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SEA Currents

Newsletter of the NN/LM Southeastern/Atlantic Region

Archive for the ‘Advocacy’ Category

Share Your Success: Impacting Patient Care Through Evidence-Based Practice

Friday, September 19th, 2014

inspiringpeople

By Emily Brennan, MLIS, Research Informationist, Medical University of South Carolina (MUSC) Library, Charleston, SC, mmbrennane@musc.edu

In my role as Research Informationist at MUSC Library, I teach and employ evidence-based practice (EBP) thus impacting patient care on both an individual and systematic level. As Co-Director of the Pediatrics Residency EBP Curriculum, I round with interprofessional teams on the inpatient wards, providing answers to clinical questions that arise at the point-of-care. I am also involved in the weekly EBP noon conference in which residents present on an EBP topic. Clinical rounding, informal training, and structured instruction are also a part of the Year 3 College of Medicine Pediatrics Clerkship, in which I am a preceptor. Throughout their pediatrics rotation, medical students work in teams to complete a project that involves developing a clinical question based on a patient, then finding and appraising an article that answers that question. My involvement in the pediatrics residency program and clerkship ensure that evidence-based research is integrated into clinical expertise, leading to better patient care.

As a member of MUSC’s Center for Evidence-Based Practice, I am also involved with EBP on a more systematic level. The Center is housed jointly in the Library and the Quality Management department of the MUSC Hospital, and includes a Director, Elizabeth Crabtree MPH, PhD(c), librarian (myself), and Clinical EBP Analyst. The Center develops evidence-based hospital guidelines, clinical decision support tools, and provides EBP education for MUSC clinicians, staff and students. The Center for EBP uses interprofessional content expert teams to develop evidence-based order sets for the electronic health record (EHR).
In my role as lead librarian in the Center for EBP, I am responsible for performing literature searches on clinical questions of interest for a given disease process or topic. My expertise in conducting comprehensive literature searches ensures that the best research evidence is integrated into practice. Once I complete the search, I share the search strategy and relevant references with the Director of EBP through a shared reference management account. The Director then critically appraises, evaluates and summarizes the evidence. The content expert teams then review the evidence and develop recommendations that drive the development of order sets. This framework helps ensure the delivery of comprehensive, coordinated, evidence-based care across the clinical spectrum.

The Center teaches clinicians, staff and students about the theory, practice and dissemination of EBP through educational courses. Three courses focus on the process of EBP: 1) Nurse Scholars Course, 2) Interprofessional Pediatrics Course, and 3) College of Medicine Year 2 Students EBM Curriculum. The primary outcome assessment for these courses is the completion of an evidence summary that requires participants to formulate clinical questions, search the literature, appraise the evidence, identify quality measures, and develop practice recommendations that drive care for a particular clinical topic. The final evidence summary leads to either an updated hospital policy or clinical decision support tool, such as an EHR order set. I teach how to formulate a clinical question, differentiate study designs, search the literature, and manage references. The Director of EBP describes how to identify stakeholders, interpret statistics, appraise the evidence, select quality measures, and translate the evidence.

Participants who have completed either the Nurse Scholars or Interprofessional Pediatrics Course may participate in an Evidence-Based Practice Leadership Program. This program, starting in fall 2014, will equip clinicians to lead change, and implement and disseminate evidence. My responsibility in this course will be to prepare participants to disseminate the evidence, including writing an abstract, selecting a journal for publication or conference for presentation, and creating a professional poster.
In my roles as Research Informationist and a member of the Center for EBP, I am uniquely positioned to equip clinicians, staff and students with the skills necessary to make evidence-based decisions during every day clinical practice, as well as impact and standardize patient care on a systematic level.

SEAside Webinar: September 22, 2014 – Every Voice Makes a Difference: Advocating for Health Science Libraries

Tuesday, September 2nd, 2014

Date and Time: Monday, September 22, 2014, 2:00 to 3:30 pm EDT

Title: Every Voice Makes a Difference: Advocating for Health Science Libraries

Presenter: Dr. Camilia Alire

Summary: The webinar will discuss the rationale for health science library advocacy, provide basic tips on how to do it successfully, and where to access information on doing effective library advocacy.

Biographical Sketch: Dr. Camila Alire is Dean Emeritus at the University of New Mexico and Colorado State University. She received her doctorate in Educational Leadership from the University of Northern Colorado and an MLS from the University of Denver.

Camila is past president of ALA, ACRL (Association for College and Research Libraries) and national REFORMA. Library advocacy was her focus during all three presidencies. She has presented workshops on all aspects of library advocacy nationally and internationally.

Camila has co-authored books on library management, academic librarianship, emotionally intelligent leadership, and library service to Latinos. She was appointed by President Obama to serve on the National Council on the Humanities. She was honored in 2011 with the ALA/Lippincott Award for Distinguished Service; the CALA Presidential Recognition Award, and the ALA Achievement in Library Diversity Research Award. She was awarded the ALA Elizabeth Futas Catalyst for Change award and the national REFORMA’s Librarian of the Year award. Hispanic Business Magazine named Camila one year as one of the 100 most influential Hispanics in the U.S.

MLA CE: Upon completion of the SEAside Webinar, each participant will receive 1.5 hours of continuing education credit awarded by the Medical Library Association. Certificates will be available electronically following completion of the online survey supplied at the end of the webinar.

What do you need to join these conferences?
• A computer (with Flash installed)
• A telephone

How do I connect?

Go to this URL: http://webmeeting.nih.gov/beyondthesea
• Enter as a Guest
• Sign in with your first and last name.

Follow the instructions in the meeting room to have Adobe Connect call your phone or call 1-800-605-5167 and enter the participant code 816440 when prompted.

Inspiring People In Our Region: Nakia Woodward, Senior Clinical Reference Librarian, Quillen College of Medicine Library, East Tennessee State University

Monday, August 18th, 2014

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Nakia Woodward, Senior Clinical Reference Librarian

Quillen College of Medicine Library, East Tennessee State University

1. What is your position?

I am the Senior Clinical Reference Librarian at East Tennessee State University’s Quillen College of Medicine Library in Johnson City, TN. We have a small staff, so I get to do a little of everything from clinical reference, outreach (both consumers and clinicians) and instruction, to research. One thing I really love about my job is that there is no such thing as a typical day.

2. How long have you been a librarian? Your current position?

I have been a librarian for 10 years and I have been in my current position 3 ½ years.

3. What was the path that led you to your current position?

I was fortunate enough to find a job in my hometown working part-time as a paraprofessional and part-time for an NN/LM funded project as a consumer health librarian. I was then able to move into a reference librarian position when one became available.

4. What made you decide to be a librarian?

I first wanted to be a librarian at age 3 when I decided checking out books looked like fun. As I grew up I bounced around majors and career plans before realizing that librarianship is a wonderful profession for people who love being generalists.

5. What do you love most about your outreach work?

The impact I get to have as a medical librarian is mind-blowing. We, as health science librarians, are fortunate enough to see a direct impact of the work we do. I have had physicians tell me that because of searches I have conducted they changed treatment plans and it extended patients’ lives. That is such a humbling thing when you think about it.

6. What do you consider your biggest work related challenge?

Educating people outside the field about what we do and the myriad of services that librarians can provide. This challenge is especially hard when librarians are confronted with people and administrators who feel they already know what we do. We have to break their preconceptions and work to be considered part of an integrated team and not an ancillary service.

7. What do you consider to be the most fulfilling part of your job?

I love that feeling when a student, clinician, or consumer gets exactly the information they needed. I like the connections made between people and information at that point. When I have a patron who wants information for a medical condition and leaves feeling calmer and more in control because of what I helped them find, that makes me feel fulfilled. When we have a rural physician call for information on a condition and we can provide her with the same level of service that we do our on-campus physicians, I know that my work is worthwhile.

8. What do you see as the biggest health concerns in the communities you serve?

Access to care, prescription drug abuse, and obesity are huge issues in east Tennessee. We have had to adapt classes for our students, training for the public, and consumer handouts to reflect these issues. Many of our researchers focus on these areas and we’ve had to stay on top of these developments and initiatives.

9. What do you see as the biggest concerns in hospital and/or health sciences librarianship?

Libraries constantly have to prove their relevance and justify their cost. I think some administrators have the naïve view that databases can take the place of a library. It is crucial for us to get better at promotion and marketing our profession and our libraries to address this issue.

10. How did you first come to know NN/LM SE/A?

I was first hired by ETSU on a project funded by an award from NN/LM SE/A which was the start of my library career. This project was the beginning of the Simple Plan project that went on to train public library workers across the state of Tennessee with 12 hours of continuing education focusing on consumer health.

11. In what ways has NN/LM SE/A benefited you or your organization?

NN/LM SE/A is a priceless resource. Our library would not have been able to do most of its outreach efforts without support from NN/LM SE/A. They have provided us with project funding, training opportunities, ideas for future projects, and program development support. We are very fortunate to have assistance from the NN/LM SE/A.

12. Can you share a success story about the impact of health outreach in your community?

We just finished an NN/LM SE/A funded project which provided mini-iPads to clinicians in 8 faith-based clinics for the working uninsured and a desktop computer to go in the lobby for registering for the Affordable Care Act and to provide consumer health information. The clinic workers are determined that their patients will not receive a lower quality of service because they are uninsured. The equipment and training were well received and the clinics are all now using MedlinePlus.gov as their go-to consumer education resource.

13. What advice would you give others who are interested in doing health outreach work in their communities?

Partnership and collaboration are crucial to outreach success. The main reason so many of our projects have been successful over the years is because of strong partnerships. Partnering with NN/LM SE/A provides a fantastic foundation for a plan, but also partnering with local groups such as churches, faith-based clinics, public libraries, community centers, etc., can lead to many successful initiatives. Look for people who may be interested in outreach since health is an issue that impacts everyone. Some of our successful partnerships include the following:

  • We began a project a few years ago which provided consumer health information at Remote Area Medical clinics in our region. Members of our local health sciences library consortium partnering with public libraries would show up at 6:30 in the morning for the event. We performed on-site consumer health information searches for the uninsured attendees. We provided our contact information and many attendees contacted us to receive further health information. (NN/LM SE/A funded)
  • We have collaborated with Preston Medical Library at the University of Tennessee in Knoxville and the Tennessee State Library and Archives to provide extensive training on consumer health to all non-metro library workers across the state of Tennessee. (NN/LM SE/A funded)
  • We partnered with the Tennessee Hospital Association to provide handheld devices to rural clinicians. We have provided hundreds of devices to rural clinicians to assist them in getting access to health information so they are not penalized for choosing to be rural practitioners. (NN/LM SE/A funded)

The Value Study as a Tool for Library Advocacy (Boost Box session)

Wednesday, August 6th, 2014

Presenters:

  • Joanne Gard Marshall, Distinguished Research Professor, School of Information and Library Science, University of North Carolina at Chapel Hill
  • Julia Sollenberger, Associate Vice President and Director, Medical Center Libraries and Technologies, University of Rochester Medical Center

Date / Time: Tuesday, August 12, 2014 / Noon – 1 pm (ET)

Where:             https://webmeeting.nih.gov/boost2/

Online / No Registration Required

Summary: The speakers will present the results of the Value Study the most useful for library advocacy and discuss how results are being used by librarians across the country. Over 16,000 physicians, residents and nurses served by 56 libraries participated in the study. As a result, the findings can be used by both participating and non-participating libraries.

Librarians are using the results to advocate for the importance of the library through posters, presentations, newsletters and personal contacts with administrators, educators and clinicians. Time saved by health professionals is also being also converted into dollars saved to show cost-effectiveness. Our examples show that librarians are using the results, but customizing their advocacy efforts so that they have maximum impact on their institution.

Librarians are making frequent use of the resources available on the Value Study website: http://nnlm.gov/mar/about/value.html, containing an overview of the study results suitable for presentation. Librarians are welcome to use the full presentation or key slides as needed.  Specialized PowerPoint summary reports are also available based on geographic region, as well as AAHSL and non-AAHSL sites, and the profession of respondents. The site provides access to the data and all supporting materials, including the survey. Features encourage data use, benchmarking with similar types of libraries, as well as study replication. Links to peer reviewed journal articles based on the study results are also available on the site. Two new publications, one in a nursing journal and one in a health care management journal are about to appear. Results from these additional analyses will be discussed.

Share Your Success: 2013 Winner Announced

Wednesday, November 6th, 2013

The National Network of Libraries of Medicine Southeastern/Atlantic Region (NN/LM SE/A) is pleased to announce that Joan Colburn, Director of Library and Knowledge Services at Mountain AHEC in Ashville, NC, has won our National Medical Librarians Month (NMLM) Share Your Success drawing for a $1000 MLA 2014. travel scholarship. She will be able to charge up to $1000 for airfare, hotel, and per diem to the NN/LM SE/A  for the MLA 2014 Annual Meeting in Chicago.

We want to thank everyone who submitted a story about your success. There were not as many submissions this year as in previous years, so feel free to give us suggestions on how we may promote medical libraries and medical librarians in our region.

Congratulations, Joan.  We’ll be seeing you in Chicago, IL!

Last updated on Friday, 22 November, 2013

Funded by the National Library of Medicine under contract HHS-N-276-2011-00004-C with the Health Sciences and Human Services Library of the University of Maryland