1. Update: Service Transformation E-Learning Project (STEP)
Tracey Pratchett
Lancashire Teaching Hospitals NHS Foundation Trust
Sarah Lewis
Buckinghamshire Healthcare NHS Trust
This slide deck has been developed to provide a brief overview of the Service Transformation E-Learning Project.
For others: I will try and answer any questions today, any that can’t be answered today by me will be sent to Sarah and Tracey who will follow up with you after the session

2. What is the STEP project?
Suite of e-learning modules focussed on developing information literacy skills for the healthcare workforce
Part of Knowledge for Healthcare Service Transformation stream
Supports KfH priniciples of collaboration, reducing duplication, digital by default

3. “Do once and share” We wanted to create something that:
Everyone could access
Wouldn’t date
Was generic
We didn’t plan to develop some e-learning, we just fell into it. Sarah rang Tracey to pick her brains about e-learning, Tracey confessed that she knew nothing about e-learning and as the discussion progressed, we realise that we had similar service objectives and felt that there should be something national.
We did a bit of digging around as we thought that Knowledge for Healthcare might be doing something already. They weren’t, and before we knew where we were, we had some funding and the bare bones of a plan.
To us, it made sense to develop something generic which all NHS libraries and staff could use regardless of their location, applying the “do once and share” methodology which is central to the strategy. After some initial scoping and a few key conversations, the STEP ideology began to take shape, a project team was instigated and funding was secured.
“STEP by STEP: the origins of the Service Transformation E-Learning Project (STEP)”

4. The Plan Centrally hosted, no password needed.
Short modules, no more than minutes.
Incorporating interactive elements.
Available to use as part of a blended learning offer.
Generic to suit the whole NHS workforce.
Central to the project brief are the following ideas:
hosted on a central site and will not require a password.
Module content will be concise, straightforward and will focus on changing or reinforcing essential search behaviours.
incorporate a variety of interactive elements.
available for NHS librarians to use in a number of ways as part of their blended learning offer.
generic to suit the needs of all areas of the NHS workforce.

5. Funding Successful bid to HEE for funds for: Module design
Module content
Initial project survey and post-launch evaluation
3 minute animation
Some ongoing support

6. E-learning Specialist
The “E-Team”
Project Lead
Tracey Pratchett
Library Manager
Project Lead
Sarah Lewis
Library Manager
E-learning Specialist
Mandy Davis
Blended Learning Manager
Training Specialist
Michelle Maden
Independent Information Consultant
Clinician
Tracey Geddis
Advanced Nurse Practitioner
We knew that we didn’t have the skills or time to carry off this project, so we built a team who would help us to deliver the project.
Mandy Davis is Blended Learning Manager at Lancs Teaching Hospitals and her team will be developing the content
Michelle Maden who you all know completed the CL MOOC last year and has a wealth of experience in writing traditional and online training materials
Tracey Geddis is a recent addition to the team and she will provide a non-librarian perspective on the materials challenging our sue of jargon and ensuring that the resources will meet the needs of staff.
The project leads meet every other month with the Steering Group whose role is to guide the development and maintain oversight of the project. The Steering Group is chaired by Helen Bingham and includes representatives from NHS library services, ELfH, HE, NICE, Public Health England.

7. Initial consultation – survey results
Key recommendations:
Focus on introducing or reinforcing the basics of searching rather than advanced search skills.
Prioritise
refining searches (too many or too few results)
accessing full text
awareness of different resources.
Employ multiple interactive learning activities
Balance accessibility with an interactive and engaging learning experience.
We wanted to ensure that the modules would meet the needs of both librarians and the NHS workforce so we carried out two surveys.
We had an incredible response to our survey on information skills and e-learning – 139 responses from library staff and 173 from healthcare professionals.
In some ways the results confirmed what we had already expected e.g. key concerns about literature searching included how to access resources and identifying search terms and that interactive elements and ease of access could encourage people to use e-learning. Time pressures were also seen as a potential barrier and many library staff raised concerns about the limitations of older versions of internet browsers.
Interestingly, there were some key differences in perceptions of information literacy needs between library and healthcare staff. Healthcare staff ranked concerns with finding relevant information more highly than librarians. However, library staff felt that healthcare professionals may need more training in advanced searching techniques – something which was not commonly recognised by healthcare staff themselves. Of course, this could be a case of “you don’t know what you don’t know
“Different folks, different strokes: results of the STEP E-learning surveys”

8. Steering Group Project accountability and guidance
Webex meetings every couple of months
Chaired by Helen Bingham, Head of Knowledge Services and Technology Enhanced Learning – HEE South
Includes representation from NICE and Public Health Libraries
Forms part of the Service Transformation workstream of KfH

9. Virtual Reference Group
41 members
Communication via Yammer
Representation from all regions and …
HE, NICE, Wales, Scotland, RCN, RSM, Hospice, Public Health
Discussions about:
Use of audio
Module content
Module design
Examples of good generic searches
Testing modules
We had a lot of interest from Library staff across the country so created a Virtual reference Group to consult throughout the process. Many of those who joined the VRG were recruited from the survey. We are using Yammer to communicate with staff and largely this seems to be working well with some access issues for a couple of people which have been ironed out with their local IT teams.
Currently there are approximately 40 library staff who have joined the Yammer site which hosts the VRG discussion forum, it includes representation from.
At least 2 library staff from each region in NHS England – includes some working in specialist Trusts;
Scotland
Wales
NICE HE
RCN
Royal Society of Medicine
Independent hospice
Public health
A K4H blog post was published in November about the VRG and its progress.

10. The modules Module 1: Introduction to the modules.
Module 2: Where should I start searching?
Module 3: How do I start to develop a search strategy?
Module 4: Too many results? How to narrow down your search.
Module 5: Too few results? How to broaden your search.
Module 6: Searching with subject headings.
Module 7: How to search the Healthcare Databases (HDAS).
These are the titles of the 7 modules. We started to develop Module 3: How do I start to develop a search strategy first because it seemed to be the most straightforward to do.

11. Making the modules generic
We wanted to avoid using HDAS screenshots throughout the modules
Future proof the modules against HDAS amendments
To get across that as long as you understand the process of searching, you can apply the principles in any platform
To be relevant to public health care staff and others who may not use HDAS as their first port of call
Module 7: HDAS
Learners will have opportunity to apply their learning from other modules in HDAS using module 7
Utilise the HDAS user videos already available
Consultation with NICE on the content of this module
Can be used as a standalone module if users want just want to focus on HDAS

12. Developing module content
Draft learning objectives
Consultation with VRG on LOs
Scripts drafted
Send to Blended Learning Team
Scripts reviewed
Learning objectives were mapping these to the Sconul Pillars of information consultancy. Aimed to avoid jargon as much as possible
The scripts were written by Michelle Maden in collaboration with Tracey and Sarah and handed over to the Blended learning team to create.
The VRG were consulted on the learning objectives to ensure that they would meet the needs of as many services as possible.
The VRG were also consulted on various e-learning designs as were the Steering Group who provided guidance in this area.
The plan is to launch the completed set of modules in April 2017.

13. Module structure Introduction Why you need to know this
What happens if you don’t….
Main content
Explanatory slide
Recap – summary slide which includes interactive example
Check your understanding – question-based assessment
Final summary of learning
Option to download certificate upon module completion
We wanted to the learners to understand the benefits of using doing the module and the difference it would make to their searches

14. Reflects HEE branding
Laptop/books to get across idea this was coming from libraries but with an IT focus
We also needed to come up with a collective title for all 7 modules – we offered several suggestions to our VRG and also our clinical representation and this was the overwhelming favourite.
We feel the title explains clearly what the modules aim to do and the word success gave positive conotations Using step by step also reflected the name of the project

15. Accessibility
We wanted to maintain the HEE branding however the orange wasn’t strictly compatible with e-learning accessibility guidelines.
The colour scheme was moderated slightly to make the modules more accessible for those with a visual impairment.
At the start of each module, the learner can opt to switch on the accessibility version

16. Module - navigation Menu options Information icon
The menu options are available from every slide and provide quick links to
-Glossary
-Quick links to module outline
-Progress bar
The information icon may be shown at various points through the module and learners can click on it to find out more information about the learning point
Information icon

17. We wanted a clean layout without dense text
Here is an example slide showing Learning Objectives

18. Example of explanatory slide – encourages the learner to engage with the content by asking them to ‘click to reveal’

19. this example, the learner needs to type Ibuprofen then Ibuprofen OR brufen to see how that affects the results –
The next few slides show how this looks in practice

22. Example of learning recap
Example of learning recap. Here the learner selects one of the PICO headings and t he matching search term is highlighted in the speech bubble opposite

23. Example of Check your understanding slide

24. Animation 3 minute animation on the use of AND/OR
Could be used stand alone as part of local library training programmes/ blended learning
Available on You Tube/ Vimeo
We searched for examples of AND/OR animations. Although we found some good examples there was nothing that exactly matched our requirements.
We wanted to use a non-health topic to get across the differences between AND/OR. The elearning modules would then have some examples of how this applied to healthcare topics
We quite liked a video that used different types of coffee but not wanting to use the same theme, we came up with using different flavours of ice cream
We briefed the Blended Learning Team on the main concept of the video so they could take forward the design.

25. Hosting? E-learning for Healthcare HEE e-learning server
E-learning for healthcare have reduced options for open access to e-learning modules so this has raised some question marks about whether it’s the best place to host the module.
However we’ve recently come across a workaround so users don’t necessarily have to login.

26. How can I use the modules?
Use your website to
Link to the modules
Embed the AND/OR animation
Set practice activities before or after face to face training
Possible option of sharing source files to embed into local e-learning

27. Getting feedback
Link to Survey Monkey questionnaire to gain feedback on each module
Contact library staff to gain understanding on how modules are being used for information skills training
We will be using HEE South’s Library subscription to Survey Monkey to host the survey.

28. Where we are now… Module 3 is complete
Most other modules have been either partially or fully scripted and waiting for transfer into Storyline
Finalising hosting details
Planning module launch
Presented at EAHIL

29. Next steps… Launch products - next couple of months
Share learning at Conferences e.g. EAHIL, UHMLG
Promotion
Evaluate the impact / take up

30. How would you incorporate the modules into your local training offer?
For discussion:
How would you incorporate the modules into your local training offer?

31. How could you promote the modules to your local healthcare workforce?
For discussion:
How could you promote the modules to your local healthcare workforce?

32. For latest updates Knowledge for Healthcare blog
transformation-e-learning-project-step/
Full launch will include circulation round discussion lists

33. Please get in touch if you have any questions or comments
Questions & comments
Please get in touch if you have any questions or comments
Thank you