The Hospital Library as “magnet force” for a research and evidence-based nursing culture:

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

2. 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”.

6. 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?

7. What did the library have to do with it?

8. Quality of Nursing Leadership Organizational Structure Management Style Personnel Policies and Programs Professional Models of Care Quality of Care Quality Improvement Consultation and Resources Autonomy Community and Hospital Nurses as Teachers Image of Nursing Interdisciplinary Relationships Professional Development 14 Forces of Magnetism

9. Forces of “library magnetism” P 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 A R T N E R

10. 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)

11. Library role: books and articles to support the education process in each hospital Process included: bookmarks, art carts, workshops Nursing theorists information Baptist Hospital Jean Watson, Caring Theory South Miami Hospital Madeleine Leininger, Cultural Diversity Theory

12. 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

14. 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.

15. 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 system-wide intranet with access on nursing unit

16. 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 evidence-based resources • Nursing skill lab at Homestead Hospital • Adding an electronic resources librarian to the library staff (and almost working her to death!)

18. 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

26. 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.

27. My “anonymous” quote in the article by Cheryl Dee and Ellen E. Stanley“Nurses’ information needs: nurses and hospital librarians perspectivesJournal of Hospital Librarianship 5 (2) 1-12 , 2005 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!