1. NHS GGC E-book trial Charlotte Boulnois Library Services Manager NHS Greater Glasgow and Clyde

2. Context GRI library in temporary accommodation as from March 2011 Very limited space for books – no space for new book titles Although book budget reduced, still not able to spend it all Recognition that e-books are the way to go Attendance joint NHS/HE e-books conference Bristol May 2012

3. Test of change Formal Knowledge into Action Test of change project Existing book supplier Coutts which has well established e-book platform Myilibrary Working in partnership with well defined test subjects through Nursing Practice Development – 2 cohorts of nurses on CCU/HDU advanced practice course

4. Obtaining the resources Contact with Coutts Investigate Myilibrary model Payment of Platform fee Payment of Download fee Purchase of 10 e-book titles Purchase of 7 Nexus 7 tablets

5. What did we get for our money Up to 3 concurrent users able to download title to mobile device for between 14 – 28 days (our normal loan period) Online “reference” version always available Once loan period up book automatically removed from device Users can borrow up to 8 titles at any one time Users can reserve titles that already out

6. Why did we also buy Nexus 7’s Recognition that not everyone will have the right mobile device as e-books not available on Kindles/Kindle Paperwhites Equity of access – particularly during trial Able to use patient’s wi-fi (special dispensation for trial) so could access books at work Just before second cohort started GRI library broken into and Nexus 7’s stolen

7. Trialling e-books 2 cohorts, all nurses undertaking advanced practice CCU/HDU course 10 in first cohort, 16 in second First cohort lent 7 Nexus tablets All asked to fill in pre and post use survey Each course last 8 weeks 10 e-book titles brought specifically for course All books accessed via Myilibrary site using Athens authentication

8. Pre-use survey 100% compliance Both cohorts thought e-books would be helpful with learning Over 90% students had own mobile devices Cohort 1 – 90% thought having access to tablet borrowed from library would help access Only 25% in each cohort borrowed print books from Library Network on Monthly basis 33% (C1) and 57% (C2) respectively never used TKN for journals/databases etc 87.5% (C1) and 84% (C2) used DDS for articles Over 80% of both groups confident or very confident in use of technology 90% of both groups either happy or very keen to try out e-books 70% (C1) and 68.5% (C2) used e-books for leisure reading

9. Post – use survey Out of 26 students only 2 filled in post use survey – one in each cohort Neither respondents used any of the e-books Member of cohort 1 did not use because they prefered to make highlighted notes on own printed copy of books/articles Member of cohort 2 unable to access e-books as only e-reader available was Kindle (cohort 2 did not have access to library tablets)

10. However the statistics show a different picture Administrator sites on myilibrary provided good statistics Able to ascertain not only number of downloads but also number of pages viewed from online version – per title http://lib.myilibrary.com/Login.aspx

11. Usage figures – cohort 1 Most popular title – “How to read a paper” – T. Greenhalgh Accessed 8 times and downloaded 4 times Out of the 10 titles available 9 were accessed and there were 14 downloads. Also downloaded/accessed multiple times:- –ABC of intensive care –Clinical anatomy for dummies –Getting started on health research

12. Usage figures – cohort 2 All 10 titles accessed/downloaded How to read a paper most popular again with 6 downloads Monitoring the critically ill patient – 5 downloads Guided reflection – 3 downloads

13. Actual statistics – Cohort 1& Cohort 2 TitleNo pages viewed No of downloads ABC of intensive care174 Advanced practice in critical care11 Clinical anatomy for dummies377 Critical care: concepts, role and practice62 Developing expertise in critical care nursing253 Guided reflection35 How to read a paper14 How to write your nursing dissertation52 Respiratory management in critical care22 Vital signs for nurses05

14. Even more e-books Extra titles added to myilibrary collection 152 titles from 123.library Titles purchased by NES as online only Paid 15% download fee Only one person download at time for 1 month Accessible via GGC catalogue and TKN Use Athens login https://www.123library.org/

15. Examples of 123 titles 100 cases in clinical medicine A guide to MRCP Part 2 ABC of Asthma Bailey & Love’s Short practice of surgery Cracking the MRCS Viva Evidence based dementia care Handbook of child psychology Lower extremity wounds Rutter’s Child and adolescent psychiatry Scott-Brown’s Otorhinolaryngology: head and neck surgery

16. E-books or not Pros Titles brought in “perpetuity” like print books – will have to purchase new editions Users like, but good idea to be able to loan equipment as not available on Kindle devices Use of e-books for point of care material eg Oxford handbooks Can’t have an e-book overdue nor steal it – perfect for high demand books eg exam related titles NHSGGC LN decided to ring fence 30% of resource budget to purchase “core collection” of e- books as overall positive response Additional titles up to individual sites to decide to purchase print or e-book format Cons E-books cost more as have to pay VAT and platform/download fees Once e-book on loan can’t return early – will be on device until loan period up

17. Questions?