nhs evidence – provided by nice user research at nhs evidence: what’s in it for clinical...
TRANSCRIPT
NHS Evidence – provided by NICE
User Research at NHS Evidence: What’s in it for Clinical Librarians?
Katie Adams
User Research Analyst
NHS Evidence – provided by NICE
Today’s Session
• Brief introduction to NHS Evidence
• Overview of evolving programme of User Research
• Present findings from key projects – R4 sessions & personas
• Importance of the Clinical Librarian
• Benefits of NHS Evidence & User Research for Clinical Librarians
NHS Evidence – provided by NICE
NHS Evidence – provided by NICE
NHS Evidence...
Accessible
Developing
Complementary
NHS Evidence – provided by NICE
User Research Programme
NHS Evidence – provided by NICE
NHS Evidence – provided by NICE
Total of 40 projects – 13, 011 users
NHS Evidence – provided by NICE
R4 Longitudinal panel
NHS Evidence – provided by NICE
NHS Evidence – provided by NICE
User Research Findings & Future Projects
• R4 update & reflection session
• User personas
• HDAS Redesign
NHS Evidence – provided by NICE
R4 Update and Reflection Sessions
Likes
• Professional finish• Topic pages• Medicines browse & BNF• Search history• Intellisence• NICE Pathways
Improvements
•Design of journals & databases landing page•Navigation around the HIR resources •Navigation around the different elements of NHS Evidence •Login to My Evidence & Athens
NHS Evidence – provided by NICE
User Personas
• Communicating data that is collected via user research
• Strategy, marketing, & design
• Goals, behaviours & attitudes
• Making him or her real
• Attach scenarios to each persona
• Importance of reviewing & continual development
NHS Evidence – provided by NICE
Personas
• Bring focus
• Build empathy
• Shared vision
• Create efficiency
Personas put a face on user research in a way that turns data into knowledge that leads to better user experiences & better websites
(Muldar and Yaar, 2006)
NHS Evidence – provided by NICE
Information Specialist
Strong persona based on survey, in-depth interview & focus group data
Sandra White is an information sepcialist. Her role consists of library management and providing internal training for how to use library services effectively. A further aspect of her role is to act as a third party searcher of information for other staff members in the organisation. Sandra can be classified as a ‘super searcher’ because she utilises advanced searching skills, that allow her to find exactly what she is looking for.
Type of search: Empowered Searcher
Product Appeal HDAS Medicines & BNF Topic pages 1000 web resources NICE Pathways ebooks QIPP
Spheres of influence They Influence:
o All Trust staff o Commissioners
They are influenced by:
o Senior management o Other information specialists
NHS Evidence
Frequency of searching Fusce auctor, metus eu ultricies
vulputate, sapien nibh faucibus ligula, eget sollicitudin augue risus et
dolor. Aenean pellentesque, tortor in cursus mattis, ante
Search Behaviour
Access Own personal desktop
computer Likely to also have a laptop
Reasons for searching To conduct a literature
search for a clinic ian/ healthcare staff
Context of search can be education, research, management decision, care decision, horizon scanning
Types of information eJ ournals Systematic reviews RCTs Guidance/care pathways Web content e.g. Royal
Colleges-
Typical search question Literature review/horizon
scanning for certain subject, i.e. chimerics in the development of HIV vaccines.
Common resources Bibliographic databases BMJ e journals Cochrane library NeLM Intranet/Trust networks TRIP Extensive list of resources
Frequency of searching Several times per day Essential aspect of their role
Awareness & Usage Regular users of NHS Evidence Simple search is a
complementary resource to HDAS
Filters are good but labels are not always meaningful
Aware of accreditation but don’t feel they would use this section of the site
I don’t really need an accreditation mark to tell whether something is credible or not but this may be useful for the staff I work with
Evidence Based Practice Challenges Have to use more than one
interface and different search strategies.
Reference manager is limited to exporting 250 items.
Access full content journal articles Overload of e-resources
Opportunities Access to non UK Resources to
give them a wider evidence base More signposting &
encouragement to ask the librarian for help with literature searches
Having something authoritative on quality and productivity
Communities of practice Create a two way relationship -
work with library services to promote their service & NHS Evidence
NHS IT services invariably block many new applications, such as blogs. Having a place where it would be possible to host these via NHS Evidence would therefore be useful.
NHS Evidence – provided by NICE
Challenges Lack of resources & equipment Low internet speeds & old computers Security restrictions and blocked
websites Lack of access to journals & full text
Opportunities Technology makes things easier
(patient records, internet) Being self motivated is important University gives access to journals University provides nurses with the skills
& confidence to search & appraise evidence
Link in with professional networks to promote NHS Evidence
Specialist Nurse
Strong persona based on survey, in-depth interview & focus group data
Shirley Richards is a 40 year old Specialist Nurse working in primary care. She is educated to degree level, has completed managerial training and is embarking on a Masters degree. She has previous experience as a district nurse. Her main duties are split between clinical and managerial responsibilities. She sees patients either in the c linic or at their home and she also has the role of an independent prescriber. As deputy manager she is required to educate and appraise staff, in addition to developing local polic ies and procedures. She has advanced IT literacy. Due to the current c limate her main goal is to stay in a job but she also strives to have an efficient department.
Type of searcher: Empowered searcher
Product Appeal Medicines topic pages Clinical topic pages New & significant evidence
alert Simple search HDAS & access to full text
Spheres of Influence
Awareness & Usage Low awareness &
usage Uses CKS but does not
know this is available on NHS Evidence
Search Behaviour
Access In the c linic she has her
own PC but is required to hot desk when on visits
Will search at home because NHS computers are too old
Reasons for searching To provide advice to
colleagues. Keeping up-to-date Unfamiliar condition To safely prescribe medicines Effective use of resources
Types of information Guidelines, National policy, J ournals, Trust policy, Patient information, Diagnosis information, Prescribing & medic ines information
Typical search question Looking for medicines
information e.g. dosage & contraindications for Oxybutynin
Common resources DoH, BNF, NICE, Google, Trust intranet, Royal Colleges, Emails & Alerts, Bibliographic databases & Cochrane, Nursing Times, CKS, Professional networks
Frequency of searching Searches at least once, if
not several times a day Will search before & after
a consultation
IT makes things easier because when I’m in front of the computer I’ve got all the information I need to safely prescribe
We have to stay up-to-date because we’re the ones that people look to for guidance.
She influences: She will influence her team, fellow senior
nurses & professional networks She is influenced by: She will be influenced by senior managers,
Professional bodies, University, Trust policy makers
NHS Evidence
Evidence Based Practice
NHS Evidence – provided by NICE
Redesign of HDAS
NHS Evidence – provided by NICE
Why is the Clinical Librarian important to us?
• Facilitate evidence based practice
• Specialist knowledge – literature searching & appraisal
• Knowledge of clinical staff & searching behaviours
• Good working relationship with clinical staff
NHS Evidence – provided by NICE
What does NHS Evidence have to offer Clinical Librarians?
NHS Evidence – provided by NICE
What can User Research offer Clinical Librarians?
• Give you a voice
• A channel for your views & experiences of NHS Evidence, inc HDAS
• Feed your views & experiences to senior management
• Help make NHS Evidence & HDAS easier to use
• Help create a resource that better meets the needs of its users, inc CLs
So please get involved!
NHS Evidence – provided by NICE
Conclusion
Developing
Accessible
Complementary
Two way relationship
NHS Evidence – provided by NICE
Give us your views on NHS Evidence & the new features.....
• Online evaluation form
https://www.surveymonkey.com/s/QDFK3TZ
NHS Evidence – provided by NICE
Any Questions?