Information in medical workflows: Answering clinical questions Roger Tritton: Senior Publisher, ProQuest

What have clinicians told us? “I need to be up-to-speed on developments” “I want to be able to quickly bring myself up to speed with an unfamiliar subject” “I want information from trustworthy resources” “I don’t have time to read the literature as much as I would like”

What have clinicians told us? “There are places I usually go back to …” Society web sites Favourite textbooks Google / the open web “I would read the research if I could find the right research” “I have to sift through mountains of irrelevant results to find relevant ones”

What have clinicians told us? “I need to be able to point to the evidence for the treatment I give and the way I care” “I need to find out how different conditions and treatments interact” “I lack confidence in formulating a question to find evidence” “My patients are never a match to the cases that are written up in the literature” “I find many information resources difficult to translate into action”

So what do they do? “I try to keep on top of the literature” “I tend to read the top journals and listen to a podcast” “I read just the most important journal” “I go to the library weekly to catch up on all of the outstanding questions I have” “I go to the library if I can’t find the information anywhere else” “I tend to just use the textbook on my desk” “I always use MEDLINE. Sure, I know how to use it” “I just use MEDLINE to screen out the rubbish” “I never use MEDLINE. It just gives me way too many results.” “I need to see the evidence – that’s required and it’s what I want to do” “I want good answers quickly” “I tend to ask my colleagues” “I write up questions on my PDA and I check out the answers in the library” “Quick reference on a PDA can help me” “I know what to do most of the time”.

“I know what I want and I can find it better than my librarian”.

Definitions Terms have different meanings from one user to another… “Point-of-care” “Research” “Evidence-based practice”

Product portfolios to meet clinicians’ needs “I need to find out how different conditions and treatments interact” Evidence Matters ProQuest Medical Library Clinical guideline products Also one of the key elements is maybe that our products meet needs that are enormously various – see the “music therapist” example we always give. Also that we can bring references from non-core disciplines – we are good at supporting x-disciplinary needs eg health management information to clinicians. Collaborate Be at the CORE of your organisation Empower your users Deliver mixed-media to the desktop Chat, IM, streaming audio & video Create ‘People’ space Social space inviting for the information user of today Tania Smile is taking an associate degree in nursing at Glendale Community College. She is a part-time student and has limited time to give to her studies. She will take her NCLEX-PN course at the end of 2 years. She is inexperienced in research, but for an essay needs to find some articles on how to check patients for infection. Searching on “infection” in the ProQuest Curriculum Resources she sees a learning unit “Monitor clients for signs and symptoms of infection”. In that learning unit there are Recommended Reading articles on best practice, on how to make assessments, equipment available, how to apply evidence, how to communicate issues of infection to physicians, and similar. Persona 2 Type: User   Summary: Gloria Strong is taking a BSN at the University of Texas and wants to qualify as a Registered Nurse. Her 4-year course covers a wide range of topics, including biology, psychology, anatomy, ethics etc. By the end of her course she will have a BSN and will have fulfilled the prescribed course of study and clinical practice required to take the NCLEX-RN licensure exam. She has to prepare a presentation on how to assess a patient for food intervention. She knows some basics on searching, but wants some short-cuts. Finding the learning unit “Assess the client for food and medication interventions” she clicks on the Suggested Search created by ProQuest. On doing that, she sees articles on warning signs when providing nutrition for the elderly, maintaining nutrition in elderly people with dysphagia, dietary risk among African-American women, etc. Type: Librarian Summary: Joseph Aquino is librarian at UNC Chapel Hill School of Nursing. His nursing faculty has a project to link to key full-text resources from tutorials presented on their Blackboard system. ProQuest offers links to full-text on PQNAHS: Curriculum Edition and selections from these are pasted into the VLE. Joseph works with his faculty leader to select suitable links and integrate them into the Blackboard tutorials.

Product portfolios to meet clinicians’ needs “I have to sift through mountains of irrelevant results to find relevant ones” Evidence Matters Illustrata Reference product bibliographies Also one of the key elements is maybe that our products meet needs that are enormously various – see the “music therapist” example we always give. Also that we can bring references from non-core disciplines – we are good at supporting x-disciplinary needs eg health management information to clinicians. Collaborate Be at the CORE of your organisation Empower your users Deliver mixed-media to the desktop Chat, IM, streaming audio & video Create ‘People’ space Social space inviting for the information user of today Tania Smile is taking an associate degree in nursing at Glendale Community College. She is a part-time student and has limited time to give to her studies. She will take her NCLEX-PN course at the end of 2 years. She is inexperienced in research, but for an essay needs to find some articles on how to check patients for infection. Searching on “infection” in the ProQuest Curriculum Resources she sees a learning unit “Monitor clients for signs and symptoms of infection”. In that learning unit there are Recommended Reading articles on best practice, on how to make assessments, equipment available, how to apply evidence, how to communicate issues of infection to physicians, and similar. Persona 2 Type: User   Summary: Gloria Strong is taking a BSN at the University of Texas and wants to qualify as a Registered Nurse. Her 4-year course covers a wide range of topics, including biology, psychology, anatomy, ethics etc. By the end of her course she will have a BSN and will have fulfilled the prescribed course of study and clinical practice required to take the NCLEX-RN licensure exam. She has to prepare a presentation on how to assess a patient for food intervention. She knows some basics on searching, but wants some short-cuts. Finding the learning unit “Assess the client for food and medication interventions” she clicks on the Suggested Search created by ProQuest. On doing that, she sees articles on warning signs when providing nutrition for the elderly, maintaining nutrition in elderly people with dysphagia, dietary risk among African-American women, etc. Type: Librarian Summary: Joseph Aquino is librarian at UNC Chapel Hill School of Nursing. His nursing faculty has a project to link to key full-text resources from tutorials presented on their Blackboard system. ProQuest offers links to full-text on PQNAHS: Curriculum Edition and selections from these are pasted into the VLE. Joseph works with his faculty leader to select suitable links and integrate them into the Blackboard tutorials.

Product portfolios to meet clinicians’ needs “I need to be up to speed on developments” ProQuest Medical Library: RSS feeds Journal club products Podcasts Also one of the key elements is maybe that our products meet needs that are enormously various – see the “music therapist” example we always give. Also that we can bring references from non-core disciplines – we are good at supporting x-disciplinary needs eg health management information to clinicians. Collaborate Be at the CORE of your organisation Empower your users Deliver mixed-media to the desktop Chat, IM, streaming audio & video Create ‘People’ space Social space inviting for the information user of today Tania Smile is taking an associate degree in nursing at Glendale Community College. She is a part-time student and has limited time to give to her studies. She will take her NCLEX-PN course at the end of 2 years. She is inexperienced in research, but for an essay needs to find some articles on how to check patients for infection. Searching on “infection” in the ProQuest Curriculum Resources she sees a learning unit “Monitor clients for signs and symptoms of infection”. In that learning unit there are Recommended Reading articles on best practice, on how to make assessments, equipment available, how to apply evidence, how to communicate issues of infection to physicians, and similar. Persona 2 Type: User   Summary: Gloria Strong is taking a BSN at the University of Texas and wants to qualify as a Registered Nurse. Her 4-year course covers a wide range of topics, including biology, psychology, anatomy, ethics etc. By the end of her course she will have a BSN and will have fulfilled the prescribed course of study and clinical practice required to take the NCLEX-RN licensure exam. She has to prepare a presentation on how to assess a patient for food intervention. She knows some basics on searching, but wants some short-cuts. Finding the learning unit “Assess the client for food and medication interventions” she clicks on the Suggested Search created by ProQuest. On doing that, she sees articles on warning signs when providing nutrition for the elderly, maintaining nutrition in elderly people with dysphagia, dietary risk among African-American women, etc. Type: Librarian Summary: Joseph Aquino is librarian at UNC Chapel Hill School of Nursing. His nursing faculty has a project to link to key full-text resources from tutorials presented on their Blackboard system. ProQuest offers links to full-text on PQNAHS: Curriculum Edition and selections from these are pasted into the VLE. Joseph works with his faculty leader to select suitable links and integrate them into the Blackboard tutorials.

Thank you!