How Librarians Can Assist Clinicians with EBP
Transcript of How Librarians Can Assist Clinicians with EBP
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How Librarians Can Assist Clinicians with EBP
Roy Brown MLIS, AHIPResearch and Education Librarian
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How many of you have a medical librarian in your organization?
Opening Question #1
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What activities does a medical librarian take on or could take on to support EBP in your
organization?
Opening Question #2
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Objectives
• Participants will be able to:
• Identify opportunities librarians can leverage to support clinicians with evidence based practice.
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Healthcare Today:Moving to Clinical Decision Making Based on
Evidence
• Opinions (Own & Colleagues)
• Past Experiences
• Precedents
Previous Healthcare Practice
• Science • Research • Evidence
Present Healthcare Practice
Greiner, A.C. et al. (2003). Health Professionals Education: A Bridge to Quality
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Roles and Strategies for Librarians Supporting EBP
Setting the Stage
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VCU Health▪ 779 Bed Urban Academic Medical
Center
▪ 3 Time Designated Magnet Facility
▪ 11,000 Employees (3500+ Nurses)
▪ Approximately – 40 PhD & DNP Trained
▪ Active Beacon Award Units – 11
VCU Libraries:
Tompkins-McCaw Library for the Health
Sciences
▪ VCU Libraries: Two Libraries • James Branch Cabell Library: Academic
Campus
• Tompkins-McCaw Library: Medical Library
▪ Liaison Program • 7 Librarians - Research and Education
Department
• Nursing, Medicine, Allied Health, Dentistry, Pharmacy & Consumer Health
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Librarians and EBP:Roles at Various Stages of EBP Process
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Librarians and EBP:Practice Question
• Assist with Question Formulation – Moving from Background Question to Foreground Question (PICO)
• Access the Literature
• Internal and External Data
• Identifying Hospital Resources ‐ Experts/Teams
• Identifying Hospital Goal Alignment & Potential ROI
• Identifying Stakeholders – Who is Affected and Needs to Be Involved
– Potential Team Members
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The Librarian and EBP:Serve as a Connecting Agent – People and Resources
Institutional Memory: Past EBP Projects / Initiatives
Librarian
Sources of Data
Practice Councils
Nursing Units
External Experts
Hospital Experts
Evidence/ Literature
Past EBP Projects
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Librarians and EBP:Roles at Various Stages of EBP Process
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Librarians and EBP:Acquiring Evidence
• Searching and Accessing Evidence
– Education: Search Skills & Information Resources
– Performing Requested Searches
– Consulting with Nurses Doing Their Own Searches
– Attending Clinical Rounds
• Setting Up Search Alerts on Topics of Interest
– Passing along articles of interest to identified members of the nursing staff
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Librarians and EBP:Acquiring Evidence
• How to Help the Librarian Help You:• Bring PICO Question
• Provide a List of Potential Keywords – Synonyms
• Do an Independent Search of the Literature
• Which Database(s) were searched
• Share Articles Related to Question or Problem
• Share Who You Have Spoken To
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Librarians and EBP:Appraising Evidence
• Assist and provide education on how to appraise evidence
– Level and Quality of Evidence • Pyramid of Evidence
– Connect individuals for
complex appraisals
Clinical Practice
Guideline
Systematic Review or Meta-
Analysis of RCT's
Controlled Trial without Randomization
Case-Control and Cohort Study
Systematic Review or Meta-Synthesis of Descriptive or Qualitative Studies
Descriptive or Qualitative Study, Literature Review, QI or EBP Project
Expert Opinion
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Librarians and EBP:Roles at Various Stages of EBP Process
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Librarians and EBP:Translation
• Assist with Identifying Nursing and Interdisciplinary Team Members
• Identify practice council(s) who may need to be involved
• Assist with identifying hospital resources
• Project Management – Educate on Basic Principles– Planning with a goal in mind
– Milestones, Timelines
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Librarians and EBP:Dissemination
• Assisting with Identifying Conferences or Publications Appropriate for Work
• Instructional and Consultation Opportunities (Partner) – How to Write a Good Abstract
– Principles of Putting Together a Quality Poster
– How to Effectively Write for Publication
– Effective Presentations
• Establish an Institutional Repository and Assist with Work Being Deposited
Librarians and EBP:Roles at Various Stages of EBP Process
System Wide Involvement
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• Education in Partnership with Nursing Education and Professional Development Department
• Assist with classes addressing various aspects of EBP
• Serve on Hospital Councils or Committees • Nursing EBP and Research Council
• Magnet Champions Committee
• Practice Councils
Librarians and EBP:System Wide Involvement
Formulating a Good Clinical Question How to Effectively Write for Publication
Moving from Constructing a Clinical Question to Finding the Evidence
Principles of Putting Together a Quality Poster
Effectively Appraising Evidence Effective Presentations
How to Write a Good Abstract
Clinical Inquiry Process Diagram
• Serves as the framework for how research, EBP and PI support is planned out.
• Breaks down difference between EBP, Research, and PI/QI
• Further enhanced with an online portfolio with just‐in‐time instruction.
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Getting Started in Your Own OrganizationTips for Librarians & Others
● Nursing Administration & Leadership○ Chief Nursing Officer ○ Department/Division Nursing Directors
● Magnet Coordinator or Magnet Program Director
● Nurse Residency Programs ○ Meeting with the new graduate nurse but also
working with the resident facilitators
● Interns and Scholars Program ● Education and Professional Development
Department o Nurse Educators
● Research and Innovation Department
Partnerships and Opportunities
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Wrapping Up
• Identify Partners in Your Organization – EPD/ Nurse Educators , Nursing Administrators, Chief Nursing Officer
• Presence and Showing Initiative is Key for Librarians – Must give reason to recognize value
• Supporting EBP is a Way to Show Value of Librarian– Return on Investment ($)
• EBP Provides Ample Opportunities for Librarians – Be Sure to Seek Out and Provide Training
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Resources Nursing Research Guide: https://guides.library.vcu.edu/nursing
Evidence‐Based Practice Question Development & Search Checklist (2020) : https://scholarscompass.vcu.edu/libraries_pubs/63/
The Basic Rules of Doing a Good Search and Search Tips (2020): https://scholarscompass.vcu.edu/libraries_pubs/64/
The Clinical Inquiry Process Diagram (2020): https://scholarscompass.vcu.edu/libraries_pubs/62/
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Thank You
Roy Brown MLIS, AHIPAssociate Professor
Research and Education LibrarianEmail: [email protected]: (804) 828‐1592
Nursing Research Guide: http://guides.library.vcu.edu/nursing