Evidence-Based Nursing Practice: Needs, Tools, Solutions
NAHRS Symposium
Presented on Saturday, May 3, 2003

 

Symposium Objectives

Participants will be able to:
A. Describe nurses' technology readiness
B. Define gaps and barriers for evidence-based nursing practice
C. Compare nurses' information-seeking behavior in varied settings, with an emphasis on knowledge-based information resources
D. Search for evidence-based nursing resources in CINAHL, PubMed and other evidence-based electronic resources
E. Identify high quality electronic resources for nursing
F. Identify strategies to improve knowledge-based information services for nurses and nursing students in their organization

Program Overview

Nurses' knowledge-based information needs
  A) Information literacy: an essential tool for evidence-based practice, presented by The Interagency Council on Information Resources for Nursing - Dr. Diane Pravikoff, Dr. Susan Pierce & Dr. Annelle Tanner [abstract] [presentation] [Pravikoff bio]  [Pierce bio]   [Tanner bio]  
B) Working nurses' on-the-job information seeking and use - Michelynn McKnight
C) What do nurses cite: NAHRS Mapping the Literature of Nursing summary report - Peg Allen & June Levy
[abstract] [presentation] [Allen bio]  [Levy bio]   


Tools for evidence-based nursing practice
  A) Searching MEDLINE and CINAHL for nursing topics - June Levy
B) Electronic full-text for nursing: books, journals, virtual libraries - Peg Allen [abstract] [presentation] [presenter bio]
C) SYSTEMATIC reviews: credibility and utility - Dr. Sarah Jo Brown
  D) Web resources for nursing - Deborah Lauseng [abstract] [presentation] [presenter bio]
E) Searching for evidenced-based resources for nursing- Peg Allen [abstract] [presentation] [presenter bio]
F) PDA: Personal Digital Assistant or Patient Data Alert - Mari Stoddard and Dr. Susan Pierce [abstract] [presentation] [Stoddard bio] [Pierce bio]


What Works: New Directions for Facilitating Evidence-Based Nursing Practice*
  A) Shaping the nurse of the future: A role for librarians? Sarah L. Greenley [abstract] [presentation] [presenter bio]
B) What works: The Hampton University Nursing Information System. Cynthia Burke
C) Information literacy as the foundation for evidence-based practice in graduate nursing education: a curriculum integrated approach. Susan K. Jacobs; Peri Rosenfeld [abstract] [presentation] [presenter bio]
D) Research to practice: Successful partnerships to enhance evidence-based nursing skills across the curriculum. Janet G. Schnall; Emily E. Hull, Terry A. Jankowski, Joanne Rich [abstract] [presentation] [presenter bio]
E) "Research to practice" in clinical oncology. Elizabeth H. Wood [abstract] [presentation] [presenter bio]
F) Quality improvement through evidence based nursing. Ingrid C. Hendrix, Kathy Lopez Bushnell

Paper Summaries

Nurses' knowledge-based information needs

Information Literacy: An Essential Tool for Evidence-Based Practice - Dr. Diane Pravikoff, Dr. Susan Pierce & Dr. Annelle Tanner, Interagency Council on Information Resources for Nursing [presentation] [Pravikoff bio] [Pierce bio] [Tanner bio]

Information literacy is a vital competency for nurses to implement of evidence-based practice. Are nurses prepared? This presentation will discuss the results of three parallel, collaborative studies of the information literacy needs of nursing faculty and students, clinicians, and administrators. This research assesses the nurses' readiness for evidence-based practice, identifying gaps in information literacy skills. The authors propose strategies for development of Information Literacy competencies in nursing students and faculty, clinicians, and administrators.

Working Nurses' On-the-Job Information Seeking and Use - Michelynn McKnight
Most nurses work in hospitals; most hospitals are not teaching hospitals. Working nurses' observable on-the-job information seeking and use is different from that of nursing faculty or students. As with physicians and other health care providers, their observable information behavior differs from the memories they report on surveys or in focus groups. What kinds of questions arise, how do they decide which questions to pursue, where do they seek answers and what information barriers do they encounter? What services do they need from hospital librarians? The answers may surprise you.

What do nurses cite: NAHRS Mapping the Literature of Nursing summary report -Peg Allen & June Levy [presentation] [Allen bio] [Levy bio]
Based on the premise that nursing journal articles cite the resources needed to support nursing practice and education, the NAHRS Research Committee initiated the Task Force to Map the Literature of Nursing in 1999. Task force members chose a nursing discipline as the basis for their citation analysis studies. Results from the first phases provide key data to support content selection decisions for both virtual and print libraries that support evidence-based practice.

Tools for evidence-based nursing practice

Searching MEDLINE and CINAHL for nursing topics - June Levy
What are the best search techniques to use when searching MEDLINE and CINAHL for nursing topics? Ms. Levy will demonstrate methods for searching the literature using these key databases.

Electronic full-text for nursing: books, journals, virtual libraries - Peg Allen [presentation] [presenter bio]
Nurses provide care 24 hours a day, 365 days a year, in settings ranging from hospitals to homes and helicopters. The ideal library would bring needed resources to the point of care, which implies the need fir electronic resources for "just-in-time" reference. This session provides an overview of electronic reference works, as well as online journals including full-text journal collections. The focus will be on content, not the means of access. Resources designed for hand-held devices will be covered in the PDA session, along with accessing library resources via these devices.

SYSTEMATIC Reviews: Credibility and Utility - Dr. Sarah Jo Brown
Systematic reviews serve academic and clinical purposes. The process used to conduct a review is shaped by these purposes. Specific strategies for each step in the process will be discussed for both Integrative Research Reviews and Meta-Analyses. Suggestions for critically appraising already existing reviews will be offered

Web resources for nursing - Deborah Lauseng [presentation] [presenter bio]
Web Resources for Nursing will take a fresh look at the HealthWeb Nursing site that provides access to the 'best of the best' in nursing resources. Librarians and nurses alike continue to be challenged by locating and evaluating the vast wealth of good, and sometimes bad, Internet-based information. Selected quality sites within HealthWeb Nursing will be highlighted. Discussion will also cover searching tips that will assist in venturing beyond HealthWeb.

Searching for evidenced-based resources for nursing - Peg Allen [presentation] [presenter bio]
Learning goals for this session include identifying the most useful types of information for evidence-based practice and searching for these evidence-based nursing resources via the Internet, CINAHL and MEDLINE. Search strategies will be presented for finding: 1) practice guidelines and other translation literature; 2) evidence summaries, and 3) primary research, including critical appraisals.

PDA: Personal Digital Assistant or Patient Data Alert - Mari Stoddard and Dr. Susan Pierce [link to presentation] [Stoddard bio] [Pierce bio]
How can nurses benefit from the use of PDAs? What resources are available for these devices?

What Works: New Directions for Facilitating Evidence-based Practice

Shaping the nurse of the future: a role for librarians? - Sarah L. Greenley, BA MSc, Information Specialist, Clinical Evidence, BMJ Publishing Group, London, , United Kingdom. [link to presentation] [presenter bio]
Question: How do librarians help prepare undergraduate nursing students for evidence-based practice? An overview from the UK
Background and purpose: The pre-registration training of nurses can provide an opportunity to introduce students to the concepts and skills necessary for evidence-based practice and lifelong learning. The conceptual aspects of information retrieval such as evaluation and application of evidence to clinical practice should receive the same attention as the technology of literature searching. In the UK, one trend following changes in the undergraduate nursing curriculum has been the integration of information skills into the main timetable. This has potential for expanding the librarian's role beyond that of traditional bibliographic instruction towards closer joint working with the teaching faculty.
Setting: Schools of Nursing and Midwifery in the UK
Participants: UK academic librarians supporting undergraduate nurses.
Methods: A self-administered email questionnaire was sent to all UK librarians supporting an undergraduate nursing program. The study evaluated whether the curriculum use of Problem-Based Learning (PBL) impacted on the content and level of integration of information skills training delivered by librarians. The overall curriculum activities of librarians were examined.
Main findings: When compared with information skills sessions in non-PBL institutions, PBL sessions were more likely to be compulsory, integrated into the curriculum, evaluate students, involve a wider group of faculty staff in the design and execution of the sessions, be offered throughout the course and include wider elements of information literacy such as evidence-based healthcare/critical appraisal. An overview of the roles performed by librarians in PBL -based concepts and information literacy early in a nursing career. The level of librarian involvement in nursing curricula is significant: although previously, a lack of examples of health sciences librarians integrated into the teaching mainstream has been highlighted, this study indicates that in Nurse education in the UK, some librarians are managing to achieve this. institutions highlighted examples of deeper curricula roles: a third of librarians acted as a group facilitator and 15% reported authoring "problems" for course modules.
Conclusions: Librarians can assist in embedding evidence

What Works: The Hampton University Nursing Information System (HU-NIS) - Cynthia Burke, MLS, AHIP, Assistant Professor & Librarian, School of Nursing, Hampton University, Hampton, VA.
Purpose: To report how partnering with nursing instructors, nursing students, and other campus entities has impacted the development, implementation, outcomes, and evaluation of a 3-year training grant.
Setting/Participants/Resources: The project is being conducted at a School of Nursing in the Southeastern United States. The School offers baccalaureate, master's, and doctoral degrees in nursing. The school also offers post-master's certificates in family and gerontological nursing.
Brief Description: Our legacy as health sciences librarians is intertwined with that of the National Library of Medicine (NLM). The NLM offers resources for healthcare practitioners, researchers, and students. Nursing is responding to the experiences of students who have grown up in an age of technology explosion in the health sciences. For these students, a knowledge of the resources provided by the NLM is mandatory. As part of the National Institutes of Health, the National Library of Medicine offers various funding mechanisms to support health sciences training and research. One of its training opportunities is the Information Systems Grant.
One of the initial steps in evidence-based nursing practice is understanding how to locate relevant literature. This presentation will explain the Information Systems Grant, how it is applied in the School of Nursing, and how it was awarded. The impetus for this grant originated from an assessment of teaching-learning needs. This assessment included an exploration of bibliographic instruction sessions and the use of health sciences databases in education and research related to patient care. This project incorporates hands-on classroom instruction, web-based tutorials, a library website, and the use of Personal Digital Assistants in the clinical setting. The use of these tools will also be discussed in the paper. Other areas of discussion will include survey findings, participant demographics, the impact of the project on undergraduate and graduate curricula, and future plans for the grant.
Results/Outcomes: The initial findings will be reported in this paper. The paper will also describe the goals, objectives, strategies, and future plans for this grant.
Evaluation Method: The project outcomes and impact are being assessed through student and faculty surveys, student exit interviews, and other assessment methods.

Information Literacy as the Foundation for Evidence-Based Practice in Graduate Nursing Education: A Curriculum Integrated Approach - Susan K. Jacobs, MLS, RN, Health Sciences Librarian, New York University/ Elmer Holmes Bobst Library, New York University, New York, NY ; Peri Rosenfeld, Ph.D., Associate Director, Center for Nursing Research, New York University School of Education/ Division of Nursing, New York University, New York, NY. [presentation] [presenter bio]
Overview: As part of a system-wide initiative to advance evidence-based practice among clinicians, graduate students and educators, the New York University Division of Nursing embarked on a curriculum revision to integrate components of information literacy in all core courses of the master's program. Facilitating competency in information literacy is the foundation for evidence-based practice and provides nursing professionals with the skills to be information literate consumers of information in an electronic environment. In collaboration with the health sciences librarian, instructional modules in information literacy were developed, complemented by a web-based tutorial, designed to promote competency in information literacy and result in nursing students and practitioners who are competent to positively impact patient outcomes.
Purpose: Integrating competencies of information literacy into the master's curriculum provides master's students with a relevant context for accessing, navigating, and evaluating varied information resources.
Objectives: Competency in information literacy comprises an understanding of the architecture of information and the scholarly process, the ability to navigate among a variety of print and electronic tools to effectively access, search and critically evaluate appropriate resources, synthesize accumulated information into an existing body of knowledge, communicate research results clearly and effectively, and appreciate the social issues and ethical concerns related to the provision, dissemination, and sharing of information.
Methodology: Information literacy sessions, developed as a collaboration between nursing faculty and the health sciences librarian, were customized to be relevant within the context of the specialized needs of each of 5 core master's courses, complemented with a web-based tutorial designed to reach remote users. The web site is multi-faceted, with fundamentals for the beginner, as well as more complex content for the advanced user. Course assignments were designed to promote competency in information literacy and strategies for evaluating the strength of the evidence found.
Evaluation: A survey of information literacy competencies, which assessed students' knowledge, misconceptions, and attitudes toward electronic information resources, was administered when students entered the program and at 1-year intervals thereafter.

Research to Practice: Successful Partnerships to Enhance Evidence-Based Nursing Skills Across the Curriculum - Janet G. Schnall, MS, AHIP, Information Management Librarian, Health Sciences Libraries, University of Washington, Seattle, WA; Emily E. Hull, MLS,AHIP, Head, Information Systems, Health Sciences Libraries, University of Washington, Seattle, WA ; Terry A. Jankowski, MLS,AHIP, Information Management Librarian, Health Sciences Libraries, University of Washington, Seattle, WA; Joanne Rich, BScPharm,MLIS, Information Management Librarian, Health Sciences Libraries, University of Washington., Seattle, WA. [presentation] [presenter bio]
Purpose: Describe collaboration between librarians and faculty to integrate instruction on evidence-based nursing resources into the curriculum at three academic levels, BSN, MS/MN, and PhD, using a variety of methods and technologies.
Setting/Participants/Resources: The Health Sciences Libraries is part of a large urban academic health sciences center serving six health sciences schools. Library liaisons have collaborated with nursing faculty for over ten years to incorporate nursing informatics classes into the curriculum.
Description: Six informatics modules were developed by librarians, initially for integration into master's research classes and later expanded into research and clinical classes in the PhD and BSN curriculum. Basic searching skills are taught first, followed by the introduction of EBP resources. One module entitled Research to Practice, developed collaboratively by librarians, faculty and a nurse practitioner, models real-world evidence-based literature searching with commentary by the clinician to teach students how to apply skills to lifelong clinical practice.
Modules originally employed teaching outlines on the web consisting of simple lists of links. Over time, content was added so that the outlines could be used to guide hands-on sessions in a computer classroom, or independently by students. Recently, interactivity was added to several modules using Camtasia to produce streaming videos of a librarian demonstrating online searches. The interactive modules provide better support for both onsite and distance nursing students, including those taking an online-only version of the research methodology course.
Results: Better understanding of EBP resources by both students and faculty; increased collaboration between librarians and faculty leading to more in-class teaching by librarians; planned expansion of integration into BSN curriculum as part of a new university nursing informatics grant; continued access to EBP sources after graduation via web-based toolkits.
An additional outcome is that, based on the positive reaction by students and faculty to the use of Camtasia, the library is now using streaming video to annotate other online help pages.
Evaluation: Evaluation of modules conducted with print and online questionnaires. Student learning assessed with a pre and post-test, oral and written reports, and posters describing EBP resources used and evidence found to answer specific clinical questions.

"Research to Practice" in Clinical Oncology - Elizabeth H. Wood, AHIP (Distinguished), Director, Lee Graff Library, City of Hope National Medical Center, Duarte, CA. [link to presentation] [presenter bio]
Purpose: Describe a unique situation in which a department of Nursing Research, unaffiliated with a Nursing School, has created a program that translates research directly to patient care.
Setting: Comprehensive Cancer Center. The library supports and participates in the Nursing Research program.
Description: XYZ Medical Center is an NCI-designated Comprehensive Cancer Center. The Medical Center also includes the QRS Research Institution, which is the recipient of numerous NIH grants and has a doctoral program in Biological Sciences. However, there is no medical or nursing school. The Nursing Research department is unique, therefore, in its approach to translating "Research to Practice." Each month an actual patient is chosen to represent a topic of particular interest to clinical nursing staff. The topic is researched and then presented to bedside nurses, together with the "evidence" from the literature. Topics include symptom management, psychosocial aspects of oncology, and end-of-life care. The librarian provides assistance with literature searching and background information, and attends meetings with Nursing Research to work on the topic, and take part in its presentation. The librarian has provided training in search techniques to both Nursing Research and clinical nursing staff. Evidence-Based Medicine and Nursing resources are provided to the campus and the librarian is working with Nursing Research to promote the importance of evidence-based practice.
Results/Outcome: Through this program, patient care at XYZ is directly influenced by research and evidence from the literature. Clinical nurses are encouraged both to use evidence and to further research by sharing their experiences and observations.

Quality Improvement Through Evidence Based Nursing - Ingrid C. Hendrix, MILS, Nursing Librarian, Health Sciences Library and Informatics Center, University of New Mexico, Albuquerque, NM ; Kathy Lopez Bushnell, RNC, Ed.D, MPH, MSN, Clinical Nurse Researcher, University of New Mexico Hospital, University of New Mexico, Albuquerque, NM.
Program Objective: To promote evidence based nursing, improve quality of care, and encourage hospital nurses to conduct research projects.
Setting: A large, university hospital in an urban setting with 15 clinics. Participants: Hospital and clinic nurses.
Program: The clinical nurse researcher meets with staff nurses and nursing administrators, where they identify a topic they are interested in researching. The nursing librarian, in collaboration with the clinical nurse researcher and the unit nurses, designs and executes a literature search. The literature search is emailed to the nurses, who then chose the articles they are interested in reading. The articles are obtained from the library and the nurses further refine their project. They meet again with the nurse researcher and the nursing librarian to discuss the research design and outcome measures.
Main Results: 19 units have thus far participated in this project. A database containing information about the research is being maintained which includes information such as the Unit, Problem Identified, Outcomes Measured, Plan to Measure Outcomes, and Date and Status of Progress. Ultimately, their research projects will be made into posters and presented at the next National Nurses Week celebration in the hospital.
Conclusion: Hospital nurses want to take advantage of opportunities to improve patient care. Time devoted to nursing research is the biggest obstacle. Because of the increased demands on their time, a number of the projects have been stalled due to lack of staff time to complete them. The hospital administration has committed support to do research. Yet, as in every hospital, there is a nursing shortage and patient care becomes the first priority and research becomes a second priority. This project was initiated because the authors believe that nurses' involvement in evidence-based nursing may improve their job satisfaction, the quality of patient care, and minimize staff burnout, all factors contributing to the present nursing shortage.

Symposium Presenters

Margaret (Peg) Allen, MLS-AHIP, is a Library Consultant, working for Cinahl Information Systems and the Northern and Southwest Wisconsin Area Health Education Centers. She has 34 years experience as a Health Sciences Librarian and served as Editor of the International Nursing Index. She is an internationally recognized expert on nursing information access and is strongly committed to issues related to technology and nursing. In 1994, the Nursing and Allied Health Section of the Medical Library Association recognized her as Librarian of the Year. She has produced numerous publications and presentations for nurses and librarians across the country on finding information resources needed for clinical practice, education, and research. Ms. Allen represents MLA on ICIRN. She is co-chair of the NAHRS Task Force to Map the Literature of Nursing and chairs this symposium committee.

Sarah Jo Brown, RN, PhD, is the Director of Research for the National Association of Orthopaedic Nurses, and the principal and consultant for Practice-Research Integrations. In her NAON position, she help members review the science on topics of interest, help others conduct research studies, and contributes to education and grant-writing. She was the co-investigator of a study of a school-based intervention to increase teen's awareness of bone health and osteoporosis prevention. As a consultant, she conducts one-time and ongoing consultations with agencies striving to use research findings when designing care. She speaks at regional and national conferences on the topic of evidence-guided practice, conducting systematic reviews of scientific evidence, and organizational strategies for achieving evidence-based practice. Dr. Brown is the author of Knowledge for health care practice: A guide to using research evidence. Philadelphia: Saunders/Harcourt (1999).

Cynthia Burke, MLS, AHIP, is Assistant Professor & Librarian, School of Nursing, Hampton University, Hampton, VA. She was awarded an NLM Medical Informatics Fellowship in 2000. She serves on several School of Nursing committees related to accreditation, research, and publications. Previous positions include Audiovisual and Patient Education Librarian at Miami Valley Hospital, Dayton, OH, and NLM Associate at the National Library of Medicine.

Sarah L. Greenley, BA MSc, is an Information Specialist, Clinical Evidence, BMJ Publishing Group, London, United Kingdom. Her current responsibilities include developing and evaluating search strategies, literature searches for contributors and section editors, critical appraisal of search results, and data extraction and quality control. In her previous position as Learning Support Officer/Deputy Site Manager for City University, St Bartholomew School of Nursing and Midwifery, she designed and implemented an integrated information skills element in the pre-registration nursing curriculum.

Ingrid C. Hendrix, M.I.L.S., is Nursing Librarian at the University of New Mexico Health Sciences Center Library and Informatics Center, where she is responsible for implementing, fostering and supporting knowledge management using electronic technologies in the College of Nursing curriculum and with nurses at the University Hospital. She also serves as on the University Hospital Nursing Research Council. Her previous positions include Reference Librarian at the Emory University Health Science Center Library and Information Services Librarian/Clinical Services Coordinator at the University of Texas Health Science Center at San Antonio.

Susan K. Jacobs, MLS, RN, Health Sciences Librarian, New York University/ Elmer Holmes Bobst Library, New York University, serves as the liaison to the New York University School of Nursing. She has co-authored papers and presentations with nursing faculty, including "Health Care Informatics" in J. Creasia & J. Parker (Eds.), Conceptual foundations: The bridge to professional nursing practice, 3rd ed. 2001. She is also a member of the NAHRS Task Force to Map the Literature of Nursing, authoring a study and presenting the process at MLA in 2001.

Deborah L. Lauseng, A.M.L.S., Information Services Librarian at Taubman Medical Library at the University of Michigan, provides a variety of services to a large academic and clinical nursing population within both the University of Michigan School of Nursing and the University of Michigan Health System. Her activities include instructional support to nursing students - freshman through graduate level - and to clinical nurses; as well as providing reference and mediated searching for both the nursing and medical communities. In the past, she has been involved with outreach instruction to public health nurses in Michigan. In her present role as nursing librarian, she oversees the HealthWeb-Nursing section, handles book and journal selection in nursing topics, and maintains a local Nursing Guide web site. An additional 12 years of experience have been gained from working in an academic public health library, as well as a community hospital library.

June Levy, MLS, is Managing Director of Cinahl Information Systems and Director of Education for the Glendale Adventist Medical Center. She has authored books, book chapters, teaching aids, and journal articles related to searching the nursing and allied health literature. In addition to her responsibilities for managing the CINAHL database, she is in charge of the library and staff development for her hospital. Ms. Levy also serves as Editor of the NAHRS Newsletter, now published online. She also represents Cinahl Information Systems on ICIRN.

Michelynn McKnight, AHIP, is finishing her dissertation, "An Observational Investigation of Information Seeking and Use by Critical Care Nurses at Work in a Non-Teaching Community Hospital" for an Interdisciplinary Ph. D. in Information Science from the University of North Texas. She is the Director of the Health Sciences Library at Norman (Oklahoma) Regional Hospital where she has worked with nurses for twenty years. Her previous research includes a study of the interlibrary loan availability of nursing literature through OCLC and DOCLINE, and a review of research in the information seeking behavior of health care providers. She is a member of the Medical Library Association Board of Directors and the National Library of Medicine Biomedical Library and Informatics Review Committee.

Susan Pierce, RN, MSN, EdD, is Associate Professor at Northwestern State University College of Nursing in Shreveport, LA. She teaches a Research Seminar in lieu of thesis in the NSU MSN program, with a focus on directed research for evidence-based practice. She received her doctorate in Educational Technology from Northwestern State University in Natchitoches, LA. Her dissertation study was "Readiness for Evidence-Based Practice: Information Literacy Needs of Nurses in a Southern U. S. State (Louisiana)." Dr. Pierce is Chair of the Research and Informatics Council for LA State Nurses Association and a member of ANA's Committee on Nursing Practice Information Infrastructure. In October 2000, she was named Distinguished Faculty Member to Louisiana Board of Regents by Northwestern State University. She has written articles and presented numerous programs on information access for contemporary nursing practice, including presentations at two Educational Summits sponsored by the National League for Nursing. Dr. Pierce represents the Louisiana State Nurses Association on ICIRN.

Diane Pravikoff, RN, PhD, FAAN, is Director of Research and Professional Liaison for Cinahl Information Systems in Glendale, CA . She has authored several book chapters and journal publications related to information resources for nursing. She was the driving force behind the development of Cinahl's new electronic journal for evidence-based nursing, The Online Journal of Clinical Innovations. One article published in a 2001 issue of AACN Clinical Issues: Advanced Practice in Acute and Critical Care discusses the use of online journals for access and support for evidence-based practice. She recently surveyed Chief Nursing Officers in Louisiana and New York on their perception of nurses' ability and accessibility to electronically access information needed for practice. She was elected as a Fellow of the American Academy of Nursing in 2001. Dr. Pravikoff represents Cinahl Information Systems on ICIRN.

Janet Schnall, MS, AHIP, has worked at the University of Washington Health Sciences Libraries & Information Center since 1972. As an Information Management Librarian, her current responsibilities include consultant to Information Desk; extensive bibliographic instruction experience with electronic resources, databases, navigating and evaluating resources on the web; maintaining the Reference Collection; performing database searches. She serves as Library Liaison to the University of Washington School of Nursing, Department of Pediatrics, Department of Ophthalmology, and Multicultural Affairs. She is also the current NAHRS Representative to MLA Section Council and a member of the Natinoal Program Committee.

Mari J. Stoddard, MLIS, Head of Educational Services at the Arizona Health Sciences Library at the University of Arizona, has presented more than twenty articles, papers, keynote speeches and workshops on personal digital assistants (PDAs.) Her audiences include the American Medical Informatics Association, the Medical and the American Library Associations, several medical schools and the Alliance for Innovation in Science and Technology Information. Her main interest is incorporating new technologies into patient care, research and teaching.

Annelle Tanner, RN, MSN, EdD, is Principal Investigator on research identifying barriers in access to primary health care in Louisiana for Central Louisiana Area Health Education Center. She recently received her doctorate in Educational Technology from Northwestern State University in Natchitoches, LA. Her dissertation study was Readiness for Evidence-Based Practice: Information Literacy Needs of Nurses in a Southern U. S. State (Louisiana.). She is Vice President and Program Chair of the Nu Tau Chapter of Sigma Theta Tau International Nursing Honor Society. She has presented programs for nursing and healthcare informatics groups in several states on nursing and technology, humor and stress, and malpractice stress among medical and nursing families. Dr. Tanner represents the Louisiana State Nurses Association on ICIRN.

Elizabeth Wood, MSLS, is Director of the Lee Graff Library at City of Hope National Medical Center in Duarte, California. Previously she held several positions at the University of Southern California Norris Medical Library and was Head of Research & Reference Services at Oregon Health & Science University. In 1999-2000 she was awarded a one-year Fellowship in Medical Informatics by the National Library of Medicine. Elizabeth teaches CE for MLA and has served on Section Council, Books Panel, Bulletin Editorial Board, numerous committees at chapter and national level, and as chair of the Public Services and Pharmacy & Drug Information Sections. She has also been active in the Research Section. She has contributed chapters to the Current Practice series and published articles on reference work, online searching, teaching pharmacy students, and informatics. She serves on the Advisory Board of CINAHL Information Systems.
Symposium Program Committee

Symposium Program Committee

The Nursing and Allied Health Resources Section formed a program committee that includes representatives from ICIRN. Members include:

Margaret (Peg) Allen, Library Consultant; Chair; NAHRS and MLA representative to ICIRN
Hope Barton, University of Iowa, NAHRS
Emily Hull, University of Washington, NAHRS
June Levy, Cinahl Information Systems; NAHRS & ICIRN
Jackie Picciano, MLA Fellow, retired; NAHRS & former ICIRN representative
Susan Pierce, Northwestern State University - Shreveport; ICIRN
Diane Pravikoff, Cinahl Information Systems; ICIRN
Annelle Tanner, Central Louisiana Area Health Education Center; ICIRN
Mary K. Taylor, Southern Illinois University, NAHRS Chair-elect & 2003 Program planner
Dorice Vieira, New York University Medical Center; NAHRS CE Chair
Betty Warner, Thomas Jefferson University, NAHRS Chair
Kathleen Gaydos Combs, MLA CE LIaison
Kathel Dunn, MLA CE Committee Liaison

Special thanks to:
Ysabel Bertolucci, Kaiser Permanente, Oakland, NAHRS & MLA 2003 Co-Chair