Register      Login
Australian Health Review Australian Health Review Society
Journal of the Australian Healthcare & Hospitals Association
RESEARCH ARTICLE

Too few health library workers: a national benchmarking study of staffing and structure in health libraries

Alice Anderson A * and Caroline Ondracek https://orcid.org/0000-0002-8168-1471 B
+ Author Affiliations
- Author Affiliations

A Monash Health, Library Services, Melbourne, Vic, Australia.

B Royal Children’s Hospital Library, Melbourne, Vic, Australia.

* Correspondence to: alice.anderson@monashhealth.org

Australian Health Review 49, AH25200 https://doi.org/10.1071/AH25200
Submitted: 18 August 2025  Accepted: 1 September 2025  Published: 18 September 2025

© 2025 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of AHHA.

Abstract

Objective

This research presents a benchmarking study of staffing levels and reporting structures in libraries that support evidence-based health care, and deliver education and research support services within the Australian health system.

Methods

Benchmarking data were collected through a two-phase approach. First, a set of questions was distributed via email to health libraries across Australia, using a national health libraries e-list and professional networks. Second, an international literature review was conducted to examine workforce composition and organisational structures in health libraries over the past 10 years.

Results

This study reveals that Australian health libraries operate with staffing levels approximately 34% below the country’s national guidelines. The recommended ratio of 1 health library staff member per 1250 institutional full-time equivalent is proposed to guide workforce planning. Reporting structures vary widely, with libraries most commonly reporting to corporate divisions. However, reporting to clinical, education or research-aligned portfolios was associated with stronger advocacy and strategic alignment.

Conclusions

Australian health libraries play a critical role in supporting clinical decision-making, research and education. Despite their importance, health libraries are increasingly under-resourced, threatening equitable access to evidence and information services. Strategic investment and targeted funding are needed to address the workforce shortfall. Reporting structures should be aligned with clinical or research functions to enhance visibility and support.

Keywords: benchmarking, evidence-based practice, health library, libraries, librarians, ratios, reporting structures, workforce.

References

Australian Institute of Health and Welfare. Hospital workforce. Canberra: Australian Government; 2024. Available at https://www.aihw.gov.au/reports-data/myhospitals/themes/hospital-workforce [accessed 6 November 2024].

Kammermann M. The Census of Australian Health Libraries and Health Librarians Working Outside the Traditional Library Setting: The Final Report of the 2012 Anne Harrison Award Project conducted between October 2014-February 2015. HLA ALIA; 2016. Available at https://hla.alia.org.au/wp-content/uploads/2022/01/census_of_aust._health_lib.pdf

Gray K, Gilbert C, Butler-Henderson K, et al. Ghosts in the Machine: Identifying the Digital Health Information Workforce. Stud Health Technol Inform 2019; 257: 146-51.
| Google Scholar | PubMed |

Lawton A. The value of health libraries and librarians to the Irish health system. Ir Med J 2014; 107(3): 90-2.
| Google Scholar | PubMed |

Lacey Bryant S, Bingham H, Carlyle R, et al. Forward view: advancing health library and knowledge services in England. Health Info Libr J 2018; 35(1): 70-7.
| Crossref | Google Scholar |

Bryant SL, Stewart D, Goswami L. Knowledge for Healthcare: the future of health librarianship. Health Info Libr J 2015; 32(3): 163-6.
| Crossref | Google Scholar |

Morgan AB. Using Contingent Medical Librarians to Address Workforce Staffing Dilemmas. Med Ref Serv Q 2019; 38(4): 376-86.
| Crossref | Google Scholar |

Muellenbach JM, Duncan WC, Vanier C, et al. Services and staffing practices in academic health sciences libraries serving college of osteopathic medicine programs: a mixed methods study. J Med Libr Assoc 2020; 108(3): 408-19.
| Crossref | Google Scholar |

Gilroy D, Young G. Adding value to learning and development through CILIP accreditation: The NHS knowledge for healthcare learning academy. Health Info Libr J 2023; 40(2): 223-7.
| Crossref | Google Scholar |

10  Rhue DJ. Hospital Libraries: Past, Present and Future. Med Ref Serv Q 2022; 41(3): 296-303.
| Crossref | Google Scholar |

11  McLaughlin L, Spencer A, Zeblisky K, et al. Solo Census: Demographics, Duties, Needs and Challenges. J Hosp Librariansh 2018; 18(2): 127-35.
| Crossref | Google Scholar |

12  Yeh C. The role of the clinical librarian in Australia: a mixed methods investigation. Master of Medical Science, University of Tasmania, Hobart, Tas, Australia; 2019.

13  Rudd S, Harding S. Library and knowledge staff in England share similar perceptions of the roles and personal characteristics of the clinical librarian. Health Info Libr J 2021; 38(4): 268-80.
| Crossref | Google Scholar |

14  Ritchie A. Guidelines for Australian health libraries, 5th edn. Deakin: Australian Library and Information Association (ALIA); 2022. Available at https://read.alia.org.au/guidelines-australian-health-libraries-5th-edition-2022

15  Frati F, Oja LA, Kleinberg J, et al. CHLA Standards for Library and Information Services in Canadian Health & Social Services Institutions 2020. J Can Health Libr Assoc 2020; 42(1): 14-44.
| Crossref | Google Scholar |

16  Tarabula J, Gibson DS, Jivanelli B, Lindsay JM, et al. Standards of practice for hospital libraries and librarians, 2022: Medical Library Association Hospital Libraries Caucus Standards Task Force. J Med Libr Assoc 2022; 110(4): 399-408.
| Crossref | Google Scholar |

17  Health Education England. NHS Library and Knowledge Services in England. Recommendations to improve the staff ratio for the number of qualified library and knowledge specialists per member of NHS workforce. London: NHS; 2023. Available at https://library.nhs.uk/employer-leaders/staff-ratios-policy/ [accessed 6 November 2024].

18  Mills NT. Limited Hospital Librarian Perspectives of Non-Librarian Leadership. J Hosp Librariansh 2024; 375-80.
| Crossref | Google Scholar |

19  Buhler AG, Ferree N, Cataldo TT, et al. External reporting lines of academic special libraries: a health sciences case study. Coll Res Libr 2010; 71(5): 467-94.
| Google Scholar |