scmla nursing huddles presentation
TRANSCRIPT
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Librarians Promoting Resources to Nursing Staff at the Point of Care
Emily Vardell, MLSBrenda Linares, MLIS
Gediminas Paulaitis, RN, MBA, MLIS, AHIPVedana Vaidhyanathan, MSLS
Tanya Feddern-Bekcan, MLIS, MOT, AHIPSuzetta Burrows, MSLS, AHIP
Louis Calder Memorial LibraryDepartment of Health Informatics
University of Miami Miller School of Medicine
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• 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?
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Who?
• Four medical librarians • 26 hospital
departments • 4 librarians 26
departments = 400 nursing staff members
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Where?
• Large, metropolitan, teaching hospital
• Hospital purchased by university in 2008
• In the middle of all the action!
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When?
• Nursing “huddles” – Short meetings – Night staff leaving – Day staff arriving – ~ 7 am– Nurses share important
patient care information
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Round One
• Promoted DynaMed• Distributed handout• Collected information – Topics searched– Questions asked– Resources used– Familiarity with the
resources
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Handout
Front Back
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Round One
• 26 different huddles• 250 nursing staff• Demonstrated – Citrix– Library home page– Nursing portal– DynaMed
searches conducted
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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.”
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Round Two: Goals
Cover more databases Provide continuity of trainingEstablish relationship as “their” librarianFocus on consumer healthPromote library classesEncourage more questionsReach more nursing staff
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Round Two
• Promoted MedlinePlus to 200 nursing staff– Only ~50 “repeats”
• Collected information – Topics searched– Questions asked– Resources used– Familiarity with the
resources
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Resource Use
0 people63%
1 person32%
2 people5%
Since round one how many have used resources we demonstrated?
Other: PDR EHR E-Journals ProQuest
library homepage
DynaMed CINAHL Other0
0.51
1.52
2.53
3.54
4.5
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DynaMed Use
Septem
ber
October
November
December
January
Febru
aryMarc
hApril
MayJune
July
August
Septem
ber
October
0
500
1000
1500
2000
2500
3000
SessionsSearches
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Use and Barriers
yes22%
no78%
Did it impact patient care?
patient care school personal browsed0
0.51
1.52
2.53
3.5
What did you use the resource for?
no time access issues don't know how to use resources
didn't need it0
1
2
3
4
5
6
7
If you didn't use any resources, why not?
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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
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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."
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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).
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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.
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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.
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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.
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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/b653325962f
84c9e9960a4d4e85d72be.jpg• http://www.carolinamtnclub.com/enews/Enews%20archive/1
00402-FutureHikes.htm• http://www.chiadex.com/files/3865384/uploaded/erlenmeye
r%20flask.jpg
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Thank you!