Document Type : Original Article
Authors
1 Integrative Functional Gastroenterology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran,
2 Health Information Technology Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
Abstract
BACKGROUND: Nowadays, providing access to the required information by clinical informationist (CI)
is vital for clinical teams to make the best decision. This study was carried out to identifying how CIs
should participate in grand round (GR).
MATERIALS AND METHODS: The current study is an action research study. It was conducted in the
GR sessions of the Gastroenterology department of Al‑Zahra Hospital affiliated with Isfahan University
of Medical Sciences in 2017. Participants included attending physicians, fellowship students of the
Gastroenterology departments, a CI, and two supervising medical librarians. Data were collected
through observation and discussion. Qualitative content analysis and concept mapping were used
for data analysis.
RESULTS: The findings indicated that existing problems were related to the CI, medical team, and
infrastructural ones. The participation of the CI in medical team was arranged based on the following
steps: planning, action, evaluation, and suggestions. It started from an initial diagnosis of patients
and ended in GR meetings. During evaluation step, suggestions were made to remove the existing
problems and in the fifth step, results were summarized and a framework for the participation of the
CI in GR sessions was suggested.
CONCLUSIONS: Medical team members were satisfied with the participation of the CI, but it is
necessary to remove the existing structural and personal barriers (related to the CI and medical
team members), in order to improve the efficiency of this participation.
Keywords
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