THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By...
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THE LISTEN PROJECT
Infusing Information Literacy Skills Infusing Information Literacy Skills By 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 LISTEN PROJECT
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 LISTEN PROJECT
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, bodily function, > 7days ….
Unambiguous: clearly defined, easily identifiable
Usually Preventable: not always avoidable given complexities of care
THE LISTEN PROJECT
Why Target NE?
Information technology (IT) Information technology (IT)
Information literacy (IL) Information literacy (IL)
The LISTEN project is supported by funds from the Division of Nursing (DN), Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under D11HP08392.
http://www.listenuphealth.org
The LISTEN project is supported by funds from the Division of Nursing (DN), Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under D11HP08392.
http://www.listenuphealth.org
Quality patient careQuality patient care
To improve attitudes, knowledge, and skills in:To improve attitudes, knowledge, and skills in:
Patient safetyPatient safety
THE LISTEN PROJECT
Information Literacy for Nurses@ 5 Levels
Nursing profession
charged with provision of
evidence-based practice
for positive patient
outcomes!
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 LISTEN PROJECT
Informatics for Healthcare
Nursing informatics is more than 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 LISTEN PROJECT
Strategies
Web 2.0 tools Social media Students as content creators
Motivating & Engaging Motivating & Engaging
THE LISTEN PROJECT
Modules
Writing in APA StyleWriting in APA Style
Avoiding plagiarism Avoiding plagiarism
Avoiding HIPAAviolations
Avoiding HIPAAviolations
Cerner electronic record system
Cerner electronic record system
Never event project
Never event project
THE LISTEN PROJECT
Assessments
Pre- and post-information literacy (InfoLit) surveys Self report IT and IL competencies
using 10 point scales
Ranking statements strongly agree to strongly disagree
Students’ comments TurningPoint Clickers
THE LISTEN PROJECT
NE Assignment Area #1: Background
Assignment Details Area 1: Background
Definition Description NE causes Groups & organizations focused on
the NE -- specific URLs, identify reasons for their involvement
Evidence-based guidelines or other scholarly literature that focused on the never event
Description of what the never event is NOT
THE LISTEN PROJECT
NE Assignment Area #2: EffectsAssignment Details Area 2: Effects
Define from perspective of Patients & families Health care professionals Health care institutions Insurers
Summarize why the never event was placed on the list
THE LISTEN PROJECT
NE Assignment Area #3: ArgumentsAssignment Details Area 3: Arguments &
Supportive Strategies
Describe what has been written contrary to including this never event on the official list of never events.
Identify the role that IT and IL competencies have in decreasing or eliminating the never event.
Using scholarly literatureUsing healthcare institution-based
electronic systemsUsing healthcare institution-based
technologies (e.g., point of care technologies, devices)
THE LISTEN PROJECT
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 LISTEN PROJECT
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 LISTEN PROJECT
Health Sciences Librarian’s Take
Mini-talks/lectures One-on-one consultations After class assistance NE resource wiki
THE LISTEN PROJECT
Searching for Information
Google Google Scholar Wikipedia PubMed CINAHL@EBSCOhost Blogs Listservs Other people’s synthesis about
the topic
THE LISTEN PROJECT
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 LISTEN PROJECT
InfoLit Survey Results: Skills for Conducting Health Research
0 (completely lacking) 10 (excellent)
THE LISTEN PROJECT
InfoLit Survey Results: Judging Quality of Health Information
0 (completely lacking) 10 (excellent)
THE LISTEN PROJECT
InfoLit Survey Results: Finding Quality Information
Rate your assessment of your skills in finding high quality information on a specific health topic
0 (completely lacking) 10 (excellent)
THE LISTEN PROJECT
I Enjoyed a Mini-Talk about using library resources at the beginning of each class
THE LISTEN PROJECT
My literature searching skills have improved after researching & finding relevant information for my topic
THE LISTEN PROJECT
Prior to class, I had used a Wiki
3%
97%
TRUEFAULSE
N=63
THE LISTEN PROJECT
Wiki was a useful technology in NE assignment
5%
48%
29%
13%
6%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
StronglyAgree
Agree NeitherAgree norDisagree
Disagree StronglyDisagree
THE LISTEN PROJECT
Using a wiki for class had a positive effect on my learning and engagement in the course
6%
29%
37%
19%
10%
0%
5%
10%
15%
20%
25%
30%
35%
40%
StronglyAgree
Agree NeitherAgree norDisagree
Disagree StronglyDisagree
THE LISTEN PROJECT
Having a faculty member/instructor/graduate teaching assistant review my assignment on the wiki before due date was helpful to me
32%
43%
13%
0%2%
11%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
StronglyAgree
Agree NeitherAgree norDisagree
Disagree StronglyDisagree
Didn't Askfor Review
THE LISTEN PROJECT
The whole process of researching & finding relevant information made me feel more competent to search for quality information
21%
57%
17%
3% 2%
0%
10%
20%
30%
40%
50%
60%
StronglyAgree
Agree NeitherAgree
norDisagree
Disagree StronglyDisagree
THE LISTEN PROJECT
If I were designing the course I 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 Faculty and Staff (75%)
THE LISTEN PROJECT
Compared to when I entered the program, I feel more prepared & can be more successful in…
THE LISTEN PROJECT
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 are accessible, helpful and happy to help.
The librarian was absolutely wonderful.
THE LISTEN PROJECT
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 LISTEN PROJECT
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 LISTEN PROJECT
Conclusions
Researching 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 LISTEN PROJECT
Future Directions
Integration of LISTEN* Project modules & Brief Online Learning Tutorials
into the course
*Learning Information Seeking and Technology for
Evidence-based Nursing
THE LISTEN PROJECT
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