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Newsletter of the Medical Library Group of Southern California and Arizona

Virtual Poster 7: Nourishing the Garden for evidence based health care: initial steps in establishing a clinical librarian program at a comprehensive cancer center

Posted on | March 2, 2012 | 7 Comments

Janet Crum, Director, Library Services, jcrum@coh.org
Laura Brown, Clinical Librarian, laurabrown@coh.org
City of Hope

BACKGROUND
City of Hope includes both a medical center, with acute and ambulatory care, and a research institute focused on basic biosciences research. The Lee Graff Medical & Scientific Library serves the entire institution but until recently had devoted a majority of resources to supporting research rather than clinical care. Through surveys and interviews with constituents, library staff determined that Medical Center staff had many unmet information needs. A retirement opened a position that could be reconfigured to support evidence-based practice and be somewhat embedded in the clinical environment—a clinical librarian.

OBJECTIVE
To lay the groundwork for a successful clinical librarian program by involving stakeholders from the very beginning, so that clinical needs could be addressed quickly and appropriately.

METHODS
The library director identified key stakeholders, explained the concept of a clinical librarian, asked for (and received) their support, and involved them in each step of the recruitment. Clinicians in various roles provided feedback on the position description. The search committee was comprised of mostly clinicians who screened applicants, recruited colleagues to participate in interviews, and ranked candidates. All candidates were asked to give a presentation on their vision for a clinical librarian program. These presentations further educated the stakeholders and built enthusiasm for the program.

RESULTS
The new recruit was able to make contact quickly with many of the stakeholders involved in the search, most of whom she had already met during her interview. So the new clinical librarian was able to become effective quickly, participating in committees and starting projects in her very first week.

CONCLUSIONS
Like a garden, a successful library program begins with good preparation. If you sow the seeds in carefully prepared soil, they will sprout and grow quickly into strong, successful programs that will bear much fruit.

Download the full-size PDF of Laura Brown and Janet Crum’s poster, “Nourishing the Garden for Evidence Based Health Care: Initial Steps in Establishing a Clinical Librarian Program at a Comprehensive Cancer Center.”

Poster content is copyrighted by author(s). Contact the poster author(s) if you would like to re-publish or re-use their work.

Category: 2012 Symposium, 2012 Symposium Virtual Posters, Contributed Poster

Virtual Poster 6: The role of librarians in obtaining magnet status

Posted on | March 2, 2012 | 4 Comments



Adele Dobry, MLIS, adobry@library.ucla.edu
UCLA Louise M. Darling Biomedical Library

ANCC (American Nurses Credentialing Center) Magnet Recognition is a top honor which recognizes a hospital’s nursing excellence. Several of the fourteen “Forces of Magnetism” which characterize a Magnet hospital, are directly influenced by a librarian’s involvement. Forces in which librarians actively participate will be discussed. Librarians provide a key role in these areas by providing instruction, research expertise, and by being collaborators.

Every four years a Magnet institution has to undergo an extensive reevaluation to preserve Magnet status. This poster will show how librarians have assisted in maintaining Magnet status through participation in various evidence-based practice nursing committees. Librarians from other institutions can gain insight on steps to take to begin or maintain Magnet status.

Download the full-size PDF of Adele Dobry’s poster, “The Role of Librarians in Obtaining Magnet Status at UCLA.”

Poster content is copyrighted by author(s). Contact the poster author(s) if you would like to re-publish or re-use their work.

Category: 2012 Symposium, 2012 Symposium Virtual Posters, Contributed Poster

Virtual Poster 5: opportunities for hospital librarians in the era of genomic medicine: helping clinicians implement new approaches to patient care.

Posted on | March 2, 2012 | 1 Comment

Kathryn J. Elliott, M.S., kelliottsd@earthlink.net
Graduate Student, MLIS Program, San Jose State University

PURPOSE
To evaluate ways in which hospital librarians can help clinicians keep up with the rapid growth of genetic information and incorporate it into patient care as clinicians enter the era of genomic medicine.

SETTING
Hospital medical libraries

DESCRIPTION
The fast-growing field of genomic medicine applies human genetic information to the understanding and treatment of disease. Breakthroughs in genetic analysis technologies are presenting healthcare providers with new opportunities to diagnose disorders and customize clinical treatment based on the genetic structure of individual patients. In the hospital setting, access to genomic medicine information resources, clinical guidelines, and continuing education will be critical in the near future. This poster reviews the literature and presents the results of a hospital librarian survey on current and anticipated genomic medicine information needs and services for clinicians in hospitals. Roles and opportunities for hospital librarians to support evidence-based practice in this new field are discussed.

Download the full-size PDF of Kathryn J. Elliot’s poster, “Opportunities for Hospital Librarians in the Era of Genomic Medicine: Helping Clinicians Implement New Approaches to Patient Care.”

Poster content is copyrighted by author(s). Contact the poster author(s) if you would like to re-publish or re-use their work.

Category: 2012 Symposium, 2012 Symposium Virtual Posters, Contributed Poster

Virtual Poster 4: Evidence-Based Practice at the bedside: The librarian’s role in promoting EBP Mobile apps.

Posted on | March 2, 2012 | 3 Comments

Lisa Federer, MLIS, lmfederer@library.ucla.edu
Health and Life Sciences Librarian, UCLA Louise M. Darling Biomedical Library

As mobile devices become increasingly ubiquitous and new apps are developed to support evidence-based practice, smart phones and tablets have begun to make their way into clinical settings. Though much of the health-related research on mobile devices has focused on patient use, early investigations into the use of mobile devices at the bedside are encouraging.

As trusted information professionals, librarians are ideally suited to encourage the effective use of mobile devices to support EBP. Librarians’ interactions with clinicians regarding mobile devices could be divided into three different activities:
– Increasing awareness of mobile devices as tools for EBP;
– Promoting high-quality apps;
– Educating clinicians through one-on-one and group instruction, online tutorials, and other teaching modalities.

This poster will address these issues, in addition to suggesting best practices for instruction on using mobile devices and providing a list of selected high-quality apps.

Download the full-size PDF of Lisa Federer’s poster, “Evidence-Based Practice at the Bedside:The Librarian’s Role in Promoting EBP Mobile Apps.”

Poster content is copyrighted by author(s). Contact the poster author(s) if you would like to re-publish or re-use their work.

Category: 2012 Symposium, 2012 Symposium Virtual Posters, Contributed Poster

Virtual Poster 3: Librarians Collaborating with Faculty to Develop and Deliver an Evidence-Based eye care course

Posted on | March 2, 2012 | No Comments


Ruth Harris, MLIS, Instruction and Education Coordinator, harrisr@westernu.edu
Frances Chu, MSN, MLIS
Rudy Barreras
Harriet K. & Philip Pumerantz Library, Western University of Health Sciences

Librarians at the Harriet K. & Philip Pumerantz Library at Western University of Health Sciences worked with the Dean of the College of Optometry to develop and teach a course on Evidence Based Practice (EBP) for third year optometry students. Librarians taught sections on EBP, EBP resources, health literacy, and staying current with the literature. These sections were taught didactically utilizing TurningPoint™ clicker technology to assess initial understanding by providing appropriately structured PICO statements using a multiple choice question format, thereby permitting the students to pick the “best” PICO statement. The instructor created assignments that would assess the students’ ability to apply EBP and the students’ long term ability to apply EBP concepts. While using TurningPoint™ clicker technology, it appeared that librarians were effective in teaching EBP when evaluating students immediately after the lecture. However, students were not able to apply EBP concepts effectively if structured PICO answers were not provided. This could be due to the fact that the concepts taught were not being effectively assessed by the assignments. Librarians concluded that they were able to effectively teach EBP concepts to students using a structured answer format. However, when students were asked to apply concepts without that structured answer format, they were unable to do so effectively. As a result, librarians see the need to work with the instructor to further refine and assess the instruction and assignments.

Download the full-size PDF of Ruth Harris, Frances Chu, and Rudy Barrera’s poster, Librarians Collaborating with Faculty to Develop and Deliver an Evidence-Based Eye Care Course.

Poster content is copyrighted by author(s). Contact the poster author(s) if you would like to re-publish or re-use their work.

Category: 2012 Symposium, 2012 Symposium Virtual Posters, Contributed Poster

Virtual Poster 2: X-Linked Agammaglobulinemia Marks The Spot: Rare Diseases in Evidence-Based Practice

Posted on | March 2, 2012 | 1 Comment

Lori Tagawa, ltagawa@library.ucla.edu
Community Outreach Coordinator, National Network of Libraries of Medicine, Pacific Southwest Region

Evidence-based practice is “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients” (Sackett 1996). Under normal circumstances, evidence-based practice can be easily utilized. However, difficulties arise when seeking best practice for a rare disease, a disease that affects less than 200,000 Americans. It is often complicated to perform controlled clinical trials with such a small population and in some instances a rare disease’s best practice may lie in sporadic case reports. An individual rare disease may have little impact, but collectively there are nearly 7,000 identified rare diseases that affect 25-30 million Americans and even more worldwide. This poster will briefly explore the complicated relationship between rare diseases and evidence-based practice and will provide search strategies and resources for medical librarians seeking information on rare diseases.

Download the full-size PDF of Lori Tagawa’s poster,  X-Linked Agammaglobulinemia Marks the Spot: Rare Diseases in Evidence-Based Practice.

Poster content is copyrighted by author(s). Contact the poster author(s) if you would like to re-publish or re-use their work.

Category: 2012 Symposium, 2012 Symposium Virtual Posters, Contributed Poster

Virtual Poster 1: Librarian Involvement in Evidence-Based Practice among Clinical Nurses

Posted on | March 2, 2012 | 3 Comments

Mary A. Wickline, MLIS, M.Ed., MAWickline@library.ucsd.edu
Instruction and Outreach Librarian, UC San Diego Biomedical Library

INTRODUCTION
Librarian activities with nurses are based on a research-based needs assessment of nurses’ barriers to evidence-based practice. The poster will describe a few interventions that followed including the librarian’s outreach to the Education, Development, and Research (EDR) department; active participation in the nursing, shared-governance Research Council from its inception; and the use of journal clubs to facilitate reading and understanding the evidence.

INTERVENTIONS (Structures & Process)
Among the interventions have been:

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