METHODS OF ACQUIRING KNOWLEDGE IN NURSING.pptx by navdeep kaur
Scmla nursing huddles presentation
1. Librarians Promoting Resources to
Nursing Staff at the Point of Care
Emily Vardell, MLS
Brenda Linares, MLIS
Gediminas Paulaitis, RN, MBA, MLIS, AHIP
Vedana Vaidhyanathan, MSLS
Tanya Feddern-Bekcan, MLIS, MOT, AHIP
Suzetta Burrows, MSLS, AHIP
Louis Calder Memorial Library
Department of Health Informatics
University of Miami Miller School of Medicine
2. • What information resources do practicing
nurses in a 560-bed hospital use?
• What is the best approach for teaching
nursing staff on site?
• Can nursing staff find ways to implement
resources such as MedlinePlus and DynaMed
into their daily practice?
3. Who?
• Four medical librarians
• 26 hospital
departments
• 4 librarians 26
departments = 400
nursing staff members
8. Round One
• 26 different huddles
• 250 nursing staff
• Demonstrated
– Citrix
– Library home page
– Nursing portal
– DynaMed
searches conducted
9. Email feedback
“I appreciate your time and flexibility. The staff
enjoyed it.”
“Thanks.”
“Thanks a lot.”
“Thank you for the In-Service. They mentioned that
it was very useful information. I would be happy
to distribute the handout for you.”
“… We are happy to see staff that are educating us
with our system, once again thanks for your time,
effort and availability to teach 9 South staff.”
10. Round Two: Goals
Cover more databases
Provide continuity of training
Establish relationship as “their” librarian
Focus on consumer health
Promote library classes
Encourage more questions
Reach more nursing staff
11. Round Two
• Promoted MedlinePlus
to 200 nursing staff
– Only ~50 “repeats”
• Collected information
– Topics searched
– Questions asked
– Resources used
– Familiarity with the
resources
12. Resource Use
0 people
63%
1 person
32%
2 people
5%
Since round one how many have
used resources we demonstrated?
Other:
PDR
EHR
E-Journals
ProQuest
0
1
2
3
4
5
library
homepage
DynaMed CINAHL Other
14. Use and Barriers
yes
22%
no
78%
Did it impact patient care?
0
1
2
3
4
patient care school personal browsed
What did you use the resource for?
0
1
2
3
4
5
6
7
no time access issues don't know how
to use resources
didn't need it
If you didn't use any resources,
why not?
15. Patient Education Materials
• In half (52.6%) of the
huddles, at least one
nurse had heard of
MedlinePlus.
• Nurses expressed
concerns about policies.
• Most stated they would
use MedlinePlus in the
future. nurses’ health education resources
16. Nurses’ Response
• Positive responses from
the nursing staff, both
verbally, via email, and
through requests for
further information.
• Nurses were responsive
to follow up visits and
showed interest in the
promoted resources.
"I like the multiple
languages feature.“
"I can tell you're a
librarian.“
"Are you coming back
tomorrow?“
"I like when you say
[you're going to take]
5-10 minutes, you
mean it."
17. Lessons Learned
• Time is valuable.
• Use common jargon.
• Charge nurses are the best contacts.
• Locations vary. Be prepared!
• Multiple visits begets multiple contacts.
• Handouts are well received.
• Take every question seriously (even about
Superman).
18. Barriers
Limited time to listen to librarians.
Limited time to use resources.
Access difficulties impede use.
Hospital policies can restrict the resources
nurses can use and promote to patients.
19. Solutions?
Be brief! Be punctual! Be flexible!
Follow-up encourages more use.
Focus on nurses who are administrators or
who are pursuing further degrees.
Work with hospital administrators to create
policies and select health education materials.
20. Next steps
Follow up meeting with Director for Nursing
Education at hospital.
Target nurse administrators and those
pursuing further degrees.
Conduct focus groups.
Promote through hospital library, nurses week
activities, and other avenues.
21. Image Credits
• Images by Byron Maldonado, Biomedical Communications,
University of Miami Miller School of Medicine except credits below
• http://www.newyorkparkingticket.com/Blog/bid/29265/A-Sure-
Fire-Way-to-Beat-a-NYC-Parking-Ticket
• http://blog.uces.edu.ar/2009/05/27/una-carrera-del-futuro-
enfermeria/
• http://www.jghfoundation.org/sections/campdollars.html
• http://www.supplylinedirect.com/assets/items/b653325962f84c9e
9960a4d4e85d72be.jpg
• http://www.carolinamtnclub.com/enews/Enews%20archive/10040
2-FutureHikes.htm
• http://www.chiadex.com/files/3865384/uploaded/erlenmeyer%20f
lask.jpg
We were only able to demonstrate one database at most of the huddles. Continued involvement will allow us to demonstrate additional databases that are available to the nursing staff.
Returning to the huddles will allow the nurses to feel like there is some continuity to their training. They can look at us as “their” librarians and know that they are included in our efforts to improve the library and in helping the nurses improve their education.
During our follow-up visits we are also planning on focusing on consumer health and health education resources like MedlinePlus (http://medlineplus.gov/). At the few huddles that we were able demonstrate this resource, the nurses were very happy to learn about the site and promote it to their patients.
We will also promote the classes we offer at the library and gauge interest in offering CEU courses for credit at UMH.
Many of the nurses had just met us and were not familiar with what the library has to offer. It is our hope that the follow up visits will encourage more questions from the nurses.
Though they were curious about the resources, they don’t have much time to investigate them and encouragement from the librarians could help that.
Conducting a follow up visit will allow us to collect statistics on the usage and familiarity with library resources following the huddles training. This will give both UMH and the library an idea of how we can better meet the information needs of the nursing staff.
Many of the huddles told us that not all staff members were present. During the follow-up visits, we should be able to reach more nursing staff.
We learned it was best to call our visits “in-services,” as this is common jargon at the hospital.
Although it’s helpful to have the name of the nursing director for that huddle, it is even more helpful to have the name of the charge nurse who will be in attendance at the 7 am huddle.
The location of the huddle depended on the unit. Some of them were held in small labs, some in break rooms behind the desk, and some in the middle of all the action. The busier the area, the more challenging the environment was for teaching.
They were receptive to the hand-outs that we distributed. They seemed to think they would allow them to go back to the information when they had more time.
No matter how minor, it is important to take every research question seriously (even the ones about Superman).
Limited overlap in the nurses present
136 people in Round 2 had not seen us in Round 1