Library News - LibGuides at Nova Scotia Health

The following pamphlets were updated or created in January 2023.

Cardiovascular System
WG85-0005 Exercise ECG/EKG Stress Test (En français: FF85-2095)

Diagnostic Imaging
WN85-2319 NEW Image-guided Core Biopsy of the Breast

WN85-2320 NEW After Your Image-guided Core Biopsy of the Breast

Digestive System
WI85-1482 Endoscopic Ultrasound (En français: FF85-1793)

Endocrine System
WK85-1990 Staying Active: Barrington and Shelburne Areas
WK85-0232 Adrenal Insufficiency

French Translations (en français)
FF85-1585 Conseils nutritionnels après une chirurgie de la mâchoire (English: LC85-0566)

Gynecology & Reproductive Health
WP85-1607 How to Apply Your Steroid Ointment (En français: FF85-2111)
WP85-2002 Elective Cesarean Section (C-section): Yarmouth Regional Hospital

Hematology
WH85-1247 Intravenous Immunoglobulin (IVIG)
WH85-1200 Blood Transfusion (En français: FF85-1811; Arabic: AR85-2124; Chinese: CH85-2125)
WH85-1801 Outpatient Instructions after a Transfusion (En français: FF85-1812; Arabic: AR85-2094; Chinese: CH85-2126)

Hospitals
WX85-0228 Finding Health Information Online
WX85-1741 Privacy of Your Personal Health Information (PHI) at Nova Scotia Health (En français: FF85-1758)

Musculoskeletal System
WE85-0203 After Corticosteroid Injection

Nervous System
WL85-0335 Electromyogram (EMG) - QEII
WL85-0422 Lumbar Puncture - Halifax Infirmary

Nutrition & Food
LC85-0561 Low Fibre, Low Lactose Nutrition Guidelines
LC85-2322 NEW The Nova Scotia Home Parenteral Nutrition Program for Adults

Oral Health
WU85-1866 Sealants - Seal Out Tooth Decay (En français: FF85-1880)

Pain Management
PM85-1658 The Chronic Pain Self-Management Program Hants Community Hospital

Surgery
WO85-1667 Questions You May Have About Your Surgery (En français: FF85-1677; Arabic: AR85-2281)

Kendell Fitzgerald

Librarian Educator
Central Zone

Recent Posts

Patient Education Pamphlets created, updated, or archived in November 2025

Writing in plain language matters. In Canada, it’s reported that nine million people have limited literacy skills, with over half of Canadians reading below a high school level. This is just one of the reasons why it is important to offer additional support to patients and families with easy-to-read, straightforward patient pamphlets. For more information about creating or updating patient pamphlets, please visit the Patient Education Resources Toolkit. Contact Pamphlets@nshealth.ca with any questions. You can search for pamphlets by title or keyword in the pamphlets catalogue, or view the complete listing of active titles in our Print Code Index.The following pamphlets were updated or created in November 2025. Arabic TranslationsAR85-2370 Screening for Diabetes After Pregnancy [Arabic] (English: WK85-2300, En français: FF85-2339, Mi'kmaw: MI85-2467)AR85-2371 I have diabetes and I can have a healthy baby! - Pregnancy Information for Individuals with Type 1 or Type 2 Diabetes [Arabic] (English: WK85-2301, En français: FF85-2340, Mi'kmaw: MI85-2466)AR85-2369 Screening for Diabetes During Pregnancy [Arabic] (English: WK85-2299, En français: FF85-2338, Mi'kmaw: MI85-2446)AR85-2536 NEW How to do a Twin Bag™ Exchange [Arabic] (English: WQ85-0633, Simplified Chinese: CH85-2214, Russian: RU85-2379, Vietnamese: VI85-2390)Cardiovascular System WG85-0158 Endovascular Abdominal Aortic Aneurysm Repair (EVAR) - Halifax Infirmary (H.I.) Previous title: Endovascular Abdominal Aortic Aneurysm Repair (EVAR)WG85-2315 24-hour Cardiology Transfer ServiceWG85-2546 NEW Cardiac Surgery Sternal PrecautionsDigestive System WI85-2548 NEW Bowel Surgery - Enhanced Recovery After Surgery (ERAS) (En français: FF85-2549)Endocrine System WK85-1982 Diabetes Centres - Digby Diabetes Centre Shelburne Diabetes Centre Yarmouth Regional HospitalWK85-2300 Screening for Diabetes After Pregnancy(En français: FF85-2339, Arabic: AR85-2370, Mi'kmaw: MI85-2467)WK85-2301 I have diabetes and I can have a healthy baby! - Pregnancy Information for Individuals with Type 1 or Type 2 Diabetes (En français: FF85-2340, Arabic: AR85-2371, Mi'kmaw: MI85-2466)WK85-2299 Screening for Diabetes During Pregnancy (En français: FF85-2338, Arabic: AR85-2369; Mi'kmaw: MI85-2446)French Translations (en français)FF85-2339 Dépistage du diabète après la grossesse (English: WK85-2300, Arabic: AR85-2370, Mi'kmaw: MI85-2467)FF85-2340 J’ai le diabète. Puis-je avoir un bébé en santé? - Information sur la grossesse pour les personnes atteintes de diabète de type 1 ou de type 2 (English: WK85-2301, Arabic: AR85-2371, Mi'kmaw: MI85-2466)FF85-2338 Dépistage du diabète pendant la grossesse (English: WK85-2299, Arabic: AR85-2369, Mi'kmaw: MI85-2446)FF85-2549 NEW Votre guide de chirurgie intestinale - Récupération améliorée après une chirurgie (RAAC - ERAS) (English: WI85-2548)Geriatrics WT85-0599 Understanding Restraint Use for Patients and Essential Care Partners Previous title: Restraint Considerations for Patients and FamiliesWT85-2537 NEW Seniors' Care TeamGynecology & Reproductive HealthWP85-1931 Your Baby's Second Night (En français: FF85-1965)WP85-2540 NEW Pre-Eclampsia - Cape Breton Regional Hospital HematologyWH85-2547 NEW Welcome to the Hereditary Bleeding Disorder Clinic - Victoria General (VG) Site, QE IIHospital InformationWX85-0466 Your Rights and Responsibilities (letter size English: WX85-1842, En français: FF85-1739, Arabic: AR85-2205)NOTE: WX85-1696 (previously 1380) How to avoid safety risks during your hospital stay was archived and amalgamated into 0466 Your Rights and Responsibilities.WX85-1933 Integrated Chronic Care Service (ICCS) Scent-free InformationMedicationsQV85-2179 Oral Magnesium Supplements- Integrated Chronic Care ServiceMental Health & AddictionsWM85-2545 NEW Assessment for Eating Disorders in AdultsMi'kmaw TranslationsMI85-2467 Screening for Diabetes After Pregnancy [Mi'kmaw] (English: WK85-2300, En français: FF85-2339, Arabic: AR85-2370)MI85-2466 I have diabetes and I can have a healthy baby! - Pregnancy Information for Individuals with Type 1 or Type 2 Diabetes [Mi'kmaw] (English: WK85-2301, En français: FF85-2340, Arabic: AR85-2371)MI85-2446 Screening for Diabetes During Pregnancy [Mi'kmaw] (English: WK85-2299, En français: FF85- 2338, Arabic: AR85-2369)Musculoskeletal SystemWE85-2237 Knee Replacement Surgery - Dartmouth General Hospital (DGH) Halifax Infirmary (HI)Nursing UnitsWZ85-1195 Welcome to Unit 7.2 Vascular Surgery - Halifax Infirmary, QE II Previous title: Welcome to Unit 4.1 Vascular and General Surgery - Halifax Infirmary Site, QE IIWZ85-0018 Welcome to 4B - Hospitalist Medicine Unit (HMU) Previous title: Welcome to 4B: Community Transitions UnitNutrition & FoodLC85-2035 Need Help Filling Your Belly or Cupboards? Yarmouth Food SupportsOral HealthWU85-2227 Tissue Transplant in Oral Surgery (En français: FF85-2328)OtorhinolaryngologyWV85-0439 Total Laryngectomy (En français: FF85-2366)Respiratory SystemWF85-2544 NEW Chronic Obstructive Pulmonary Disorder (COPD) - Patient Oriented Discharge Summary (PODS)Surgery WO85-2541 NEW About Bariatric SurgeryWO85-2542 NEW Bariatric Surgery eLearning ProgramWO85-2543 NEW Common Questions About Bariatric SurgeryUrogenital SystemWJ85-0474 Managing Urinary IncontinenceWJ85-2222 Intermittent Clean CatheterizationWJ85-0396 Urinary Tract Infection (UTI)WJ85-0332 After Urinary Catheter RemovalWJ85-0478 Laparoscopic Kidney Removal (Nephrectomy)WJ85-1603 Percutaneous NephrolithotomyWJ85-0160 CircumcisionWJ85-0476 Transurethral Resection of the Prostate (TURP)WJ85-0481 Malleable Penile ProsthesisWJ85-0485 Laparoscopic AdrenalectomyWJ85-0583 After Vasectomy Reversal (Vasovasostomy)WJ85-0587 After a Nesbit ProcedureWJ85-0584 Having a Ureteral Stent Previous title: Having a Ureteral Stent: After Urological or Endoscopic SurgeryWJ85-0165 Cystoscopy with Local Anesthetic Previous title: Cystoscopy - Local AnestheticWJ85-0585 After a Cystoscopy with General Anesthetic Previous title: After Cystoscopy: General AnestheticWJ85-2538 NEW Kegel Exercises for Bladder ControlWJ85-2539 NEW Inflatable Penile Implant Surgery - Dartmouth General Hospital, Victoria General SiteThe following pamphlets were archived in November 2025:WX85-1696 How to Avoid Safety Risks During Your Hospital Stay (En français: FF85-1711)FF85-1711 Comment éviter les risques liés à la sécurité pendant votre hospitalisation (English: WX85-1696)WX85-1842 Your Rights and Responsibilities [letter size version] (Booklet version: WX85-0466) (French Booklet: 1739, Arabic Booklet: 2205) (Poster version: MC0040; French poster: MC0043)If a pamphlet that has been archived is still needed, please let us know as soon as possible and we will work with you to make it available again. Kendell FitzgeraldLibrarian EducatorCentral Zone...

IPPL Clinical Practice and Policy November 2025 Digest: Clinical Practice Support Subject Guides, Policy and Procedures – Updates + Dynamic Health - New and Updated + Dynamic Health Customizations Maintenance Schedule + Salem Sump Tubes - Proper Use

IPPL Clinical Practice and Policy digest posts summarize updates over the past month about:Clinical Policies, Care Directives, Guidelines and Learning ModulesGet the latest clinically relevant, local guidance published through policies, care directives, guidelines and/or learning modules.Identify competencies relevant to your/your team’s practice.Dynamic Health (DH)Stay informed about implementation and use of Dynamic Health at Nova Scotia Health, including recent updates to Workplace Notes and Custom Workplace Skills.Clinical Practice Support (CPS) Subject GuidesLearn about recently published and updated CPS subject guides, where you/your team can find relevant resources across DH, policies, care directives, guidelines, and learning modules. CPS subject guides also include Key Practice Points and additional educational and guidance resources to support implementation and competency maintenance.Original posts on the above topics can be accessed by Nova Scotia Health employees through The Compass > Clinical Resources News.Clinical Practice Support (CPS) Subject Guides & Policies – UpdatesThe following CPS subject guides have been updated with new content in the past month:Antimicrobial Stewardship (AMS)Blood Product Administration - Transfusion MedicineCare of the Patient After DeathContinuing CareDiagnostic Imaging (DI) ProfessionalsDrug Evaluation Unit (DEU)Elder Care In HospitalEthics Nova Scotia HealthFrailty and Elder Care NetworkHarm ReductionHome FirstInfection Prevention and Control: Long-term Care and Home CareInformed ChoiceNew Nurse Mentorship ProgramNEWS2 Early Warning ScoreOccupational Health and Safety: Continuing CarePrimary Health Care - Skills and ProceduresRespiratory Therapy Skills and ProceduresResuscitation Quality Improvement (RQI)In consultation with Clinical Nurse Educators (CNEs) in relevant care areas, and with the approval of Critical Care leadership, CL-SP-005 Intra-abdominal Pressure Monitoring has been archived by the Nova Scotia Health Policy Office. CL-SP-005 Intra-abdominal Pressure Monitoring is replaced by the two Dynamic Health skills below, and their corresponding Workplace Notes:Measuring Intra-Abdominal PressurePreventing and Managing Intra-Abdominal Hypertension in AdultsDynamic Health UpdatesNew Workplace Notes and Reviewed SkillsNew notes have been created for a range of skills, including but not limited to: Arterial Catheters, Bedside Percutaneous Dilatational Tracheostomy, CPAP, BiPAP, Falls Risk, Mechanical Ventilation, Minimally Invasive Pulse Wave Analysis, Spontaneous Awakening Trial.View the full list of New Workplace Notes and Reviewed Skills as of November 2025.Revised Workplace NotesWorkplace Notes about a range of skills have been revised, including but not limited to: Administering Labetalol, Platelets, Changing Burn Dressings, Falls Prevention Plans, Pressure Injury Prevention and Treatment, Liquid Nitrogen for Cryosurgery, Patency for Central Venous Catheter with Complete Thrombotic Occlusion.View the list of Revised Workplace Notes as of November 2025.Custom Workplace Skills – NEW and UPDATEDAdministering Allergy Patch Testing in Adults and PediatricsMonitoring Tracheostomy Tube Pressure Using Minimal Occlusive Volume (MOV)Dynamic Health Customizations (Reviews and Custom Skills) Maintenance ScheduleIt’s hard to believe, but it has been three years since we published a series of Workplace Notes as a result of our first Dynamic Health skills review!IPPL Clinical Practice and Policy is committed to revisiting Workplace Notes and Custom Skills every three years, or as current evidence and practice evolves, to keep our collection current.If you provided a skill review or contributed to the creation of a Custom Workplace Skill in 2023, watch your inbox! Starting November 18, we will be emailing you to update your review or custom skill. If you have moved on or changed roles, please fill out the form link provided in the email and add a colleague who would be best to either take on the skill or point us in the direction of a new reviewer. Please have your responses submitted by January 18, 2026. Thank you for your continued support!Salem Sump Tubes - Proper Use of Anti-Reflux Valve (ARV)Cardinal Health has issued product guidance on safe use of the Anti-Reflux Valve (ARV) for Salem Sump tubes.Review the full update for guidance on The Compass > Clinical Resources News.Get in Touch!Connect with Clinical Policy and Practice about this content update and opportunities to collaborate by emailing AskIPPL@nshealth.ca.Find guidance about using Dynamic Health, setting up a personal account, exporting CE (Continuing Education) Credits, and more in the Dynamic Health Support guide.IPPL Clinical Practice and PolicyAskIPPL@nshealth.ca...

Not all research is conducted equally: Using critical appraisal checklists to verify study quality

UPDATED: November 17, 2025. Original Post: July 20, 2020Integrating the best available health evidence into decision-making processes is an important part of evidence-based practice. However, before applying clinical research findings to patient care, health care providers must determine whether the research findings are valid.It is important to remember that published studies are not necessarily trustworthy. Healthcare research must be evaluated before being used to guide clinical decisions. Critical appraisal provides a framework for this evaluation.What is critical appraisal?Critical appraisal is “the process of carefully and systematically examining research to judge its trustworthiness, and its value and relevance in a particular context.” (CASP)To critically appraise clinical research is to look at its methodological quality, trustworthiness, and applicability to a patient’s specific situation. Critical appraisal helps us ask two essential questions about a particular research study (Sala Serra & Domingo Torrell, 2022):Are the results believable and free of bias or errors? (internal validity)Do the results apply to populations other than the sample participants, specifically to my patient’s situation? (external validity)When should critical appraisal be conducted?Research should always be critically appraised, no matter its intended use. Such uses may include:Patient care in a clinical settingOrganizational policies or guidelinesCare directivesEducational projectsFor example, if a recently published study in your discipline suggests a therapy is effective and safe for patients, critically appraising the study ensures the findings are valid and unbiased, and the therapy is appropriate for the specific needs of your patient.Beyond clinical scenarios, critical appraisal is also a key part of evidence synthesis. As part of the systematic review process, for example, articles included in the review are critically appraised for validity. This ensures that the integrity of the overall review is not impacted by the quality of the individual studies included.Using critical appraisal checklistsAny type of clinical study can be critically appraised, and each study type has its own checklist. Critical appraisal checklists provide a step-by-step guide through the appraisal process. There are many critical appraisal tools available from organizations that are experts in evidence-based research evaluation, including:JBI (formerly Joanna Briggs Institute): Critical Appraisal ToolsCentre for Evidence-Based Medicine (CEBM): Critical Appraisal ToolsCritical Appraisal Skills Programme (CASP): Critical Appraisal ChecklistsScottish Intercollegiate Guidelines Network (SIGN): Critical Appraisal Notes and ChecklistsCritically Appraising for Antiracism Tool (Naicker, R. 2023)For example, CASP’s Randomised Controlled Trial Checklist includes questions about study methodology such as:Was the assignment of participants to interventions randomised?Were the investigators ‘blind’ to the intervention they were giving to participants?Do the benefits of the experimental intervention outweigh the harms and costs?Would the experimental intervention provide greater value to the people in your care than any of the existing interventions?Critical appraisal for antiracism is rarely addressed in standard tools. To avoid overlooking underrepresented patient populations, consider supplementing your chosen tool with Naicker’s Critically Appraising for Antiracism Tool.Critical appraisal can be conducted without the use of a formal checklist, but using an established set of appraisal criteria may be helpful if you want to ensure that you are consistent in how you appraise clinical research.For more info on critical appraisal in your daily work or a larger project, email AskLibrary@nshealth.ca or book a one-on-one consultation with a librarian.Additional SupportIn-depth Resources in Library Services' Searching subject guide.References1. CASP - Critical Appraisal Skills Programme. (2025, October 15). What is critical appraisal?. https://casp-uk.net/what-is-critical-appraisal/2. Naicker, R. (2022). Critically appraising for antiracism. Education for Information, 38(4), 291–308. https://doi.org/10.3233/EFI-2200523. Sala Serra, M., & Domingo Torrell, L. (2022). Validity of a study: Internal and external validity. Cirugia espanola, 100(10), 649–651. https://doi.org/10.1016/j.cireng.2021.12.007Selena MacDonaldLibrarian EducatorNova Scotia Hospital, Central Zone...

Patient Education Pamphlets Archiving Project 2026

Every year, the Patient Education Team identifies patient pamphlets that have not been reviewed or updated within 5 years of the last review date. We then contact content creators to confirm whether these pamphlets need to be updated or removed from circulation.Routine archiving of out-of-date pamphlets is done in accordance with policy AD-LIB-001 Patient Education Materials: Development and Maintenance, which helps ensure Nova Scotia Health patients, families and essential care partners receive up-to-date patient education materials.This year, any pamphlets published in 2020 or before must be reviewed and updated or they will be removed from circulation on January 31, 2026.The full list of items that must be reviewed and updated before January 31, 2025 can be found in the Pamphlets Due for Revision Dashboard.As you know, changes to drug names, clinic or department contact information, and clinical practice are common. Patient pamphlets must be reviewed by the teams that created them, and/or the teams that use them, to ensure that such changes are reflected in the materials we provide to patients. This helps ensure misinformation and outdated directives are removed to help keep patients and care partners safe.Library Services' Patient Education Team is available to support Nova Scotia Health staff in updating any existing pamphlets. Pamphlets published in 2020 or before that have not been reviewed and updated by January 31, 2026 will be archived and removed from the patient education resources collection.To ensure your pamphlet remains available, please contact the Patient Education Team as soon as possible so that an update can be initiated and completed by January 31st, 2026.What do you need to do?Check the list of titles that are due for review.Complete the Archiving Project form to let us know you intend to update a pamphlet or to recommend it be archived.Complete the Archiving Project form to recommend a pamphlet for archiving.Share this information with your colleagues who are involved in patient education pamphlets in your area, department, unit, or clinic.How can the Patient Education Team help?We can send you the latest version of the pamphlet as a Word document, so you can edit it easily. We facilitate the review and update process for you, including:Integrating your team’s edits and feedbackReviewing for plain language and readabilityCoordinating adaptation and reprint copyright permission requestsEnsuring improved accessibility and consistent messaging in line with other Nova Scotia Health materialsUpdating layout and brandingGet started on your pamphlet review project by completing the Archiving Project form to connect with the Patient Education Team.For guidance and resources on how to update or archive a pamphlet, refer to the Patient Pamphlets section of the Library’s Content Creator Toolkit.Questions? Reach out to the Patient Education Team at Pamphlets@nshealth.ca.Kallen RutledgeLibrarian Educator, Patient Education Pamphlets LeadNova Scotia Hospital, Central Zone...

Patient Education Pamphlets updated or created in January 2023

Kendell Fitzgerald