Tuesday, January 26, 2021

AW Library Newsletter January 2021- JAMA Podcasts - Unconscious Bias Video - Contagion Detective - Getting a Good Head Shot - CK Updates - DynaMed - New Infusion Therapy Standards

 

   

Your Ascension Wisconsin Librarians are working remotely, supporting our Health Care Heroes.    


Catch up on the latest news from Ascension Wisconsin Library Services:





Questions, comments, or search requests, contact Your Ascension Wisconsin Librarians: 

 Michele Matucheski   &   Kellee Selden



Monday, January 25, 2021

Press Pause: Examining Unconscious Bias Video from ABOG


Press Pause: Examining Unconscious Bias Video (31 min.) from ABOG Communications.

This video appeared on the January 2021 ABOG reading list for Ob/Gyn Maintenance of Certification.

Since it touches on the ABIDE topics and was designed for a professional audience, I thought it would be a good choice to share here for those who want to learn more.  

Use PAUSE to sort through your own unconscious biases when making important decisions:



Sunday, January 24, 2021

The Contagion Detective: How Diseases like Covid-19 and Misinformation Spread

 

Adam Kucharski, The Contagion Detective.

I am a regular listener of To the Best of Our Knowledge on Wisconsin Public Radio, although these days I listen to podcasts more than live broadcasts.  This interview with Adam Kucharski was fascinating in that he has been able to bridge the worlds of math, epidemiology, and social contagion.   We've all heard the phrase when something "goes viral" on social media.  Well, it turns out the same rules from math and biology apply to the viral spread of information, or misinformation.  The wheels started to whir in my brain and I had an a-ha moment where it all started to make sense!  I hope you enjoy it as much as I did!  

-- Your Medical Librarian, Michele Matucheski, MLS, AHIP, Ascension Wisconsin


Here's Steve Paulson's introduction:

The COVID-19 pandemic was some epidemiologist’s nightmare when Adam Kucharski was writing "Rules of Contagion." The book draws on ideas from “outbreak science” to illuminate how and why viruses spread. Information from biology, Kucharski expertly demonstrates, has helped scientists understand how misinformation rages like fire in the fields of politics and finance. Kucharski is entitled to feel like Nostradamus, but people in his field “always have the next pandemic on the radar,” he told Wired.

I caught up with Kucharski to learn about the key ideas in "Rules of Contagion," and hear his views on the COVID-19 pandemic. You can read the full conversation over on Nautilus.  Read more ...


Listen to the interview 

Link to the TTBOOK page

Link to the related (longer) interview on Nautilus

TTBOOK Episode: Vaccine Trackers



The Book: Rules of Contagion: Why Things Spread -- And Why They Stop by Adam Kucharski

Saturday, January 23, 2021

Clinical Key Content Updates - January 2021

 

The content of Clinical Key is constantly being updated.  Here are the October highlights.

Clinical Key

Clinical Key Search Tips & Tutorials


New Clinical Overviews – CK Global

Updated Clinical Overviews – Selected Topics

 

Books Added – CK Global

Journals Added – CK Global

 

Books Removed – CK Global

  • Problem Solving in Musculoskeletal Imaging (Morrison, William) 1st ed; ISBN: 9780323040341; Package/Collection: Radiology

Journals Removed – CK Global

  • Canadian Association of Radiologists Journal; ISSN: 08465371; Package/Collection: Radiology 
  • Journal of Pain; ISSN: 15265900; Package/Collection: Pain Medicine.
  • Spine Deformity; ISSN: 2212134X; Package/Collection: Orthopedics


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

Friday, January 22, 2021

Getting Started with DynaMed, Ascension's Physician Point-of-Care Tool

 

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 (for Ascension users only)


DynaMed Search Tips

Includes info on signing up for a personal account.  


DynaMed is a point-of-care tool

  • Designed for 
    • Physicians
    • Providers
    • Nurse Practitioners
    • Physician Assistants
  • Other Health Care Team Members are also welcome to attend and use DynaMed:
    • Nurses
    • Rehab Professionals
    • Pharmacists
    • Leaders
    • and any other Ascension Associate interested in learning to use this physician point-of-care tool.  

 Quick Start Video Tutorials on myLearning


Earning your CME and MOC credits with DynaMed:

                 

     DynaMed: About CME/CPD/CE and MOC


     DynaMed: Claiming CME Credits & Hours [Tutorial]


     DynaMed: Signing up for a Personal Account


 

Access anywhere with the DynaMed mobile app

  • Learn how to get the DynaMed mobile app and access all of the key mobile features including CME, interaction checking, and topic updates, right from your iOS and Android devices.


Here a few more helpful links:

Ascension off-site link (also found in the DynaMed User Guide):  DynaMed Remote Access 


Stay Current with DynaMed Updates and Alerts:

  • Learn how DynaMed updates and alerts can keep you current in your practice:


Questions, comments, or search requests, contact Your Ascension Wisconsin Librarians

 Michele Matucheski   &   Kellee Selden

Thursday, January 21, 2021

What does ‘do not resuscitate’ mean? Varying interpretations may affect patient care, reports American Journal of Nursing



What does ‘do not resuscitate’ mean? Varying interpretations may affect patient care, reports American Journal of Nursing


Newswise — December 23, 2020 

When patients have a do-not-resuscitate (DNR) order, it means they have chosen not to receive cardiopulmonary resuscitation (CPR). But hospital nurses report significant variations in the way DNR orders are perceived or acted on in clinical practice, reports a survey study in the January issue of the American Journal of Nursing (AJN). 

“While the definition of DNR  might seem straightforward, its interpretation in clinical practice can be complicated,” according to the new research, led by Patricia A. Kelly, DNP, APRN, AGN-BC, AOCN, of Texas Health Presbyterian Hospital of Dallas, and Kathy A. Baker, PhD, APRN, ACNS-BC, FCNS, FAAN, of Harris College of Nursing and Health Sciences at Texas Christian University.  

Differing perceptions of DNR orders may lead to unintended consequences

Do-not-resuscitate orders have been a part of healthcare for more than 40 years. Published guidelines define DNR in terms of deciding to withhold CPR only, however, studies have shown healthcare providers and patients may be confused about the meaning and implications of DNR orders. An American Nurses Association position statement (PDF link) emphasizes that “patients with do-not-resuscitate orders must not be abandoned, nor should these orders lead to any diminishment in quality of care.”

Based on her experiences, clinical nurse Karen Hodges, BSN, RN, OCN wondered, “How do nurses understand and act on DNR orders?”  In response, Drs. Kelly, Baker, and colleagues performed a survey and interviews with 35 hospital nurses involved in caring for patients with DNR orders.

Analyzing the responses, the researchers identified one major theme: “Varying interpretations of DNR orders among nurses were common, resulting in unintended consequences.” Within this overarching theme, there were three key subthemes:

  • While the nurses provided clear definitions of DNR, they gave varying interpretations of the specifics of care. For example, while nurses agreed that DNR meant no CPR, some interpreted it as meaning no other aggressive lifesaving measures.
  • The nurses reported situations where healthcare team members disagreed about how DNR orders affected clinical care and responsibilities. One nurse pointed out that having a DNR doesn’t mean the person is a hospice patient: “It doesn’t mean that you’re not going to do everything that you would for anybody else.”
  • The nurses encountered family conflicts and confusion about DNR orders, particularly when the patient’s condition changed, and patients and family members sometimes disagreed about DNR status.

These differing perceptions have the potential to affect care in many ways, including varying responses when the patient’s condition deteriorates, tensions among team members, and differences in role expectations. “Lack of clarity and agreement about what DNR means in practice has a far-reaching impact,” Dr. Kelly and colleagues write. “It’s critical for nurses to understand that DNR orders do not substitute for plans of care.”

Maureen Shawn Kennedy, MA, RN, FAAN, editor in chief of AJN, notes that the study is important because, “Everyone – nurses, physicians, and families – needs to be on the same page in understanding the level of care a patient will receive.”

Dr. Kelly, Baker, and coauthors believe that nurses play a key role in making sure that patients, families, and healthcare providers have a clear understanding of what DNR orders mean – and what they don’t mean. “In every setting, nurses have opportunities to clarify such misinterpretations through practice, education, advocacy and policy, and research,” the researchers conclude. “After 40 years as one of the most widely recognized medical abbreviations, DNR should mean ‘do not resuscitate,’ not an acronym that may diminish care.”

Click here to read “Nurses' Perspectives on Caring for Patients with Do-Not-Resuscitate Orders.”

DOI: 10.1097/01.NAJ.0000731652.86224.11

###

About American Journal of Nursing

American Journal of Nursing is the most honored broad-based nursing journal in the world. Peer reviewed and evidence-based, it is considered the profession’s premier journal. AJN's mission is to promote excellence in nursing and health care through the dissemination of evidence-based, peer-reviewed clinical information and original research, discussion of relevant and controversial professional issues, adherence to the standards of journalistic integrity and excellence, and promotion of nursing perspectives to the health care community and the public.

SEE ORIGINAL STUDY


Questions, comments, or search requests, contact Your Ascension Wisconsin Librarians

 Michele Matucheski   &   Kellee Selden

Wednesday, January 20, 2021

What are the links between violence and mental illness? Update from Harvard Review of Psychiatry


What are the links between violence and mental illness? 

Update from Harvard Review of Psychiatry

Newswise — January 13, 2021 

When there is news of a violent attack, we sometimes hear that it could be related to mental illness – which may make us ask whether the violence could have been predicted or prevented. Current research and perspectives on associations between violence and mental illness are presented in the special January/February issue of Harvard Review of Psychiatry. The journal is published in the Lippincott portfolio by Wolters Kluwer.  Access provided by Ascension Wisconsin Library Services.

“[T]he articles in this Special Issue serve to summarize important facets of the complex connection between mental illness and violent behavior, and to illuminate the potential for mental health practitioners and researchers to play a more productive role in preventing violence,” according to an introduction by Guest Editor Jeffrey Swanson, PhD, Professor in Psychiatry and Behavioral Sciences at Duke University School of Medicine.

Expert insights on treatment and prevention of violence related to mental illness

Violence and serious mental illness are two “top tier” public health problems in the United States. However, it’s difficult to demonstrate and understand the connections between them, if any. Research suggests that only a small fraction of violent acts occurring in the community – three to five percent – are attributable to mental illness. “The large majority of the perpetrators of violent crimes do not have a diagnosable mental illness, and conversely, most people with psychiatric disorders are never violent,” Dr. Swanson writes.

Representing a broad range of intellectual and clinical perspectives, the Special Issue articles “reflect both the multifaceted nature of the problem and the importance of interdisciplinary research to inform effective interventions and policies to try to solve it.” Topics include:

Mental health treatments to prevent violence. Two articles review current research and practice on medications and behavioral therapies to reduce hostility and aggression, focusing on schizophrenia and autism spectrum disorders. While there’s evidence that some treatments do work to reduce violent behaviors, it remains unclear how they work – especially in these two fundamentally different disorders.

Violence against family. Caregivers and other family members of people with serious mental illness are often victims of violence; evidence suggests that 1 out of 5 family members are affected. In addition to usual risk factors such as substance abuse and not taking prescribed medications, family dynamics may contribute to these events.

Violence risk assessment. Assessing the risk of violence in individual patients poses difficult challenges for mental health professionals. An expert column addresses the real-world situations in which these assessments are done, where clinicians “must balance ethical and clinical concerns at the intersection of safety with coercion and fairness.”

Mass shooting events. A “Perspectives” article offers insights into the role of mental illness in mass casualty shootings. The authors propose a strategy for studying the complex causes of these tragic events, with a broader collaborative role for psychiatry in trying to prevent them. Researchers should “deliberately reject the stigmatizing assumption that psychopathology is the main driver of a mass casualty shooting.”

Gun violence prevention. Dr. Swanson is lead author of an article making the case for state laws allowing psychiatrists or other professionals to petition for court orders to remove firearms from patients who pose an “imminent risk” of harm to themselves or others. A growing number of states have enacted extreme risk protection orders – sometimes called “red flag” laws – enabling law enforcement to temporarily remove guns from people with behaviors indicating imminent risk of violence. An accompanying “Disruptive Innovations” essay discusses the potential advantages and challenges of this role for mental health professionals.

Dr. Swanson voices the hope that the Special Issue articles will provide a useful guide to future research toward meeting two critical, complementary goals: “to meaningfully reduce the toll of violent injury and mortality in the population, and to safely and respectfully integrate people with mental illnesses into community life, with the acceptance and support that will allow them to thrive.”

Click here to read “Introduction: Violence and Mental Illness.”

DOI: 10.1097/HRP.0000000000000281

###

About the Harvard Review of Psychiatry

The Harvard Review of Psychiatry is the authoritative source for scholarly reviews and perspectives on a diverse range of important topics in psychiatry. Founded by the Harvard Medical School Department of Psychiatry, the journal is peer reviewed and not industry sponsored. It is the property of Harvard University and is affiliated with all of the Departments of Psychiatry at the Harvard teaching hospitals. Articles encompass major issues in contemporary psychiatry, including neuroscience, epidemiology, psychopharmacology, psychotherapy, history of psychiatry, and ethics.

SEE ORIGINAL STUDY


Questions, comments, or search requests, contact Your Ascension Wisconsin Librarians

 Michele Matucheski   &   Kellee Selden

Tuesday, January 19, 2021

Tips on Getting a Good Head Shot for Your Digital First Impression

 

Reasons Why You Need a Good Head Shot - The List

Are you looking for ways to make sure you have a great headshot?   

If so, Jimmy Rhoades of "The List" interviews Kristin Bock of Body Language Blueprints,  who explains why you need a headshot, and how to make sure it’s a good one.

Pick up some tips to make sure your digital first impression is a positive one.

Kristin Bock showed us how to mask-proof our facial expressions a few month's ago.  



Questions, comments, or search requests, contact Your Ascension Wisconsin Librarians

 Michele Matucheski   &   Kellee Selden

Friday, January 8, 2021

Important Changes to NCBI (PubMed) Accounts Coming in 2021

[This article first appeared on the NCBI Insights Blog January 5, 2021.]  

Do you login to NCBI via PubMed to use MyNCBI, SciENcv, or MyBibliography? Do you submit data to NCBI? If so, you’ll want to read further to get a first glimpse at some important changes to NCBI accounts that will be coming in 2021.

What’s happening?

In brief, NCBI will be transitioning to federated account credentials. NCBI-managed credentials are the username and password you set at NCBI — these will be going away. Federated account credentials are those set through eRA Commons, Google, or a university or institutional point of access.

Why is this happening?

NIH, NLM, and NCBI take your privacy and security very seriously. As part of our normal reviews we have determined that making this change will increase the security of your accounts to a level that we feel is necessary.

When is this happening?

After June 1, 2021, you will no longer be able to use NCBI-managed credentials to login to NCBI.

What do I need to do?

If you currently use a federated login to access your NCBI account, you don’t have to do anything! Just be aware that if you also access your account with an NCBI-managed username and password, that route will be going away.

If you only have NCBI-managed credentials and you’d like to get a head start on this transition, you can do the following now:

  1. Login to NCBI the way you usually do.
  2. Click on your username in the top bar to load your NCBI Account Settings page.
  3. If your Settings page looks like Figure 1, where you have a “Native NCBI Account” username and password and have no linked accounts, then you will need to add a linked account.
  4. To add a linked account, click the “Change” button under Linked Accounts.
  5. You may choose several options for a linked account including the following:
  • Google
  • University/institutional
  • login.gov
NCBI Accounts Settings page.
Figure 1. NCBI Accounts Settings page showing a “Native” NCBI account without any linked accounts.

What about my account data?

This change will not affect the actual data in your account, such as your MyBibliography, SciENcv, or submission data. The only thing that is changing are the credentials you use to access your account.

What if I have questions?

We’re here to help! You can always write to info@ncbi.nlm.nih.gov for more information, particularly if you would be interested in helping us with this transition by being willing to migrate your credentials early. Your willingness will help us make the transition easier for everyone!