Transcript Slide 1

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
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 Children’s Hospital was
“born”.
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 library’s role?
What did the
library have
to do with it?
14 Forces of Magnetism
Quality of Nursing
Leadership
Consultation and
Resources
Organizational Structure
Autonomy
Management Style
Community and Hospital
Personnel Policies and
Programs
Nurses as Teachers
Professional Models of Care
Image of Nursing
Quality of Care
Interdisciplinary
Relationships
Quality Improvement
Professional Development
Forces of “library magnetism”
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
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)
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
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
Summer;24(2):87-93. Author! Author! Creating a digital
archive of publications in a hospital library setting
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.
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 systemwide intranet with access on nursing unit
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 evidencebased resources
Nursing skill lab at Homestead Hospital
Adding an electronic resources librarian to the
library staff (and almost working her to death!)
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 didn’t 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
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.
Let them in the door, first of all.
Be very patient with their learning needs/styles.
Remember they learn by doing; it’s the nature of nursing.
And don’t 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!
My “anonymous” quote in the article by Cheryl Dee and Ellen E. Stanley
“Nurses’ information needs: nurses and hospital librarians perspectives
Journal of Hospital Librarianship 5 (2) 1-12 , 2005