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Veronica DelafosseLibrarian, Caulfield General Medical Centre

Melbourne, Victoria, Australia

What Now, Where Next? Current practice & future developments in Clinical Librarianship. 3rd Clinical Librarian Conference. 11th & 12th June 2007, St William's College, York, UK.

Veronica DelafosseLibrarian, Caulfield General Medical Centre

Melbourne, Victoria, Australia

What Now, Where Next? Current practice & future developments in Clinical Librarianship. 3rd Clinical Librarian Conference. 11th & 12th June 2007, St William's College, York, UK.

The visible librarian:

evidence based practice training for occupational therapists in rehabilitation and

aged care settings

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CGMC

1,000 EFTPart of Bayside Health

Subacute services including rehabilitation, aged care, community health

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Assumptions

Evidence based practice PICO - clinical questions Levels of evidence CATs Search strategies Subject headings Truncating, exploding, combining terms Document delivery

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Inpatient and ambulatory rehab

Amputee Orthopaedic General Neurological Spinal Cardiac Chronic pain

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OT streams and sessions

Aged Care (1)

Musculoskeletal (3)

Heart and Body (1)

Neurological (2)

Community (2)

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EBP focus

Senior OT staff planned KLAs Combination of group and streams Encourage, support, gentle pace Identify, learn, practise skills PICO format Searching - library sessions Critical appraisal Applying evidence

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Scenario

Setting: Rehabilitation and aged care

Perspective: Occupational therapists

Intervention: 1-3 library sessions

Comparison: Community health

Evaluation: 12 month survey

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Databases

OTseeker (Uni Qld EB OT Group) OTcats PEDro Joanna Briggs Centre for Evidence-Based Rehab CINAHL Medline Cochrane Web

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Accessing resources

Ejournals, ebooks and databases Passwords Access from work or home Extra IDs/PWs for some journals eTOCs HTML vs PDF formats Catalogue and print resources

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Literature review

Measuring impact User education EBP Searching skills OT studies

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Method

9 sessions over 7 months

34 attendees

12 month evaluation

online survey

100% response rate

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Survey structure

Introduction

Invitation to participate

13 questions

Thank-you

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Which stream?

Aged Care (12.5%)

Musculoskeletal (25%) Heart and Body (25%)

Neurological (25%)

Community (12.5%)

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First session

How did you feel about approaching it?

Nervous 25% Uninterested 12.5% Thought it would be a waste of time 0%Curious 7.5% Well-prepared 12.5% Eager to learn more 50% Other (please specify) 0%

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Aged care

Are egg-shell foam mattresses effective in reducing the development of pressure ulcers in a population of over 65yr old patients in a sub-acute setting?

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Musculoskeletal

What are the skills/information relating to wheelchair use that should be addressed within a hospital setting?

What is the most effective way to teach these?

Amputee and spinal rehab patients

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Community – session 1

Does community based group work reduce the symptoms of depression for people over the age of 65 living in SRSs compared to individualised therapy?

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Community – session 2

What is the effect of servicing long term, chronically ill clients on community based OT waiting lists?

What methods are used to manage community based OT waiting lists?

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Heart and Body

What is the best way to produce a graded return to work program (cardiac rehab)?

What are the benefits of a strength training program for elderly people?

What are the factors affecting compliance to a home program for strength training following a rehab program?

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Neurological

In patients with a hemiplegic upper limb post stroke, does a prolonged low load stretch reduce the development of contractures in comparison to passive ranging?

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Importance of stream

Having the clinical question prepared within my stream helped me to approach the session with more confidence

0 0

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75

12

0

10

20

30

40

50

60

70

80

SDIS DIS NA ND AG ST AG

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Professional support

I relaxed and learnt more quickly because I participated with colleagues on a common topic (compared to training with attendees from a variety of disciplines)

0

12

0

62

25

0

10

20

30

40

50

60

70

SDIS DIS NA ND AG ST AG

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Results (1)

QUESTION AGREE STRONGLYAGREE

Session relevant 75% 25%

Hands-on 38% 50%

Steps explained clearly 75% 12%

Training level suitable 62% 12%

Sufficient length 88% -

More comfortable using electronic resources

38% 12%

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Results (2)

QUESTION AGREE STRONGLYAGREE

Increased confidence 25% 12%

Changed handling of situation 38% 12%

Finding evidence is important 50% 38%

Would like to further searching skills

38% 62%

Library resources are indispensable to my work

12% 62%

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Conclusions

More aware of resources and services Hands on sessions within streams best Valued clear presentation style Less daunted by e-resources Community OTs coped Eager to adopt EBP Realise time constraints

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What Now, Where Next - OTs

Journal club 2006

Qualitative/quantitative review forms

Practise searching skills

Increasingly use library services

Seek further training when ready

Annual library orientation session

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What Now, Where Next - Lib (1)

Act as a catalyst to support a culture of EBP

Keep up-to-date with EBP resources

Speak to managers re needs

Promote training sessions

Seek opportunities to increase visibility

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Increased use 2005-2006

Training Sessions 2006

Nursing20%

Medical8%

Allied Health70%

Other2%

Number Trained by Type 2005

Allied Health55%

Medical23%

Nursing20%

Other2%

Number Trained by Type 2006

Nursing11%

Medical8%

Allied Health80%

Other1%

Training Sessions 2005

Nursing31%

Medical27%

Allied Health36%

Other6%

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What Now, Where Next - Lib (2)

Share with colleagues via

REBLs…with a cause

ALIA Health Libraries Australia Special Interest Group

for Rehab Evidence Based Librarians

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…and stay visible at work or play