Hôpital régional de Sudbury Regional Hospital Outline of presentation Introduction Continuing Education and Self Learning: What role can the library play? Literature review Strategies Tools Lynda Parks Sahadat Jo-ann O Connor Jami van Haaften What we learned/next Steps References Contact Us Session #306 3 Learning objectives Understand the role your library can play in a teaching hospital or learning organization How to partner with educators/faculty to support continuing education What should health care professionals be reading and how can you help 2 4 1
Brief Overview of HRSRH Regional resource and referral centre for more than 530,000 residents who live across northeastern Ontario Leading regional programs in the areas of cardiac care, oncology, nephrology, trauma and rehabilitation 5 7 Sudbury Regional Hospital Sudbury Regional Hospital Tertiary care regional centre for North East Local Health Integration One site hospital under construction Network Substantial completion Dec 2009 Full occupancy March 31, 2010 6 8 2
Sudbury Regional Hospital Sudbury Regional Hospital 3600 employees 1500 nurses 500 Allied Health 900 Clerical & Support 500 Non-Union 260 Physicians with Hospital Privileges 9 11 Sudbury Regional Hospital Health Sciences Library Teaching hospital affiliated with Northern Ontario School of Medicine Educational partnerships with Laurentian University, Cambrian College, Collège Boréal & the Michener Institute Library staff on three sites Two librarians, three library technicians and two volunteers Two patient library services Regional Cancer Program Research program Cancer Research Mental Health and Addictions Program 10 12 3
Literature review Literature review Transfer evidence into practice This knowledge acquired by both clinicians and librarians will increase the sophistication of the dialogue between the two groups and in turn will expedite the transfer of evidence into practice. (Rader 2000, p. 250) Popular Boardwalk, Lake Ramsey 13 15 Literature review Literature review The literature highlights several aspects of continuing education: Partnerships with other professionals will become necessary. The need to transfer evidence into practice The role of the library in facilitating this goal Librarians and CE providers can either collaborate and share their expertise or they can compete against each other. (Van Vuren 1987, p. 366) 14 16 4
Literature review Literature review Co-ordinate with Education Program The role of the library: which Offers tuition assistance program Tracks external conferences and courses Tracks mandated education Tying the work of the library to CE and lifelong learning could strengthen the library s relationship to the institutional mission of the parent organization. (Messerle 1990, p. 186) 17 19 Literature review Clinical education is offered through: 20 clinical educators Professional Practice consultant Professional practice councils Literature review Library strategies for supporting continuing education by the library include: Teaching search skills Identifying courses, workshops, CE offerings Producing information packages Literature attached to the chart (LATCH) Selection dissemination of information (SDI) Current Awareness programs (Messerle 1990, p. 182) 18 20 5
Literature review Strategies What we didn t find in the literature was the use of computerized 1. Featured articles programs to document and facilitate continuing education events in a healthcare setting. 3. Journal Club 4. Self Study 21 23 Strategies Paris Street at night looking north from Science North 22 24 6
Strategies Strategies How can your Health Sciences Library help you? On the Internet We can save you time Document Delivery Send you full text articles Recommend relevant books and journals Help you access: Cancer Care Ontario Virtual Library E-resources at the university (proxy) Remote services and online resources 25 27 Strategies 1. Featured articles Via Email Receive tables of contents by e-mail. Save search and receive monthly updates Literature Searches and Assistance Do your search for you Coach you in your search technique Help you select and use databases for EBM resources Website links: Health news Alerts and advisories Articles worth reading Tables of contents 26 28 7
1. Featured articles 1. Featured articles 29 31 1. Featured articles 1. Featured articles 30 32 8
1. Featured articles 1. Featured articles 33 35 1. Featured articles Articles worth reading Cancer survival in five continents: a worldwide population-based study (CONCORD). The Lancet Oncology, 9(8) 2008: 730-756. Request from library access from CCO-VL or Goofy management: taking the magic to the workplace. Nursing Management 17(2) April 2008: 131-132. Request from library Also relates to If Disney ran your hospital : 9 1/2 things you would do differently, by Fred Lee. Request from library Looking North from Science North along Paris Street 34 36 9
37 39 Lists of Professional Organizations Professional college websites and continuing education opportunities Continuing Education programs and courses Requirements Databases 38 40 10
Links for physicians Canadian Medical Association The Royal College of Physicians and Surgeons of Canada-Office of Professional Development University-CME.ca Association of Faculties of Medicine of Canadian Medical Schools portal for lifelong learning universitycme.ca 41 43 Links for nurses Canadian Nurses Association NurseOne 42 44 11
Links for health care professionals including nurses and physicians: Canadian online CME sites CACHE - Canadian Association of Continuing Health Education Continuing Medical Education Directory emedicine/medcsape CME MedEdPortal 45 47 46 48 12
49 51 50 52 13
Journals websites offering CE credits American Journal of Psychiatry New England Journal of Medicine JAMA Medical Letter 53 55 54 56 14
57 59 Publisher websites offering CE credits LWW Nursingcentre BMJ Learning JAMA - JAMA & Archives 58 60 15
61 The Big Nickel 63 3. Journal Club Journal Clubs encourage participants to: Read research article Critically appraise/evaluate Make decisions/change practice 62 64 16
3. Journal Club What is evidence based practice? Evidence based practice is not just reading medical literature but integrating research with your clinical knowledge and applying it in clinical situations. (Debra Bakker, Jan 2008) 65 67 3. Journal Club Apply the findings of research to your practice through evidence-based medicine. Ask yourself after reading an article: How would this apply in my practice? Is this compatible with my practice? Is this something new I should be doing? Would I change my practice based on this article? 66 68 17
3. Journal Club 3. Journal Club Recommended reading - on evidence based medicine and evidence based nursing What journals are recommended? critically appraised journals in their field 1. Describe the case or problem that attracted you to this paper. 2. Explain how you came across this article. 3A. Describe the study. 3B. Describe the research question. 4. State the importance/relevance/context of the question. 5. Describe the methods by giving more detail on the question components. 69 71 3. Journal Club 3. Journal Club Recommended article for presentations Editorial - improving journal club presentations, or, can I present this paper in under 10 minutes. (2007) ACP Journal Club, 147, A8-A9. - outlines the 10 step process 6. State your answers to the critical appraisal questions on validity. 7. Summarize the primary results. 8. Describe why you think the results can or cannot be applied to your patients/situation. 9. Conclude with your own decision about the utility of the study in your practice resolve the case or question with which you began. 10. Finally, prepare a 1-page summary of the outline above as a handout. 70 72 18
4. Self Study Objectives for health care professionals Read clinical literature to remain current in their field Critically appraise research Use evidence-based information resources Recognize Health Sciences Library as a source for evidence based literature Northern Lights Festival Boreal draws crowds of music lovers 73 75 4. Self Study 4. Self Study Objectives for library: Activities Meet the continuing education needs of hospital staff Offer timely access to evidence-based information resources Provide content-based support to selfstudy and self-directed learning Continuing Education - Quiz Educational Sessions Video of the month Library instruction 74 76 19
4. Self Study CE-Quiz Readings Cancer Care a workplace guide It's safe to ask: Promoting Patient Safety through Health Literacy Sudbury District Health Unit Community Health Status Report Presentations FISH Catch the energy! Video 4. Self Study Library instruction Computer lab One-on-one Staff meetings Group presentations Subject customization 77 79 4. Self Study Video-of-the-month Featured videos from library collection Partner with departments to facilitate discussion A tour boat leaves Science North for a cruise on Lake Ramsey 78 80 20
Tools 1. Education Calendar 1. Education Calendar 2. Certificate of participation/self audit 3. Survey Builder Education Calendar Advertise Register Track Attendance Generate annual report Use for self audit 81 83 1. Education Calendar 1. Education Calendar Tracking attendance for: WHMIS Hand Hygiene Cardio Pulmonary Resuscitation Grand rounds, Combined Oncology Rounds and so on 82 84 21
1. Education Calendar 2. Self Audit 85 87 2. Certificate 2. Self Audit Continuing Education Certificate of Participation The HRSRH Health Sciences Library recognizes that: participated in the HRSRH Health Sciences Library Self- Study initiative by reading and successfully answering th e quiz for the following article: Byrd, J. & Thomson, L. (2008). It's safe to ask: promoting patient safety through health literacy. Healthcare Quarterly, 11, 91-94. 86 88 22
3. Survey Builder Lessons learned Time factor Buy-in Self audit takes the place of formal CE credits 89 91 3. Survey Builder Lessons Learned Survey Builder CE Quiz design Reaching out to staff at multiple sites Answer key Online completion and tracking 90 92 23
Next steps References Update Intranet website to add links Contact clinical educators to reach beyond current users Use email to regularly offer featured readings Bakker, D., (2008) Journal clubs and evidence based practice. Talk presented at Oncology Nurses meeting, Regional Cancer Program, Sudbury Regional Hospital. Messerle J. (1990) The changing continuing education role of health sciences libraries. Bulletin of the Medical Library Association, 78,180-187. 93 95 Next steps References Collaborate with OHLA colleagues Evaluate feedback/hits on website Rader T., & Gagnon A.J. (2000) Expediting the transfer of evidence into practice: building clinical partnerships. Bulletin of the Medical Library Association, 88, 247-250. Schwartz, M.D., Dowell, D., Aperi, J., et. al. Editorial improving journal club presentations, or, can I present this paper in under 10 minutes. (2007) ACP Journal Club, 147(1) A8-A9. Van Vuren D.D., Adelson R., & Caplan R. (1987) The library's role in the continuing education of health professionals. Bulletin of the Medical Library Association, 75, 366-369. 94 96 24
Questions? 97 Contact Information Lynda Parks Sahadat, Vice President Human Resources and Chief Human Resources Officer lparkssahadat@hrsrh.on.ca Jami van Haaften, Librarian jvanhaaften@hrsrh.on.ca 98 25