The Hospital Library as “magnet force” for a research and evidence-based nursing culture:

The Hospital Library as “magnet force”for a research and evidence-based nursing

culture:

A case study of two Magnet hospitals in one health system

Diane Rourke, DirectorLibrary Services

Brief History of Brief History of Baptist Health South Florida Baptist Health South Florida

A strategic hospital merger in 1995, joining A strategic hospital merger in 1995, joining former rival hospitals together (Baptist former rival hospitals together (Baptist Hospital of Miami with South Miami Hospital, Hospital of Miami with South Miami Hospital, Homestead Hospital and Mariners Hospital in Homestead Hospital and Mariners Hospital in the Upper Florida Keys )the Upper Florida Keys )

In 2003 Doctors Hospital of Coral Gables also In 2003 Doctors Hospital of Coral Gables also became part of Baptist Healthbecame part of Baptist Health

In 1997 Baptist Children’s Hospital was In 1997 Baptist Children’s Hospital was “born”.“born”.

History of Magnet hospital status inHistory of Magnet hospital status in Baptist Health South Florida Baptist Health South Florida

Baptist Hospital of Miami achieved Magnet status in 1998; at Baptist Hospital of Miami achieved Magnet status in 1998; at that time, it was the eleventh Magnet hospital in the United that time, it was the eleventh Magnet hospital in the United States; first Magnet hospital in Florida; now there are more States; first Magnet hospital in Florida; now there are more than 180 Magnet hospitals.than 180 Magnet hospitals.

Baptist again was designated a Magnet hospital in 2002 and Baptist again was designated a Magnet hospital in 2002 and 2006.2006.

South Miami Hospital achieved Magnet status in 2004. South Miami Hospital achieved Magnet status in 2004.

So what was the library’s role? So what was the library’s role?

What did the What did the library have library have to do with it?to do with it?

14 Forces of Magnetism14 Forces of Magnetism

Quality of Nursing Quality of Nursing LeadershipLeadership

Organizational StructureOrganizational Structure

Management StyleManagement Style

Personnel Policies and Personnel Policies and ProgramsPrograms

Professional Models of Professional Models of CareCare

Quality of CareQuality of Care

Quality ImprovementQuality Improvement

Consultation and Consultation and ResourcesResources

AutonomyAutonomy

Community and HospitalCommunity and Hospital

Nurses as TeachersNurses as Teachers

Image of NursingImage of Nursing

Interdisciplinary Interdisciplinary RelationshipsRelationships

Professional Professional DevelopmentDevelopment

roviding information on nursing theorists roviding information on nursing theorists

uthor archive of staff nursing publicationsuthor archive of staff nursing publications

esearch committee participation/membershipesearch committee participation/membership

eaching evidence based/research classeseaching evidence based/research classes

ursing e-resources and online catalogursing e-resources and online catalog

vidence based practice model development vidence based practice model development

esource for nurses : their information partner esource for nurses : their information partner

Forces of “library magnetism”Forces of “library magnetism”

Some areas for “library magnetism” Some areas for “library magnetism” in the earning and sustaining Magnet in the earning and sustaining Magnet

statusstatus

Supports research & integrates it into the delivery of Supports research & integrates it into the delivery of nursing care & administrationnursing care & administration

Professional development of nursesProfessional development of nurses

Collaboration (from the ANCC Magnet website: Magnet Collaboration (from the ANCC Magnet website: Magnet criteria: criteria: www.nursingworld.org/anccwww.nursingworld.org/ancc))

Nursing theorists information

Library role: books and articles to support the education Library role: books and articles to support the education process in each hospitalprocess in each hospital

Process included: bookmarks, art carts, workshopsProcess included: bookmarks, art carts, workshops

Baptist HospitalBaptist Hospital Jean Watson, Jean Watson, Caring TheoryCaring Theory

South Miami HospitalSouth Miami HospitalMadeleine Leininger, Madeleine Leininger,

Cultural Diversity TheoryCultural Diversity Theory

Author archiveAuthor archive

At Baptist Hospital, staff authors honored annually during At Baptist Hospital, staff authors honored annually during National Library Week since 1979.National Library Week since 1979.

Useful in the first Magnet application for Baptist Hospital Useful in the first Magnet application for Baptist Hospital and subsequent applications for both hospitalsand subsequent applications for both hospitals

Documented publication and research by nursing staff.Documented publication and research by nursing staff.

Further discussion about the process: Further discussion about the process: Rourke, D; Rourke, D; Samsundar D;Samsundar D; S Shalini, Chalini, C in in Med Ref Serv Q Med Ref Serv Q 2005 2005 Summer;24(2):87-93. Summer;24(2):87-93. Author! Author! Creating a digital Author! Author! Creating a digital archive of publications in a hospital library settingarchive of publications in a hospital library setting

Active role in research Active role in research

Voting member of the nursing research committees at both hospitals

Voting member of the system-wide research collaborative for the other hospitals

Duties include: * attending meetings (sometimes by phone) * reviewing, editing, approving proposals for research,

prior to submission to IRB (Institutional Review Board) *providing literature searches, articles, resources and expertise as needed.

Library electronic resourcesLibrary electronic resources

Justification for adding LWW/OVID nursing journals Justification for adding LWW/OVID nursing journals Now: over 1000 e-journalsNow: over 1000 e-journals

Manuals and tutorials online for e-learningManuals and tutorials online for e-learning

Implementation of an online catalog (Cybertools for Implementation of an online catalog (Cybertools for Libraries) with e-linksLibraries) with e-links

Everything accessible for nurses on the hospital system-Everything accessible for nurses on the hospital system-wide intranet with access on nursing unitwide intranet with access on nursing unit

Teaching evidence-based resourcesTeaching evidence-based resources

Invited instructor in critical care & emergency nurse Invited instructor in critical care & emergency nurse specialty curriculum specialty curriculum

Theory lecture and “hands on” searching instruction with Theory lecture and “hands on” searching instruction with nursesnurses

Customized unit-specific instruction in evidence-based Customized unit-specific instruction in evidence-based resourcesresources

Nursing skill lab at Homestead HospitalNursing skill lab at Homestead Hospital

Adding an electronic resources librarian to the library staff Adding an electronic resources librarian to the library staff (and almost working her to death!)(and almost working her to death!)

Development of an evidence based practice model

Soon to be published in a nursing journal by staff Soon to be published in a nursing journal by staff

from South Miami Hospital. from South Miami Hospital.

Library role: providing the research to assure the Library role: providing the research to assure the

model didn’t already existmodel didn’t already exist

Also developing an interactive evidence-based Also developing an interactive evidence-based self-study on the Intranet self-study on the Intranet

Goal: to connect the evidence and research into Goal: to connect the evidence and research into nursing practice pattern change, if indicated nursing practice pattern change, if indicated

ResultsResults

Increase in research studies by nurses done at each Magnet Increase in research studies by nurses done at each Magnet hospital hospital

A rise in everyday use of the evidence at the patient A rise in everyday use of the evidence at the patient bedside by nursesbedside by nurses

More nurse authors and library users of e-resourcesMore nurse authors and library users of e-resources

Heightened visibility of the library as a Heightened visibility of the library as a partnerpartner in the in the process of becoming and sustaining Magnet hospital status. process of becoming and sustaining Magnet hospital status.

Validation of the hospital library as a “Magnet force” in two Validation of the hospital library as a “Magnet force” in two

hospitals.hospitals.

My “anonymous” quote in the article by Cheryl Dee and Ellen E. StanleyMy “anonymous” quote in the article by Cheryl Dee and Ellen E. Stanley“Nurses’ information needs: nurses and hospital librarians perspectives“Nurses’ information needs: nurses and hospital librarians perspectives

Journal of Hospital Librarianship 5 (2) 1-12 , 2005Journal of Hospital Librarianship 5 (2) 1-12 , 2005

Let them in the door, first of all. Let them in the door, first of all. Be very patient with their learning needs/styles. Be very patient with their learning needs/styles.

Remember they learn by doing; it’s the nature of nursing. Remember they learn by doing; it’s the nature of nursing.

And don’t forget these are not just bothersome nursing And don’t forget these are not just bothersome nursing students (or nurses who are going back to school who are students (or nurses who are going back to school who are

computer phobic. computer phobic.

These are the nurses who will be in power in your organization These are the nurses who will be in power in your organization and they have long memories of your helpfulness when they and they have long memories of your helpfulness when they

were beginning their careers. were beginning their careers.

At least it has been a winning strategy in our hospitals. Also At least it has been a winning strategy in our hospitals. Also when I get sick, I want smart nurses taking care of me!when I get sick, I want smart nurses taking care of me!