Monday, November 16, 2020

Pandemic Era Burnout in the Age of Covid-19: Healthcare IT News Series


This Healthcare IT News is running a series on Pandemic Era Burnout in the Age of Covid-19

These feature stories dig deep into the causes of burnout for employees across healthcare during the COVID-19 crisis. CIOs, clinicians, IT developers, patients and others offer advice on how to combat the stressors that lead to burnout – and describe how technology can both hurt and help during this stressful time.

See the full series as new stories are added.

Tuesday, November 10, 2020

Feature Article: Practices to Foster Physician Presence and Connection with Patients in the Clinical Encounter - JAMA 2020

        Photo by Shopify Partners from Burst.

I'm going to start featuring articles and interviews the might help Physicians, Providers and Caregivers reconnect with their inner passion for medicine, the things that drew them to patient care in the first place.  If you have ideas for things to feature, please let me know!

I recently heard Dr. Abraham Verghese talk about the ritual act of washing your hands prior to seeing a patient being "a reminder to leave the secular space and move into the sacred."  Reframing this simple act of infection prevention in patient safety has the potential to center us and offer presence.  It fits in nicely with number one below: 

      1) Prepare with intention (take a moment to prepare and focus before greeting a patient).

Take a look at the 5 recommendations this study came up with to foster physician presence and connection with patients in the clinical encounter.    
            Have you tried any of these suggestions?  
            Are you already doing them?  I know of you are already masters at this!
            Do you have other ideas that might work better?  

Zulman DM, Haverfield MC, Shaw JG, Brown-Johnson CG, Schwartz R, Tierney AA, Zionts DL, Safaeinili N, Fischer M, Thadaney Israni S, Asch SM, Verghese A.
JAMA. 2020 Jan 7;323(1):70-81. doi: 10.1001/jama.2019.19003.PMID: 31910284


Importance: Time constraints, technology, and administrative demands of modern medicine often impede the human connection that is central to clinical care, contributing to physician and patient dissatisfaction.

Objective: To identify evidence and narrative-based practices that promote clinician presence, a state of awareness, focus, and attention with the intent to understand patients.

Evidence review: Preliminary practices were derived through a systematic literature review (from January 1997 to August 2017, with a subsequent bridge search to September 2019) of effective interpersonal interventions; observations of primary care encounters in 3 diverse clinics (n = 27 encounters); and qualitative interviews with physicians (n = 10), patients (n = 27), and nonmedical professionals whose occupations involve intense interpersonal interactions (eg, firefighter, chaplain, social worker; n = 30). After evidence synthesis, promising practices were reviewed in a 3-round modified Delphi process by a panel of 14 researchers, clinicians, patients, caregivers, and health system leaders. Panelists rated each practice using 9-point Likert scales (-4 to +4) that reflected the potential effect on patient and clinician experience and feasibility of implementation; after the third round, panelists selected their "top 5" practices from among those with median ratings of at least +2 for all 3 criteria. Final recommendations incorporate elements from all highly rated practices and emphasize the practices with the greatest number of panelist votes.

Findings: The systematic literature review (n = 73 studies) and qualitative research activities yielded 31 preliminary practices. Following evidence synthesis, 13 distinct practices were reviewed by the Delphi panel, 8 of which met criteria for inclusion and were combined into a final set of 5 recommendations: 

    1. Prepare with intention (take a moment to prepare and focus before greeting a patient); 
    2. Listen intently and completely (sit down, lean forward, avoid interruptions); 
    3. Agree on what matters most (find out what the patient cares about and incorporate these priorities into the visit agenda); 
    4. Connect with the patient's story (consider life circumstances that influence the patient's health; acknowledge positive efforts; celebrate successes); and
    5. Explore emotional cues (notice, name, and validate the patient's emotions).

Conclusions and relevance: This mixed-methods study identified 5 practices that have the potential to enhance physician presence and meaningful connection with patients in the clinical encounter. Evaluation and validation of the outcomes associated with implementing the 5 practices is needed, along with system-level interventions to create a supportive environment for implementation.

Questions, comments, contact Your Ascension Wisconsin Librarians: 
 Michele Matucheski        Kellee Selden

Monday, November 9, 2020

Our Pandemic Story with Dr Abraham Verghese

"Stories are how we make sense of the world."

Dr. Abraham Verghese wrote one of my all-time favorite novels: Cutting for Stone.  Not only is Dr. Verghese a novelist, but also a practicing physician and Stanford Professor of Medicine.   

Here he talks with Dr Zubin Damania (aka ZDoggMD) about The Power of Story and the current pandemic, and why it matters.  

Do yourself a favor and recharge with this wonderful hour of hopeful, inspiring, thoughtful conversation about how pandemics transform society.    You won't regret it!

Listen to a previous ZDogg interview with Dr Verghese.  

Is there a podcast you'd like to share with your AW Colleagues?  Let me know, and I can feature it here on the Ascension Wisconsin Library Blog.

Questions or comments, contact your AW Medical Librarian, 
Michele Matucheski, MLS, AHIP

Saturday, November 7, 2020

Celebrate Health Literacy with Badgerlink Resources


Celebrate Health Literacy with BadgerLink Resources

[This article first appeared on The Badger Bulletin October 27, 2020.]

October is Health Literacy Month, a perfect time to highlight the health resources available to all Wisconsin residents through BadgerLink. Login to BadgerLink to access these resources from home today!

Question about your prescription medication? Take a look at AHFS Consumer Medication Information. Published by the American Society of Health-System Pharmacists, it offers content from drug information ebooks. Written for the average person, this resource includes "how to" information for administering different types of medications and identifies medications that have the potential for adverse events when used by older adults.

Want to learn more about alternative and holistic approaches to health care and wellness? Alt HealthWatch contains full-text articles for more than 190 international, and often peer-reviewed journals on subjects such as acupuncture, aromatherapy, childbirth, Chinese medicine, chiropractic, creative therapies, cross-cultural therapies, energy medicine, herbalism, homeopathy, mind-body medicine, naturopathy, nutrition, osteopathy, and more​.

Consumer Health Complete is your one-stop shop, BadgerLink resource for consumer-oriented health content, from mainstream to holistic medicine. This resource contains full text for more than 560 magazines and journals, 230 full-text health reference books and encyclopedias, and hundreds of medical images and diagrams​.

If you are a middle or high school student researching consumer health information for a project, start your search with Health Source: Consumer EditionFull-text consumer health magazines, health pamphlets, and reference books that cover many health topics including medical sciences, food science and nutrition, childcare, sports medicine, and general health. Great for general public use too!

Nursing and medical students at the college and post baccalaureate level may find Health Source: Nursing/Academic Edition more helpful for their research. With more than 355 full-text journals including 287 peer-reviewed journals, this resource provides researchers, allied health professionals, nurses, and medical educators with information on many medical disciplines. Full-text journals include: Issues in Comprehensive Pediatric Nursing, Issues in Mental Health Nursing, Journal of Advanced Nursing, Journal of Nursing Management, Nursing Ethics, Nursing Inquiry and more!

For even more in depth academic research in the medical/nursing fields, be sure to also utilize MEDLINE and PubMedMEDLINE contains over 21 million citations to journal articles in the life sciences and is used by healthcare professionals, nurses, clinicians, and researchers engaged in clinical care, public health, and health policy development. PubMed has over 26 million citations for biomedical literature from MEDLINE, life science journals, and online books.

Questions about getting started searching in any of these resources? Ask a Librarian or check out the BadgerLink Training page for helpful information sheets and videos.


Friday, November 6, 2020

Nurses Choice Recommended Reading - November 2020


November 2020

See what your fellow nurses are reading! Browse this month's round-up of
the top 10 most read articles from Lippincott's prestigious list of nursing journals. 

Check out the new video, "Supporting Family Caregivers: No Longer Home Alone: Operating Specialized Medical Equipment: Using Oxygen", from AJN.The Nurse Practitioner

Understanding the most commonly billed diagnoses in primary care: Headache disorders
The Nurse Practitioner, October 2020

Mobility Technicians: A Viable Solution to Early Ambulation of
Total Joint Replacement Patients

Orthopaedic Nursing, September/October 2020

Pressure Injury Prevention and Wound Management for the Patient Who Is Actively Dying:
Evidence-Based Recommendations to Guide Care

Journal of Wound Ostomy & Continence Nursing, Publish ahead of print

Nonpharmacologic approaches to pain management
Nursing Made Incredibly Easy!, September/October 2020

Gap analysis: A tool for staff engagement in fall reduction improvement processes
Nursing Management, October 2020

Implementation of a "Serenity Room": Promoting resiliency in the ED
Nursing, October 2020

Autism Spectrum Disorder: The Nurse's Role
AJN: The American Journal of Nursing, November 2020

Mitigating the Adverse Effects of 12-Hour Shifts: Nursing Leaders' Perspectives
JONA: Journal of Nursing Administration, October 2020

Implementation of the m-ISHAPED Tool for Nursing Interdepartmental Handoffs
Journal of Nursing Care Quality, October/December 2020

Supportive Management and Interventions for Respiratory Failure Due to SARS-CoV-2
Critical Care Nursing Quarterly, October/December 2020

* List and links courtesy of Anne Chaney at Wolters-Kluwer/Ovid.
* Questions about access, contact Your Ascension Wisconsin Librarians
 Michele Matucheski        Kellee Selden

Thursday, November 5, 2020

DynaMed 15-min. Training Sessions for Nov - Dec 2020


DynaMed Quick Consult Sessions: 

Learn about key functionality and tools in DynaMed

during these brief, 15 minute lunchtime sessions. 


  • Register today and receive a recording of the session even if you can’t make it to the live event! 

  • All training sessions are held at 11:30 CT/12:30 ET.  Now held in Zoom.


Wednesday Nov 4: CME/MOC

View Meeting Content (14 min.)  WebEx Recording

Learn how to earn CME and MOC credits quickly and easily using DynaMed.


Thursday Nov 12:Medications:  Drug interactions, monographs, and more

View Meeting Content (13 min.) Zoom Recording

Learn how DynaMed integrates drug content from Micromedex, provides best available management recommendations, and how to use the Drug Interaction checker.


Tuesday  Nov 17: Mobile

Learn how to access DynaMed from your mobile device to get answers, earn CME, and have access anywhere, anytime.


Tuesday Dec 1: Getting to know DynaMed

Learn more about DynaMed including the editorial team, topic development and update process, and more. 


Wednesday Dec 9:  DynaMed alerts and updates

Learn how DynaMed's daily update process can help you stay on top of important changes in evidence and guidelines for your practice. 


Thursday Dec 17: CME/MOC

Learn how to earn CME and MOC credits quickly and easily using DynaMed.

Other Helpful Links:

Updated DynaMed User Guide.

The User Guide will lead you through signing up for a personal account.  

DynaMed (Direct link)

DynaMed Off-Site or Remote Access 

DynaMed Search Tips

Includes info on signing up for a personal account.  

Wednesday, November 4, 2020

Access Medicine Resources for ABMS Exam & Board Review: Featuring Family Medicine


Did you know that with our institutional subscription to 
AccessMedicine, we have access to McGraw Hill's wide selection of interactive study tools? 

Whether it's to help you excel at upcoming ABMS exams, or just to assist in brushing up general knowledge, be sure to make the most of these key resources.

The #1 FM board prep resource: Graber and Wilbur's Family Medicine Examination and Board Review

  • Covers every topic on the FM Board exam
  • 195+ practice Q&As
  • 295+ cases, progressively ordered, reflecting true process of medical decision-making 

See the complete list of Access Medicine's Clinical Practice and Board Review Tools.
Includes review questions and ebooks for:
  • Family Medicine
  • Internal Medicine
  • Laboratory Medicine
  • Medical Genetics
  • Medical Physiology
  • Obstetrics
  • Patient History
  • Pharmacology
  • Respiratory
  • Surgery
  • Wounds

Also available on AccessMedicine

Access Anytime, Anywhere
To retrieve AccessMedicine resources anywhere, any time, optimized on any device, users need to create a free MyAccess Profile and sign in every 90 days through their institution, either on-site or through a VPN. Click-through below to create your profile. Contact your institution's library reference desk for more information or assistance.


Questions, comments, or search requests, contact Your Ascension Wisconsin Librarians: 
 Michele Matucheski        Kellee Selden

Sunday, November 1, 2020

How to Mask-Proof Your Facial Expressions

Kristin Bock of Body Language Blueprints shares simple ways to mask-proof your verbal cues. 

These tips are all the more important for good communication during the pandemic.