Post on 24-Jan-2016
description
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Veronica DelafosseLibrarian, Caulfield General Medical Centre
Melbourne, Victoria, Australia
What Now, Where Next? Current practice & future developments in Clinical Librarianship. 3rd Clinical Librarian Conference. 11th & 12th June 2007, St William's College, York, UK.
Veronica DelafosseLibrarian, Caulfield General Medical Centre
Melbourne, Victoria, Australia
What Now, Where Next? Current practice & future developments in Clinical Librarianship. 3rd Clinical Librarian Conference. 11th & 12th June 2007, St William's College, York, UK.
The visible librarian:
evidence based practice training for occupational therapists in rehabilitation and
aged care settings
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CGMC
1,000 EFTPart of Bayside Health
Subacute services including rehabilitation, aged care, community health
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Assumptions
Evidence based practice PICO - clinical questions Levels of evidence CATs Search strategies Subject headings Truncating, exploding, combining terms Document delivery
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Inpatient and ambulatory rehab
Amputee Orthopaedic General Neurological Spinal Cardiac Chronic pain
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OT streams and sessions
Aged Care (1)
Musculoskeletal (3)
Heart and Body (1)
Neurological (2)
Community (2)
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EBP focus
Senior OT staff planned KLAs Combination of group and streams Encourage, support, gentle pace Identify, learn, practise skills PICO format Searching - library sessions Critical appraisal Applying evidence
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Scenario
Setting: Rehabilitation and aged care
Perspective: Occupational therapists
Intervention: 1-3 library sessions
Comparison: Community health
Evaluation: 12 month survey
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Databases
OTseeker (Uni Qld EB OT Group) OTcats PEDro Joanna Briggs Centre for Evidence-Based Rehab CINAHL Medline Cochrane Web
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Accessing resources
Ejournals, ebooks and databases Passwords Access from work or home Extra IDs/PWs for some journals eTOCs HTML vs PDF formats Catalogue and print resources
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Literature review
Measuring impact User education EBP Searching skills OT studies
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Method
9 sessions over 7 months
34 attendees
12 month evaluation
online survey
100% response rate
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Survey structure
Introduction
Invitation to participate
13 questions
Thank-you
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Which stream?
Aged Care (12.5%)
Musculoskeletal (25%) Heart and Body (25%)
Neurological (25%)
Community (12.5%)
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First session
How did you feel about approaching it?
Nervous 25% Uninterested 12.5% Thought it would be a waste of time 0%Curious 7.5% Well-prepared 12.5% Eager to learn more 50% Other (please specify) 0%
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Aged care
Are egg-shell foam mattresses effective in reducing the development of pressure ulcers in a population of over 65yr old patients in a sub-acute setting?
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Musculoskeletal
What are the skills/information relating to wheelchair use that should be addressed within a hospital setting?
What is the most effective way to teach these?
Amputee and spinal rehab patients
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Community – session 1
Does community based group work reduce the symptoms of depression for people over the age of 65 living in SRSs compared to individualised therapy?
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Community – session 2
What is the effect of servicing long term, chronically ill clients on community based OT waiting lists?
What methods are used to manage community based OT waiting lists?
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Heart and Body
What is the best way to produce a graded return to work program (cardiac rehab)?
What are the benefits of a strength training program for elderly people?
What are the factors affecting compliance to a home program for strength training following a rehab program?
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Neurological
In patients with a hemiplegic upper limb post stroke, does a prolonged low load stretch reduce the development of contractures in comparison to passive ranging?
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Importance of stream
Having the clinical question prepared within my stream helped me to approach the session with more confidence
0 0
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75
12
0
10
20
30
40
50
60
70
80
SDIS DIS NA ND AG ST AG
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Professional support
I relaxed and learnt more quickly because I participated with colleagues on a common topic (compared to training with attendees from a variety of disciplines)
0
12
0
62
25
0
10
20
30
40
50
60
70
SDIS DIS NA ND AG ST AG
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Results (1)
QUESTION AGREE STRONGLYAGREE
Session relevant 75% 25%
Hands-on 38% 50%
Steps explained clearly 75% 12%
Training level suitable 62% 12%
Sufficient length 88% -
More comfortable using electronic resources
38% 12%
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Results (2)
QUESTION AGREE STRONGLYAGREE
Increased confidence 25% 12%
Changed handling of situation 38% 12%
Finding evidence is important 50% 38%
Would like to further searching skills
38% 62%
Library resources are indispensable to my work
12% 62%
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Conclusions
More aware of resources and services Hands on sessions within streams best Valued clear presentation style Less daunted by e-resources Community OTs coped Eager to adopt EBP Realise time constraints
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What Now, Where Next - OTs
Journal club 2006
Qualitative/quantitative review forms
Practise searching skills
Increasingly use library services
Seek further training when ready
Annual library orientation session
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What Now, Where Next - Lib (1)
Act as a catalyst to support a culture of EBP
Keep up-to-date with EBP resources
Speak to managers re needs
Promote training sessions
Seek opportunities to increase visibility
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Increased use 2005-2006
Training Sessions 2006
Nursing20%
Medical8%
Allied Health70%
Other2%
Number Trained by Type 2005
Allied Health55%
Medical23%
Nursing20%
Other2%
Number Trained by Type 2006
Nursing11%
Medical8%
Allied Health80%
Other1%
Training Sessions 2005
Nursing31%
Medical27%
Allied Health36%
Other6%
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What Now, Where Next - Lib (2)
Share with colleagues via
REBLs…with a cause
ALIA Health Libraries Australia Special Interest Group
for Rehab Evidence Based Librarians
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…and stay visible at work or play