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THE LISTEN PROJECT Infusing Information Literacy Infusing Information Literacy Skills Skills By Researching 'Never Events' By Researching 'Never Events' (NE (NE ) ) Lin Wu, MLIS, AHIP, Health Sciences Library; Cynthia K. Russell, PhD, RN; Ramona Patterson, MSN, RN (Nursing PhD Student) University of Tennessee Health Science Center, Memphis TN Medical Library Association 2009 Annual Conference May 19, 2009

THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

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Page 1: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Infusing Information Literacy Skills Infusing Information Literacy Skills By Researching 'Never Events' (NEBy Researching 'Never Events' (NE) )   

Lin Wu, MLIS, AHIP, Health Sciences Library; Cynthia K. Russell, PhD, RN;

Ramona Patterson, MSN, RN (Nursing PhD Student) University of Tennessee Health Science Center, Memphis TN

Medical Library Association 2009 Annual ConferenceMay 19, 2009

Page 2: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Never Events (NE)

28 Never Events (NQF)

National Quality Forum (NQF). Serious Reportable Events in Healthcare 2006 Update. http://www.qualityforum.org/publications/reports/sre_2006.asp

Surgical Product of device Patient protection Care management Environmental Criminal

Page 3: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

NE Criteria and Definitions

National Quality Forum (NQF). Serious Reportable Events in Healthcare 2006 Update. http://www.qualityforum.org/publications/reports/sre_2006.asp

Event Inclusion Criteria Concern to public & providers Identifiable, measurable,

reportable Occurrence risk influenced by

facility policy/ procedures Unambiguous Usually preventable Serious, and/or

Adverse Indicates facility safety problem Important for public credibility/

accountability

Term Definitions Event: discrete, auditable, clearly

defined Adverse: negative care

consequence, unintended Preventable: error/ system failure

- anticipatable Serious: results- death, loss of

body part, disability, bodily function, > 7days ….

Unambiguous: clearly defined, easily identifiable

Usually Preventable: not always avoidable given complexities of care

Page 4: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Why Target NE?

Information technology (IT) Information technology (IT)

Information literacy (IL) Information literacy (IL)

The LISTEN project is supported by funds from the Division of Nursing (DN), Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under D11HP08392.

http://www.listenuphealth.org

The LISTEN project is supported by funds from the Division of Nursing (DN), Bureau of Health Professions (BHPr), Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) under D11HP08392.

http://www.listenuphealth.org

Quality patient careQuality patient care

To improve attitudes, knowledge, and skills in:To improve attitudes, knowledge, and skills in:

Patient safetyPatient safety

Page 5: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Information Literacy for Nurses@ 5 Levels

Nursing profession

charged with provision of

evidence-based practice

for positive patient

outcomes!

Nursing profession

charged with provision of

evidence-based practice

for positive patient

outcomes!

Supports attitudes, knowledge, & skills to:

Recognize you need information Confidently seek information Reliably access information Critically evaluate information Professionally apply information

LISTEN Project: http://www.listenuphealth.org

Page 6: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Informatics for Healthcare

Nursing informatics is more than technologies

Two credit course 64 first-year nursing students Ten weeks Face-to-face & Online Collaboration: nursing faculty

member, nursing PhD student, & health sciences librarian

Page 7: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Strategies

Web 2.0 tools Social media Students as content creators

Motivating & Engaging Motivating & Engaging

Page 8: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Modules

Writing in APA StyleWriting in APA Style

Avoiding plagiarism Avoiding plagiarism

Avoiding HIPAAviolations

Avoiding HIPAAviolations

Cerner electronic record system

Cerner electronic record system

Never event project

Never event project

Page 9: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Assessments

Pre- and post-information literacy (InfoLit) surveys Self report IT and IL competencies

using 10 point scales

Ranking statements strongly agree to strongly disagree

Students’ comments TurningPoint Clickers

Page 10: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

NE Assignment Area #1: Background

Assignment Details Area 1: Background

Definition Description NE causes Groups & organizations focused on

the NE -- specific URLs, identify reasons for their involvement

Evidence-based guidelines or other scholarly literature that focused on the never event

Description of what the never event is NOT

Page 11: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

NE Assignment Area #2: EffectsAssignment Details Area 2: Effects

Define from perspective of Patients & families Health care professionals Health care institutions Insurers

Summarize why the never event was placed on the list

Page 12: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

NE Assignment Area #3: ArgumentsAssignment Details Area 3: Arguments &

Supportive Strategies

Describe what has been written contrary to including this never event on the official list of never events.

Identify the role that IT and IL competencies have in decreasing or eliminating the never event.

Using scholarly literatureUsing healthcare institution-based

electronic systemsUsing healthcare institution-based

technologies (e.g., point of care technologies, devices)

Page 13: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Student Collaboration = Areas 1+2+3

Students were placed in groups of 2-3 students. Each student had an assigned area & wiki page. Each group had an assigned NE topic. Group NE wiki pages facilitated collaboration. Group NE final project presentations

challenged their creativity.

Page 14: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Challenges, Frustration, & Overwhelming

We don’t know… o how to search.o what search terms to use for NE.

Nobody has written anything on this We are getting all this information…

How many can we use? There’s too much stuff published…

Which ones do we reference? Spending time on this isn’t going to

help us learn nursing. I’ve got a lot other things to do. I often felt like I was on a wild goose

chase.

Page 15: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Health Sciences Librarian’s Take

Mini-talks/lectures One-on-one consultations After class assistance NE resource wiki

Page 16: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Searching for Information

Google Google Scholar Wikipedia PubMed CINAHL@EBSCOhost Blogs Listservs Other people’s synthesis about

the topic

Page 17: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Qualifying Information

Time with librarian setting up

& validating search strategies. Reviewed criteria & evaluated

Web sites. Used Wikipedia appropriately. Talked with the faculty member. Learned about journal quality. Special search session with nursing PhD student.

Page 18: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

InfoLit Survey Results: Skills for Conducting Health Research

0 (completely lacking) 10 (excellent)

Page 19: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

InfoLit Survey Results: Judging Quality of Health Information

0 (completely lacking) 10 (excellent)

Page 20: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

InfoLit Survey Results: Finding Quality Information

Rate your assessment of your skills in finding high quality information on a specific health topic

0 (completely lacking) 10 (excellent)

Page 21: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

I Enjoyed a Mini-Talk about using library resources at the beginning of each class

Page 22: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

My literature searching skills have improved after researching & finding relevant information for my topic

Page 23: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Prior to class, I had used a Wiki

3%

97%

TRUEFAULSE

N=63

Page 24: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Wiki was a useful technology in NE assignment

5%

48%

29%

13%

6%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

StronglyAgree

Agree NeitherAgree norDisagree

Disagree StronglyDisagree

Page 25: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Using a wiki for class had a positive effect on my learning and engagement in the course

6%

29%

37%

19%

10%

0%

5%

10%

15%

20%

25%

30%

35%

40%

StronglyAgree

Agree NeitherAgree norDisagree

Disagree StronglyDisagree

Page 26: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Having a faculty member/instructor/graduate teaching assistant review my assignment on the wiki before due date was helpful to me

32%

43%

13%

0%2%

11%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

StronglyAgree

Agree NeitherAgree norDisagree

Disagree StronglyDisagree

Didn't Askfor Review

Page 27: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

The whole process of researching & finding relevant information made me feel more competent to search for quality information

21%

57%

17%

3% 2%

0%

10%

20%

30%

40%

50%

60%

StronglyAgree

Agree NeitherAgree

norDisagree

Disagree StronglyDisagree

Page 28: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

If I were designing the course I would be sure to keep…

Library expert for teaching/help - a valuable resource (83%)

The information that is provided on how to search the Web and the library’s resources (76%)

Library skills & information specific to the UTHSC Library (76%)

Guest speakers who came to talk on issues. They were helpful & provided relevant information that was useful for all courses. Examples: Ms. Wu, Ms. Thorne, Clinical Laboratory Science Faculty and Staff (75%)

Page 29: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Compared to when I entered the program, I feel more prepared & can be more successful in…

Page 30: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

What did students say about the librarian?

Mini-lectures was fantastic and extremely beneficial for our wiki assignments!

The librarian was very helpful for research. Library staff and Mona Patterson were very helpful with the

WIKI research.  Involvement of librarian was very useful and effective in

learning about necessary resources, I enjoyed it very much. I think introducing a librarian to the course was helpful in

giving the accurate impression that these professionals are accessible, helpful and happy to help. 

The librarian was absolutely wonderful.

Page 31: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

What did students say about the Wiki? The wiki was a good assignment but I wish we had more guidance about it at the beginning of the semester instead of so close to due date.

I do think working on a wiki page (with more lessons perhaps in formatting) is valuable because as future nurses/researchers we can communicate effectively and quickly with colleagues.

I am glad to have had this experience with using a wiki because I like learning how to do new things with technology, and you never know when a skill like this might be just what you need later on.

The almost instant feedback for the wiki was very helpful.

I would suggest requiring a minimum # of paragraphs or sources for the WIKI.

Page 32: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

What did students say? Continued I see the value of it (wiki) as a communication tool & for internal communication.

I like the concept of reading others students opinions & article findings, however, I don't think a wiki is necessarily the best way to go about doing it.   I was glad I got a chance to use the wiki. I had never even heard of a wiki page before this class.

My biggest frustration with the wiki site was fear that someone else was going to make an unintentional change to the information that I had listed on the site and I wouldn't catch it.

The wiki assignment was very helpful. It "forced" me to learn how to evaluate websites & articles effectively & it allowed me to learn valuable information about the medical field & medical errors.

Page 33: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Conclusions

Researching NE helped improve students: IT and IL attitudes, skills, and knowledge. Library research skills. Knowledge of using information the professional way. IT and IL skills for life-long learning.

Online collaboration using wiki: Challenged Net Gen students out of their comfort zone. Presented potential opportunities & skills useful for future nursing roles. Provided opportunities for students to demonstrate creativity & innovation.

Page 34: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Future Directions

Integration of LISTEN* Project modules & Brief Online Learning Tutorials

into the course

*Learning Information Seeking and Technology for

Evidence-based Nursing

Page 35: THE LISTEN PROJECT Infusing Information Literacy Skills By Researching 'Never Events' (NE ) By Researching 'Never Events' (NE ) Lin Wu, MLIS, AHIP, Health

THE LISTEN PROJECT

Questions?Lin Wu: [email protected]

LISTEN team, Health Sciences Librarian

Cindy Russell: [email protected] team, Project Director

Ramona Patterson: [email protected] team, Clinical Staff Development Nurse Liaison

Visit the LISTEN Web Site @ http://www.listenuphealth.org

HRSA-funded Nursing Education, Practice, & Retention Program Grant