1. Midday at the Oasis March 20, 2013 Adele Dobry, Nursing Informationist, UCLA Biomedical Library Lisa Marks, Director, Providence Saint Joseph Medical Center, Burbank

2.  Introduction  History of Magnet  Forces of Magnetism  The Clinical Practice Council (CPC) at UCLA  Librarian Role in Supporting Evidence-Based Practice

3.  Provide instruction and research support to: ◦ Department of Nursing ◦ School of Nursing ◦ Office of Animal Research and Oversight ◦ Ecology and Evolutionary Biology ◦ various other life science departments

4.  Nursing shortage of 1970s and 1980s ◦ Why were some hospitals able to attract and keep nurses while others were scrambling to fill positions (Schwartz & Iobst, 2008)? ◦ 1983: American Academy of Nursing (AAN): Task Force on Nursing Practice in Hospitals Performed a study to recognize “environments that attract and retain well-qualified nurses who promote quality patient, resident and client care” (ANCC, 2013).

5.  41 of 163 institutions “possessed qualities that enabled greater capacity to attract and retain nurses, and were therefore described as “magnet” hospitals” (ANCC, 2013).  These distinguishing qualities are known as “Forces of Magnetism.”  1990: The American Nurses Credentialing Center (ANCC) and Magnet Hospital Recognition Program for Excellence in Nursing Services were created. ◦ The ANCC is a subsidiary of the American Nurses Association (ANA) (ANCC, 2013).

6. 1. Quality of Nursing Leadership 2. Organizational Structure 3. Management Style 4. Personnel Policies and Programs 5. Professional Models of Care 6. Quality of Care 7. Quality Improvement 8. Consultation and Resources 9. Autonomy 10.Community and the Health Care Organization

7. 11. Nurses as Teachers 12. Image of Nursing 13. Interdisciplinary Relationships 14. Professional Development (ANCC, 2013)

10.  2005: UCLA Medical Center designated as a Magnet Hospital (UCLA Health System, 2010)  2010: UCLA Medical Center re-designated as a Magnet Hospital (UCLA Health System, 2010)  The structure that the Clinical Practice Council (CPC) provides supports the indicators of nursing excellence which Magnet recognizes.

11.  “Historically, hospital nursing policy and procedure committees have focused mainly on the process of policy review, with limited reliance on research and evidence-based literature to guide changes in practice documents and with minimal involvement of staff nurses” (Becker et al., 2012).

12.  From the article “Clinical Nurse Specialists Shaping Policies and Procedures Via an Evidence-Based Clinical Practice Council”: ◦ 1. Foster exemplary patient care through the development, review, and dissemination of clinical nursing policies, procedures, and institutional guidelines of care. ◦ 2. Ensure that practice documents are aligned with the latest research and evidence. ◦ 3. Provide a forum that stimulates innovative thinking among frontline clinicians regarding integrating evidence into current practices. ◦ 4. Provide a mechanism for dissemination and feedback regarding new practices among frontline clinicians (Becker et al., 2012).

13.  3 major subgroups ◦ Critical Care- Emergency ◦ Intermediate Care- Medical Surgical ◦ Pediatrics, Neonate, and Perinatal ◦ Doctorally prepared director of research and EBP serves as the chair of CPC ◦ Each subgroup is chaired by 1 or 2 CNSs ◦ Each subgroup has 10-15 nurses (Becker et al., 2012)

14.  CPC members meet monthly for 4 hours to work as a group in the following areas, from Becker article: ◦ 1. retrieval, critique, and synthesis of evidence-based literature ◦ 2. interpretation and evaluation of current evidence ◦ 3. review and revision of policies and other practice documents ◦ 4. performance as a member of a nursing team within council structures ◦ 5. dissemination of EBP changes ◦ 6. clinical role modeling and leadership skills (Becker et al., 2012)

15.  Attend monthly CPC meetings to assist subgroups with research.  Provide research instruction sessions at the Library, local summits, meetings, and at units.  Provide individual research consultations.  Be available via phone and email.  Attend and present at, if possible, at local Evidence- Based nursing conferences and/or the ANCC National Magnet Conference.

16.  1. introduction/overview ◦ What would you like to learn? ◦ What tools or resources have you used to do research in the past? ◦ Go over Biomedical Library website and Nursing Research Guide ◦ How to find and request books

20.  Pick an example topic based on one of the nurses selected topics for research, if possible  “Diagram” the topic on the board ◦ Synonyms ◦ Boolean operators ◦ Try the PICOT Search Strategy worksheet

21.  PubMed ◦ Simple search ◦ Filters ◦ Search details ◦ Send to ◦ Access full text (request articles when needed) ◦ MeSH ◦ Advanced ◦ Clinical Queries ◦ Save Search ◦ My NCBI

22.  CINAHL ◦ Smaller database focused on nursing ◦ Use synonyms in search ◦ Go over limiters and subsets ◦ Emphasize usage of “apply related words” and “also search within the full text of the articles” expanders to find more results as necessary ◦ Refine results ◦ Citation mapping ◦ Subject: Major Heading (use to refine search) ◦ Tools: email article, copy and paste citation ◦ CINAHL Headings ◦ EBSCO account

23.  Cochrane Review ◦ Systematic reviews  National Guideline Clearinghouse ◦ Browse and compare guidelines  Web of Science ◦ Citation mapping ◦ EndNote Web

24.  Personal searching time with the librarian  Questions  Remind nurses of consultations-make an appointment to meet with the librarian  Hand out assessment forms

25.  Now you know: ◦ Why Magnet started ◦ What the Magnet Model is made up of ◦ An example of an evidence-based practice program ◦ How the Librarian supports nurses in this program ◦ Outline of key concepts to cover when teaching

26. American Nurses Credentialing Center. (2013). Program Overview. Retrieved from http://www.nursecredentialing.org/Magnet/ProgramOverview Becker, E., Dee, V., Gawlinski, A., Kirkpatrick, T., Lawanson- Nichols, M., Lee, B.,... Zanotti, J. (2012). Clinical nurse specialists shaping policies and procedures via an evidence-based clinical practice council. Clinical Nurse Specialist, 26, 74-86. doi: 10.1097/NUR.0b013e3182467292 Sherwill-Navarro, Pamela, & Roth, Karen L. (2007). Magnet hospitals/magnetic libraries-the hospital medical library: a resource for achieving magnet status. Journal of Hospital Librarianship, 7(3), 21-31. Retrieved from http://www.tandfonline.com/loi/whos/ Schwartz, Linda Matula, & Iobst, Barbara J. (2008). Magnet again! Librarian's role in research collaboration to maintain Magnet status. Journal of Hospital Librarianship, 8(1), 72-81. Retrieved from http://www.tandfonline.com/loi/whos/ UCLA Health System. (2010). UCLA awarded redesignation as a national Magnet hospital. Retrieved from http://www.uclahealth.org/body.cfm?id=426