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The use of reliable data from scientific literature through models close to evidence-based clinical practice are basic to foreseeing the consequences of clinical decisions in contexts of uncertainty. To take informed decisions it is needed to have the ability to to recover, analyze and critically judge the quality of sou rces and evaluate the levels of scientific evidence for later application. This process can be either endangered or enhanced by several factors. The aims of this paper are to analyze the key aspects in which librarians influence the integration of scientific evidence in clinical practice and to discusse on the role that health libraries should have. A literature review was conducted using MEDLINE, Embase, CINAHL and LISA. Review articles and original research aimed to study the role of health librarians in improving the integration of scientific evidence in clinical practice have been analyzed. Works related to critical thinking, clinical decissions processes and library services have been taken into consideration as well. Several organizational and individual factors act as barriers to informed clinical decision making, as lack of time for reading and implementationof the results, lack of skills or experience in searching for information, lack of training or participation in projects of research, etc. If several interventions are combined, including active and continued training by health librarians, it can help improve the weaknessess. The evidence shows that excellence in informed clinical decision-making requires well trained health professionals to conduct a search for effective information and to evalua te critically the results. Librarians can contribute to this process and, consequently, improve patient attention through team work with health professionals. This scenario raises the need to expand the training of librarians and redefine library tasks and services to other disciplines.

Introduction The centralization process of the Document Supplies Services (DSS) started in 2008. During the process a restructuring of the tasks performed by the staff was made. This centralization allowed the library staff to diversify their work and invest this time in other projects that were being starting (training plan, social networks, Infosalut.com, etc.). Objective The objective of this centralization was to democratize and centralize the access and most relevant information management at a single point available both on the Bibliosalut webpage and the linksource tools on the different databases. Method We decided to use the management system GTBib-SOD, a form to requests documents was integrated in a linkresolver and different procedure were created to manage the different tasks related with de DSS, to divide the work and establishing different timetables to attend this service, thanks to that the library staff were not all their journey dedicated to this service. Results Request time during 2018 was of 1.05 days for users request documents, and 0,06 for libraries request documents. Thanks to a satisfaction survey in 2015, we know that this service is greatly appreciated by the users, since the score obtained was 8.81. The number of requests was raising constantly until 2016, then started to decrease significantly in 2017. Conclusion The timetable made to manage the DSS allowed the staff not to work all the time on this service, and dedicate more time to other tasks. During 2018, the response time during 1.39 days for positive response to the users; and 0.08 days for other libraries. We think that this proves that, thanks to good time management, it is possible to coordinate this service correctly, and in this way, diversify tasks of the virtual library staff.

This is a cooperation project whereby the group of eHealth library members of Rebisalud (eHealth Libraries Network – http://www.rebisalud.org) have developed a core set of quality indicators to measure and evaluate the services provided by the newly implemented eHealth libraries in Spain. This core set will help us to understand objectively the functioning of the different services provided by the libraries, as well as to facilitate the comparison of our libraries to learn from each other in order to improve our services. The norm ISO 11620 (Library performance indicators) was revised. First, we developed a classification scale to screen the indicators focusing on virtual libraries; three independent reviewers rated each indicator with that scale. Second, they calculated independently to assess their feasibility. Third, a core of 17 indicators was selected. Finally a consensus was reached among the leaders of the eHealth libraries members of Rebisalud. Results: With the classification scale only 20% of ISO’s indicators were selected, with most indicators related to non-virtuality like physical facilities being excluded. We found important problems with definitions or concepts, as well as problems with the terms used among our libraries. As a result of the whole process 20 indicators were defined. They are classified in terms of: structure (human and economic resources, electronic collection), process (use of resources, access) and results (efficiency, user satisfaction). Each indicator is described by name, code, definition, aim, method, interpretation, and information source. The cooperation has been very productive, and will allow us to make a continuous exercise of benchmarking among the eHealth libraries of Rebisalud. However, more work has to be done because we still need to construct a user satisfaction questionnaire.

Introduction: Infosalut (http://www.infosalut.com) is a new service from the Virtual Health Sciences Library of the Balearic Islands (Bibliosalut). Its aim is to spread amongst the professionals of the public health system of the Balearic Islands the information generated by the system itself, and to give visibility to the work of the organization. Infosalut started with the creation of a website to promote and give visibility to the information generated by the Public Health System of the Balearic Islands. This is divided into two major sections: news and training agenda, and also has a section that collects all the daily information about the official worldwide health days. This new website was created with Joomla content management system, with a multilingual (Spanish and Catalan) and journalistic template with a mobile version that responds to the needs of the content presentation. From there, the library team produced manuals and procedures on how to collect and manage the susceptible information to appear in Infosalut. At the same time, the Bibliosalut team designed a system to disseminate the Infosalut contents. The result was the creation of Infosalut profiles in the most important social networks and a subscription newsletter. The result is a web portal that manages the institution information, through a news section, classified into thematic categories, which are subdivided into: training, research and innovation, health management, public health, pharmacy and scholarship grants and awards. There is also, a training agenda, where we have included all the interesting activities for the public health system professionals in the Balearic Islands. However, the best result is the integration of the virtual library into the institution through a direct collaboration with users and those responsible for the different institution services, who publish their news on Infosalut. Infosalut is a broadcasting and communication channel, which uses the best technology and design available, and is extremely useful for all the workers in the Public Health System of the Balearic Islands. The work done by Bibliosalut librarians in creating and maintaining this new service demonstrates their great ability to innovate and respond to the information needs of the institution they serve, as well as the easy integration and the collaboration work with the users. In conclusion, this experience readily shows how the librarian can add value to the institution information management.

Normally users of a virtual health library have different professional profiles (physicians, nurses, pharmacists...) and/or they are from different specialties (Primary Health Care, Internal Medicine, Oncology...). This poster shows the experience of the Virtual Health Sciences Library of the Balearic Islands (Bibliosalut) of creating thematic web portals, which aims is to improve the experience of our users to browse and query to information resources and services of the virtual library and to increase its use. Different information resources that Bibliosalut offers were selected for each thematic web portals, according to the interest and frequency of use that they may have for users of professional profiles. From the backend of the Bibliosalut Content Management System (Joomla), the necessary modules were created to present the selected information in various thematic web portals: featured resources, e-journals and e-books of each specialty that are available in the virtual library, journals of each specialty with impact factor ISI, clinical practice guidelines, useful links, etc., as well as featured information of library services, such as training courses from the Users Training Service of Bibliosalut aimed at specific groups. Nowadays, we are working to offer more thematic web portals of others specialties to Bibliosalut users and in the future we are going to evaluate their satisfaction about the usefulness of creating these thematic web portals. The result is a bilingual website (Catalan and Spanish), which consists of a main home page (www.bibliosalut.com) with a sort of thematic home pages, and customized URLs depending on the specialty or the professional profile of the users of the virtual library (e.g. Bibliosalut for Primary Health Care professionals: www.bibliosalut.com/ap). In addition, it includes several sections with information resources (data bases, e-journals, e-books, and the like) available for each specialty in Bibliosalut. We believe that the presentation of information in a virtual health library, highlighting the most useful resources and the most used by professionals who have a specific profile or a specific specialty, will help the usability of the web, it will improve the experience of our users to browse and it will increase/promote the use of information resources and services of Bibliosalut.

This paper entitled "Survey Document Supply Service (SOD) by 2014 Bibliosalut evaluation system GTBib-SOD" explains the experience of using the evaluation system GTBib-SOD provides for a survey of automated users . To do this, the need for this study in the Virtual Library of Health Sciences of the Balearic Islands, who participated in the project, which were the targets and where regulation is based is justified. The study continues to show in detail the details of the work, focusing on the technology used, the advantages of using an automated system to manage the survey and proposals for improvement. All this in parallel with the presentation of the results from the survey in terms of Virtual Library.

Infosalut (http://www.infosalut.com) is the new service of the Virtual Health Sciences Library of the Balearic Islands (Bibliosalut). The main aim of Infosalut is to disseminate the information of the Balearic Islands Health System, amongst the health professionals. Also, this new service wants to make the work that the company is doing visible abroad. With this aim in mind the result is a web page, divided into two parts: news and training agenda. The roles of the librarian are changing, and also in specialised libraries. As a consequence, Infosalut is an example of knowledge management in organisations, make by librarians.

The development of information and communication technologies brings with it radical changes in the functioning of health sciences libraries. These changes often imply the appearance of new models of libraries, from face to face to virtual. The need to adapt to new times and new ways of working with users is a constant challenge for information and documentation professional, who, now more than ever needs to be continually updated in the application of information technologies to library services. In this communication we present the experience of the technology evolution in the Virtual Health Sciences Library of the Balearic Islands (Bibliosalut), which was created in 2003, where a small team of enthusiastic and dedicated professionals, work daily with the aim of constant technology improvement and the corresponding improvement of the services given to the users. These librarian skills have brought with them a transformation in the relationship between the library and the users, who are now more independent, with the possibility of autonomy and self-learning. With this presentation we want to paint the new vision of how librarians work in these ever-evolving times.

The objective of this poster is to show the progress in the management of statistics Virtual Library of Health Sciences of the Balearic Islands (Bibliosalut). In a time of economic crisis, it becomes essential to work for greater visibility and transparency of the work done. In this line, Bibliosalut takes time working on the evaluation of the statistics of electronic resources employed. From here, progress has been made in the management of statistical data for the creation and improvement of quality indicators that allow us to evaluate the management of services and advance continuous improvement.

Any library objective is to provide access to information to the users. In the case of science libraries we must be aware of the scientific production of our users too. The Virtual Health Sciences Library of the Balearic Islands (Bibliosalut) has been active in social networks from 2012. From the beginning we wanted to disseminate research production of the Balearic Public Health Service, this is why we created the hashtag #PublicaSalutIB. With this tag we wanted to give to any user the option to use it. In order to detect published articles Bibliosalut we created some RSS in the following databases and platforms: Pubmed, CINAHL, Embase.com and Web of Science. Searches are also performed manually in databases that do not have the option of RSS. Information is broadcast on Twitter, Facebook and Google+, an email is also sent to the authors to inform the dissemination has been made. Many of the authors inform to Bibliosalut they publish a document. This service improves the user-library relationship as the authors know the usefulness of this work and gives visibility of our researchers work. In nearly two years over 600 documents have been disseminate.

Using reference managers within academia has been a major qualitative change in the organization of work of those who use them. The ability to store and manage references in the information search, and the ability to generate bibliographies tailored to existing citation formats allows a better information management, as well as speeding up the process of manuscript preparation. The aim of this study is to analyze the available tools to manage bibliographies and to establish a comparison.

Since 2012 Bibliosalut (Virtual Health Sciences Library of the Balearic Islands) activity in social networks has been increasing. For this reason we decided to analyze different tools to enhance the dissemination and use of these social networks, besides creating a social media plan that reflect content that we broadcast, whom we follow, who we share information and to whom we want to go.

Introduction The Virtual Health Sciences Library of the Balearic Islands (Bibliosalut) serves the public health system professionals by providing relevant scientific information through new information and communication technologies. The Bibliosalut's platform is the primary way of communication with its users, and works as a platform for access to various resources and services. This raises the need for a Bibliosalut’s platform reconceptualization. It involves new look, new content, new structure and services, responding to new trends on the web. Materials and methods We conducted a reassessment of the platform's structure, trying to combine the different sections in a logical manner and provide quick access to frequently used tools for library users. Static HTML changed into dynamic web and Joomla! became the new tool for managing the contents of the Virtual Library, allowing the application of the portal's new design and structure. The reasons that led to the choice of this open source content management system were its simple installation process, its simple configuration and content organization in the management console, its clear separation between public area and the area of administration and its wide range of templates, components and modules for the development of new applications. Results The project's result is a platform structured in seven main sections which give access to the main resources of the Virtual Library: databases, electronic journals, books and other electronic resources, library services and information about the Virtual Library. In addition to the new structure, we create a helpdesk service, we integrate the regional union catalogue of health science libraries made with PMB, and we connect to the Athens validation system to facilitate remote access to subscription resources. Conclusions The new Bibliosalut’s platform allows faster access to resources, a broader range of information and the creation of personalized services. In addition, this new tool is a starting point for creating new content, new products and communication flows. Likewise, this change in philosophy is accompanied by a greater online presence through the participation of Virtual Library in 2.0 tools.

Introduction. User education is arguably one of the basic services of any library, since it responds to a pressing need for most users. In the case of health sciences libraries this need is even more explicit, given the little training in interrogation of databases and reference to sources of scientific information for most users throughout their academic journey. Therefore, from the Virtual Health Sciences of the Balearic Islands has always bet on training, offering courses in collaboration with the School of Public Administration of the Illes Balears (EBAP). Still, in 2009 was to give a qualitative and quantitative in this service by creating a training plan directly managed by the Virtual Library. Materials and methods. The organization of the training plan for documentation in health sciences 2009-2010 started from the analysis of the shortcomings of previous training plan, and the study of training needs of graduates and licensed health professionals working in the Balearic Islands Health Public System. Following this preliminary analysis, we established the primary objective of the plan and subsequently agreed on between the team of the library all relevant aspects of the organization and management of training activities, such as the topics covered, duration, location, staff, schedule training and teaching method. Once concretized these aspects, each of the training was accredited through the Balearic Islands Commission of Continuing Education of Health Professions. Once the plan is evaluated satisfaction of students and teachers through a questionnaire, and compared with available data from previous training plan. Results. Within the training plan 2009-2010 of the Virtual Library, a total of 28 courses and 24 sessions, with over 500 attendees and over 100 hours of instruction given. Conclusions. In conclusion from the results discussed above we can say that has contributed to the training of health professionals in the Balearic Islands in the use of new technologies and obtaining information from literature, helping to meet their information needs . The balance is very positive and we expect to continue to manage directly the service, including how to improve e-learning activities.

Introduction. A fact latent in the world of advanced information retrieval (search engines, metasearch engines, databases, etc..) Is the appearance of new resources, apparently with a great utility for scientific information search, which are free on the network. The daily work of librarians leaves little time for the evaluation of resources this means that on numerous occasions, we even recommend using resources that have not been able to analyze in detail its operation and selection criteria content. Therefore this study is to analyze some of the specialized search engines in health sciences freely accessible through Internet, to ensure its quality and know which ones offer the best results. Materials and methods. This study begins with a selection of free online search engine specializing in health sciences, both nationally and internationally. Subsequently various literature searches were conducted to ascertain the state of affairs: a focus on advanced systems of information retrieval, features, functionality and technical developments, and others focused on obtaining other evaluation studies on science seekers multidisciplinary health. Below is a list of features created to evaluate both functional and formal. Finally, comparing each of the search engines based on these characteristics, thus obtaining an overview of which offer more features and make a more complete and accurate search. Results. After analyzing each of the resources, we obtained a real insight into the technical performance of each search engine, which lets us know if this really is a relevant resource for obtaining reliable health information on the web Conclusions. Ultimately, we hope this study will serve to provide objective knowledge about the functionality of search engines specializing in health sciences and facilitate their choice from a wide range of possibilities.

In 2003 the Virtual Health Sciences Library of the Balearic Islands (Bibliosalut) was started, beginning a small centralized subscription management of scientific e-journals, databases and e-books. From then onwards the objective has been to change from paper format to electronic, and in this way, increase access to quality scientific content for public health professionals. Subscription, management and centralized access of the journals from the libraries belonging to the Public Health System of the Balearic Islands Region (IB-Salut) has contributed to a marked increase in quality scientific resources subscribed.

It is not a novelty that all libraries want to obtain as many users as possible and for this the hybrid library is going to virtual places. But if we really want to demonstrate this user increase we need statistical information as a guarantee. And also, every librarian needs the statistical data to check that the management results will attain our objectives.There are a lot of reasons to justifying the importance of having true and complete statistical data about our library. On the whole it justifies its existence, and in the specific case of virtual libraries, the high budgets. However probably the most important aid for librarians is to know the user satisfaction and identify their training needs. In 2008, for all this above-mentioned reasons the librarians of the Virtual Library of Health Sciences of the Balearic Islands began to study the statistical data about contracted electronic resources. We were looking at what they could show us and we asked ourselves if the statistical data of the electronic resources were really useful for virtual library management, and in most cases we immediately noticed that they were not. So to find a solution we proposed to make a detailed analysis of this management area. In this study we have not analyzed the situation of the technical management of statistical reports of databases because it would be too extensive. But we have studied this topic and we do believe that there are very few solutions on the market to resolve. We wish to invite you to create more data retrieval services because this is the only way to regularly achieve a statistical data library

The Virtual Health Sciences of the centralized Supply Document Service (Bibliosalut), started in 2003, is aimed at all professionals in the Public Health System of the Balearic Islands (Ib-salut). In April 2008 the project of the Centralized Supply Document Service was begun. It manages both the obtaining of documents requested by health professionals and by other Spanish libraries

Virtual Health Sciences Library of the Balearic Islands (Bibliosalut) is a regional project carried out in collaboration with the Regional Ministry of Health and Consumer Protection and the Health Service of the Balearic Islands (Ib-salut), through the Balearic Islands Biomedical Documentation Service. The Virtual Library Mission is to facilitate the most important scientific information to the public health professionals of the Balearic Islands, by using the new information and communication technologies, in order to contribute to the improvement of medical care quality, teaching, research and health management

Introduction: We want to show how subscription, management and access centralization of the journals from the libraries belonging to the Public Health System from the Balearic Islands Region has contributed to a marked increase in scientific quality resources contract. Objectives: In 2003 the Virtual Health Sciences Library of the Balearic Islands was started, beginning a centralized subscription management of scientific journals. From then onwards the objective has been to change from paper format to electronic, and in this way, increase access to quality scientific content for public health professionals. Method: A data base was carried out wherein information relative to contracted journals was collected (subscribing centres, formats, providers, prices…) The analysis of such information allowed the study of new contracts with editors and aggregators. Results: During these years the Virtual Health Sciences Library of the Balearic Islands has been renting new regional resources, culminating the process of centralization and management of all subscriptions through the Virtual Library in 2008. This has allowed us to optimize resources, negotiate better with suppliers, control E-journals use, improve access and manage incidences. Conclusions: Centralized management of journal subscriptions has contributed to the operating of our Regional virtual library with an important number of quality publications available for all public health service professionals, and with a clear improvement of economical resources available.

Introduction: This communication explains the creation of the collective monograph catalogue of the Balearic Islands Public Health System. Objectives: Before this project the libraries of the regional Public Health System had no automated catalogue of these monograph batches. We knew that this was a big handicap for our libraries, and thus we needed to create the catalogue in order to improve collection control and the reference batch service. Methods: Primarity we set out the objectives and then we continued with the analysis of the situation in each library, the creation of technical cataloguing guidelines, classification, indexing and reproduction of the project so that we could have a defined timescale. After studying all the software available for cataloguing we chose PMB, which is open access. All the public health system libraries staff participated in the catalogue creation. Results: The publication of the monograph registers from the Public Health System Libraries on a collective automation catalogue. We hope to be able to include the collective acces catalogue in the Virtual Health Sciences Library of the Balearic Islands. Conclusions: The creation of the automated catalogue has resolved the access document problems and improved the library services on offer.

Introduction: In this document we describe the creation, functioning and evaluation of the Centralized Supply Document Service of the Health Sciences Library of the Balearic Islands. Objectives: After the setting up of the Virtual Health Sciences Library of the Balearic Islands the idea of a Centralized Supply Document Service was proposed with the objective of facilitating those articles not available to users. In this way we democratized document access, because at that time not all system users had this service. Methods: We established a plan whereby the centres would gradually become involved in the tasks of the new service. Also the different political agreement for document supply between the system libraries and the procedures were carried out with the help of a technician. The tool selected to manage this services was GTBib-SOD. In April 2008 a trial service was launched, and from July 2008 the service has been working to its peak potential. Results: More than 7,500 petitions have been managed (5,200 obtaining and 2,300 supplies)during the first working year of the Centralized Supply Document Service. Conclusions: The centralization of the Supply Document Service has democratized access to documents for all the health professionals of our regional community. During the first year there has been a great response to this service, which has led to an increment in the visibility of the Virtual Library.

Introduction: The majority of health sciences libraries are inside the world of public administration. This determines that they have to present their activity results to justify their budgets, and in some cases their existence. The use of contracted information resources for virtual libraries is expensive for the administration, which needs to know what the users are doing with all the resources. Add to this the fact that virtual libraries need to know the user satisfaction with the information resources contracted and detect the training needs for each type of health professional. Objectives: In the Virtual Health Sciences Library of the Balearic Islands we analysed this situation and decided to make an individual study of the statistics system of each contracted information resource. Our objective was to analyzes whether the statistical reports that the distributors offered gave us the data needed to manage the collection. Methods: We analyzed the detailed statistical rates offered for each one of the contracted information resources and finally we compared them with the standard statistical protocol, SUSHI. Results: We observed the different criteria in the data collection, or the lack of them in some cases. Conclusions: We think that the scientific community needs to ponder the following questions: Do we wait for the distributors to give us the data that we need? Do we the right to have this statistical information when we have subscribed to a product? And is it necessary to combine our forces to obtain this? In short, we think that the obtaining of statistical data of each contracted resource that are reliable, uniform and detailed will improve library management. Thus it is necessary to open this discussion in our scientific community and combine forces to obtain a measurable improvement of the bibliometric study of our batches at an international level.

Introduction: A strategic plan is a system designed to concentrate resources and align the efforts of the organization on issues that are a strategic priority in order to achieve significant improvements and help its vision. In this context, the strategic plan 2009-12 was made in the Virtual Health Sciences Library of the Balearic Islands, as well as the creation of procedures and process manuals. Objectives: Develop a strategic plan that clearly identifies the objectives needed to accomplish the proposed vision. Standardize the developed processes, facilitating their continuous evaluation. Methods: With the help of a technician from the Quality Office of the Regional Health Authority the proposal for the strategic plan was developed, and then was presented to the authority for approval. To develop this plan the mission and vision of the Virtual Library was defined and its state analysed and its strategic objectives defined. In this way distinctive procedures with flow charts, manuals and quality indicators were created. Results: Since the adoption of the strategic plan by the Regional Health Authority we have been working to attain the strategic objectives. The prepared procedures are being used daily by the staff (document supply service, management of electronic journals, user attention service...) and periodically reviewed. Conclusions: The elaboration of procedures and manuals, as well as the strategic plan has significantly helped to manage our regional virtual library and identify its vision. It is necessary to periodically review the procedures and identify the new processes that well help to increase the quality of work developed in the Virtual Library.