Knowing What We Don't Know: A Survey of School Nurse Information Needs.

Providing complex care for students requires an informed school nurse workforce. However, school nurses, many of whom work independently, may not know where to find necessary information. This study seeks to understand the information needs of school nurses by conducting a needs assessment survey within the state of Illinois. A survey was disseminated through three statewide professional listservs to determine the types of care-related questions school nurses ask as part of their regular duties and which resources they use to answer those questions. School nurses' information needs vary widely, and they rely on numerous sources to answer clinical questions. They are responsible for the well-being of hundreds to thousands of children. While they are comfortable searching for information, they are motivated to further develop research skills.

Significance of an Online Evidence-Based Practice Education Module for Acute, Ambulatory, Public, and School Health Nurses.

Recent surveys of Magnet facilities and nurses found low rates of implementation of evidence-based practice in U.S. health care settings. Nursing Experts: Translating the Evidence (NExT) is a collaboration of nurses and librarians providing free online evidence-based practice nursing education benefiting nurses in all settings. The NExT online modules empowered participants to efficiently access valuable resources to inform and improve their practice in a convenient, accessible, self-paced format. Quantitative and qualitative evaluation methods and the value of collaboration are discussed. [J Contin Educ Nurs. 2023;54(4):176-184.].

Exploring the Use of Common Strict Search Criteria in Nursing Literature Searches.

BACKGROUND: Health sciences librarians and nursing journal contributors have expressed concern about the impact of using strict parameters when searching the literature. PURPOSE: The purpose of this study was to explore the use of strict search criteria (eg, 5-year rule, "nurse as author") by direct care nurses and nursing students. METHODS: Fourteen online focus groups were conducted with 54 participants: direct care nurses, health sciences librarians, nursing faculty, and nursing students. Nursing faculty and health sciences librarians were included as participants to add perspective to the origins and effects of the use of stringent search criteria. RESULTS: The majority of the nurses viewed the 5-year rule and nurse as author search limits favorably, while noting that a strict date range may hamper successful searching. Librarians viewed these search criteria more unfavorably but recognized the value of topic-appropriate search limits. CONCLUSION: Reliance on strict limits can be detrimental to pertinent results; however, appropriate use is essential for relevant results. Pedagogy focused on searching the nursing literature needs to emphasize that limits are tools to be used judiciously.

Trends in Controlled Vocabulary and Health Equity.

Medical librarians collaborate with physicians and other healthcare professionals to improve the quality and accessibility of medical information, which includes assembling the best evidence to advance health equality through teaching and research. This column brings together brief cases highlighting the experiences and perspectives of medical librarians, educators, and healthcare professionals using their organizational, pedagogical, and information-analysis skills to advance health equality indexing.

A comparative evaluation of three point-of-care tools by registered nurses.

Objective: This study compared three point-of-care tools (PoCTs) to determine which PoCT was rated highest based on key features and characteristics by registered nurses. Methods: The PoCTs reviewed were Nursing Reference Center Plus, ClinicalKey for Nursing, and UpToDate. Nurses were asked to use each PoCT to answer three clinical questions and then rate their experience based on the following areas: currency, relevancy, layout, navigation, labeling, and use of filters. They were also asked to indicate their familiarity with each PoCT, their overall opinions, and demographic information. Results: Seventy-six nurses completed the entire survey. Ratings of PoCTs did not differ by participant characteristics. Participants were most familiar with UpToDate, and average ratings were similar across all three PoCTs. Answers to open-ended questions suggested that nurses' experiences searching and locating relevant information to address clinical questions varied and that brand recognition might have impacted preference. Discussion: None of the PoCTs was significantly preferred over the others, nor received high ratings, which suggests that organizations need to survey their nurses to determine which PoCT is preferred by their staff. Findings also suggest that institutional priorities can guide the decision whether a library should license multiple PoCTs, nursing, and/or non-nursing specific PoCTs. Research is needed to understand how PoCTs could better meet the information needs of registered nurses. Librarians should learn more about what types of information nurses are seeking and explore opportunities to educate nurses on how to better utilize PoCTs for their practice.

Focus on nursing point-of-care tools: application of a new evaluation rubric.

Objective: Point-of-care tools (PoCTs) provide evidence-based information on patient care and procedures at the time of need. Registered nurses have unique practice needs, and many PoCTs are marketed to support their practice. However, there is little reported evidence in the literature about evaluating nursing-focused PoCTs. Case Presentation: The investigators developed a rubric containing evaluation criteria based on content, coverage of nursing topics, transparency of the evidence, user perception, and customization of PoCTs for supporting nursing practice. The investigators selected five PoCTs cited in the literature and of interest to local nursing leadership: ClinicalKey for Nursing, DynaMed, Lippincott's Advisor and Procedures, Nursing Reference Center Plus, and UpToDate. Application of the rubric found Lippincott had the highest coverage of diagnoses, while ClinicalKey for Nursing had strong content focused on interventions and outcomes. Nursing Reference Center Plus provided the most well-rounded coverage of nursing terminology and topics. DynaMed and UpToDate were more transparent with indicating conflict of interest, but both had lower coverage of nursing terminology, content, and care processes. Conclusion: None of the five PoCTs strongly met all of the evaluated criteria. The rubric developed for this study highlights each PoCT's strengths and weaknesses that can then be used to inform the decision-making process based on priorities and budget. The investigators recommend licensing a nursing PoCT and a PoCT like DynaMed or UpToDate to provide comprehensive, evidence-based, patient care coverage and to meet the diverse information needs of nurses.

Creating a Role for Embedded Librarians Within an Active Learning Environment.

In 2013, the librarians at a small academic health sciences library reevaluated their mission, vision, and strategic plan to expand their roles. The school was transitioning to a new pedagogical culture and a new building designed to emphasize interprofessional education and active learning methodologies. Subsequent efforts to implement the new strategic plan resulted in the librarians joining curriculum committees and other institutional initiatives, such as an Active Learning Task Force, and participating in faculty development workshops. This participation has increased visibility and led to new roles and opportunities for librarians.