Høgskolebiblioteket som læringsressurs: hvilke oppfatninger har undervisningspersonale og bibliotekarer i høgskolene om høgskolebibliotekets funksjon og om studenters behov for informasjonskompetanse?

Denne rapporten er skrevet som en hovedoppgave, hvor problemfeltet er hvordan undervisningspersonale og bibliotekarer i høgskolene vurderer høgskolebibliotekenes betydning i læringssammenheng. Følgende problemstillinger er utviklet for undersøkelsen: 1. Hvilken betydning mener lærere og bibliotekarer i høgskolene at høgskolebiblioteket kan ha for studentenes læring? 2. Hvilken betydning har begrepet informasjonskompetanse for lærere og bibliotekarer i høgskolene? Det ble gjennomført en undersøkelse blant undervisningspersonale og bibliotekarer ved sykepleierutdanningene, allmennlærerutdanningene og bibliotekene ved tre norske høgskoler. En hensikt var å finne mulige sammenhenger mellom undervisningspersonalets vektlegging av læringsteoretiske retninger og deres vurdering av bibliotekets betydning for studentenes læring. Resultatene tyder resultatene på at respondentene mener høgskolebiblioteket har betydning i studentenes læringsprosess. De fleste lærere mener at bibliotekbruk i form av informasjonssøking og lån av støttelitteratur har størst betydning. De fleste bibliotekarene legger mer vekt på bibliotekopplæring. Funnene gir holdepunkter for at det kan være sammenheng mellom respondenters orientering i retning av et læringssyn og hva de mener studentene lærer ved bibliotekbruk. Samtidig tyder resultatene på at mange respondenter, uansett læringssyn, mener at biblioteket har størst betydning ved at studenter lærer hvordan de selv skal kunne tilegne seg fakta. De fleste mener studentene har behov for opplæring i bibliotekbruk og informasjonssøking gjennom hele studieforløpet

Hip fracture treatment in Norway deviation from evidence-based treatment guidelines: data from the Norwegian Hip Fracture Register, 2014 to 2018

Aims - The aim of this study was to describe variation in hip fracture treatment in Norway expressed as adherence to international and national evidence-based treatment guidelines, to study factors influencing deviation from guidelines, and to analyze consequences of non-adherence. Methods - International and national guidelines were identified and treatment recommendations extracted. All 43 hospitals routinely treating hip fractures in Norway were characterized. From the Norwegian Hip Fracture Register (NHFR), hip fracture patients aged > 65 years and operated in the period January 2014 to December 2018 for fractures with conclusive treatment guidelines were included (n = 29,613: femoral neck fractures (n = 21,325), stable trochanteric fractures (n = 5,546), inter- and subtrochanteric fractures (n = 2,742)). Adherence to treatment recommendations and a composite indicator of best practice were analyzed. Patient survival and reoperations were evaluated for each recommendation. Results - Median age of the patients was 84 (IQR 77 to 89) years and 69% (20,427/29,613) were women. Overall, 79% (23,390/29,613) were treated within 48 hours, and 80% (23,635/29,613) by a surgeon with more than three years’ experience. Adherence to guidelines varied substantially but was markedly better in 2018 than in 2014. Having a dedicated hip fracture unit (OR 1.06, 95%CI 1.01 to 1.11) and a hospital hip fracture programme (OR 1.16, 95% CI 1.06 to 1.27) increased the probability of treatment according to best practice. Surgery after 48 hours increased one-year mortality significantly (OR 1.13, 95% CI 1.05 to 1.22; p = 0.001). Alternative treatment to arthroplasty for displaced femoral neck fractures (FNFs) increased mortality after 30 days (OR 1.29, 95% CI 1.03 to 1.62)) and one year (OR 1.45, 95% CI 1.22 to 1.72), and also increased the number of reoperations (OR 4.61, 95% CI 3.73 to 5.71). An uncemented stem increased the risk of reoperation significantly (OR 1.23, 95% CI 1.02 to 1.48; p = 0.030). Conclusion - Our study demonstrates a substantial variation between hospitals in adherence to evidence-based guidelines for treatment of hip fractures in Norway. Non-adherence can be ascribed to in-hospital factors. Poor adherence has significant negative consequences for patients in the form of increased mortality rates at 30 and 365 days post-treatment and in reoperation rates

The impact of library information literacy classes on first-year undergraduate students’ search behaviour

The aim of this study was to investigate whether or not the library courses in information literacy (IL) taught at Østfold University College had an impact on the students’ search behaviour. To find out, 19 students were interviewed and observed about this topic. The results showed that there were only slight differences in search behaviour between those who had attended the IL sessions and those who had not. Many students used Google as their starting point for searching for information. In this paper, we discuss how these findings can be implemented when developing future library courses on information searching

An assessment of library instruction: its influence on search behaviour of first- and third-year students

This article presents the results of a follow-up study conducted at Østfold University College in 2015 which set out to examine information resource use among students of nursing and teacher education. The first study was presented in an article published in the Journal of Information Literacy Vol. 9 No. 1 (Boger et al. 2015). The two qualitative studies were carried out by interviewing the students about their skills in information retrieval, and observing them. The results show differences in search behaviour between first-year and third-year students, a decrease in the use of Google, and a difference between the students from the nursing faculty and the teacher education faculty

The impact of library information literacy classes on first year students’ searching behaviour

The aim of this study was to investigate whether or not the library courses in information literacy (IL) taught at Østfold University College had an impact on the students’ search behaviour. To find out, 19 students were interviewed and observed about this topic. The results showed that there were only slight differences in search behaviour between those who had attended the IL sessions and those who had not. Many students used Google as their starting point for searching for information. In this paper, we discuss how these findings can be implemented when developing future library courses on information searching

Hip fracture treatment in Norway - deviation from evidence-based treatment guidelines: data from the Norwegian Hip Fracture Register, 2014 to 2018

Aims The aim of this study was to describe variation in hip fracture treatment in Norway expressed as adherence to international and national evidence-based treatment guidelines, to study factors influencing deviation from guidelines, and to analyze consequences of non-adherence. Methods International and national guidelines were identified and treatment recommendations extracted. All 43 hospitals routinely treating hip fractures in Norway were characterized. From the Norwegian Hip Fracture Register (NHFR), hip fracture patients aged > 65 years and operated in the period January 2014 to December 2018 for fractures with conclusive treatment guidelines were included (n = 29,613: femoral neck fractures (n = 21,325), stable trochanteric fractures (n = 5,546), inter- and subtrochanteric fractures (n = 2,742)). Adherence to treatment recommendations and a composite indicator of best practice were analyzed. Patient survival and reoperations were evaluated for each recommendation. Results Median age of the patients was 84 (IQR 77 to 89) years and 69% (20,427/29,613) were women. Overall, 79% (23,390/29,613) were treated within 48 hours, and 80% (23,635/29,613) by a surgeon with more than three years’ experience. Adherence to guidelines varied substantially but was markedly better in 2018 than in 2014. Having a dedicated hip fracture unit (OR 1.06, 95%CI 1.01 to 1.11) and a hospital hip fracture programme (OR 1.16, 95% CI 1.06 to 1.27) increased the probability of treatment according to best practice. Surgery after 48 hours increased one-year mortality significantly (OR 1.13, 95% CI 1.05 to 1.22; p = 0.001). Alternative treatment to arthroplasty for displaced femoral neck fractures (FNFs) increased mortality after 30 days (OR 1.29, 95% CI 1.03 to 1.62)) and one year (OR 1.45, 95% CI 1.22 to 1.72), and also increased the number of reoperations (OR 4.61, 95% CI 3.73 to 5.71). An uncemented stem increased the risk of reoperation significantly (OR 1.23, 95% CI 1.02 to 1.48; p = 0.030). Conclusion Our study demonstrates a substantial variation between hospitals in adherence to evidence-based guidelines for treatment of hip fractures in Norway. Non-adherence can be ascribed to in-hospital factors. Poor adherence has significant negative consequences for patients in the form of increased mortality rates at 30 and 365 days post-treatment and in reoperation rates