Poster Abstracts

No. 1
From Library in a Box to Library without Borders
Susan Massarella (smassarella@catie.ca), Information Specialist, CATIE (Canadian AIDS Treatment Information Exchange)

Outline
A look at a project to bring HIV treatment information collections to small AIDS Service Organizations across the country, coordinated by the librarian at the National Reference Library for HIV Treatment.

Objectives
In March of 2006 CATIE received funding for the Library in a Box project. The project consisted of purchasing 10 stand alone treatment collections and distributing them to 10 ASOs already dealing with HIV treatment information, across the country.

Methods
Surveys about use and satisfaction with the materials were distributed to the recipients of Library in a Box collections. To ASOs who did not respond to the initial survey about receiving a Library in a Box collection, surveys were distributed asking what kept them from participating in the initial program. Both groups were asked what follow-up and support to the Library in a Box program they wanted from CATIE.

Results
The survey results showed that both recipients of the original collections and the ASOs who did not receive a Library in a Box collection were both interested in receiving ongoing information about treatment information resources, especially about information that was free, full-text, online. Both groups were also interested in e-learning opportunities related to enhancing research skills for finding HIV treatment information.

Conclusions
The Library in a Box project was a good initial step for helping organizations build a collection of reliable treatment information resources. The Library without Borders project, which will focus on highlighting free electronic resources and assist organizational staff in developing critical search skills, is the next logical step.

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No. 2
Harnessing History: Highlighting CHLA/ABSC capacity building through the Northern Alberta Health Libraries Association (NAHLA), 1985-2007.
Marlene Dorgan (marlene.dorgan@ualberta.ca), Liza Chan, University of Alberta John W. Scott Health Sciences Library; Connie Clifford, Caritas Health Group.

Background:
NAHLA has been in existence for 22 years as a very active Chapter of CHLA/ABSC. This is the first attempt to create a narrative history of the Association. A grant was obtained from the CHLA/ABSC Chapter Initiatives Fund to support this project.

Objective:
The purpose of the NAHLA History project is to capture, collect and document the history and activities of NAHLA, record and share the process with other Chapters, and systematically organize NAHLA documents for delivery to the Provincial Archives of Alberta, where they will be available for research and study.

Methods:
A NAHLA History Working Group collected, reviewed and organized existing documentation and gleaned additional information from issues of BMC/JCHLA. Individuals who played a key role in the establishment of the Chapter, and others who made significant contributions were interviewed. Focus Groups were held to acquire anecdotal information relevant to the historical record.

Results:
Final products include a qualitative narrative history of NAHLA, publication to JCHLA, a Fact Sheet on the process of reporting Chapter histories, and submission of NAHLA records to the Provincial Archives of Alberta for preservation.

Conclusion:
This project contributes to the body of knowledge about health librarianship in Canada. It engenders a sense of pride in our profession, acknowledges our accomplishments, and encourages professional development. It demonstrates capacity building among members, facilitates knowledge transfer by serving as a model for promoting similar initiatives in other CHLA Chapters, and benefits future research.

Presenters/Authors:

Marlene Dorgan is Head, University of Alberta John W. Scott Health Sciences Library, and Chair of the NAHLA History Working Group. She is a Past President of NAHLA.

Liza Chan is a Research Librarian with the University of Alberta John W. Scott Health Sciences Library and the Alberta Heritage Foundation for Medical Research. Liza is currently Past-President of NAHLA, and has also served on the Executive as Treasurer.

Connie Clifford is Manager of Learning Resources, for Caritas Health Group in Edmonton. Connie has recently served on the NAHLA Executive, and is currently a member of the NAHLA History Working Group.

Trish Chatterley is the Academic Intern Librarian at the University of Alberta John W. Scott Health Sciences Library. This is her first year as an active member of NAHLA.
Orvie Dingwall is Librarian / Information Specialist at the Canadian Patient Safety Institute. She is currently Vice-President of NAHLA and member of the NAHLA History Working Group.

Janice Varney is a Research Librarian with the Institute of Health Economics. Janice has served on the NAHLA executive and is currently a member of the NAHLA History Working Group.

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No. 3
Should Systematic Reviewers Search for Randomized Controlled Trials Published as Letters?
A.E. Lansavichene (aiansav@uwo.ca), M.J. Sampson, J. McGowan, I. Ajiferuke

Objective
A systematic review search strategy often excludes certain publication types, such as letters and editorials. Doing this was thought to improve the search precision thereby reducing reviewer burden by eliminating irrelevant citations. Our objective was to determine if randomized controlled trials (RCTs) would be missed by excluding letters from the search.

Study design and setting
The MEDLINE database was searched for citations with publication type Randomized Controlled Trial (RCT.pt) and the publication type Letter, but not the publication type Comment. A random sample of 200 citations matching the criteria was selected and evaluated to confirm their study design.

Results
RCTs were found to be published as letters, and prior to 1998, they appeared disproportionately in journals in MEDLINE’s Core Clinical Journal set (formerly Abridged Index Medicus).

Discussion
A report by Deeks and Altamn, issued in 1998 found RCTs published as letters to be incompletely reported and recommended against their publication.(1) While some high impact journals seem to have changed their editorial practices, RCTs are published as letters to this day. The partial uptake of this report is an example of incomplete knowledge translation. Many systematic reviewers may assume that this practice stopped, and inadvertently miss potentially eligible reports by excluding letters from the search.

Conclusions
Searchers seeking complete identification of RCTs should not exclude all letters, but rather use the form not (letter.pt. not randomized controlled trial).pt. to retrieve RCTs published as letters.

Reference
Deeks JJ, Altman DG. Inadequate reporting of controlled trials as short reports. Lancet 1998 Dec 12;352(9144):1908

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No. 4
Providing Library Services to Contribute to Capacity Building and Knowledge Translation in the Canadian North.
Ada Ducas, Janice Linton (Janice_Linton@UManitoba.CA), Lori Friesen, Neil John Maclean Health Sciences Library, University of Manitoba ; Dr. Kue Young, Professor and CIHR Senior Investigator, TransCanada Pipelines Chair in Aboriginal Health, Department of Public Health Sciences, Faculty of Medicine, University of Toronto

Program objective
Bringing academic health sciences library services to community-based partners in Canada’s northern territories of Nunavut, NWT, and the Yukon.

Setting
The Neil John Maclean Health Sciences Library (NJMHSL), located in Winnipeg, Manitoba, has been providing outreach services to health care providers in the Kivalliq Region of Nunavut since 1999. This model has been so successful that the NJMHSL was invited to join the Canadian Institutes of Health Research (CIHR) Team in Circumpolar Chronic Disease Prevention by team leader, Kue Young. Several team research projects will be undertaken between 2006 and 2011.

Participants
CIHR Team members include Canadian academics, international partners, and community-based researchers.

Program
Key elements of the CIHR Teams’ projects rely on developing community partnerships. The NJM Library provides services to enhance the skills of community-based researchers, giving more equitable access to the professional literature similar to that enjoyed by most Canadian academic researchers who access research libraries and scholarly publishing via initiatives such as the Canadian Research Knowledge Network (CRKN). Librarians provide consultation for knowledge translation, scholarly communication, open access, evidence-based practice, and the proposed Northern Cochrane Network.

Conclusion
The NJM Library provides traditional outreach services to community partners including mediated literature searches, document delivery, and training in using open access databases like PubMed. Providing library services at no-cost to the end user is important for partnership building, creating more equitable relationships between academic researchers and community partners. Partnerships between academics and community-based researchers are found in most Canadian universities. Academic libraries have a role to play in supporting the information needs of all researchers involved in such exciting partnerships.

Ada Ducas, Head, Health Sciences Libraries, University of Manitoba (204) 789-3821 ada_ducas@umanitoba.ca

Janice Linton, Aboriginal Health Librarian, Neil John Maclean Health Sciences Library, University of Manitoba (204) 789-3878 janice_linton@umanitoba.ca

Dr. Kue Young, Professor and CIHR Senior Investigator, TransCanada Pipelines Chair in Aboriginal Health, Department of Public Health Sciences, Faculty of Medicine, University of Toronto kue.young@utoronto.ca

Lori Friesen, Aboriginal Health Library Assistant, Neil John Maclean Health Sciences Library, University of Manitoba (204) 789-3463 lori_friesen@umanitoba.ca

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No. 5
Librarians Outside the Library
J McGowan, D Salzwedel, N Santesso, H LaBerge - Institute of Population Health, University of Ottawa

Objectives
This abstract will discuss the diverse roles of librarians who work at the Institute of Population Health (IPH) in a research environment.

Setting
IPH is a consortium of ten faculties of the University of Ottawa.

Participants
There are five librarians working at IPH in various professional roles.

Program
Librarians work in several programs at IPH and the University of Ottawa, including the Centre for Global Health, the Centre for Best Practices, the Cochrane Effective Practice and Organisation of Care Group, the Cochrane Musculoskeletal Group, the Cochrane Equity Group, the Cochrane Consumer Network, the Community Information Epidemiological Technologies, the Faculty of Medicine and the Faculty of Family Medicine.

Results
The unique environment allows for librarians to work independently on specific projects to provide librarian support. The range of activities that the librarians participate in allows them to use many different skills including web design, expert searching, critical appraisal, database development, coding and abstracting, knowledge translation tool development, knowledge brokering, project management, facilitation, and multidisciplinary collaboration.

Conclusions
Working outside a library has many benefits for librarians, permitting them to work more closely with researchers, clinicians and consumers to provide evidence-based, knowledge-driven services.

McGowan J, Salzwedel D, Santesso N, LaBerge H.

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No. 6
Shared Experiences and the Strength of the Community
Barbara Gray (bgray1@bchsys.org), Brant Community Healthcare System Health Sciences Library ; Trish Green, Kitchener Public Library, Health Link ; Gayle Jessop, Region of Waterloo Public Health Resource Centre ; Jackie Stapleton, University of Waterloo Library; Carol Stephenson, Wilfrid Laurier University Library

Objective
The Wellington Waterloo Dufferin Health Library Network (WWDHLN) represents a diverse group of public health, hospital, academic and public libraries that collaborate to provide quality knowledge information services to member organizations. For over 25 years the libraries of the WWDHLN have joined forces to provide timely, relevant, and accurate information to a wide array of clientele, ranging from university and college students to researchers, health professionals and the general public.
The poster will illustrate how the community of practice within the WWDHLN has strengthened the ability of information professionals to stay informed and current with issues in libraries services and resources and responsive to the needs of our users.

Method
The poster will review and highlight the steps taken by the WWDHLN, over the years, to expand its role by encompassing a broader range of activities that have direct impact on the quality of health library services provided within our community. Through an examination of the various activities in which members are engaged, we will illustrate how our community has developed its practice; examples will be provided of the diversity of interconnected activities that afford many ways for people to participate, benefit and build a shared practice.

Results and Discussion
As a network, the WWDHLN affords a forum for building professional expertise. The network participates in an ever-increasing array of activities encompassing continuing education programs for librarians and users, informal networking, coordinated user services, consortia purchasing, procurement of external funding, and participation in research opportunities, resource sharing, and development of best practices.
While communities of practice offer a collaborative structure that has proven to be extremely effective in the creation and transfer of knowledge, there will also be discussion of the challenges we have encountered in fostering a professional community, including overcoming the challenge of being a “distributed community” across a broad geographic region.

Barbara Gray, Brant Community Healthcare System Health Sciences Library

Trish Green, Kitchener Public Library, Health Link

Gayle Jessop, Region of Waterloo Public Health Resource CentreJackie Stapleton, University of Waterloo LibraryCarol Stephenson, Wilfrid Laurier University Library

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No. 7
Advocating for High Quality Consumer Health Information
Kimberley Meighan (kimberley.meighan@sickkids.ca), Michelle Arbuckle, Mary Anne Howse, Christine Marton, Marietta Forester, Consumer Health Information Providers Interest Group (CHIPIG)

Discussion
The Canadian public is becoming increasingly more sophisticated in the use of technology as related to the management of their health. A recent survey conducted by Statistics Canada demonstrates the increasing rate in which the Internet is being consulted for health information. With the reduction of physician appointment times and the increase use of early discharge policies in hospitals, the need for patients and their families to be informed is now greater than ever. In this time of information overload, ensuring patients receive accurate, appropriate and timely health information remains a challenge.
This poster focuses on the various roles of the consumer health information provider.

Highlighted are the benefits of:

· Public access to consumer health information
· Multilingual resources
· Learning materials in a variety of formats
· Community-based resource and information
· Highly trained consumer health information professionals

Examples of high quality consumer health web sites are provided incorporating some of our resent work on identifying the top ten Canadian web sites recommended by the Consumer Health Information Providers Group (CHIPIG). Strong evidence demonstrates the value of consumer health libraries staffed by qualified health information professionals.
CHIPIG continues to advocate for consumers by providing them with opportunities to access research based health information.

Submitted by: the Consumer Health Information Providers Interest Group (CHIPIG)Kimberley Meighan RN, Michelle Arbuckle, MLIS, Mary Anne Howse, MLS, Christine Marton, MISt, PhD cand. Marietta Forester, MLS

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No. 8
The Ullevaal Model for Evidence Based Practice in Nursing – the Library’s Role.
Hilde Stromme (hilde.stromme@medisin.uio.no), Inger Schou, Karen Bjoro, Hege Underdal, Ullevaal University Hospital, Oslo, Norway.

Program objective
The aim of The Ullevaal Model for Evidence Based Practice in Nursing is to develop evidence based nursing protocols. Fundamental components of the model are: 1) small groups of clinical nurses, 2) a masters or doctorally prepared group facilitator, 3) a systematic work process based on Sackett et al. (1). All literature searches are facilitated by a librarian. The librarian's participation ensures retrieval of research literature that is relevant to the clinical question and that searches are documented correctly.

Setting
A large Norwegian University Hospital.

Participants
Nurses in clinical practice who volunteer to work in groups developing evidence based nursing protocols.

Program
An experienced librarian facilitates all literature searches done within the project. One of the nurses does the searching, but the whole group is involved in finding search terms and evaluating whether or not the hits produced are relevant. All relevant databases are searched, and the searches are documented.

Results
Nurses involved in the project report that the involvement of the librarians greatly increases the quality of the literature searches, thus ensuring that protocols are based on the best available evidence.

Conclusion
This project is time consuming for everybody involved, but we believe that the development of hospital wide evidence based nursing protocols and the learning effects of the project are worth the effort.

Reference
1. Sackett DL. Evidence-Based medicine: how to practice and teach EBM. 2nd ed ed. Edinburgh: Churchill Livingstone; 2000

Hilde Stromme, Medical Librarian. Inger Schou, RN, PhD. Karen Bjoro, RN, PhD. (Cand.). Hege Underdal, Systems Librarian. All from Ullevaal University Hospital, Oslo, Norway.

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No. 9
Rural Residents’ Needs for Health Information: Where Do Libraries Fit?
Jana Fear (jfear2@uwo.ca), MLIS, PhD Candidate, Faculty of Information and Media Studies

Question
How do public libraries figure in the health informing experiences of rural residents in Canada?

Setting and Participants
We will report findings from four studies focusing rural residents’ search for and use of health information. The studies include interviews with forty women and a random telephone survey of 253 residents from a medically-underserved rural county in Southwestern Ontario, in-depth interviews with more than 100 people living with HIV/AIDS (PHAS), their friend and family members, and health care providers from rural areas of British Columbia, Newfoundland, and Ontario, and an analysis of Internet use records from public access terminals in a public library system in rural Ontario.

Results
Findings reveal that rural residents are active, self-reliant health information seekers, and that women assume considerable responsibility for family health-informing. The Internet plays an important role in residents’ search for health information and support. Public libraries are recognized by some as a useful local resource, but respondents had concerns about currency of health-related materials and lack of privacy. Analyses of Internet use records revealed very little activity related to health information. Less than one percent of the sites visited in the sampled web logs were related to health.

Conclusion
Many rural residents who took part in our studies are active health information seekers, often looking to and relying on support from a considerable range of sources. In many of the rural communities in our studies, public libraries comprise some of the last remaining local public service infrastructure, as medical services are centralized and schools are closed. Although our findings suggest that there is general good will toward public libraries, they are a relatively underused and under-exploited resource with respect to health information. To increase the capacity of public libraries to respond to the health information needs of rural citizens, we discuss potential partnerships with community leaders and public health organizations.

Jana Fear, MLIS, is a PhD student in the Faculty of Information and Media Studies at The University of Western Ontario. Her research interests involve understanding how people seek and use health information and the role of technologies, particularly the Internet, in the communication of health information. She is a Graduate Research Assistant working with Co-Investigator Dr. Roma Harris on several projects under the Social Sciences and Humanities Research Council of Canada Initiative for the New Economy grant, “ACTION for Health”.

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No. 10
Finding Information in the Substance Use and Addictions Field
Debbie Ayotte (dayotte@ccsa.ca), Canadian Centre on Substance Abuse / Centre canadien de lutte contre l'alcoolisme et les toxicomanies

Objective
To promote an exchange of information between health librarians and librarians who work in the addiction field through the sharing of information sources for substance use and addiction-related information.

Methods
The Information and Reference Services Division at the Canadian Centre on Substance Abuse (CCSA) manages several products and services including the library collection, a reference service, online databases, a current awareness service, and a website. The Division routinely consults a wide range of sources in order to select content for these products and services. Content is collected from Canadian and international grey and scientific literature. Through this poster session CCSA staff will share their knowledge of the most reliable sources within the substance use and addiction field.

Results
Conference attendees will be provided with handouts which include primarily Canadian information sources and some international sources. Where possible, sources will be divided into audiences to enable conference attendees to select information according to their clientele’s needs, whether they work with allied professionals, the general public, or both.

Discussion
Conference attendees will have the opportunity to ask questions of CCSA staff regarding information sources.
In addition, CCSA staff seeks to learn more about the nature of addiction-related information requests handled by health librarians as well as the types of products or services that health librarians would consider helpful when responding to such requests.

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No. 11
Integrating Information Literacy into Blackboard
Helen He (helen.he@utoronto.ca), Acting Faculty Librarian, Faculty of Dentistry Library, University of Toronto

Objective
Providing undergraduate students with research assistance targeted directly to their course needs, offering a self-paced, "anytime-anywhere" introduction to core library resources, services and introducing some basic research skills.

Methods
Much information is available on the library website. But it is scattered in many different documents. For this blackboard project, as the library is only one of the many categories that professors put on blackboard, it is necessary for us to make full use of this space. The dentistry undergraduate students are unlike those in arts and humanities. As they don’t have many essay assignments, they are not keen on library information. Furthermore, they don’t want to spend too much time on the library related research. Therefore the method employed in this project is to identify students’ basic information seeking needs and to collect all the information in a single file. Moreover, the library information guide is to be kept simple, easy to navigate so as to encourage students to use it.

Results
A brief resource guide related to the users’ subject was developed and a video demo of how to search Ovid Medline for their research topics was produced. This project has gained positive feedback from the course professor.

Discussion
What is the efficient way of knowledge transfer? Teaching students what they really need to know or what we think they should know?

Helen He completed her Master of Library and Information Science degree at the University of Western Ontario in 2004. She is now working at the Faculty of Dentistry Library as the Acting Faculty Librarian. She is also the Faculty of Dentistry's webmaster.

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No. 12
Developing an Instrument for Assessing the Academic Health Sciences Journal Collection in the Post-print Era
Dianne Kharouba (kharouba@uottawa.ca), Bibliothèque des sciences de la santé / Health Sciences Library, University of Ottawa

Over the last five years, the academic health sciences libraries have been able to build excellent e-journal collections, by taking advantage of consortial packages. At the University of Ottawa, the Health Sciences Library has been able to re-build a collection that had experienced a reduction of over 30% of its journal subscriptions during the 1990s. Titles had not been individually selected, yet usage data was showing that all e-journals were being consulted.

Question
A study was undertaken to
a) identify cancelled titles that should have subscriptions but had been missed and,
b) identify and cancel print titles that were no longer required.

Methods
The HSL needed to design an instrument against which the journals could be assessed. A number of selection tools and quality assessment methodologies have appeared in the literature. With the permission of the Florida State University College of Medicine Medical Library 1, their core list was incorporated in the instrument, along with the last Brandon and Hill Lists, the ACP
Journals Club list of journals reviewed, the InfoPOEMs list of journals reviewed and inter-library loan data.

Results
The instrument facilitated the decisions for renewals and cancellations, served as a selection guide and served as a discussion document with the faculty.

Conclusion
The ongoing relevance of this instrument will have to be assessed in light of new collection analysis tools such as WorldCat Collection Analysis.

Reference
Shearer, B, Nagy, S. Developing an academic medical library core journal collection in the (almost) post-print era: the Florida State University College of Medicine Medical Library Experience. J Med Libr Assoc 2003;July 91(3):292-303.

Dianne Kharouba is presently Director of the University Ottawa Health Sciences Library, supporting the educational and research activities of the faculties of Medicine and Health Sciences and several institutes. Prior to this, Dianne held several positions during her sixteen years at CISTI, including Systems Librarian and then Acting Head, Cataloguing; Health Sciences Resource Centre librarian; and Head, Sussex Branch Library.

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No. 13
Consumer Health Information – Diversity Outreach Project
Marg Muir (mmuir@thc.on.ca), Consultant, Health Information & Wellness, Trillium Health Centre, Mississauga site

Objectives
The Consumer Health Information Diversity Project is striving to identify and respond to the health information needs of diverse multicultural communities, specifically Chinese and South Asian. It became clear through talking with these communities, hospital interpreters and health care providers that their health information needs were not being met.

Participants and Methods
Through focus groups conducted in partnership with local community agencies and with the help of interpreters/facilitators, gaps have been identified and confirmed in two communities to date.

Results
The initial findings indicate a broad range of needs including disease prevention, health promotion and health services information. These will be met in part through the development of a phone line able to respond to doctor referral and health information requests. It will be staffed part-time. Interpreter services already exist but they will be more efficiently linked through this line as many potential clients are not aware of the service. Websites and available paper resources are presently being identified. Some brochures have been located and sent to the Chinese agencies. Volunteers at these agencies will be offered training sessions on searching the websites that have been found in their respective languages.

Conclusion
It is felt that by taking these steps, sustainability will be enhanced. Similarly, by educating other clients and staff about the program, the word will get out and its full potential will be realized.

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No. 14
Bibliographic Analysis of EPOC Reviews
Jessie McGowan, Doug Salzwedel, Jeremy Grimshaw, Institute of Population Health, University of Ottawa ; Raymond Daniel, Margaret Sampson, Chalmers Research Group, Children’s Hospital of Eastern Ontario Research Institute

Background
Scopus is a new abstract and citation database produced by Elsevier Science. Data sources include MEDLINE, EMBASE, open access sources, scientific websites and grey literature. Scopus indexes Cochrane Review, which includes reviews from the Cochrane Effective Practice and Organisation of Care (EPOC) Group. Scopus also provides cited references.

Objectives
This abstract will analyse the referenced citation pattern of EPOC review with the anticipation that this knowledge will improve understanding of the translational issues of EPOC reviews.

Methods
Scopus was searched to identify the total number of Cochrane and EPOC reviews. Cited references from EPOC reviews were analysed and information was collected about the nature of the journals in which the citations were published, year of publication and the type of publication (i.e., guideline, research article). Scopus records were exchanged for PubMed records using Batch Citation Matcher as the MEDLINE records are indexed and contain more information.

Results
For example, the review “Printed educational materials: effects on professional practice and health care outcomes” was cited 29 times between 2000 and 2006. References were in 2 languages (English and Spanish), general medicine (including BMJ) and specialist journals (including Transfusion Medicine), print and online journals, and qualitative (experience of educational needs) and quantitative articles (new RCTs).

Conclusions
This information provided by this analysis assists the EPOC editorial base in understanding how and where EPOC reviews are being used. This is an important element in the knowledge translation process and a means of determining the value of EPOC reviews for funders.

Jessie McGowan1*, Margaret Sampson2, Doug Salzwedel1, Raymond Daniel2, Jeremy Grimshaw1

1 Institute of Population Health, University of Ottawa
2Chalmers Research Group, Children’s Hospital of Eastern Ontario Research Institute

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No. 15
Economic Sources for Systematic Reviews of Health Policy
Devon L. Greyson (devon@chspr.ubc.ca), Information Specialist, UBC Centre for Health Services and Policy Research

Purpose
To explore and assess the utility of consulting non-biomedical sources in searches for the systematic review in health care policy.

Setting
An academic health policy research centre, specifically the research group focusing on pharmaceutical policy.

Methods
Case studies of two literature searches for systematic reviews of health policy interventions. All citations retrieved for the reviews were tagged with their source(s) of origin (typically database name). Absolute number and percentage of relevant citations per database were tracked after the initial “weed,” after the full-text weed, and after the reviewers had assessed full-text articles for review inclusion criteria. Citation sources were analyzed for number of results used in the review, number of unique results used in the review (found in only one source), and “missed” results (turned up in another database search and “should” have been duplicated in that database as well).

Results
Initial results indicate that Medline and EMBASE, while highest in number of citations, had very few unique citations. Non-biomedical sources, such as economic and business databases, on the other hand, garnered unique, relevant results not indexed in biomedical databases. Citation tracing “snowballing” garnered more unique results than any single biomedical database.

Discussion
Investigators seeking to complete a systematic review of health policy should consider the inclusion of non-biomedical databases, particularly economic databases, in their search strategies. Citation tracing is reaffirmed as a critical element of the systematic review search process.

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No. 16
Supporting Families: Innovation in Patient Education
Kimberley Meighan (kimberley.meighan@sickkids.ca), Ross Hetherington, Andrew James, and the AboutKidsHealth Team

Health Care Providers play a significant role in responding to patient and family educational needs as they guide families throughout the course of a child’s medical care. With the increasing availability of the Internet, information on diagnosis, treatment, and care can be quickly and easily accessed by families and patients. For healthcare professionals, effective patient education can prove challenging as information gathered by families is often overwhelming, inaccurate, and may not apply to an individual child’s situation. To meet this challenge, the Hospital for Sick Children has developed a new web initiative: AboutKidsHealth.ca. This site acts not only as a primary resource for families, but also provides health care professionals with a tool that will enhance their ability to teach patients and their families.

Caregivers can easily access information ranging from in-depth and up-to-date information on complex medical conditions to everyday topics such as child development or safety advice. The web site targets families’ issues at all stages of care from diagnosis to longer-term management as a child grows.

The information provided on AboutKidsHealth.ca is based on current medical evidence. It has been developed by the AboutKidsHealth writers, editors, illustrators, and designers in close collaboration with doctors, nurses, and other health care experts, combined with direct consultation with families regarding their information needs.

This poster presentation will highlight the many new initiatives of this constantly evolving site, and its uniqueness in supporting nurses as they guide families through the course of a child’s care.

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No. 17
Quality Assurance and the Canadian Health Network
Susan Murray (smurray@torontopubliclibrary.ca), Consumer Health Information Service, Toronto Public Library

Background
The Canadian Health Network (CHN) formally launched on November 25, 1999, is a national, bilingual health promotion program (www.canadian-health-network.ca) whose goal is to help Canadians find the information they’re looking for on how to stay healthy and prevent disease. CHN is widely regarded as a source of reliable information
CHN is a multi-layered collaboration between major health organizations across Canada and the Public Health Agency of Canada. While all of the twenty+ lead organizations or affiliates who select and manage the content on CHN have had to deomonstrate that they had internal quality assurance (QA) procedures, CHM is more formally implementing a QA framework based on evidence-based resources.

Purpose
· To provide background information about the development of a QA framework that would be of interest to librarians in developing their own standards
· To provide more information abouthow resources are selected for the CHN

Method
· The author has been involved with CHN almost from its inception and has been involved in QA discussions. She and a Consumer Health Information Service staff member have also been on the CHN’s Working Groups to develop the CHN QA policy and procedures
· A survey of CHN documents, a search of the literature on standards for health information and evidence-based resources will be conducted
· Interviews with key CHN informants will be conducted

Criteria
· Canadian
· Consumer focus
· Non-profit
· Evidence-based
· Credibility, sponsorship/authorship, content, audience, currency, disclosure, purpose, links, design, interactivity, and disclaimers

Results
A paper summarizing the literature of QA for electronic health information and CHN’s QA framework.

Susan Murray is the Manager of the Consumer Health Information Service (CHIS),
a province-wide service located at the Toronto Reference Library that assists Ontario consumers in gaining greater control over their own health through access to health information. She is also the Project Manager for the Complementary and Alternative Health Affiliate of the Canadian Health Network (www.canadian-health-network.ca), a nationally funded bilingual network of reliable Internet-based "health info for every body.“

Doris Rankin is the Senior Information Specialist at the Canadian Health Network (CHN) with responsibility for the collection development and maintenance of the website. She is the lead for the Quality Assurance policy development and implementation in a collaborative network environment. Doris brings over 25 years experience as a manager, librarian, consultant and systems administrator to the organization of the Information Management Unit of the CHN.

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No. 18
Recreating the Health Sciences Library
Dorothy Fitzgerald (fitz@mcmaster.ca), Health Sciences Library, McMaster University

The McMaster University Health Sciences Library recently completed a $7.8 million renovation which began in October 2005. The renovation includes a Learning Commons, an e-Classroom, an additional 100 study spaces, a two-storey Reading Pavilion, an elegant History of Health and Medicine Room, and 15 Group Study Rooms. There are approximately 90 computers available for library users. The focus of the design is on “people space”, with more group learning and quiet study space. The latest in technology, together with elegant design elements, art work and enhanced lighting have resulted in a welcoming ambiance, including a café at the dramatic new entrance. The design is client-centered, in keeping with McMaster’s commitment to lifelong, student-centered learning and scholarly excellence.

This is the first major renovation of the library since it was opened 36 years ago in 1971. This poster will include a visual presentation, with before and after photos. The key design elements, which focus on “people space”, will be highlighted. Key statistics on staffing, space, seating, collections and technology will be provided to clarify the overall scope of the project. Donor recognition opportunities will be featured using the library floor plans. The library renovation website will be illustrated.

Biographical information:

Dorothy Fitzgerald has been Director of the McMaster University Health Sciences Library since 1983. She was librarian for the College of Family Physicians of Canada for 9 years prior to moving to McMaster in 1983. She has a BA from Mount St Vincent University and a MLS from Dalhousie University.

Liz Bayley is the Head of Collections, Technical Services and Systems in the Health Sciences Library and an Associate Clinical Professor in the School of Nursing. She is a McMaster graduate (BHon), and returned to her alma mater as a librarian in 1982, joining the Health Sciences Library in 1986. Her MLS is from Western.

Neera Bhatnagar is the Reference Coordinator of the Health Sciences Library, having joined McMaster University in 1989. Among other roles she is the Liaison Librarian for the Rehabilitation Science Program and the Health Sciences Graduate Program. Neera has a BSc and an MLIS from Dalhousie University.

Tom Flemming has been Head of Public Services at the Health Sciences Library since 1984. He worked at the W.K. Kellogg Health Sciences Library at Dalhousie University for 10 years before moving to McMaster. He has an MA (English Literature) and a MLS from Dalhousie University.

Allison Thompson has been the eResources Librarian at the Health Sciences Library since she joined McMaster University in 2005. She has a BA from McMaster University and a MLIS from the University of Western Ontario.

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No. 19
Exploring search engine overlap: implications for grey literature searching
Shaila Mensinkai (shailam@cadth.ca), Andra Morrison, Kaitryn Campbell, Tammy Clifford, Janet Joyce, Becky Skidmore, Library & Information Services, Canadian Agency for Drugs & Technologies in Health

Background
Internet search engines vary widely in retrieval yet one engine, Google™, has emerged as the dominant tool for web searching. CADTH Information Specialists rely largely on Google™ to identify web-based grey literature.

Objective
To evaluate differences in top search results across leading search engines and to determine the impact of searching only Google™ for CADTH publications.

Methods
Using the Thumbshots ranking tool, CADTH IS selected different search engines, highlighted HTA sites and ran grey literature searches against Google™ from January to July 2006. Overlapping and unique results and HTA site ranking for each search were recorded. Reference Manager was used to track source search engines for selected citations. Bibliographies in final publications were examined, and results tabulated using SPSS software.

Results
Google™ provided 100 hits on a given topic 83% of the time versus 50% by others. There was no significant difference between Google™ and other search engines in total links provided (p=.719). There was very low overlap in the top results between search engines (mean=17.4). The percentage of unique links in Yahoo was higher (80%) than Google (78.5%). One third of researcher selected links for final bibliography came from other search engines. The highlighted HTA site was retrieved in one search.

Conclusions
Different search engines give different search results. In this study, one third of cited citations came from search results by search engines other than Google™. HTA sites ranked poorly in the top results. To ensure comprehensiveness, it is necessary to use multiple search engines and to devise separate strategies for searching HTA sites.

Shaila Mensinkai is the Manager for LIS Client Services, Canadian Agency for Drugs and Technologies in Health. She has been the Co-Chair of the CHLA/ABSC Task Force on Standards for Canadian Health Facilities Libraries (1995) as well as the CHLA/ABSC Conference Planning Committee (1995), and the President of the Newfoundland and Labrador Health Libraries Association. Shaila has a keen interest in search methodologies for systematic reviews and presented at several conferences.

Andra Morrison is an Information Specialist at the Canadian Agency for Drugs and Technologies in Health (CADTH). She graduated from Library School in 1994 in and has since worked in a variety of fields including health, engineering, education, media and finance as an IS

Kaitryn Campbell is a Research Librarian for the Program for Assessment of Technology in Health (PATH). She graduated from the University of Western Ontario’s MLIS programme in 2001. Prior to PATH, Kaitryn was employed as a Medical Librarian at The Ottawa Hospital and an Information Specialist at the Canadian Agency for Drugs and Technologies in Health (CADTH). She has contributed to many health technology assessments and systematic reviews in her more than five years in healthcare research.

Tammy Clifford is Director, HTA Project Quality at the Canadian Agency for Drugs and Technologies in Health (CADTH), based in Ottawa. She also holds faculty appointments in Paediatrics and in Epidemiology and Community Medicine at the University of Ottawa. Prior to joining CADTH, Tammy was with the Chalmers Research Group. She holds a PhD in Epidemiology and Biostatistics from The University of Western Ontario and completed both her BSc and MSc at McGill University. She has a keen interest in the methodological underpinnings of systematic reviews.

Janet Joyce is the Director, Library and Information Services, Canadian Agency for Drugs and Technologies in Health. She has been a director of the Canadian Health Libraries Association, a member of the CHLA Task Force on Standards for Canadian Health Facilities Libraries (1995), the CHLA liaision with CCHSA, and the President of the former Montreal Health Libraries Association.

Becky Skidmore is a medical research analyst at the Society of Obstetricians and Gynaecologists of Canada. Prior to this, she worked for six and a half years as an information specialist with CADTH. She currently chairs the Information Resources Group of HTA International. Becky has worked in various traditional and non-traditional areas, including five years as a CIDA consultant for a forestry project in Southeast Asia

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No. 20
Knowledge to Action Working Group: supporting parnerships
Trina Fyfe (fyfet@unbc.ca), Tanis Hampe, Cindy Hardy, Martha MacLeod, Donna Bentham, Melanie MogusNorthern Medical Program, University of Northern British Columbia

Background
The University of Northern British Columbia (UNBC) and Northern Health (NH) are working to advance rural and northern practice through partnered research and capacity development. The Michael Smith Foundation for Health Research has funded two initiatives to foster this development:

o Rural and Northern Practice and its Development Research Program at UNBC
o Closing the Gap Capacity-Building initiative at Northern Health

These two initiatives have formed the Knowledge to Action (KTA) Working Group.

Objectives
The overall goal of the KTA Working Group is to develop an infrastructure process that will support knowledge synthesis, translation and exchange and health research done in collaboration between UNBC and NH without being prescriptive or exclusionary. In order to obtain this goal the following objectives have been identified:

o Collaborative membership on the KTA Working Group
o Create shared/common language around knowledge synthesis, translation and exchange (KSTE)
o Work in partnership with stakeholders

Methods
The poster will review the steps taken to meet the objectives of the KTA Working Group: selecting members of the working group, creating a sub-committee to develop shared/common language and holding a working session for stakeholders. We will emphasize the importance of working in partnerships and with stakeholders to develop an infrastructure process that works for the unique context for which it is situated.

Results
The information collected from the working session determined that there are a great number of challenges and barriers to research and KSTE in northern BC. Although there was no formal feedback regarding the cheat sheet there were comments from the stakeholders that common language and best practices regarding literature searching and systematic reviewing are imperative.

Lessons Learned
The recommendations and discussion derived from the working session supports the initiatives of the KTA working group. It is evident that there is a need for such a working group that will lead the direction in creating an infrastructure process and support materials to assist researchers, decision-makers and practitioners to synthesize and assess research knowledge, as well as to engage together in knowledge exchange.

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No. 21
Librarian and Faculty Partnerships: Teaching, Technology and Triumphs
Paola Durando, Gillian Griffith, Sandra Halliday (halliday@post.queensu.ca), Suzanne Maranda, Amanda Ross-White, Anne Smithers, Matthew Thomas, Sarah Wickett – Queen’s University

Abstract
The primary goal of librarian and faculty partnerships in Bracken Health Sciences Library, Queen’s University, is to provide information literacy training to health care practitioners beginning in their student years and continuing into their professional careers. Such partnerships have had a long history and have produced numerous triumphs. Since 1991 information literacy courses have been integrated into the medicine, nursing, rehabilitation therapy and life sciences curricula so that students can learn to embrace life-long, self-directed learning, navigate and access multiple layers of information, and meet discipline-specific competencies. Of course, undergraduate and graduate students are not the only focus of Bracken Library’s information literacy program. Courses are also developed and delivered to faculty (e.g. via “House Calls”, and recognized Continuing Medical Education courses). These courses are invaluable as health care professionals must promote a learning culture and maintain their own information literacy competencies for evidence based practice. Librarians and faculty collaborate on curriculum committees to ensure the seamless integration of knowledge and to produce positive learning outcomes. The Health Sciences Faculty’s “Technology Learning Community” is an innovative, interdisciplinary committee developing three exemplars to demonstrate the effective use of technology in teaching. Lastly, librarians and faculty are embracing the challenge to deliver just in time training to students and health care professionals locally, regionally and nationally, utilizing state of the art information and communication technologies such as course software, and web tutorials.

Paola Durando is a Public Services Librarian and Leader for the Queen's University Library Electronic Gateway Functional Team. As liaison to the Queen's School of Rehabilitation Therapy, she has partnered with other faculty in publication and research, collection development initiatives, curriculum planning, and information literacy programs which are carefully planned to enhance learning outcomes.

Gillian Griffith is currently a Clinical Outreach Services Librarian at the Bracken Health Sciences Library at Queen's University in Kingston. Her time is shared between public services responsibilities within the academic environment and providing customized library services to community health care partners within the Southeastern Ontario region.

Sandra Halliday is a Public Services Librarian and Leader for the Queen’s University Access Services Functional Team. Successful teaching has many triumphs, and it is encouraging when students, faculty and practicing health care professionals take the time to inform you how your work has helped their research and practice.

Suzanne Maranda has been involved with, and has promoted curriculum-integrated library instruction at Queen's University for almost 20 years. "Our initial success with the new medical curriculum in 1991 paved the way for integration in the School of Nursing, the School of Rehabilitation Therapy and the Life Sciences programme." Suzanne believes that successful faculty development programmes are also instrumental in forging rewarding liaison with our Schools.

Amanda Ross-White is a Clinical Outreach Services Librarian and liaison to the School of Nursing. She finds teaching provides some of the most satisfying moments in librarianship, especially when students have that "A-Ha moment" and realize that effective searching is actually relevant to their world.

Anne Smithers is the Head of Technical & Document Services. She enjoys the opportunity to participate in information literacy training and welcomes the interaction with students and faculty.

Matthew Thomas is a Public Services Librarian supporting Bracken’s Information Literacy efforts through enthusiastic teaching, incorporation of new technologies and new ideas, and continual professional development. “Everything we do as librarians is teaching, whether were in front of a class, at the reference desk, or maintaining the collection.”

Sarah Wickett is Health Informatics Librarian at Bracken Health Sciences Library. In this position she collaborates with faculty and fellow librarians to incorporate technology and electronic learning resources into teaching and learning activities.