The document summarizes Peel Public Health's journey towards becoming more evidence-informed in decision making. It outlines how they initially lacked library services and staff skills in finding and applying research evidence. Over two years, they improved library services and provided training to build capacity. This included hiring librarians, gaining access to databases, and promoting pre-appraised research evidence sources like Health-Evidence.ca to help staff apply evidence more efficiently. The document provides examples and resources to help other organizations on their similar evidence-informed decision making journeys.

1. An EIDM Journey Help is out there!

2. Presenters Today Megan Ward, MD MHSc CCFP FRCP(C): Associate Medical Officer of Health, Peel Public Health Bev Bryant, BScN, Med: Manager Education and Research, Peel Public Health Lori Greco, MHSc: Knowledge Broker, health-evidence.ca Jessie McGowan, PhD : Health and Library Consultant, Toronto; Adjunct Professor, Departments of Medicine and Family Medicine, University of Ottawa; Associate Editor, Journal of Clinical Epidemiology

3. Peel Public Health 1.3 million population Mississauga, Brampton and Caledon 624 FTE Annual growth of 30,000 Ethnically diverse

4. Vision: Broad application of EIDM processes among Peel Public Health staff at all levels over the next ten years, resulting in the systematic inclusion of research evidence into decision making.

5. The REAL VISION Striding into Dr Mowat ’s Office! Peel Public Health reports are a MUST read!

6. CHSRF Survey Library services lacking profoundly Time/skill to follow an evidence informed process Question formulation, search, critical appraisal skills, synthesis and applicability No consistent requirement for use of evidence

7. But: Strong support from Senior Management Strategic priority

8. Missing Components Library services, especially reference Access to and knowledge of high quality information, especially pre-processed and pre-appraised Building workforce capacity and skill Process of bringing evidence to practice questions

9. For Today Our focus is on the first two with a taste of training!

10. Library Needs assessment Lack of access to information Databases On line and print journals Search expertise Low reference service capacity Lack of skills “ Work-Arounds” Low use

11. But, there was some awareness: Preference and value pre-processed and pre-appraised literature Value of evidence-based philosophies Demand for more training

12. Two years later: Library Two reference librarians Appropriate databases and access Improved web-presence High demand for service Beginning ‘PUSH’ activities Library as knowledge hub

13. Two (or more) Years Later: EIDM Staff to critical appraisal training Process for ‘rapid review’ of the evidence Increasing access to pre-processed and pre-appraised sites

14. One of the helpers along the way: Health-Evidence.ca

15. Pre-processed literature Examples: Guidelines Policy briefs Overviews Systematic reviews Pre-processed DiCenso, Bayley, & Haynes, 2009 Synopses of single studies Single studies Syntheses Synopses of syntheses Summaries Systems

16. Synthesized Research Value: Summarize the existing best information to give a picture of what is currently known Saves time of reading individual studies More reliable results than individual studies Respond to a large scope of questions to provide guidance in practice Work has been done for you!

17. Methods Rigorous scientific methods: Develop question Identify criteria for included studies Search for literature Apply inclusion, quality criteria Analytic synthesis of findings Draw conclusions Practice implications (guidelines, policy briefs)

18. Maureen Dobbins Director The Health Evidence Team Paula Robeson Knowledge Broker Heather Husson Project Manager Kara DeCorby, Project Coordinator Lori Greco Knowledge Broker Daiva Tirilis Research Assistant Lyndsey McRae Research Assistant Robyn Traynor Research Assistant / Coordinator

19. Health-evidence.ca

20. Health-evidence.ca

21. Health-evidence.ca

22. Health-evidence.ca

23. Other Health Evidence Services Facilitated Evidence Review Literature Searching & Instruction Mentoring & Brokering Support

24. More help along the way: Library Services Consultation

25. 6S Hierarchy

26. Canadian context

27. Here ’s the interactive part: Anatomy of a systematic review Four simple questions Example of pre-processed literature Where to find pre-appraised literature

28. Reflections: Your organization Where are you on the journey? Is there a small step you can take? Is there help that you can access? Some resources for help…

29. Help: Health evidence.ca: http://health-evidence.ca/ Canadian Virtual Health Library: Welcome to the Canadian Virtual Health Library! | CVHL

30. More help: Donna Ciliska with NCCMT National Collaborating Centre for Methods and Tools CHSRF Assessment Tool Is research working for you? CHSRF - Self-Assessment Tool

31. More Help on Pre-appraised: Sources of pre-appraised evidence NCCs http://www.nccph.ca/en/home.aspx CDC comm guide http://www.thecommunityguide.org/index.html Public health + http://www.nccmt.ca/tools/public_health_plus-eng.html NICE http://www.nice.org.uk/ Cochrane library http://www.thecochranelibrary.com/view/0/index.html Campbell collaboration http://www.campbellcollaboration.org/

32. The following links provide help on the steps of bringing evidence to a practice question Taken from Peel Public Health’s Library Website: Public Health: Peel Health Library

33. Conceptual Model Worksheet : Peel Health Library: Step 1 – Developing a Conceptual Model CDC Community Guide Every guideline has a framework The Community Guide - Diabetes Prevention and Control

34. Question and Search Plain language and PICOT format: Sources of pre-appraised evidence Health evidence.ca http://health-evidence.ca/ NCCs http://www.nccph.ca/en/home.aspx CDC comm guide http://www.thecommunityguide.org/index.html Public health + http://www.nccmt.ca/tools/public_health_plus-eng.html NICE http://www.nice.org.uk/ Cochrane library http://www.thecochranelibrary.com/view/0/index.html Campbell collaboration http://www.campbellcollaboration.org/

35. Critical Appraisal Healthevidence.ca review tool http://health-evidence.ca/tools CASP tools http://www.sph.nhs.uk/what-we-do/public-health-workforce/resources/critical-appraisals-skills-programme AGREE II tool http://www.agreetrust.org/resource-centre/training/introduction/

36. Data Extraction Peel Public Health Tool Adapted from NCCMT Table, template Peel Health Library: Tools for Rapid Reviews

37. Applicability and Transferability NCCMT website http://www.nccmt.ca/ http://www.nccmt.ca/pubs/2007_12_AT_tool_v_nov2007_ENG.pdf Stop a program Start a program

38. Report Structure CHSRF 1:2: 20 (1:3:25) http://www.chsrf.ca/publicationsandresources/pastseries/communicationnotes/10-06-01/d497a465-5398-4ec8-addf-d7cbf86b1e43.aspx

39. Manager’s Checklist Our tool http://www.peelregion.ca/health/library/manager-checklist.asp

40. Contact Information Megan Ward: [email_address] Jessie McGowan: jmcgowan@uottawa.ca Lori Greco: [email_address] Bev Bryant: [email_address]