Improving Nursing Practice with Information and Technology. Product Innovation ... search for new career opportunities o
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Wolters Kluwer Lippincott Williams & Wilkins Health Ovid
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Improving Nursing Practice with Information and Technology Product Innovation through User Research at Wolters Kluwer Health Authors: Anne Dabrow Woods, MSN, RN, CRNP, ANP-BC, Nick Scheponik, BA, Mark Barragry, MA W here do y ou usually ac c ess information? At home
At w ork
(n=1,018)
At library
78%
60%
60%
68%
80%
84%
100%
14%
40%
7%
% of respondents
Providing best-practice care that is efficient, cost-effective, and evidence-based is the goal of nurses and healthcare institutions today. Clinically credible information must be made available to nurses in an easily accessible format that is tailored to each individual use. The context in which a nurse is working - in an acute care institution, in primary care, or in an educational or research environment, significantly determines what information is needed and how it will be used.
20% 0%
The advent of technology and the Internet with Web 2.0 interactivity have streamlined the process of researching information and delivering care based on its use. But the fundamentals of focusing on how content is to be used and the task in which the nurse is engaged have not changed. It is important in this rapidly developing environment that information providers, healthcare facilities, and academic institutions continue to fully understand why information is required, and how it is accessed, managed, and consumed by nurses, nursing students, and educators.
Online
Print
Primary reasons for using print & online resources At home
At w ork 59%
Research for pt. case
47%
86%
35%
Shop online for work items
81% 60%
Lippincott Williams & Wilkins, a leading healthcare publisher and Ovid Technologies, a global leader in providing online medical, scientific, and academic research solutions, both part of Wolters Kluwer Health, are established information and solution providers in the healthcare industry, and seek to support their customers and end-users in understanding and navigating this developing context. Both organizations base their product development and marketing strategy on a continuing worldwide end-user research program which analyses how nurses access and use information in practice, education, and professional development environments. This Wolters Kluwer Health study focuses on the major conclusions of this research as it specifically relates to nursing in North America.
Information access, the first step to providing quality care Nurses access information at home, at work, and in the library. Lippincott Williams & Wilkins and Ovid deliver solutions based on our understanding of how these environments differ for the nurse.
82% 81%
43%
21%
Visit non-nursing news sites
19% 15%
Network w/ friends (MySpace) 0%
77% 96% 94% 96%
10% 20% 30% 40% 50% 60% 70% 80% 90% 100%
At home nurses most commonly access information for professional development and to stay up-to-date on healthcare and nursing issues. Additionally they complete the majority of their continuing education activities and search for new career opportunities outside the work environment. At work – in the care environment, our research shows that nurses need two types of information: synoptic and in-depth content. Synoptic content is written in a quick-read format that delivers need-to-know information care-givers can put into practice immediately. Nurses move to the next step and seek in-depth content – probably via their facility’s library - when they need to perform a more detailed search on a clinical topic. As excerpted from surveys and focus groups below, nurses have expressed an interest in using Google™ as their first-line resource for information. If they need more detailed, full-text research
Copyright 2010 Wolters Kluwer Health. Confidential - do not distribute without permission
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Wolters Kluwer Lippincott Williams & Wilkins Health Ovid
they will use the array of databases their library or facility provides; however, novice searchers often find library resources overwhelming. “I have seen people at work use Google to answer questions. They use it although the university hospital has tons of other resources. They prefer Google because it is so fast.” “When I answer questions for my staff, I generally use Google because it provides the ‘down and dirty’ information.” Although nurses have not abandoned print journals and books, they increasingly seek online information to stay current within their specialty. Regardless of where a nurse searches for information, the act of searching is a “pain point” for them. The majority of nurses do not feel confident performing a thorough search. They need easy query tools that provide seamless, credible information. Going online for the specific reasons (n=1,016) Reason
% of total
Stay up to date with the latest nursing news
96%
Read articles related to their specialty
92%
Research information for a specific patient
89%
Earn CE credits
85%
Visit non-nursing news sites
73%
Shop for work-related items
60%
Look for career opportunities
56%
Network (Facebook, MySpace, AIM)
43%
Information on the go
Nurses use social media, including Facebook, Twitter, and blogs more than ever before. Sixty percent of nurses use a hand-held device daily for scheduling, networking, and keeping up to date on patient care-related topics such as drug and disease information, and patient education. Reasons for using a mobile device Research general knowledge on treatments Research a specific patient case Look for patient education information Read abstracts of journal articles View multimedia, podcasts Search for articles in journals I do not subscribe to Read full-text articles Access archived content Do not access medical info on a mobile device
Nurses 61% 36% 48% 25% 19% 19% 10% 11% 15%
About the authors: Anne Dabrow Woods is the Chief Nurse for Lippincott Williams & Wilkins and Ovid Technologies. She is also the Publisher for the American Journal of Nursing, a practicing nurse practitioner, and adjunct faculty.
Improving Nursing Practice with Information and Technology User-generated content in the form of Wikis and blogs has changed how publishers develop and deliver content. Blogs have become one of the fastest growing social media venues in history.
Conclusion:
Opportunities to improve practice, improve outcomes This research conducted by Lippincott Williams & Wilkins and Ovid consistently demonstrates that information itself and its delivery platform need to be agile to meet the needs of the nurse end-user. Content must be developed in medium-neutral ways that permit delivery in print, online, and as downloads – however nurses decide they can best integrate access to content and tools within their workflow. Healthcare institutions must ensure that nurses have access to synoptic content when they need concise, quick answers and to richer full-text content when they need a deeper dive into a specific subject area. The nature of their work ensures that nurses, perhaps more than other health professionals, are extremely busy and cannot take consistent time away during their daily work activities to meet their professional development needs or fulfill their mandatory continuing education requirements. Our research has indicated that educational opportunities based on adult learning principles, improve information retention and the likelihood of its effective use. Providing parallel information in different formats such as downloadable synoptic content, podcasts, webinars, videos, simulations, and full-text articles and books, allows nurses to select and obtain the right content for their needs when and how they need it. Lippincott Williams & Wilkins and Ovid continue to invest in innovative, agile content development and delivery solutions which provide nurses with efficient and effective access to clinically-relevant and evidence-based information to improve patient outcomes. Coming soon www.nursingcenter.com/NursingInformatics
Nick Scheponik is the Manager of Customer Research for Lippincott Williams & Wilkins and Ovid Technologies. Mark Barragry is the Director of Strategic Growth Markets for Ovid Technologies and is the product manager of the Nursing@Ovid solution.
Copyright 2010 Wolters Kluwer Health. Confidential - do not distribute without permission
www.ovid.com
