Tag Archives: Evidence Based Practice

New study identifies positive benefits of the embedded librarian role

A mixed-methods research study, funded by Health Education England, has identified several positive benefits resulting from a librarian working in a critical care team. A return on investment (ROI) analysis indicated that for every £1 invested in the embedded librarian model, a financial value in a range from £1.18 to £3.03 was generated.

Knowledge about conditions and treatments in critical illness can be complex. The critical care team at Wirral University Teaching Hospital NHS Foundation Trust, led by Dr Girendra Sadera, collaborated with the University of Liverpool and the Centre for Health Economics and Medicines Evaluation at Bangor University to design, implement and evaluate a model of knowledge mobilisation, led by a clinical librarian, to support the knowledge requirements of critical care.

A librarian worked alongside staff in the critical care department for 15 months, delivering a “pop up library”, providing evidence support, training both face to face and virtually, and attending meetings, journal club and other departmental activities. The model supported learning and education across all staff groups, nurtured an evidence-based culture and enhanced the quality of care.

The study findings highlight the pivotal role of the critical care nurse in sharing knowledge between staff and patients; the bedside nurse was considered approachable, reassuring, knowledgeable and trustworthy, and they were a preferred source of knowledge for the patient and family.

Findings demonstrate that a librarian working in a clinical team can feasibly support the knowledge requirements of staff. Return on investment analysis indicated that for every £1 invested in the knowledge mobilisation model, a financial value of £1.18 to £3.03 was generated in time saving, enhanced professional development and improved patient care.

For further information about the study please contact Dr Girendra Sadera, Consultant in Critical Care, girendra.sadera@nhs.net.

A million decisions a day

Today is the pre-launch of a joint campaign by Health Education England (HEE) and CILIP, the Chartered Institute of Library and Information Professionals,  highlighting the multiple beneficial outcomes when health service providers work closely with their library and knowledge services.

Every day across the healthcare sector in England more than a million decisions are made that have a profound and lasting impact on people’s lives and which influence the quality of healthcare and the cost of services.

HEE and CILIP are campaigning for decisions in the healthcare sector to be fully evidence-based, calling on government and health service providers to employ and make use of the skills of librarians and knowledge specialists in meeting their obligations under The Health and Social Care Act 2012.

Under the Act, The Secretary of State for Health must ensure ‘the use in the health service of evidence obtained from research’. It also places a responsibility on Clinical Commissioning Groups and healthcare providers to make use of the best available evidence in their decision-making. Arms length bodies and those commissioning or influencing healthcare services have a responsibility to promote and monitor the use of evidence-based decision making.

The campaign

HEE and CILIP are working together to support decision-makers and those delivering health services to meet their obligations under the Act.

Submit an NHS impact case study

We are encouraging all Library and Knowledge specialists to submit a case study that demonstrates the impact of NHS Library & Knowledge Services in England.  Please submit a case study now.

To find out more and support the campaign #amilliondecisions please visit www.cilip.org.uk/amilliondecisions

 

Knock, Knock …. Or possibly Open Sesame ?

November 16, 2015, Knowledge for Healthcare Authentication Task and Finish Group, Stewart House, London.

On a beautiful November day a group of people from NICE, HEE, the NHS and JISC met in Stewart House across the road from the little park in Russell Square (the park has a really lovely café run by an Italian family and you can sit out and watch the squirrels in the middle of London!).

We came together to talk about how to make it as easy as possible for NHS staff to get into all the articles and databases and books and the as yet undreamt of apps and resources of the future.  These tools of Evidence Based Practice have been paid for ultimately by the state.  However, it comes as no surprise to those involved in provision, that ensuring ease of access to the goods can be difficult !

  • How can we mandate IT managers in every NHS Trust to use the same, up to date browsers, firewall white lists and allowable electronic resources?
  • How do we ensure we can all use a super-fast, wide open bandwidth to do the same?
  • How do we standardise, streamline and make transparent all routes to all paid for resources?

The answer is – we can’t!   However, in the absence of the equivalent of a lottery win, what we can do is create a group that reflects on and draws upon best practice across the NHS in England, integrating suppliers and technology strands to create the best rope bridges to allow our readers to cross over to the promised treasure chest of gold standard evidence that is theirs for the asking.   And so we begin … “ Knock, Knock … may we come in?”

We are  –  Sarah Massey (NHS/Chair), Linda Mace-Michalik (NHS), Hannah Prince (NHS),  Helga Perry (NHS), Richard Osborn (HEE), Moira Godbert Laird (NICE), Michael Heath (NICE) and Josh Howlett (JISC).

We have set ourselves the following tasks  –  draw up Terms of reference; identify stakeholders and communications; scope current methods of access; understand the current NHS network spine;  pilot improved access routes; create a risk log; assist in AIMS reprocurement and developments of the openathens registration form