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Translating Evidence Into Practice at the End of Life

Information Needs, Access, and Usage by Hospice and Palliative Nurses

Klein-Fedyshin, Michele MSLS, BSN, RN, AHIP

Journal of Hospice & Palliative Nursing: February 2015 - Volume 17 - Issue 1 - p 24–30
doi: 10.1097/NJH.0000000000000117
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Information literacy is important for evidence-based nursing and quality patient care.

Hospice/palliative nurses are often unaffiliated with academic institutions and may experience barriers accessing information. The project’s goals were to identify nurses’ (1) access to evidence-based resources, (2) information literacy skills, and (3) training needs.

The research design was a descriptive assessment. Members of the Hospice and Palliative Nurses Association in 4 states received the assessment in collaboration with the University of Pittsburgh. The methodology yielded data on information needs, access, and literacy skills. Data analysis included frequency distributions, cross tabulations, and a χ2 test.

Of the respondents, 69% worked clinically. The need for drug or disease information occurred in 89% to 100% of respondents across sites. Respondents knew of PubMed in 28% to 70% of sites. Evidence databases were unavailable in 7% to 39% of settings. The most frequent source of information was colleagues (74%), followed by Internet searches (70%). About 43% of respondents felt confident using health literacy strategies. The greatest training needs were finding quality nursing information (79%), reliable patient education (65%), and evidence for practice/quality improvement (64%). There is a large need for quality nursing, patient, and evidence-based information in hospice environments. Hospice nurses access the Internet, although evidence/database access is often lacking or unknown, making it suboptimal.

Michele Klein-Fedyshin, MSLS, BSN, RN, AHIP, is faculty librarian, Health Sciences Library System, University of Pittsburgh, Pennsylvania.

Address correspondence to Michele Klein-Fedyshin, MSLS, BSN, RN, AHIP, Falk Library of the Health Sciences, 200 Scaife Hall, 3550 Terrace St, University of Pittsburgh, Pittsburgh, PA 15261 (kleinf@pitt.edu).

Dr Diane Pravikoff allowed use of instrument questions and the Medical Library Association offers use of the Majid documents. Dr Stephen R. Wisniewski, of the Clinical and Translational Science Institute, provided statistical analysis and data support.

The Hospice and Palliative Nurses Association endorsed the project and provided the mailing list.

This project has been funded in whole or in part with Federal funds from the National Library of Medicine, National Institutes of Health, Department of Health and Human Services, under Contract No. HHS-N-276-2011-00003-C with the University of Pittsburgh, Health Sciences Library System.

The author has no conflicts of interest to disclose.

© 2015 by The Hospice and Palliative Nurses Association.