infusing information literacy skills by researching 'never events
DESCRIPTION
Presentation at the Medical Library Association '09 Annual Meeting, May 19, 2009.TRANSCRIPT
THE LISTENPROJECT
Infusing Information Literacy SkillsInfusing Information Literacy SkillsBy Researching 'Never Events' (NEBy Researching 'Never Events' (NE))
Lin Wu, MLIS, AHIP, Health Sciences Library;Cynthia K. Russell, PhD, RN;
Ramona Patterson, MSN, RN (Nursing PhD Student)University of Tennessee Health Science Center, Memphis TN
Medical Library Association 2009 Annual ConferenceMay 19, 2009
THE LISTENPROJECT
Never Events (NE)
28 Never Events (NQF)
National Quality Forum (NQF). Serious Reportable Events in Healthcare 2006 Update.http://www.qualityforum.org/publications/reports/sre_2006.asp
Surgical Product of device Patient protection Care management Environmental Criminal
THE LISTENPROJECT
NE Criteria and Definitions
National Quality Forum (NQF). Serious Reportable Events in Healthcare 2006 Update.http://www.qualityforum.org/publications/reports/sre_2006.asp
Event Inclusion Criteria Concern to public & providers Identifiable, measurable,
reportable Occurrence risk influenced by
facility policy/ procedures Unambiguous Usually preventable Serious, and/or
Adverse Indicates facility safety problem Important for public credibility/
accountability
Term Definitions Event: discrete, auditable, clearly
defined Adverse: negative care
consequence, unintended Preventable: error/ system failure
- anticipatable Serious: results- death, loss of
body part, disability, bodilyfunction, > 7days ….
Unambiguous: clearly defined,easily identifiable
Usually Preventable: not alwaysavoidable given complexities ofcare
THE LISTENPROJECT
Why Target NE?
Information technology (IT)
Information literacy (IL)
The LISTEN project is supported by funds from the Division of Nursing (DN), Bureau of Health Professions (BHPr), HealthResources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under D11HP08392.
http://www.listenuphealth.org
Quality patient care
To improve attitudes, knowledge, and skills in:
Patient safety
THE LISTENPROJECT
Information Literacy for Nurses@ 5 Levels
Nursing profession
charged with provision of
evidence-based practice
for positive patient
outcomes!
Supports attitudes, knowledge, & skills to:
Recognize you need information Confidently seek information Reliably access information Critically evaluate information Professionally apply information
LISTEN Project: http://www.listenuphealth.org
THE LISTENPROJECT
Informatics for Healthcare
Nursing informatics is morethan technologies
Two credit course 64 first-year nursing students Ten weeks Face-to-face & Online Collaboration: nursing faculty
member, nursing PhD student,& health sciences librarian
THE LISTENPROJECT
Strategies
Web 2.0 tools Social media Students as content creators
Motivating & Engaging
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Modules
Writing in APA Style
Avoiding plagiarism
Avoiding HIPAAviolations
Cerner electronicrecord system
Never eventproject
THE LISTENPROJECT
Assessments
Pre- and post-information literacy(InfoLit) surveys
Self report IT and IL competenciesusing 10 point scales
Ranking statements strongly agree to strongly disagree Students’ comments TurningPoint Clickers
THE LISTENPROJECT
NE Assignment Area #1: Background
Assignment DetailsArea 1: Background
Definition Description NE causes Groups & organizations focused on
the NE -- specific URLs, identifyreasons for their involvement
Evidence-based guidelines or otherscholarly literature that focused onthe never event
Description of what the never eventis NOT
THE LISTENPROJECT
NE Assignment Area #2: EffectsAssignment DetailsArea 2: Effects
Define from perspective of Patients & families Health care professionals Health care institutions Insurers
Summarize why the neverevent was placed on the list
THE LISTENPROJECT
NE Assignment Area #3: ArgumentsAssignment DetailsArea 3: Arguments &Supportive Strategies
Describe what has been writtencontrary to including this neverevent on the official list of neverevents.
Identify the role that IT and ILcompetencies have in decreasing oreliminating the never event.
Using scholarly literatureUsing healthcare institution-based
electronic systemsUsing healthcare institution-based
technologies (e.g., point of caretechnologies, devices)
THE LISTENPROJECT
Student Collaboration = Areas 1+2+3
Students were placed in groups of 2-3 students. Each student had an assigned area & wiki page. Each group had an assigned NE topic. Group NE wiki pages facilitated collaboration. Group NE final project presentations challenged their creativity.
THE LISTENPROJECT
Challenges, Frustration, & Overwhelming We don’t know…
o how to search.o what search terms to use for NE.
Nobody has written anything on this We are getting all this information…
How many can we use? There’s too much stuff published…
Which ones do we reference? Spending time on this isn’t going to
help us learn nursing. I’ve got a lot other things to do. I often felt like I was on a wild goose
chase.
THE LISTENPROJECT
Health Sciences Librarian’s Take
Mini-talks/lectures One-on-one consultations After class assistance NE resource wiki
THE LISTENPROJECT
Searching for Information Google Google Scholar Wikipedia PubMed CINAHL@EBSCOhost Blogs Listservs Other people’s synthesis about
the topic
THE LISTENPROJECT
Qualifying Information
Time with librarian setting up & validating search strategies. Reviewed criteria & evaluated Web sites. Used Wikipedia appropriately. Talked with the faculty member. Learned about journal quality. Special search session with nursing PhD student.
THE LISTENPROJECT
InfoLit Survey Results:Skills for Conducting Health Research
0 (completely lacking) 10 (excellent)
THE LISTENPROJECT
InfoLit Survey Results:Judging Quality of Health Information
0 (completely lacking) 10 (excellent)
THE LISTENPROJECT
InfoLit Survey Results: Finding QualityInformation
Rate yourassessment of yourskills in finding highquality informationon a specific healthtopic
0 (completely lacking) 10 (excellent)
THE LISTENPROJECT
I Enjoyed a Mini-Talk about using library resourcesat the beginning of each class
THE LISTENPROJECT
My literature searching skills have improved afterresearching & finding relevant information for my topic
THE LISTENPROJECT
Prior to class, I had used a Wiki
N=63
THE LISTENPROJECT
Wiki was a useful technology in NE assignment
THE LISTENPROJECT
Using a wiki for class had a positive effect on mylearning and engagement in the course
THE LISTENPROJECT
Having a faculty member/instructor/graduate teaching assistantreview my assignment on the wiki before due date was helpful to me
THE LISTENPROJECT
The whole process of researching & finding relevant informationmade me feel more competent to search for quality information
THE LISTENPROJECT
If I were designing the courseI would be sure to keep…
Library expert for teaching/help - a valuable resource (83%)
The information that is provided on how to search the Web and the library’s resources (76%)
Library skills & information specific to the UTHSC Library (76%)
Guest speakers who came to talk on issues. They were helpful &provided relevant information that was useful for all courses.Examples: Ms. Wu, Ms. Thorne, Clinical Laboratory Science Facultyand Staff (75%)
THE LISTENPROJECT
Compared to when I entered the program,I feel more prepared & can be more successful in…
THE LISTENPROJECT
What did students say about the librarian? Mini-lectures was fantastic and extremely beneficial for our
wiki assignments! The librarian was very helpful for research. Library staff and Mona Patterson were very helpful with the
WIKI research. Involvement of librarian was very useful and effective in
learning about necessary resources, I enjoyed it very much. I think introducing a librarian to the course was helpful in
giving the accurate impression that these professionals areaccessible, helpful and happy to help.
The librarian was absolutely wonderful.
THE LISTENPROJECT
What did students say about the Wiki? The wiki was a good assignment but I wish we had more guidance about it at the beginning of the semester instead of so close to due date.
I do think working on a wiki page (with more lessons perhaps in formatting) is valuable because as future nurses/researchers we can communicate effectively and quickly with colleagues.
I am glad to have had this experience with using a wiki because I like learning how to do new things with technology, and you never know when a skill like this might be just what you need later on.
The almost instant feedback for the wiki was very helpful.
I would suggest requiring a minimum # of paragraphs or sources for the WIKI.
THE LISTENPROJECT
What did students say? Continued I see the value of it (wiki) as a communication tool & for internal communication.
I like the concept of reading others students opinions & article findings, however, I don't think a wiki is necessarily the best way to go about doing it.
I was glad I got a chance to use the wiki. I had never even heard of a wiki page before this class.
My biggest frustration with the wiki site was fear that someone else was going to make an unintentional change to the information that I had listed on the site and I wouldn't catch it.
The wiki assignment was very helpful. It "forced" me to learn how to evaluate websites & articles effectively & it allowed me to learn valuable information about the medical field & medical errors.
THE LISTENPROJECT
ConclusionsResearching NE helped improve students: IT and IL attitudes, skills, and knowledge. Library research skills. Knowledge of using information the professional way. IT and IL skills for life-long learning.
Online collaboration using wiki: Challenged Net Gen students out of their comfort zone. Presented potential opportunities & skills useful for future nursing roles. Provided opportunities for students to demonstrate creativity & innovation.
THE LISTENPROJECT
Future Directions
Integration of LISTEN* Project modules &Brief Online Learning Tutorials
into the course*Learning Information Seeking and Technology for
Evidence-based Nursing
THE LISTENPROJECT
Questions?Lin Wu: [email protected]
LISTEN team, Health Sciences Librarian
Cindy Russell: [email protected] team, Project Director
Ramona Patterson: [email protected] team, Clinical Staff Development Nurse Liaison
Visit the LISTEN Web Site @ http://www.listenuphealth.org
HRSA-funded Nursing Education, Practice, & Retention Program Grant