title: Healthcare librarians and the delivery of critical appraisal training: barriers to involvement.
abstract: BACKGROUND
  Many healthcare librarians are undertaking training in critical appraisal but a significant number are not cascading the training to their end-users.
  
  
  OBJECTIVE
  To examine the barriers to healthcare librarian involvement in delivering critical appraisal training.
  
  
  METHODS
  A questionnaire survey of 57 library services across 48 NHS Trust Library Services in north west England followed up with 21 semi-structured interviews.
  
  
  RESULTS
  Two types of barriers were noted: extrinsic barriers (organisational, environmental, training, role expectations) and intrinsic barriers (knowledge, skills, attitude).
  
  
  CONCLUSIONS
  These barriers are not mutually exclusive and by overcoming one of them it does not necessarily follow that healthcare librarians will engage in delivering critical appraisal skills training. The challenge lies in developing strategies to deal effectively with these barriers to encourage and support healthcare librarians in the delivery of critical appraisal training at a level at which they feel confident and able.
authors.affiliation: Aintree Library and Information Resource Centre, Edge Hill University, University Hospital Aintree, Lower Lane Fazakerley,Liverpool, UK. Madenm@edgehill.ac.uk
authors.forename: Michelle
authors.initials: M
authors.lastname: Maden-Jenkins
mesh_terms: D000328:Adult; D001294:Attitude to Health; D003144:Communication Barriers; D004521:Educational Measurement; D004739:England; D019317:Evidence-Based Medicine / Q000193:education; D005260:Female; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration*; D016245:Librarians / Q000706:statistics & numerical data*; D007998:Library Science / Q000193:education*; D008297:Male; D008875:Middle Aged; D009936:Organizational Innovation; D011361:Professional Competence / Q000706:statistics & numerical data*; D024382:Professional Role; D013192:Staff Development