The Hospital Library as magnet force

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The Hospital Library as magnet force for a
research and evidence-based nursing culture A
case study of two Magnet hospitals in one health
system Diane Rourke, Director Library Services
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Brief History of Baptist Health South Florida

• A strategic hospital merger in 1995, joining
  former rival hospitals together (Baptist Hospital
  of Miami with South Miami Hospital, Homestead
  Hospital and Mariners Hospital in the Upper
  Florida Keys )
• In 2003 Doctors Hospital of Coral Gables also
  became part of Baptist Health
• In 1997 Baptist Childrens Hospital was born.

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History of Magnet hospital status in Baptist
Health South Florida

• Baptist Hospital of Miami achieved Magnet status
  in 1998 at that time, it was the eleventh Magnet
  hospital in the United States first Magnet
  hospital in Florida now there are more than 180
  Magnet hospitals.
• Baptist again was designated a Magnet hospital in
  2002 and 2006.
• South Miami Hospital achieved Magnet status in
  2004.
• So what was the librarys role?

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• What did the library have to do with it?

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14 Forces of Magnetism

• Quality of Nursing Leadership
• Organizational Structure
• Management Style
• Personnel Policies and Programs
• Professional Models of Care
• Quality of Care
• Quality Improvement

• Consultation and Resources
• Autonomy
• Community and Hospital
• Nurses as Teachers
• Image of Nursing
• Interdisciplinary Relationships
• Professional Development

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Forces of library magnetism
P

• roviding information on nursing theorists
• uthor archive of staff nursing publications
• esearch committee participation/membership
• eaching evidence based/research classes
• ursing e-resources and online catalog
• vidence based practice model development
• esource for nurses their information
  partner

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Some areas for library magnetism in the earning
and sustaining Magnet status

• Supports research integrates it into the
  delivery of nursing care administration
• Professional development of nurses
• Collaboration (from the ANCC Magnet website
  Magnet criteria www.nursingworld.org/ancc)

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Nursing theorists information
Baptist Hospital Jean Watson, Caring Theory
South Miami Hospital Madeleine Leininger,
Cultural Diversity Theory

• Library role books and articles to support the
  education process in each hospital
• Process included bookmarks, art carts, workshops

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Author archive

• At Baptist Hospital, staff authors honored
  annually during National Library Week since 1979.
• Useful in the first Magnet application for
  Baptist Hospital and subsequent applications for
  both hospitals
• Documented publication and research by nursing
  staff.
• Further discussion about the process Rourke, D
  Samsundar D Shalini, C in Med Ref Serv Q 2005
  Summer24(2)87-93. Author! Author! Creating a
  digital archive of publications in a hospital
  library setting

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Active role in research

• Voting member of the nursing research committees
  at both hospitals
• Voting member of the system-wide research
  collaborative for the other hospitals
• Duties include
• attending meetings (sometimes by
  phone)
• reviewing, editing, approving
  proposals for research, prior to submission to
  IRB (Institutional Review Board)
• providing literature searches,
  articles, resources
• and expertise as needed.

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Library electronic resources

• Justification for adding LWW/OVID nursing
  journals
• Now over 1000 e-journals
• Manuals and tutorials online for e-learning
• Implementation of an online catalog (Cybertools
  for Libraries) with e-links
• Everything accessible for nurses on the hospital
  system-wide intranet with access on nursing unit

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Teaching evidence-based resources

• Invited instructor in critical care emergency
  nurse specialty curriculum
• Theory lecture and hands on searching
  instruction with nurses
• Customized unit-specific instruction in
  evidence-based resources
• Nursing skill lab at Homestead Hospital
• Adding an electronic resources librarian to the
  library staff (and almost working her to death!)

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Development of an evidence based practice model

• Soon to be published in a nursing journal by
  staff from South Miami Hospital.
• Library role providing the research to assure
  the model didnt already exist
• Also developing an interactive evidence-based
  self-study on the Intranet
• Goal to connect the evidence and research into
  nursing practice pattern change, if indicated

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Results

• Increase in research studies by nurses done at
  each Magnet hospital
• A rise in everyday use of the evidence at the
  patient bedside by nurses
• More nurse authors and library users of
  e-resources
• Heightened visibility of the library as a partner
  in the process of becoming and sustaining Magnet
  hospital status.
• Validation of the hospital library as a Magnet
  force in two hospitals.

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My anonymous quote in the article by Cheryl Dee
and Ellen E. StanleyNurses information needs
nurses and hospital librarians perspectivesJourna
l of Hospital Librarianship 5 (2) 1-12 , 2005

• Let them in the door, first of all.
• Be very patient with their learning needs/styles.
  
• Remember they learn by doing its the nature of
  nursing.
• And dont forget these are not just bothersome
  nursing students (or nurses who are going back to
  school who are computer phobic.
• These are the nurses who will be in power in your
  organization and they have long memories of your
  helpfulness when they were beginning their
  careers.
• At least it has been a winning strategy in our
  hospitals. Also when I get sick, I want smart
  nurses taking care of me!

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