It Takes Two: It Takes Two: Librarians and Nurses Librarians and Nurses

Collaborate to Establish Collaborate to Establish a Magnet Hospital a Magnet Hospital

Evidence-based Nursing Evidence-based Nursing ProjectProject

DeDe Leshy, MLIS, MSDeDe Leshy, MLIS, MS

Irene Lovas, MLSIrene Lovas, MLS

Senior Medical LibrariansSenior Medical Librarians

Cedars-Sinai Medical Cedars-Sinai Medical CenterCenter

Project PlanningProject Planning

Two Senior Medical LibrariansTwo Senior Medical Librarians

Three Advanced Practice Three Advanced Practice NursesNurses

CSMC Magnet Hospital CSMC Magnet Hospital SettingSetting

Organizing PrincipleOrganizing Principle

Readiness of U.S. Nurses for Readiness of U.S. Nurses for Evidence-based PracticeEvidence-based Practice

ByBy

Diane S. Pravikoff, PhD, RN, Diane S. Pravikoff, PhD, RN, FAAN, Annelle B. Tanner, EdD, FAAN, Annelle B. Tanner, EdD, RN, and Susan T. Pierce, EdD, RN, and Susan T. Pierce, EdD,

RNRN

AJN, Sept., 2005, v.105(9):40-AJN, Sept., 2005, v.105(9):40-51.51.

Readiness of U.S. Readiness of U.S. Nurses for Evidence-Nurses for Evidence-

based Practicebased Practice

Key Concepts:Key Concepts:

Many nurses acknowledged a need Many nurses acknowledged a need for information to support their workfor information to support their work

Nurses were more comfortable Nurses were more comfortable asking colleagues or peers and asking colleagues or peers and searching the Internet than using searching the Internet than using bibliographic databasesbibliographic databases

Project ObjectivesProject Objectives

Librarians and key nurse Librarians and key nurse contacts work collaboratively contacts work collaboratively to promote and support to promote and support evidence-based research by evidence-based research by nurses at Cedars-Sinai nurses at Cedars-Sinai Medical Center (CSMC)Medical Center (CSMC)

Project ObjectivesProject Objectives

Design a program to Design a program to encourage and facilitate the encourage and facilitate the use of evidence-based use of evidence-based literature among staff nurses literature among staff nurses at CSMCat CSMC

Project ObjectivesProject Objectives

Nurses have the opportunity Nurses have the opportunity to present research at Cedars-to present research at Cedars-Sinai Nursing Research Sinai Nursing Research Conference, May 2, 2006 Conference, May 2, 2006

CEU Credit for nurse CEU Credit for nurse participantsparticipants

Project DesignProject Design

““Nursing Research Toolbox”Nursing Research Toolbox”

A series of three classes over A series of three classes over three-week period to acquaint three-week period to acquaint nurses with research methodsnurses with research methods

Nursing Research Nursing Research Toolbox, Session 1:Toolbox, Session 1:

“Getting Excited About “Getting Excited About Research”Research”

Presented by nursesPresented by nurses Choosing a topicChoosing a topic Differentiating between QI Differentiating between QI

and researchand research

Nursing Research Nursing Research Toolbox, Session 2:Toolbox, Session 2:

“How to Do A “How to Do A Literature Search”Literature Search”

Presented by librariansPresented by librarians Covered the basics of doing Covered the basics of doing

a literature searcha literature search Finding evidence-based Finding evidence-based

studiesstudies

Nursing Research Nursing Research Toolbox, Session 3:Toolbox, Session 3:

“What to Do After Your “What to Do After Your Search?”Search?”

Presented by nursesPresented by nurses Organizing workloadOrganizing workload Reviewing literatureReviewing literature

Librarian Session Details Librarian Session Details

“How to do a Literature “How to do a Literature Search”Search”

Selecting an appropriate Selecting an appropriate information source:information source:

- journal articles- journal articles - textbooks- textbooks - Internet- Internet

““How to Do a Literature How to Do a Literature Search”Search”

Translate topic into Translate topic into searchable conceptssearchable concepts

Search concepts separately Search concepts separately Refine and combine conceptsRefine and combine concepts Use Medical subject headings Use Medical subject headings

““How to Do a Literature How to Do a Literature Search” Search”

Perform sample searches Perform sample searches Identify evidence-based Identify evidence-based

articlesarticles Get full-text of articleGet full-text of article Librarians available for follow- Librarians available for follow-

up consultationup consultation

Information Resources We Information Resources We Use:Use:

Medical Library Resources for NursesMedical Library Resources for Nurses:: Ovid Databases:Ovid Databases: - MEDLINE – our focus for this - MEDLINE – our focus for this

projectproject - CINAHL- CINAHL - Cochrane Databases- Cochrane Databases UpToDateUpToDate Subject Guide to Nursing Information Subject Guide to Nursing Information

ResourcesResources

Pre-testPre-testLiterature Search SessionLiterature Search Session

Most Cedars-Sinai nurses in the Most Cedars-Sinai nurses in the classes use journal literature to classes use journal literature to find answers to questionsfind answers to questions

Most Cedars-Sinai nurses in the Most Cedars-Sinai nurses in the classes search CINAHL or classes search CINAHL or MEDLINE to find quality, MEDLINE to find quality, evidence-based journal articlesevidence-based journal articles

Librarian Class Librarian Class EvaluationEvaluationCommentsComments

Nurses perceived the librarians Nurses perceived the librarians and the Medical Library to be and the Medical Library to be “nurse-friendly”“nurse-friendly”

Nurses thought class was “very Nurses thought class was “very useful”useful”

Nurses learned database search Nurses learned database search techniques to identify techniques to identify evidence-based articlesevidence-based articles

Project OutcomeProject Outcome Encore presentation of Sessions 2 and Encore presentation of Sessions 2 and

33

Request for a series of Literature Request for a series of Literature Search Classes for BSN and MSN Search Classes for BSN and MSN students at California State University, students at California State University, Los Angeles working at Cedars-SinaiLos Angeles working at Cedars-Sinai

Request for librarians to teach Request for librarians to teach Literature Search Classes in nursing Literature Search Classes in nursing unitsunits

Project OutcomeProject Outcome

Librarians asked to join the Librarians asked to join the Nursing Research CommitteeNursing Research Committee

Librarians asked to present at Librarians asked to present at the CSMC Nursing Research the CSMC Nursing Research Conference, May 2, 2006Conference, May 2, 2006

SummarySummary

Collaboration benefits both nurses and Collaboration benefits both nurses and librarianslibrarians

- - nursesnurses become aware of and use become aware of and use library resources more effectivelylibrary resources more effectively

- - librarianslibrarians become aware of nurses become aware of nurses information needs and are able to target information needs and are able to target training sessions to meet those needstraining sessions to meet those needs

- - wewe improve our unique roles in patient improve our unique roles in patient carecare