An induction session for healthcare students to encourage reflection on the need and future opportunities in their careers to look at the evidence behind interventions. Followed by a quick introduction to some of the resources available and an invitation to 1:1 training in searching for research evidence.
Adapted from an exercise created by Sarah Chaney, Audience Engagement Manager, Royal College of Nursing.
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Interactive Nursing / Medical Student Induction for NHS Librarians
1. Mersey Care Knowledge and Library
Service
Clare Payne
Outreach Librarian
Supporting your evidence based practice
6th January 2015
2. Is each statement:
• A current model?
• A disproved or abandoned
theory or practice?
• Entirely fictional?
ImagecourtesyofRenjithKrishnanatFreeDigitalPhotos.net
Adapted by CP Mersey Care KLS from an exercise created by Sarah
Chaney, Audience Engagement Manager, Royal College of Nursing
3. Fictional
• One testicle is always larger than the other.
This 'dominant' testicle is more likely to
produce healthy sperm.
• Women have larger brains than men.
ImagecourtesyofcuteimageatFreeDigitalPhotos.net
4. Current models
• Injections of hormones extracted from the
urine of post-menopausal women can
improve fertility.
• Infusions of faecal material from healthy
donors can be used to treat those suffering
from intestinal infection.
• Poor dental hygiene is linked to an increased
risk of heart disease.
5. Current models
• Botulinum toxin (Botox®) injections are
effective in managing chronic migraine.
• Alice in Wonderland syndrome is a
neurological condition that causes people to
perceive objects or body parts as greatly out
of proportion.
ImagecourtesyofAmbroatFreeDigitalPhotos.net
6. Disproved or abandoned models
• Blowing smoke into the anus of an
unconscious person will revive them.
7. Disproved or abandoned models
• Injecting someone with blood infected with
malaria can be used to cure them from
syphilis.
ImagecourtesyofSweetCrisisatFreeDigitalPhotos.net
8. Disproved or abandoned models
• Mental illness in women is caused by
abnormal movement of the uterus and can
be cured by sexual activity and fumigation
of the face and genitals.
ImagecourtesyoftwobeeatFreeDigitalPhotos.net
9. • Why things are done in a certain way
• Curious about the evidence behind an
intervention
• Want to know more about an approach
that looks promising
• Look at different ways of doing things
• Answer patient questions
• Justify why you want to make a change
• Course Assignments
• We’re here to help:
– good quality, up to date online
resources
– skills to find them quickly and
efficiently.
ImagecourtesyofStuartMilesatFreeDigitalPhotos.net
12. ….Up to the 1990s, only
human-derived
gonadatrophins (urine
extracted) were available…
….highly purified human menopausal
gonadotrophin …administered to
patients undergoing controlled ovarian
stimulation for IVF…
13. ..most frequently the donor has
been an intimate partner,
housemate or family member
…however several studies used
volunteer donors
..use a blender (standard
kitchen or commercial, allocated
for the purpose of FMT only ), or
vigorously shake the suspension
in a tightly covered container.
Transplantation of fresh
donated feces is
recommended to take
place within 24 h.
ImagescourtesyofJohnKasawa&VichayaKiatying-AngsuleeatFreeDigitalPhotos.net
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21. Support finding articles
‘I used to just type in all the
words and got either no results
or absolutely loads. The training
has made it all so much easier.’
Nurse
After training:
90% of people feel confident about carrying out their
own search, compared to 5% beforehand.
60 mins 1:1
Carry out search together based on your assignment question
Show you 5 tips to make searching quick and easy
Download or print off all the articles we find
‘I wish I’d known about
this earlier – it would have
saved me loads of hassle.’
Student Nurse
22. Training is held at Rathbone (nr Edge Lane) and
Ashworth (Maghull) libraries at a time to suit you.
clare.payne@merseycare.nhs.uk
or
andrew.cheney@merseycare.nhs.uk
0151 471 7704 / 2393
NHS evidence
Notes de l'éditeur
During the 18th century Tobacco smoke enemas was a medical treatment employed by European physicians for a range of ailments including gut pain, easing the symptom of a hernia but particulay in reviving people from near drowning. It was based on the theory that the appropriate treatment for "apparent death" was warmth and stimulation.
of the earliest documented cases of resuscitation by rectally applied tobacco smoke, was made in 1746, when a seemingly drowned woman was treated. On the advice of a passing sailor, the woman's husband inserted the stem of the sailor's pipe into her rectum, covered the bowl with a piece of perforated paper, and "blew hard". The woman was apparently revived.
In the 1780s the Royal Humane Society installed resuscitation kits, including smoke enemas, at various points along the River Thames,[2] and by the turn of the 19th century, tobacco smoke enemas had become an established practice in Western medicine, considered by Humane Societies to be as important as artificial respiration.[5]
In 1917, the Austrian neuro-psychiatrist Julius Wagner Jauregg noticed that patients with syphilis related dementia occasionally became more lucid following seizures that were accompanied by high body temperature. After experimenting with several artificial methods (streptococci, tuberculin) to induce fever, he concluded that malaria was the most satisfactory. Malaria infection was an acceptable risk for the patients, as quinine would be administered as soon as syphilis was cured. Wagner Jauregg's therapy was highly admired and he was awarded the Nobel Prize in Medicine and his method was used on neurosyphilis cases well onto the 1950's. However, with the introduction of penicillin, a far safer approach to syphilis treatment this method was abandoned.
As early as 1900BC mental disorder was described in woemn as hysteria . 1 egyption reference is made to ‘hysterical disorders’ and the cause attributed to ‘spontaneous uterus movement within the female body’
In Ancitnet greece Physicians believed mental illness in women was cuased by their uterus being poisoned by venomous humors, due to a lack of orgasms and subsequent “uterine melancholy”. They would urge women to ‘join carnally with young and strong men. They were healed and recovered their wits.
During the Victorian Age (1837-1901) most women carried
a bottle of smelling salts in their handbag: they were
inclined to swoon when their emotions were aroused, and it
was believed, that, the wandering
womb disliked the pungent odor and would return to its
place, allowing the woman to recover her consciousness
Not always easy to judge an intervention or a model
In your professional career you and the teams you work with will constantly be making decisions. Its important to think about the how and the why of making these decisions.
You may question why things are done in a certain way or be curious about the evidence behind an intervention you come across. You may just want to know more about an approach that you think looks interesting. At times you may be asked to look at different ways of doing things. In training you’ll be asked to explore the evidence around a number of topics.
We’re here to help you in this by providing good quality, up to date online resources that are available when you need them and to equip you with the skills to find them quickly and efficiently.
We have quite a large collection of physical books – this is a sample of the Coaching and Leadership collection
Searching in databases gives access to the content of the journals
Look at the range of specialisms – can search just nursing press or more broadly
Date span
We have quite a large collection of physical books – this is a sample of the Coaching and Leadership collection