Scmla nursing huddles presentation


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  • 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 ( 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
  • Scmla nursing huddles presentation

    1. 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. 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. 3. Who? • Four medical librarians • 26 hospital departments • 4 librarians 26 departments = 400 nursing staff members
    4. 4. Where? • Large, metropolitan, teaching hospital • Hospital purchased by university in 2008 • In the middle of all the action!
    5. 5. When? • Nursing “huddles” – Short meetings – Night staff leaving – Day staff arriving – ~ 7 am – Nurses share important patient care information
    6. 6. Round One • Promoted DynaMed • Distributed handout • Collected information – Topics searched – Questions asked – Resources used – Familiarity with the resources
    7. 7. Handout Front Back
    8. 8. Round One • 26 different huddles • 250 nursing staff • Demonstrated – Citrix – Library home page – Nursing portal – DynaMed searches conducted
    9. 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. 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. 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. 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
    13. 13. DynaMed Use 0 500 1000 1500 2000 2500 3000 Sessions Searches
    14. 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. 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. 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. 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. 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. 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. 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. 21. Image Credits • Images by Byron Maldonado, Biomedical Communications, University of Miami Miller School of Medicine except credits below • Fire-Way-to-Beat-a-NYC-Parking-Ticket • enfermeria/ • • 9960a4d4e85d72be.jpg • 2-FutureHikes.htm • lask.jpg
    22. 22. Thank you!