It Takes Two: Librarians and Nurses Collaborate to Establish a Magnet Hospital Evidence-based Nursing Project DeDe Leshy, MLIS, MS Irene Lovas, MLS Senior Medical Librarians Cedars-Sinai Medical Center

Project Planning Two Senior Medical Librarians Two Senior Medical Librarians Three Advanced Practice Nurses Three Advanced Practice Nurses CSMC Magnet Hospital Setting CSMC Magnet Hospital Setting

Organizing Principle Readiness of U.S. Nurses for Evidence-based Practice By Diane S. Pravikoff, PhD, RN, FAAN, Annelle B. Tanner, EdD, RN, and Susan T. Pierce, EdD, RN AJN, Sept., 2005, v.105(9):40-51.

Readiness of U.S. Nurses for Evidence-based Practice Key Concepts: Many nurses acknowledged a need for information to support their work Many nurses acknowledged a need for information to support their work Nurses were more comfortable asking colleagues or peers and searching the Internet than using bibliographic databases Nurses were more comfortable asking colleagues or peers and searching the Internet than using bibliographic databases

Project Objectives Librarians and key nurse contacts work collaboratively to promote and support evidence- based research by nurses at Cedars-Sinai Medical Center (CSMC) Librarians and key nurse contacts work collaboratively to promote and support evidence- based research by nurses at Cedars-Sinai Medical Center (CSMC)

Project Objectives Design a program to encourage and facilitate the use of evidence-based literature among staff nurses at CSMC Design a program to encourage and facilitate the use of evidence-based literature among staff nurses at CSMC

Project Objectives Nurses have the opportunity to present research at Cedars-Sinai Nursing Research Conference, May 2, 2006 Nurses have the opportunity to present research at Cedars-Sinai Nursing Research Conference, May 2, 2006 CEU Credit for nurse participants CEU Credit for nurse participants

Project Design Nursing Research Toolbox A series of three classes over three-week period to acquaint nurses with research methods

Nursing Research Toolbox, Session 1: Getting Excited About Research Presented by nurses Presented by nurses Choosing a topic Choosing a topic Differentiating between QI and research Differentiating between QI and research

Nursing Research Toolbox, Session 2: How to Do A Literature Search Presented by librarians Presented by librarians Covered the basics of doing a literature search Covered the basics of doing a literature search Finding evidence-based studies Finding evidence-based studies

Nursing Research Toolbox, Session 3: What to Do After Your Search? Presented by nurses Presented by nurses Organizing workload Organizing workload Reviewing literature Reviewing literature

Librarian Session Details How to do a Literature Search Selecting an appropriate information source: Selecting an appropriate information source: - journal articles - journal articles - textbooks - textbooks - Internet - Internet

How to Do a Literature SearchHow to Do a Literature Search Translate topic into searchable concepts Translate topic into searchable concepts Search concepts separately Search concepts separately Refine and combine concepts Refine and combine concepts Use Medical subject headings Use Medical subject headings

How to Do a Literature Search Perform sample searches Perform sample searches Identify evidence-based articles Identify evidence-based articles Get full-text of article Get full-text of article Librarians available for follow- Librarians available for follow- up consultation up consultation

Information Resources We Use: Medical Library Resources for Nurses: Medical Library Resources for Nurses: Ovid Databases: Ovid Databases: - MEDLINE – our focus for this project - MEDLINE – our focus for this project - CINAHL - CINAHL - Cochrane Databases - Cochrane Databases UpToDate UpToDate Subject Guide to Nursing Information Resources Subject Guide to Nursing Information Resources

Pre-test Literature Search Session Most Cedars-Sinai nurses in the classes use journal literature to find answers to questions Most Cedars-Sinai nurses in the classes use journal literature to find answers to questions Most Cedars-Sinai nurses in the classes search CINAHL or MEDLINE to find quality, evidence-based journal articles Most Cedars-Sinai nurses in the classes search CINAHL or MEDLINE to find quality, evidence-based journal articles

Librarian Class Evaluation Comments Nurses perceived the librarians and the Medical Library to be nurse- friendly Nurses perceived the librarians and the Medical Library to be nurse- friendly Nurses thought class was very useful Nurses thought class was very useful Nurses learned database search techniques to identify evidence- based articles Nurses learned database search techniques to identify evidence- based articles

Project Outcome Encore presentation of Sessions 2 and 3 Encore presentation of Sessions 2 and 3 Request for a series of Literature Search Classes for BSN and MSN students at California State University, Los Angeles working at Cedars-Sinai Request for a series of Literature Search Classes for BSN and MSN students at California State University, Los Angeles working at Cedars-Sinai Request for librarians to teach Literature Search Classes in nursing units Request for librarians to teach Literature Search Classes in nursing units

Project Outcome Librarians asked to join the Nursing Research Committee Librarians asked to join the Nursing Research Committee Librarians asked to present at the CSMC Nursing Research Conference, May 2, 2006 Librarians asked to present at the CSMC Nursing Research Conference, May 2, 2006

Summary Collaboration benefits both nurses and librarians Collaboration benefits both nurses and librarians - nurses become aware of and use library resources more effectively - nurses become aware of and use library resources more effectively - librarians become aware of nurses information needs and are able to target training sessions to meet those needs - librarians become aware of nurses information needs and are able to target training sessions to meet those needs - we improve our unique roles in patient care - we improve our unique roles in patient care