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SEA Currents

Newsletter of the NN/LM Southeastern/Atlantic Region

Archive for the ‘Outreach’ Category

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

Friday, September 19th, 2014

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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.

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)

Upcoming Online Classes Available for Registration

Wednesday, July 23rd, 2014

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The National Network of Libraries of Medicine, Southeastern/Atlantic Region would like to announce registration for a number of upcoming online classes starting in August and September.

Consumer Health

Promoting Health Literacy through Easy-to-Read Materials

From Snake Oil to Penicillin: Evaluating Consumer Health Information on the Internet

  • Instructor: Terri Ottosen
  • September 8 – September 29
  • 3 MLA CE

These consumer health classes qualify for Consumer Health Information Specialization through the Medical Library Association.

Health Information Professionals

ClinicalTrials.gov: Results Reporting, Unique Evidence, and the Role of Medical Librarians

Chemicals, Drugs, and Genetics Oh My! Searching PubMed and Beyond

  • Instructor: Tony Nguyen
  • August 18 – September 12
  • 6 MLA CE

Public Health and Public Health Information Professionals

NEW – Public Health Information on the Web

Technology

Geeks Bearing Gifts: Unwrapping New Technology Trends – 2014 edition

These online classes will be offered for free via Moodle. Moodle does not require a software download.

To register for any of these classes, please visit: http://nnlm.gov/sea/training/register.html.

 

Free Outreach Resource: Shaping Outcomes Course

Monday, July 21st, 2014

Written by Nikki Dettmar, Evaluation Librarian, National Network of Libraries of Medicine, Outreach Evaluation Resource Center (NN/LM OERC)

Contact Nikki at: snydern@u.washington.edu

Shaping Outcomes

Do you want to learn more about outcomes-based planning and evaluation (OBPE) for your outreach project but there’s no money in the training budget to do so?

Shaping Outcomes: Making a Difference in Libraries and Museums (shapingoutcomes.org) is available as a free online course that learners can start anytime and work on at their own self-navigated pace. While there are library and museum-specific examples provided in the course the concepts of learning more about target audience needs, how to clarify desired results, developing logic models and evaluating outcomes are applicable for most other organizations’ outreach projects as well.

Modules of the class are broken into five sections (Overview, Plan, Build, Evaluate, Report) with a helpful Glossary to learn OBPE terminology and a Logic Model template. Shaping Outcomes was developed by the Institute of Museum and Library Services (IMLS) and Indiana University/Purdue University Indianapolis (IUPUI) and previously was available as an instructor-led class.

More information specific to developing logic models in health information outreach programs is available from Booklet Two: Planning Outcomes-Based Outreach Projects, part of our resources on our Outreach Evaluation Resource Center (OERC) Evaluation Guides page at http://nnlm.gov/evaluation/guides.html.

Beyond the SEA: July 16, 2014 – Exploring the importance of literacy, numeracy, and problem solving in health-related issues – MLA CE Credit Now Offered – Recording Now Available

Wednesday, June 18th, 2014

Recording: https://webmeeting.nih.gov/p6oooqwlb6i/

Presentation: Exploring the importance of literacy, numeracy, and problem solving in health-related issues: Results from the Program for the International Assessment of Adult Competencies (PIAAC)

Date and Time: Wednesday, July 16, 2014, Noon to 1:00 pm (EST)

Presenter: Eugene Owen, National Program Manager for PIAAC, National Center for Education Statistics, U.S. Department of Education.

Dr. Eugene Owen is the Senior Technical Advisor to the International Activities Program in the Assessment Division of the National Center for Education Statistics. He is currently the U.S. Project Manager for the OECD’s Program for the International Assessment of Adult Competencies (PIAAC). He helped to establish the International Activities Program at NCES and served as its first Program Director. From the late 1990s until the early 2000s, Dr. Owen helped create and establish TIMSS and PIRLS with the IEA and PISA and PIAAC with the OECD.

Summary: This webinar will present findings from the Program for the International Assessment of Adult Competencies (PIAAC), a large-scale assessment conducted in 2012. PIAAC results provide a snapshot of the basic skills and proficiencies of U.S. adults in literacy, numeracy, and problem solving in technology-rich environments with comparison to other participating countries. This presentation will also provide information about the relationships between health measures and literacy, numeracy, and computer-based problem solving skills.  Specifically, the presentation will provide information on the relationships between skills and health variables from the health-related background questions, including questions about health status, sources of health information, and participation in preventative health practices.

ADDENDUM: Upon completion of the Beyond the SEA Webinar, each participant will receive 1 hour 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.

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