Pacific Northwest Chapter
of MLA
Papers and Posters and Talks, Oh My!

Adapting an Institutional Repository for a Medical Library Environment
Daina Dickman, MA, MLIS, AHIP, Digital Asset Librarian at Providence St. Joseph Health
How does it work when a hospital library begins to create an Institutional Repository (IR) for their unique library environment. Come hear about the experiences of the Providence St. Joseph Health library department in launching their IR using BePress's Digital Commons and Expert Gallery products.

We will discuss the challenges in adapting an IR product for the medical library environment when the product has primarily been used by traditional academic institutions. How can you meaningfully display and categorize your items when they all get lumped in to "Medical and Health Sciences" by the IR's existing organizational structure? How can you incorporate MeSH terms so they are useful to your users? How do you set up researcher profiles for busy medical professionals who might have less personal involvement than in academic institutions where it can be useful for the tenure process? How do you  gather research, especially non-published research, from multiple departments and locations?
How do you set up your taxonomic structure when traditional academic departments just don't suffice?

Building a Medical Library from the Ground Up: Lessons Learned
Molly Montgomery, Director of Library Service, Idaho College of Osteopathic Medicine

How to you go from zero to (librarian) hero by developing a medical library in less than six months? How far out of your comfort zone do you have to be in order to go from being mainly an instruction/reference librarian to making systems decisions, building up an ILS, and wrestling with interlibrary loan? Attend this session to learn the strategies, skills, and coping mechanisms used to build up a medical library for Idaho’s first medical school.

Establishing Research Data Management Service on a Health Sciences Campus
Kathryn Vela, Washington State University
Nancy Shin, Washington State University

Objective: Given the increasing need for research data management support and education, the Spokane Academic Library at Washington State University (WSU) sought to determine the data management practices, perceptions and needs of researchers on the WSU Spokane health sciences campus.
Methods: A 23-question online survey was distributed to researchers and research support staff through the campus listserv that addressed data organization, documentation, storage & backup, security, preservation, and sharing, as well as challenges and desired support services.  
Results: The results of the survey indicated that there was a clear need for more instruction with regard to data management planning and plans.  Intrinsic to this instructional need, was also the need for more metadata instruction and data storage and backup resources.
Conclusions: This is significant as knowing how to set up appropriate levels of RDM service will directly influence both data quality and integrity through increased reproducibility.

Identifying Environmental Barriers to Patient Health Literacy in a Comprehensive Mental Health Clinic
Michele Spatz, NNLM PNR, University of Washington, Seattle, WA

Mental health patients suffer disproportionately from higher rates of low health literacy than the general population. Little is found in the published literature to help mental healthcare providers address low health literacy within their patient population. This is coupled with the prevailing accepted definition of low health literacy which puts the responsibility squarely on the patient. In 2016, members of the National Academy of Science, Engineering and Medicine’s (NASEM) Health Literacy Roundtable proposed a new definition of health literacy reflective of a dynamic system comprised of the interdependence of a: (1) patient’s skills and ability, (2) healthcare provider’s skills and ability and (3) supports or barriers to health literacy within the built healthcare environment. As part of our NNLM PNR subaward, Knowledge is Health: Interprofessional Partnerships to Promote Health Literacy, we conducted a health literacy environmental assessment within the Pacific Psychology and Comprehensive Health Clinic. Through this process, specific recommendations for enhancing the clinic’s environment to support their patients’ health literacy were identified. This presentation highlights our approach to assessing the clinic’s environment as well as our findings which illustrate that by helping to translate the environment for patients, we can transform the clinic setting and transcend health literacy barriers.

Scholarly Publishing and Doctor of Nursing Practice Students: a Survey of Publishing Outcomes at the University of San Francisco
Claire Sharifi, MLIS; Jo Loomis, DNP; Jenner Wells, BSN RN

The American Association of Colleges of Nurses’ essentials of doctoral education for advanced nursing practice state that a doctoral nursing practice (DNP) program should prepare graduates to “disseminate findings from evidence-based practice and research to improve healthcare outcomes” (2006).  Likewise, learning outcomes and course requirements for the DNP program at the University of San Francisco (USF) require students to  submit a manuscript to a peer reviewed scholarly journal prior to starting their final project. Even with these clearly stated learning outcomes, the publication rate for DNP students’ at USF was, until now, unknown and untracked.
In collaboration with faculty in the School of Nursing and Health Professions, Gleeson Library staff and librarians analyzed the publication practices of all USF Doctor of Nursing Practice graduates since the inception of the USF DNP program in 2008. A search was performed in CINAHL and Scopus and results were analyzed to determine the following: the number of DNP graduates who have published; the average number of publications per DNP author; publication rates for the various DNP tracts (Family Nurse Practitioner, Executive Leader, Population Health, etc); the number and types of co-authors;  the most frequently published in journals; and common subjects of DNP articles, as determined by CINAHL subject headings or author provided keywords. Examining this data will allow the library to improve and support DNP students’ publishing literacy, and allow DNP faculty to understand their students’ publishing outcomes and devise more effective support methods.
American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from:

The All of Us Research Program: Transforming, Translating and Transcending Health Discoveries through One Million or More Volunteers
Michele Spatz, NNLM PNR, University of Washington, Seattle, WA

The National Institutes of Health has launched an ambitious longitudinal research project  called the All of Us Research Program (  Part of the Precision Medicine Initiative, All of Us seeks to engage one million or more volunteers living in the U.S. to contribute their health data over many years to improve health outcomes, fuel the development of new treatments for disease, and catalyze a new era of evidence-based and more precise preventive care and medical treatment.
The program embraces equity to improve health by encouraging any adult, ages 18 and older to participate. The more diverse the individuals who participate, the richer the data set for precision health research thereby increasing the likelihood for important health discoveries to be made that will positively impact distinct communities of individuals.
To remove potential barriers to participation, the National Institutes of Health is partnering with the National Library of Medicine through its National Network of Libraries of Medicine. This presentation will help translate the All of Us Research Program for conference participants and show how NNLM is supporting librarians’ role in transforming the future of healthcare research and discoveries.

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“Draw” in your Audience: Creating an Infographic Annual Report
Amanda L. Steinvall, Providence St. Joseph Health, Heather J. Martin MISt, AHIP, Providence St. Joseph Health

Objectives: Following the consolidation of 9 hospital libraries into a single unified department, library leadership identified the need to create an annual report that successfully described the work of this new integrated library service. The library aimed to reconstruct the traditional annual reports into more visual format that better depicted the impact of the library by displaying usage statistics and promoting services in a pleasing and unique way.
Methods: In year one, the library transitioned from a traditional written report or one-sheet, to an infographic poster created using Photoshop. The infographic described the current state of the new integrated department and highlighted quantitative information that demonstrated the library’s scope, scale, and impact. The infographic was distributed to key leadership within the organization by email and physical copies of the posters were printed and displayed on bulletin boards within library locations. A digital copy of the infographic was uploaded to the library intranet page. The same approach was taken the following year, and in year 3 a 2-page written component was added to complement the visual.
Results: A visual representation of the annual report allowed the library to tell its story in a more compelling way than a traditional written one. Infographics allow for a quick breakdown of key statistics in a way that is easily digestible meaning the library was able to reach stakeholders who may not have taken the time to read a written report. . The ability to post the infographic both physically in the libraries as well as on the intranet site and to keep it up over a long period of time meant a greater number of individuals had the opportunity to see the report thus having a greater promotional impact than the traditional written version. This also opened the door for insightful follow-up questions from leadership and patrons of our library services.
The accompanying brief written report produced in year 3, and emailed to a limited number of individuals is leadership, allowed the library to include more a descriptive  analysis of its work, impact, and special projects thus bridging the gap between quantitative and qualitative and creating an overall richer picture.
Conclusion: When presented in an attention-grabbing and creative way infographic annual reports provide an effective and engaging glimpse into the productivity and workload libraries produce in a given timeframe. Additionally, they are an asset to inviting leadership and patrons into the discussion of what libraries “do.”

Assessing E-book Collections for kpLibraries
Tori Ward, Graduate Health Sciences Intern, Sunnyside Medical Center Health Sciences Library Kaiser Permanente Clackamas
Loree Hyde, Regional Manager, Library Services Northwest Sunnyside Medical Center Health Sciences Library Kaiser Permanente Clackamas, Oregon

Purpose: The purpose of our project is to assess and enhance kpLibraries’ national e-book collection and to provide the appropriate e-resources and materials for our patrons. The project supports kpLibraries' national Resource Management policy that requires maintenance of a “current, authoritative collection of books, multimedia, and electronic materials in the areas of health sciences, clinical, educational, professional development, patient care services and consumer health information...”. We aim to further develop all processes of collection development for our e-book collection and to characterize interlibrary library loan (ILL) and book request usage patterns. Method: This project consists of four phases. In the first phase, we are analyzing the data from print book
requests and ILL statistics to identify gaps that could be filled through e-book acquisitions. In this initial phase we are also identifying strengths in the collections. In the second phase, we are inspecting the usage statistics for high use titles and subject areas in the print collections to inform future e-book
acquisition decisions. The third phase consists of comparing our e-book collection to outside collection
development resources such as Doody’s Core Titles. All analyzed titles are then categorized by subject using an in-house taxonomy. In our fourth phase, guidelines are created for weeding our e-book collection and future collection development opportunities. We end the fourth phase by creating marketing strategies to further promote our e-book titles. Scope: The data used for this project comes from our own reports from DOCLINE, OCLC, Sierra, and a variety of e-book vendors. To remain compliant with our Resource Management policy, which states that “the collection must be analyzed at a minimum of every two years”, we are collecting 2 years’ worth of usage data to properly identify usage patterns. The recommendations made will inform all kpLibraries future e-book acquisitions and improve our marketing strategies for our e-book collection to our patrons.

Challenges of a Distributed Learning Library System
Electra Enslow – Head of Library Research and Instruction, Spokane Academic Library/Washington State University, Spokane, WA

Objectives: Health sciences librarians face increasing complexity when serving innovative health science programs with multiple campuses and distributed community-based and academic partners. This paper examines the challenges faced by these librarians as they work to coordinate services and meet user needs.
Methods: Librarians based on multiple campuses took a self-directed approach to better understand the needs of evolving distributed health science programs at their institution, using methods based on organizational information theory and team sensemaking. During six in-person and virtual meetings over three months, the librarians engaged in comparative discourse, examining the unique aspects of their library settings, collection practices and the specific health sciences program populations they serve. The librarians identified where systems are consistent, where workflows have been adjusted to meet local needs, and where further studies are needed.
Results: Analysis of discussions identified seven challenge areas: 1) reference services, 2) instruction, 3) management, 4) communication, 5) collections, 6) community outreach, and 7) library systems. Using these challenge areas, the librarians identified seven potential strategies to provide a more helpful and seamless experience for library users: 1) customize reference services, 2) engage in intentional communication, 3) focus limited budgets on resources that support multiple groups, 4) understand how library materials are currently being used, 5) understand how library materials will be used in the future, 6) work with library systems, and 7) network with librarians both on and off campus.
Conclusions: As a result of this comparative exploration of library services in a distributed learning library system, the health science librarians learned that differing technology systems, collection philosophies, service policies, outreach needs, and budgets contribute to the complexity of coordinating services. The librarians will continue to take a team-based approach to addressing issues and implementing new programs and services, with emphasis on research, scholarship, and evidence-based solutions to address the libraries’ growing needs.
Keywords: Distributed learning, academic partnerships, organizational study, multi-campus institution, team-based librarianship

Does the Availability of Medical Marijuana Decrease Opiate Use? Surveying the Landscape
Patricia Devine, National Network of Libraries of Medicine, Pacific NW Region

Marijuana for medical use is now legal in 29 states, but studying the medical effects of marijuana is challenging. Because marijuana is categorized as a DEA Schedule I drug, researchers have encountered difficulty in conducting Randomized Clinical Trials. But research is expanding in this important field. Librarians have a role in raising awareness among healthcare professionals and researchers. To better understand the landscape of medical marijuana and opiate use, and discover ways for librarians to act as advocates and share high quality information, a literature review will be conducted and results summarized.

Transforming a Literature Search Service: Adapting a Reference Management System
Peggy Cruse, Susan Groshong, Jackie Morton, Seattle Children's Hospital

Objective: Librarians at Seattle Children’s Hospital and Research Institute, providing a robust mediated literature search service, lacked a collaborative platform for archiving and sharing search strategies and documentation. Available information request management systems traditionally track a library’s reference service workflow. Librarians modified Altarama’s RefTracker Express to improve our search quality, increase efficiency, leverage search expertise, and demonstrate alignment with institutional goals.
Methods: Librarians customized RefTracker system forms to capture client demographics, question refinement, resources consulted, and database strategies. In addition to traditional metric categories, librarians adapted records to show the relationship between searches and institutional strategic goals, generating data for service value. All new incoming requests are entered into the system. To jumpstart the internal knowledge base, past searches were selected for inclusion based upon their topic significance and strategy complexity. Before initiating searches, librarians check for duplicative requests and reoccurring search topics. When matches are found, librarians build upon past strategies incorporating peer expertise. Final search result files are uploaded to the request record, allowing for future retrieval and use. Service improvement will be measured by the percentage of searches that use previous RefTracker records.
Results: To date, librarians closed 354 records in RefTracker. Each record captures full requestor information, client-librarian communication, databases searched, search strategies, and the search summary with results. There is an increasing trend in the number of searches completed per month that reuse existing strategies. In the first six months, an average of 5% of requests reused a previous strategy. In the subsequent six months, an average of 27% of requests reused previous strategies. The time saved by using search strategy components from previous requests allows for potential refinement of search concepts, synonyms, and syntax. The archived strategies serve as a knowledge base of the team’s areas of expertise.
Conclusions: RefTracker forms are flexible, easy to customize, and easy to incorporate into daily work. Staff training, record audits, and form revisions improve entry compliance and reporting accuracy. Since implementation, data shows improved search efficiency and greater sharing of search expertise. Demonstrating connections to hospital strategic goals is more challenging; the current method is inconsistent and requires ongoing surveillance of hospital communications. Next, the team will implement a RefTracker-automated literature search survey, deployed when records are closed, and use system communication for librarian-client interactions, further streamlining workflow and data entry.

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Lightning Talks

Developing Research Data Management Skills with the National Library of Medicine Course
Kathryn Vela, Washington State University

In October 2017, the National Library of Medicine and the National Network of Libraries of Medicine Training Office announced a new training course designed to provide health science librarians with the basic knowledge and skills for research data management. The author was accepted as part of the first cohort for this course and participated from January 2018 through August 2018. Through the eight-week online course, the Capstone Summit in Bethesda, Maryland, and the completion of a Capstone Project, the author developed the capability to provide needed research data management services to researchers on their campus. 

eAZy Browsing: Creation of a Health Sciences eJournals List
Joanne Rich, University of Washington Health Sciences Library, Seattle, WA

The University of Washington Health Sciences Library was an early starter to providing online services and continues to be a heavily used resource for the UW health sciences community.  In recent years, the University Libraries' transition to a consortial ILS and the rising costs of resources in the face of flat budgets culminated in the loss of our third-party-provided list of ejournals.  Our users were directed to the listing of all UW ejournals.  Users bemoaned this change.  This talk describes the effort to re-instate a locally controlled list of ejournals most relevant to the health sciences. The process required cooperation of technical staff and draws upon lists of journals indexed in PubMed and EMBASE, and from our own previous list of ejournals.  Now that the list has been generated, maintenance requires only a small amount of time per month and Excel skills.  The core list of health sciences titles is available on github.  Though not perfect, other libraries may find this core list of titles and ISSNs useful as a starting point in generating their own list of ejournals.

Institutional Repositories and Doctor of Nursing Practice Publications
Claire Sharifi, MLIS-- University of San Francisco Gleeson Library
Jo Loomis, DNP-- University of San Francisco School of Nursing and Health Professions

In a recent survey of editors of nursing journals a significant increase in the number of student authored papers was reported. Much of the upsurge in submissions coming from students in DNP programs, as degree requirements often include the submission of manuscripts to scholarly nursing journals. Journal editors reported that student authored papers submitted for publication because were often poorly written, overly general, not compliant with the journal’s author guidelines and formatting requirements, and not in concordance with the topic and scope of the journal. There were also reports of poor etiquette and a lack of professional behavior among both students and faculty (Kennedy, Newland, & Owens, 2017).
This presentation reports on a collaboration between the School of Nursing and Health Professions and Gleeson Library at the University of San Francisco (USF) that uses the USF institutional repository to publish those doctoral students’ manuscripts that are written solely to satisfy program requirements. Students retain the educational experience of identifying an appropriate journal for their manuscript, and following author guidelines and formatting requirements. However, instead of submitting their manuscript to a journal, they publish it in the repository. This method of disseminating doctoral student work reduces the workload on journal editors, and offers a platform for voices that would traditionally be excluded from scholarly publishing, including internationally educated nurses whose english language writing skills are still developing, as well as nurses who have been out of academia for an extended period of time but have very advanced clinical skills.
Kennedy, M. S., Newland, J. A., & Owens, J. K. (2017). Findings From the INANE Survey on Student Papers Submitted to Nursing Journals. Journal Of Professional Nursing, 33(3), 175-183. doi:10.1016/j.profnurs.2016.09.001

Librarians: An Essential Part of the Public Health Workforce
Laura Zeigen, OHSU

Public health campaigns suffer when the general public refuses to believe credible health information, such as around issues of vaccination or fluoridation. Public health marketing and media experts work to craft excellent messaging in ways that can be best heard by these audiences. However, the best messages will go unheard if individuals have already not developed critical thinking and information literacy skills over time.  Librarians from all sectors (school libraries, public libraries, university libraries, and health sciences libraries) are key to helping people develop these information literacy skills. As such, impacts on library infrastructure and funding ultimately impact public health.  The public health workforce should therefore make sure to include libraries and librarians in considerations of the systems and agencies that all work together to support shared improved population health goals. Librarians, both public librarians and librarians in health sciences settings, should make effort likewise to connect with people and other resources in the public health sector.

Stand Up for Health! Equipping Public Librarians to Promote Healthy Communities
Carolyn Martin ; NNLM PNR

Come learn how National Network of Libraries of Medicine (NNLM) collaborated with WebJunction and the Public Library Association (PLA) to design a comprehensive consumer health class to meet the unique needs of public library staff. The purpose of the class is to equip public library staff with the knowledge to increase their confidence in addressing their patron’s health information needs. The course also provides the CE necessary and covers the competencies required receive a Consumer Health Information Specialization (CHIS) through the Medical Library Association. Three online sessions and a preconference “boot camp” session at the PLA 2018 conference were held specifically for public library staff, with over 400 attending these sessions. The NNLM continues to offer this training opportunity to public library staff both online and in person.

Transferring Institutional Knowledge as a Solo Librarian
Daina Dickman, MA, MLIS, AHIP, Digital Asset Librarian at Providence St. Joseph Health Services
Nora Barnett, MLS, Head Librarian at Birthingway College of Midwifery

Birthingway College of Midwifery currently has a library staff of one. Recently prior Library Director, Daina Dickman, left for a new opportunity and had to find a quick and thorough way to set up the new incoming Head  Librarian, Nora Barnett, for her role as the sole library staff at a unique special library where she would be running all library services and teaching library-related classes. This poster will share both Daina and Nora's experiences, what went well, and what could have been done differently in this transfer of institutional knowledge. This poster aims to share ideas and solutions for other libraries with solo librarians or small staff teams.

Translating Our Brains: A Brief Overview of Initial Learning in the MLA Research Training Institute
Laura Zeigen, OHSU

The MLA Research Training Institute (per their page at "was developed to provide practicing health sciences librarians with an opportunity to immerse themselves in instruction and focused activities related to scholarly research, inquiry, and publishing." Come hear one of your colleagues' early experiences and lessons learned about conducting research as part of this institute.

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