https://library.mskcc.org Developing an Evidence-Based Practice Library Resource Toolkit and Training Program for Nurses Marisol Hernandez, MLS, MA and Donna S. Gibson, MLS Oncology Nursing Society Annual Congress, April 25 – 28, 2013 Objective To establish a teaching program that identifies nursing tools for evidence-based practice (EBP) and integrates into the busy work life of the nurse. Gain insight into the landscape of evidence-based practice resources used by the nursing community and develop an understanding of how these tools impact the profession. Methodology An online survey was distributed via email to members of the Nursing Department. The survey was available for three weeks with a 10% response rate. Follow-up focus group session and telephone/in-person interviews provided additional insights towards structuring an EBP training program. EBP Library Resource Toolkit and Training Program – Key Action Items 1. Develop training content not only on available resources but focused on the different levels of evidence and how to craft the clinical question. 2. Prioritize the training content for EBP resources – Pay attention to what they want to learn. 3. Reach out to specific EBP vendors to organize and teach basic workshops. 4. Provide training opportunities in multiple formats to include online tutorials, quick resource tips & tricks, and webinars (record webinars as an option for nurses to view when they have the time). 5. Develop online tutorials that can be viewed on mobile devices. 6. Provide access to training content in a variety of locations to include nursing web pages (not just the library workshop section). 7. Offer face-to-face workshops and walk-in clinics during times that integrate into the nurse’s daily work routine – Spend time in their environment! 8. Attend Nursing Grand Rounds, Practice Council meetings, and other meeting venues as a presenter – Always be prepared to share EBP related- information. 9. Collaborate with Nursing Education, Nursing Informatics and Nursing Practice Councils to disseminate valued information – Remember “Education” is an Ongoing Activity! Literature Analysis – Key Findings • EBP improves – better patient outcomes, safety, patient satisfaction. • This approach is overall cost-effective. • Institute of Medicine requires all health professional education to include EBP. • Magnet accreditation outlines that Institutions provide infrastructure for EBP (ANCC, Magnet Recognition Program: NK6). Survey Results & Interpretation • Among the various divisions and roles, the majority of MSK Nurses practice EBP. • Approximately 71% of respondents indicated they are involved with EBP. • Approximately 65% of respondents use EBP resources either “a few times a year” or “never” . • Most respondents understand what EBP resources are available from the Library. • Developing an EBP Resource Toolkit and Training Program will showcase the value of these resources, help save time in utilizing them effectively, and will support how nurses apply the published literature (evidence) to the clinical situation. Completed Surveys: 215 Answered Question: 199 Skipped Question: 16 Acute Care 49 (24.6%) Ambulatory 107 (53.6%) Critical Care 12 (6.0%) Pediatrics 8 (4.0%) Peri-Operative 23 (11.6%) In which division do you work? What best describes your role? Staff Nurse 149 (72%) Director of Nursing 3 (1.4%) Clin. Nurse Specialist 13 (6.3%) Nurse Leader 5 (2.4%) Nurse Educator 9 (4.3%) Nurse Practitioner 28 (13.5%) Completed Surveys: 215 Answered Question: 207 Skipped Question: 8 Are you involved in EBP? Yes 152 (70.7%) N/A 4 (1.9%) No 59 (27.4%) Completed Surveys: 215 Answered Question: 215 How often do you use Library/EBP resources? 80 (37.6%) Once a week 21 (9.9%) Twice a week 13 (6.1%) Daily 6 (2.8%) Monthly 35 (16.4%) 58 (27.2%) Completed Surveys: 215 Answered Question: 213 Skipped Question: 2 Key Resources • CINAHL • PubMed • Cochrane EBP Principles A. Construct clinical question B. Perform comprehensive search C. Appraise & analyze search results D. Apply evidence to clinical situation Never A few times a year
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Clinical Medical Librarian Program: The Memorial Sloan-Kettering Cancer Center Experience
Isabel Sulimanoff, MLS, Marisol Hernandez, MLS, MA, Donna S. Gibson, MLS Medical Library Association Annual Meeting, May 21-26, 2010
https://library.mskcc.org
Developing an Evidence-Based Practice Library Resource Toolkit and Training Program for Nurses Marisol Hernandez, MLS, MA and Donna S. Gibson, MLS
Oncology Nursing Society Annual Congress, April 25 – 28, 2013
Objective To establish a teaching program that identifies nursing tools for evidence-based practice (EBP) and integrates into the busy work life of the nurse. Gain insight into the landscape of evidence-based practice resources used by the nursing community and develop an understanding of how these tools impact the profession.
Methodology An online survey was distributed via email to members of the Nursing Department. The survey was available for three weeks with a 10% response rate. Follow-up focus group session and telephone/in-person interviews provided additional insights towards structuring an EBP training program.
EBP Library Resource Toolkit and Training Program – Key Action Items 1. Develop training content not only on available resources but focused on the
different levels of evidence and how to craft the clinical question. 2. Prioritize the training content for EBP resources – Pay attention to what they
want to learn. 3. Reach out to specific EBP vendors to organize and teach basic workshops. 4. Provide training opportunities in multiple formats to include online tutorials,
quick resource tips & tricks, and webinars (record webinars as an option for nurses to view when they have the time).
5. Develop online tutorials that can be viewed on mobile devices. 6. Provide access to training content in a variety of locations to include nursing
web pages (not just the library workshop section). 7. Offer face-to-face workshops and walk-in clinics during times that integrate
into the nurse’s daily work routine – Spend time in their environment! 8. Attend Nursing Grand Rounds, Practice Council meetings, and other meeting
venues as a presenter – Always be prepared to share EBP related-information.
9. Collaborate with Nursing Education, Nursing Informatics and Nursing Practice Councils to disseminate valued information – Remember “Education” is an Ongoing Activity!
Literature Analysis – Key Findings • EBP improves – better patient outcomes, safety, patient satisfaction. • This approach is overall cost-effective. • Institute of Medicine requires all health professional education to include EBP. • Magnet accreditation outlines that Institutions provide infrastructure for EBP
(ANCC, Magnet Recognition Program: NK6).
Survey Results & Interpretation • Among the various divisions and roles, the majority of MSK Nurses practice EBP. • Approximately 71% of respondents indicated they are involved with EBP. • Approximately 65% of respondents use EBP resources either “a few times a year” or “never”. • Most respondents understand what EBP resources are available from the Library. • Developing an EBP Resource Toolkit and Training Program will showcase the value of these resources, help
save time in utilizing them effectively, and will support how nurses apply the published literature (evidence) to the clinical situation.
Completed Surveys: 215
Answered Question: 199
Skipped Question: 16
Acute Care
49 (24.6%)
Ambulatory
107 (53.6%)
Critical Care
12 (6.0%)
Pediatrics
8 (4.0%)
Peri-Operative
23 (11.6%)
In which division do you work? What best describes your role?
Staff Nurse
149 (72%)
Director of Nursing
3 (1.4%)
Clin. Nurse Specialist
13 (6.3%)
Nurse Leader
5 (2.4%)
Nurse Educator
9 (4.3%)
Nurse Practitioner
28 (13.5%)
Completed Surveys: 215
Answered Question: 207
Skipped Question: 8
Are you involved in EBP?
Yes
152 (70.7%)
N/A
4 (1.9%)
No
59 (27.4%)
Completed Surveys: 215
Answered Question: 215
How often do you use Library/EBP resources?
80 (37.6%)
Once a week
21 (9.9%)
Twice a week
13 (6.1%)
Daily
6 (2.8%)
Monthly
35 (16.4%)
58 (27.2%)
Completed Surveys: 215
Answered Question: 213
Skipped Question: 2
Key Resources
• CINAHL • PubMed • Cochrane
EBP Principles
A. Construct clinical question B. Perform comprehensive
search C. Appraise & analyze search
results D. Apply evidence to clinical
situation
Never A few times a year
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