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Medical libraries: Your source for the evidence
in evidence-based practice
Background
Hospital libraries have a history of successfully supporting clinicians in searching
for quality literature (McGrath 2014), incorporating evidence into and improving
everyday practice (Krom 2010, Marshall 2013), and achieving Magnet® status
(Garcia 2009). Staffed by master’s-prepared medical librarians, Porter Adventist
Hospital’s library collaborates with staff nurses, nurse educators, and nurse
scientists to replicate these successes at Porter Adventist Hospital. The
librarians’ collaborative roles include search-strategy guidance, literature
searches, article retrieval, and library instruction. Topics of collaboration can be
clinical or non-clinical; recent subjects have ranged from prevention of falls or
retained surgical items to nurse staffing and retention. Together with Porter’s
nurses, the hospital’s librarians find information nurses can use to effectively
guide their practice in pursuit of successful patient outcomes.
Objectives
Identify library resources used to support evidence-based practice.
Discuss the role of medical libraries in evidence-based practice.
Introduction
Materials and Methods
Discussion and Conclusions
Literature Cited
Contact Information
Centura Evidence-Based Practice Conference
October 28, 2016
Porter Adventist Hospital
Loren Hackett, MLIS, AHIP Melissa Kovac, MLIS, AHIP
Using library services and resources has been shown to improve the quality
of patient care (Garcia 2009). Porter Adventist Hospital’s nurses have the
opportunity to work with their library’s staff and resources to incorporate the
best available evidence into the patient care they provide and, in turn,
improve patient outcomes.
Loren Hackett, MLIS, AHIP
Krom, Z.R., Batten, J., & Bautista, C. (2010). A unique collaborative nursing evidence-
based practice initiative using the Iowa model: a clinical nurse specialist, a health
science librarian, and a staff nurse's success story. Clinical Nurse Specialist, 24(2),
54-59.
Garcia, J.L., & Wells, K.K. (2009). Knowledge-based information to improve the quality
of patient care. Journal for Healthcare Quality, 31(1), 30-35.
Marshall J.G., Sollenberger J., Easterby-Gannett S., Morgan L.K., Klem M.L.,
Cavanaugh S.K., … Hunter S. (2013). The value of library and information services in
patient care: results of a multisite study. Journal of the Medical Library Association,
101(1), 38-46.
In addition to maintaining a collection of biomedical books and journals, the
librarians at Harley E. Rice Medical Library provide the following services to all
Porter Adventist Hospital associates and select other Centura facility associates:
Literature searching: Using a variety of health science databases, including
MEDLINE and CINAHL, the librarians can provide a focused and limited set
of references to articles on the requested topic (Figure 1). Searches can be
performed for one‐time needs or on a recurring basis, retrieving only the
newest articles each time. Results are delivered within two to three days of
the request.
Article retrieval: Using the library’s local resources and those of
cooperating libraries around the country, the librarians can usually obtain
requested article(s) in approximately one to three days, depending on the
availability of the item.
Resource borrowing: Books borrowed from the library’s local collection are
available for same-day retrieval and a three-week lending period. Books
acquired through interlibrary loan have variable availability and lending
periods based on the policy of the lending library.
Consultation and education: If you prefer to do your own searching, the
librarians can help you learn more about the library’s resources. Whether
one-on-one or in a group setting, librarians can guide you through the
literature search process and help you locate the best evidence possible to
guide your research or practice (Figure 2).
While you’re…
Creating a PICO question
Looking for existing research
on your topic
Developing a research plan
Performing your research
Assimilating your findings
A librarian can help you…
Find literature that answers your
question or supports the need for your
research
Learn about the library’s resources,
train you to use them, and provide literature
search support
Find published resources to help you
develop the best design for your
research
Find answers to any questions that arise
along the way
Provide additional resources from the literature, such as
additional articles or books
Figure 2. Library support during the research process.
Melissa Kovac, MLIS, AHIP
Figure 1. Sample literature search request form used by library patrons to request
information from the library.
Contact the library directly at [email protected] or 303-778-5656.
