UC San Diego Library's Research Works

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1 UC San Diego Library's Research Works Title amp; Permalink Author Wickline, Mary Publication Date Peer reviewed escholarship.org Powered by the California Digital Library University of California

2 Networking with Clinical Nurses Fusing Magnet & Mary Wickline, MLIS, M.Ed. Instruction & Outreach Librarian to Nurses & Allied Health UCSD Medical Center Library University of California, San Diego

3 Mission What is your organization s Mission?

American Nurses Credentialing Center Magnet Recognition Program Goals 1.

Identifying excellence in the delivery of nursing services to patients 3.

(2009). Goals of the Magnet Program. Retrieved January 10, 2009 from http://www.

4 American Nurses Credentialing Center Magnet Recognition Program Goals 1. Promoting quality in a setting that supports professional practice 2. Identifying excellence in the delivery of nursing services to patients 3. Disseminating best practices in nursing services American Nurses Credentialing Center. (2009). Goals of the Magnet Program. Retrieved January 10, 2009 from Magnet Fusion: (Re)credentialing from a Leadership Perspective

5 Mission = leadership s perspective The mission of the UCSD Libraries is to be leaders in providing and promoting information resources and services to the UCSD community when, where, and how users want them. Clinical Excellence - through service, innovation, & education.

Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center.

6 My Story What are the issues & challenges of providing information services to nurses & allied health? What are the barriers to nurses readiness for evidence-based practice? Brown CE, Wickline MA, Ecoff L, & Glaser D. (2009). Nursing practice, knowledge, attitudes and perceived barriers to evidence-based practice at an academic medical center. Journal of Advanced Nursing, 65(2), Pravikoff, D. S., Tanner, A. B., & Pierce, S. T. (2005). Readiness of U.S. nurses for evidence-based practice. The American Journal of Nursing, 105(9), 40-52

7 Methods BARRIERS scale Funk SG, et al. (1991). BARRIERS: The barriers to research utilization scale. Applied Nursing Research, 4, EBPQ Knowledge, Attitudes, Practice Upton D, Upton P. (2006). Development of an evidence-based practice questionnaire for nurses. Journal of Advanced Nursing, 53,

Outcomes Top-ranked knowledge needs 1. Converting information needs into a question 2. Research skills 3. Ability to determine validity of material 4.

8 Outcomes Top-ranked knowledge needs 1. Converting information needs into a question 2. Research skills 3. Ability to determine validity of material 4. Awareness of information types & sources Ability to critically appraise 5. IT skills 6. Ability to identify gaps in own practice 7. Knowledge of how to retrieve evidence

9 Outcomes Barriers Time (2x) Lack of Autonomy (authority / implementation) Unaware of Research (#5) Relevant literature not compiled in one place (#6)

building Using Magnet & EBP language in support of their structure &

10 Outcomes Facilitators Learning opportunities what we already do, but more proactively offering it (when & where they want it) Culture building Using Magnet & EBP language in support of their structure & process Availability and simplicity of resources when, where, & how they want them

11 Implications Consortium for Nursing Excellence, San Diego Collaboration among 5 hospitals & a university Created Evidence-Based Practice Institute

12 Consortium for Nursing Excellence #10 Community & the Hospital: positive productive corporate citizen

13 Implications Digging for Dinosaurs contest Encouraging a culture of questioning & innovation Teaching nurses to translate clinical questions to a research format (PICO) Monthly award (from Research Council) Action Research Project

14 Implications Research Council service (organizational structure includes shared governance) Regularly scheduled workshops in library or on-site in the hospital Searching the Nursing Literature Effectively offer 2 CEUs. Consults & literature searches to support EBP projects specifically related to nurses professional development and advancement Presentation support (posters, ppt) Writing support group

15 Research Council #2 Organizational Structure: flat, shared governance committee structure #4 Clinical Promotional Opportunities #8 Consultations & Resources: adequate consult & other human resources available

16 Fusing Mission to Magnet Attend Nursing Education Dept meetings to learn what they re interested in and working on Then PUSH INFORMATION to them selectively Wound Wednesdays/Skin Committee Fall Prevention Handoff Communication Core Measures Hospital Standards

Fusing Mission to Magnet Provide relevant resources & make them readily available Links to library on their home pages Link to IV compatibility and

17 Fusing Mission to Magnet Provide relevant resources & make them readily available Links to library on their home pages Link to IV compatibility and adverse reaction reports on websites they already use in critical care Link footnotes in Nursing Standards (they wrote) to records of books & articles

Fusing Mission to Magnet SERVICE: New Employee Orientations Invite them to the library in context of organizational mission & Magnet language Promote quality & depth of library s resources

18 Fusing Mission to Magnet SERVICE: New Employee Orientations Invite them to the library in context of organizational mission & Magnet language Promote quality & depth of library s resources Acknowledge them as professionals, support lifelong learning, encourage education, & announce service in support of clinical excellence Talk about library support of Research Council Digging for Dinosaurs - innovation contest

19 New Employee Orientation #14 Professional Development: significant emphasis on orientation #4 Personnel Policies & Pgms: competitive benefits--promote library as benefit! Magnet Fusion: (Re)credentialing from a Leadership Perspective

20 Fusing Mission to Magnet Education on-site in their comfort zone Unit-based Shared-governance councils Nurse Residency Program - guest speaker New Grad Education - Nurses as Teachers Support whatever they are doing wherever they are doing it

21 Class for Respiratory Care on their unit #2 Organizational Structure: unit-based #14 Professional Development: in-service, continuing education #7 Quality Improvement staff nurses participate in QI

22 New Grad Education Committee #7 Quality Improvement: Staff Nurses Participate #11 Nurses as Teachers #14 Professional Development & emphasis on orientation

23 Be willing to go to them.

CLOSING THE GAP: EVIDENCE TO ACTION

CLOSING THE GAP: EVIDENCE TO ACTION DR. SALIZAR MOHAMED LUDIN RN (PPUM), CRIT CARE (PPUM), BNSc (Teaching)(UM), MN (Crit.Care) (AUS), PhD (AUS) AGM, Malaysian Nurses Association, Pahang Branch, Gambang