and communications technologies, as well as on user studies. A table of the most frequently occurring areas of research along with their top three descriptor terms is provided (Table 1, 152) (e.g., “World Wide Web” as the top area of research, with “online information retrieval” (268 occurrences), “searching” (132 occurrences), and “web sites” (115 occurrences)).Item The sense-making practices of hospital librarians(The University of North Carolina at Chapel Hill, ProQuest Dissertations Publishing, 2011) Perryman, Carol L.Similar to librarians in other environments, baby-boomer medical librarians are reaching retirement age in record numbers (American Library Association, 2004). In contrast to hopeful predictions that medical libraries will continue to be heavily used (Lindberg & Humphreys, 2005), leaders agree that hospital libraries are at a “critical juncture” (Tooey, 2009), and call for professionals to “be prepared” (Freiburger, 2010) to retool library spaces and redefine practice. Despite prescriptions for change, little is known about the worlds of hospital librarians. The theoretical perspectives of Sense-Making defined by Brenda Dervin and the work of Karl Weick are used to conduct retrospective, semi-structured interviews to learn more about the sense-making1 behaviors of hospital librarians engaged in recognizing, characterizing, and negotiating barriers to sense-making during task- or situation-related processes. Interviewing techniques pioneered by Dervin were used to enable participants to examine their processes from the stage of their “awareness of discontinuity” in sense-making (Dervin, Foreman-Wernet, & Lauterbach, 2003, p.276), through gap-bridging as the librarians worked to make sense of situations. Analysis used previously validated categories, with additional categories emerged during analysis. Characterizing the situations and gaps of hospital librarians can assist in the development of support and education, as well as helping the profession to plan for changes that must occur if it is to survive and grow. From this research I have found that the hospital librarians who shared their narratives make sense of their situations through the lens of their place within the organization, and that their feelings of affiliation and stability are vitally important to this process. With the confidence of security, hospital librarians are active participants and contributors to the hospital community. The methods and models provided by both Brenda Dervin and Karl Weick add important perspectives to making sense of hospital librarians’ sense-making.Item Beginning the professional discourse: Incorporation of EBLIP concepts and tools into the LIS curriculum(2011) Perryman, Carol L.; Cahill, Maria; Jeng, Ling HweyExamines the use of evidence-based practice in library education by three professors.Item Before we change the game: The sense-making practices of hospital librarians(2012-05) Perryman, Carol L.Item For non-expert clinical searches, Google Scholar results are older with higher impact, while PubMed results offer more breadth(University of Alberta Library, 2013) Perryman, Carol L.Objectives – To compare PubMed and Google Scholar results for content relevance and article quality Design – Bibliometric study. Setting – Department of Internal Medicine at Texas Tech University Health Sciences Center. Methods – Four clinical searches were conducted in both PubMed and Google Scholar. Search methods were described as “real world” (p. 216) behaviour, with the searchers familiar with content, though not expert at retrieval techniques. The first 20 results from each search were evaluated for relevance to the initial question, as well as for quality. Relevance was determined based on one author’s subjective assessment of information in the title and abstract, when available, and then tested by two other authors, with discrepancies discussed and resolved. Items were assigned to one of three categories: relevant, possibly relevant, and not relevant to the question, with reviewer agreement measured using a weighted kappa statistic. The quality of items found to be ‘relevant’ and ‘possibly relevant’ was measured by impact factor ratings from Thomsen Reuters (ISI) Web of Knowledge, when available, as well as information obtained by SCOPUS on the number of times items were cited. Main Results – Google Scholar results were judged to be more relevant and of higher quality than results obtained from PubMEed. Google Scholar results are also older on average, while PubMed retrieved items from a larger number of unique journals. Conclusion – In agreement with earlier research, the authors recommended that searchers use both PubMed and Google Scholar to improve on the quality and relevance of results. Searches in the two resources identify unique items based upon the ranking algorithms involved.Item Evidence-based Librarianship: TLA Pre-conference workshop(Texas Woman's University, 2013-04-23) Perryman, Carol L.Slides and handout for half-day preconference workshop. This 4 hour hands on interactive session introduced evidence-based practice to multi-type librarians, primarily focused on question building and critical evaluation of information. Two evaluative instruments were created for and tested during the workshop.Item Diagnoses, drugs, and treatment are the main information needs of primary care physicians and nurses, and the internet is the information source most commonly used to meet these needs(University of Alberta Learning Services, 2014-09) Perryman, Carol L.Objective – To improve information support services to health practitioners making clinical decisions by reviewing the literature on the information needs and information seeking behaviours of primary care physicians and nurses. Within this larger objective, specific questions were 1) information sources used; 2) differences between the two groups; and 3) barriers to searching for both groups. Design – Literature review. Setting – SCOPUS, CINAHL, OVID Medline, and PubMed databases. Subjects – Results from structured searches in four bibliographic databases on the information needs of primary care physicians and nurses. Methods – Medical Subject Heading (MeSH) and keyword search strategies tailored to each of four databases were employed to retrieve items pertinent to research objectives. Concepts represented in either controlled or natural language vocabularies included “information seeking behaviour, primary health care, primary care physicians and nurses” (p. 180). An initial yield of 1169 items was filtered by language (English only), pertinence to study objectives, publication dates (2000-2012), and study participant age (>18). After filtering, 47 articles were examined and summarized, and recommendations for further research were made. Main Results – Few topical differences in information needed were identified between primary care physicians and nurses. Across studies retrieved, members of both groups sought information on drugs, diagnoses, and therapy. The Internet (including bibliographic databases and web-based searching) was the source of information most frequently mentioned, followed by textbooks, journals, colleagues, drug compendiums, professional websites, and medical libraries. There is insufficient evidence to support conclusions about the differences between groups. In most research, information needs and behaviours for both groups have been discussed simultaneously, with no real distinction made, suggesting that there may not be significant differences even though a few studies have found that nurses’ emphasis is on policy and procedures. Barriers to access include time, searching skills, and geographic location; for the last, improvements have been made but rural practitioners continue to be adversely affected by limited access to people and resources. Conclusion – Both primary care physicians and nurses seek information on diagnosis and treatment. The Internet is of increasing utility for both groups, but all resources have advantages and disadvantages in identifying evidence based information for use in practice. Further research is required to support access and use of evidence based resources, and to explore how focused, evidence based information can be integrated into electronic health record systems.Item Assessment related skills and knowledge are increasingly mentioned in library job postings(University of Alberta Learning Services, 2015-03) Perryman, Carol L.Objective – The authors sought to determine whether existing definitions of assessment agree with assessment-related skills sought in job postings, and to identify key assessment-related skills, needs for training, and trends in assessment.Item Mapping studies(Medical Library Association, 2016-01) Perryman, Carol L.When I first read about evidence-based practice, I had several thoughts. The first was a somewhat horrified question: Does this mean that medical care has not been based on research? The second question was that if we intend to build a better knowledgebase for this and other professions, how could that happen, if the base (existing research) was not itself evidence based? The image of a house built on sand would not leave my mind.