Accessing Sources of Evidence for Practice

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Accessing Sources of Evidence for Practice Module
Introduction By Ian Cole Karen Smith
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Before we start.

• Please turn off your
• mobile phone

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Lecture Plan

• Introductions (module team)
• Ian Cole
• Karen Smith
• Joyce Marshall
• Introduction to Evidence Based Practice
• Introduction to Health Informatics
• Module Outline
• Weekly sessions (where possible)
• 1 hour lecture (session a)
• 2 hour practical (session b)

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Evidence Based Practice

• What is evidence-based nursing/midwifery?
• ..the application of valid, relevant,
  research-based information in nursing decision
  making Cullum, N. p2, 2007
• Use reliable evidence to inform best practice
• Evidence available from a wide range of sources

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What is Evidence Based Health Care?
Judgement and Expertise of the Nurse
Valid, Relevant Research Evidence
Clinical Decision
Patient preferences and Circumstances
Available Resources
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Five Steps to Evidence-based Nursing/Midwifery

• Clinical uncertainty from practice is converted
  into focused, structured questions .
• The focused questions are used as a basis for
  literature searching to identify relevant
  external research evidence.
• The research evidence is critically appraised
• The best evidence is combined with clinical
  expertised, the patients perspective and
  available resources to care plan.
• Outcomes are evaluated.
• Flemming, K. p 18, 2007

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Finding the Evidence

• Evidence-based practice challenges nurses (and
  midwives) to integrate best research evidence
  with clinical expertise, patient circumstances
  and values, and resource considerations to
  facilitate clinical decision making
• Therefore
• How do nurses (and midwives) locate the best
  evidence when the sheer volume of literature is
  more than any nurse (or midwife) can manage?

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Finding the Evidence

• DiCenso, A., Guyatt, G. and Ciliska, D. 2005,
• Evidence-based nursing a guide to clinical
  practice. St. Louis, Elsevier.
• Cullum, N., Ciliska, D., Haynes, R. Brian and
  Marks, S. 2007, Evidence based nursing an
  introduction. Oxford, Blackwell Publishing Ltd.

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Health Informatics

• What are informatics
• Combination of the following Sciences
• Information, Computer Cognitive.
• The management of information, using cognitive
  skills and the computer.
• (Linda Thede 2003)

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Health Informatics

• Health (care) Informatics,
• Focuses on the care of the patient, not a
  specific discipline (Hannah, Ball Edwards,
  1999).
• Although there are specific bodies of knowledge
  for each health care profession, nursing,
  dentistry, dietetics, pharmacy, medicine, etc.,
  they interface at the patient.
• Multidisciplinary approach across healthcare
  practice.

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Health Informatics

• 1 year focus on practice skills
• Computer skills information Skills
• Using the VLE
• Word Processing
• Creating PowerPoint Presentations
• Underpinning focus on Nursing Informatics.
• What technology is used in Nursing/Midwifery?
• Years 2 3 will explore the subject in greater
  depth.
• Patient Admission Systems, Telehealth, etc

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Health Informatics Model

• HI delivery based on Riley Sabas Undergraduate
  Nursing Informatics Education Model (1995)
• Four Steps (modified by IJC)
• First Step Year 1
• Computer overview.
• Computer components (Hardware Software).
• Using the tools in the Virtual Learning
  Environment
• Word processing software (MS Word).
• Bibliographic retrieval systems.
• Literature searches.
• Steps 2,3, 4 Years 2 3

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Health Informatics
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ASoE Module Outline

• Lecture (session a) followed by Practical
  (session b)
• Session 1a - Introduction to Module
• Session 1b - Practical Introduction to Computing
  
• Session 2a Lecture On-line communication
• Session 2b - Practical Introduction to
  YorkShare VLE
• Session 3a/b - Using The Library
• Session 4a/b - Introduction To Electronic
  Resources
• Session 5a/b - How To Search
• Session 6a/b - Introduction to Databases
• Session 7a/b - Word Processing
• Session 8a/b Presentation Skills
• Session 9a/b - Mock Exam
• Session 10a/b - Revision Preparation
• Session 11a/b - Revision Preparation for exam
• Session 12 - Module Exam

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ASoE Module Outline

• Compulsory attendance to all lectures and
  practical sessions.
• Some of you will find the module easy Help each
  other (study groups).
• Make sure you do some background reading and
  practice computer skills.
• Make sure you are punctual, sessions will start
  on time.

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The YorkShare VLE

• Definition of a VLE
• The term 'virtual learning environment' (VLE)
  refers to the components in which learners and
  tutors participate in online activity of various
  kinds, including online learning.
• The VLE will be used on
• All first year modules
• It will be used for
• Course content.
• Communication.
• Discussion Groups
• Announcements
• E-mail (tutor to student only yr1)
• Module Assessment.

http//vle.york.ac.uk
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Intro to Computing (1b)

• Introduces students to computing at the
  University of York
• Logging on Email Intranet/Internet and access
  to the student timetable.
• Connecting for Health computer skills test
• Basic computer skills from keyboard and mouse
  control, through to file management, Internet
  searching and e-mail skills.
• The software will tell you where you need
  additional work.
• This skills test now used for Nurses in the NHS.

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ASoE Session 1b practical

• Bring a pair of walkman type (mini-jack)
  headphones to the next practical session

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Intro to Computing VLE (2 a/b)

• On-line communication social networking.
• Introduction to the University of York Virtual
  Learning Environment 'YorkShare'.
• Practical experience of using the Discussion
  Boards, Quizzes, chatrooms and other relevant
  tools.

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Using the Library (sessions 3 a/b)

• Find information about and have an overview of
  library services.
• Have practical experience of the J.B. Morrell
  Library resources.
• Have practical experience of the library
  catalogue and know how to locate items
• (including books and journals) on the shelves.
• Be able to use the library with confidence.

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Introduction to Electronic Resources. (Session 4
a/b)

• Know how to access subject-related web-based
  resources.
• Have an overview of information sources and their
  applications.
• Have practical experience of using relevant key
  sources such as National Electronic Library for
  Health, Department of Health website etc.
• Know how to evaluate printed and electronic
  information and identify quality resources.

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How to Search (Sessions 5 a/b)

• Know how to carry out effective searches i.e.
  improve accuracy by learning techniques which
  will avoid time consuming searches that retrieve
  irrelevant material.
• Know how to develop effective search terms and
  strategies to search for information and apply
  them to a research question.
• Have practical experience of using search
  strategies and techniques.

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Introduction to Databases (Sessions 6 a/b)

• Have practical experience in using the main
  health care databases including the Cochrane
  Library, Medline, Cinahl.
• Have an overview of the range of databases
  available and have the ability to choose the
  right database.

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Word Processing (sessions 7 a/b)

• We will cover tips and strategies of word
  processing and submitting assignments.
• You will develop a working knowledge of a word
  processing program and be able to edit and format
  your own work.

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Presentation Skills(sessions 8 a/b)

• How to present effectively.
• Find out the pitfalls of presenting
• Principles of Presenting
• You will be able to create presentations using
  Microsoft PowerPoint Presentation software .

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Revision Practice sessions

• Dedicated protected time in Computer labs to
  practice computer information retrieval skills.
  
• There are online tasks and practice homework for
  you to complete throughout the module.

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How are these skills relevant?

• These skills will support you as a student in the
  assessment of this module, essay writing and
  research
• They are key transferable skills which are
  desirable for employers
• They are useful for personal knowledge gain.
• You will be able to use them in keep up to date
  and in clinical situations throughout your
  career.

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Assignment - Online Exam

• A 1 hour Exam at a computer
• A 30 question Multiple Choice Question test to
  be completed by using the VLE.
• A database exercise by searching two
  bibliographical databases and copying, pasting
  and formatting the information into a Word
  document then e-mailed.
• Exam will be on the 19th March

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Homework for this session

• Try logging on the University Network
• Try getting into the VLE and have a look at the
  ASoE module site
• Dont worry if you cant, well sort it in the
  next practical session.

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Next sessions (1b 2a/b)

• 1b You will be given information about
• using computers at the University of York
• using the e-mail system.
• CfH skills test.
• 2a/b Social Networking an overview of the
  YorkShare VLE
• Login
• Communications tools
• Survey Quizzes
• Content Resources

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Remember

• To bring your library card or paper with the info
  on to practical sessions.
• Always bring any module workbooks to all
  practical sessions
• Any Questions?