title: Evaluation of the KA24 (Knowledge Access 24) service for health and social care staff in London and the south-east of England. Part 2: qualitative.
abstract: OBJECTIVE
  The aim of this two-part paper is to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the KA24 (Knowledge Access 24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The objectives of the qualitative evaluation were to assess the enablers and barriers to usage, and to assess the impact of the service on patient care.
  
  
  METHODS
  Telephone interviews (n = 65) and a questionnaire survey (n = 296) were conducted with various types of user, in various Trust settings. Some non-users were also contacted. Selection of interviewees and questionnaire recipients was not random, and aimed to cover all groups of users representatively.
  
  
  RESULTS
  Results show that policy goals were being delivered, with indications of changes to clinical practice, and improved clinical governance. Promotion, training and support needs to be extensive, and tailored to needs, but users are not always aware they need training. The sharing of passwords cast doubts on the reliability of some usage data.
  
  
  CONCLUSIONS
  Digital health library services, delivered at the point of care, are changing the way some clinicians practise. A combination of qualitative and quantitative evaluation methods are needed to assess digital library services.
authors.affiliation: Department of Information Studies, University of Wales Aberystwyth, Aberystwyth, UK. ahcjurquhart@enterprise.net
authors.forename: Christine
authors.initials: C
authors.lastname: Urquhart
authors.forename: Jane
authors.initials: J
authors.lastname: Durbin
authors.forename: Barbara
authors.initials: B
authors.lastname: Cumbers
mesh_terms: D003197:Computer Literacy; D003200:Computer User Training; D016206:Databases, Bibliographic / Q000706:statistics & numerical data*; D004739:England; D005069:Evaluation Studies as Topic; D006296:Health Services; D006302:Health Services Research; D006801:Humans; D007407:Interviews as Topic; D008131:London; D009862:Online Systems; D019095:Point-of-Care Systems / Q000706:statistics & numerical data*; D011361:Professional Competence; D011785:Quality Assurance, Health Care; D012947:Social Work; D011795:Surveys and Questionnaires