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10/18/2021
Linda Yang
No Subjects

Health information is everywhere in traditional and social media—on TV, in the news, and online. Finding and using information to guide health decisions can be overwhelming for patients and families (Abrams et al., 2021), especially when it may be misinformation (Hammes, 2021; Chowdhury et al., 2021). Given today’s complex information landscape, how can health care providers support patients and families to find and use information they can trust?

Recommend Trusted Places to Look for Information

The first step is to recommend trusted sources. Nova Scotia Health’s Subject Guides for Patients and Patient Education Pamphlets are great places to start when guidance related to a hospital visit, specific procedure, or diagnosis is needed. Patient pamphlets are also available through Nova Scotia’s public libraries.

When patients or families need more information, recommend starting with MedlinePlus®. This is an excellent online resource from the U.S. National Library of Medicine.

Public libraries in Nova Scotia also collect books in a variety of formats to support community consumer health. For example, Halifax Public Libraries provides access to Gale Health and Wellness, a searchable database of disease and disorder information.  

Model Critical Thinking & Information Evaluation

Next, consider the health literacy of the people you support (refer to the blog post from August 30, 2021) and mitigate misinformation. Encouraging critical appraisal of information sources and promoting health literacy are effective communication strategies to help patients and families navigate the information they encounter (Abrams et al., 2021).

Online sources of health-related information require particular oversight to ensure that they provide accurate, appropriate and understandable content that meets the unique needs of various populations of patients.
Beaunoyer et al., 2017

For example, when you need to look up evidence for a patient, or when a patient brings in a piece of health information, go through your own critical thinking process aloud. Try using the CRAAP test to encourage patients and families to evaluate information quality (Blakeslee, 2004):

Currency

  • When was the information published or updated?
  • If it is an online source, are all of the links and website components functional?

Relevance

  • Who is the intended audience?
  • Is the information presented at a level that is not too elementary or advanced for your needs?

Authority

  • Who is the author/publisher/editor?
  • What are the author’s qualifications and organizational affiliations?
  • Is the content sponsored or an advertisement for a product?
  • Are there multiple sources for information on the topic?

Accuracy

  • Is the factual information supported by evidence from another reliable source?
  • Is there too much preamble and not enough substance?
  • Is the information free of grammatical and spelling errors?
  • Does the language or tone seem unbiased?

Purpose

  • Is the purpose of the information to inform/persuade/entertain?
  • Are there personal/organizational/cultural/other biases?

By suggesting trusted sources to support the health of patients and families, and modelling critical thinking and evaluation, you can give our communities the tools they need to navigate today’s information-rich environment. Making these simple actions a part of your daily practice can also normalize asking questions.

If you need additional support with resources to recommend, please reach out to the library team for help at AskLibrary@nshealth.ca!

References

Abrams, E. M., Singer, A. G., Greenhawt, M., Stukus, D., & Shaker, M. (2021). Ten tips for improving your clinical practice during the COVID-19 pandemic. Current Opinion in Pediatrics, 33(2), 260–267. https://doi.org/10.1097/MOP.0000000000000998

Beaunoyer, E., Arsenault, M., Lomanowska, A. M., & Guitton, M. J. (2017). Understanding online health information: Evaluation, tools, and strategies. Patient Education and Counseling, 100(2), 183–189. https://doi.org/10.1016/j.pec.2016.08.028

Blakeslee, S. (2004). The CRAAP Test. LOEX Quarterly, 31(3), 6–7. https://commons.emich.edu/loexquarterly/vol31/iss3/4

Chowdhury, N., Khalid, A., & Turin, T. C. (2021). Understanding misinformation infodemic during public health emergencies due to large-scale disease outbreaks: A rapid review. Journal of Public Health (Berlin), 1–21. https://doi.org/10.1007/s10389-021-01565-3

Hammes, L. S., Rossi, A. P., Pedrotti, L. G., Pitrez, P. M., Mutlaq, M. P., & Rosa, R. G. (2021). Is the press properly presenting the epidemiological data on COVID-19? An analysis of newspapers from 25 countries. Journal of Public Health Policy, 43(2), 359-372. https://doi.org/10.1057/s41271-021-00298-7

Linda Yang

Librarian Educator

10/11/2021
profile-icon Roxanne MacMillan
No Subjects
As paramedics take on new roles they push at the ‘traditional’ boundaries of the profession.… Some of these new roles bring paramedics’ existing scope of practice to new environments. Other roles are opportunities for paramedics with expanded scopes of practice to provide alternative forms of care within their existing context of practice. Changes in patient disposition and treatment options radically change the types of decisions paramedics will make, and the educational foundation needed to function effectively.
Bowles, van Beek & Anderson, 2017, p.9

Paramedics and paramedic educators: We know that as your roles and responsibilities evolve, so does your need for current and reliable information to support evidence-based decision making. The new Paramedics subject guide can help! It provides easy, one-stop access to resources which support research, education, and point-of-care guidance in your profession.  

The Paramedics guide includes:

  • Links to practice resources, including professional standards and competencies, clinical guidelines and paramedic research projects
  • Specialized ebooks and ejournals to support paramedic practice and research
  • A curated list of electronic databases, including point-of-care tools such as BMJ Best Practice and ClinicalKey® 
  • Links to continuing education resources developed by leaders in paramedicine and emergency medicine
  • Recommended blogs and podcasts to help you stay current

More information and resources will be added to this guide over time, so be sure to check back often. For easy access, bookmark the guide and share widely with your colleagues: https://library.nshealth.ca/paramedics.

Contact Library Services at AskLibrary@nshealth.ca if you have suggestions or questions about the Paramedics guide.

References

Bowles, R. R., van Beek, C., & Anderson G. S. (2017). Four dimensions of paramedic practice in Canada: Defining and describing the profession. Australasian Journal of Paramedicine, 14(3). https://doi.org/10.33151/ajp.14.3.539

Roxanne MacMillan

Librarian Educator
Library Services, Central Zone

10/04/2021
profile-icon Kallen Rutledge

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 Content Creator Toolkit. Please contact pamphlets@nshealth.ca with any questions. You can search for pamphlets by title, keyword, or four-digit pamphlet number in the library catalogue, or view the complete listing of active titles in our Print Code Index.

The following pamphlets were revised or created in September 2021.

Digestive System 
WI85-0046 Bowel Surgery
WI85-0933 Laparoscopic Bowel Surgery
WI85-2230 NEW Changing a One-piece Colostomy/Ileostomy Pouch - Western Zone
WI85-2231 NEW Changing a Two-piece Colostomy/Ileostomy Pouch - Western Zone
WI85-2232 NEW Ostomy Discharge Instructions - Western Zone

French Translations (en français)
FF85-1744 Échocardiogramme (English: WG85-1214)
FF85-2158 NEW Chirurgie ambulatoire d'une hernie (English: WI85-0592)
FF85-2184 NEW Après votre opération de la thyroïde à l’hôpital général de Dartmouth (English: DG85-1628)
FF85-2188 NEW Soins continus - Information importante (English: WX85-2120)
FF85-2189 NEW Traitement de la lombalgie (mal au bas du dos) (English: WA85-1967)

Infectious Disease
WC85-2219 Supporting Your Recovery from COVID-19
WC85-2220 COVID-19 Discharge Checklist

Nervous System
WL85-2228 NEW Initiation and Motivation After an Acquired Brain Injury (ABI)

Nutrition & Food
LC85-0566 Nutrition Guidelines After Jaw Surgery
LC85-0568 Nutrition Guidelines for Colostomy

Oral Health
WU85-2227 NEW Tissue Transplant in Oral Surgery

Otorhinolaryngology
WV85-1883 After Ear Surgery (French: FF85-1920)

Palliative Care
WD85-2229 NEW Medical Assistance in Dying (MAID)

Physiotherapy & Rehabilitation
WB85-0937 Standing Leg Exercises (French: FF85-1908)
WB85-0938 Balance Program Arm Swing
WB85-0939 Balance Program Grapevine
WB85-0942 Seated Balance Program Ankle Bends
WB85-0943 Seated Balance Program Toe Raises
WB85-0944 Seated Balance Program Buttock Squeezes
WB85-0945 Seated Balance Program Hip Adduction
WB85-0946 Seated Balance Program Knee Raises
WB85-0947 Seated Balance Program Quad Exercises
WB85-0948 Seated Balance Program Legs Apart
WB85-0949 Seated Balance Program Hands Behind Head
WB85-0951 Seated Balance Program Sit to Stand
WB85-0952 Seated Balance Program Side Flexion
WB85-0953 Seated Balance Program Rotation
WB85-0954 Seated Balance Program Make a Fist
WB85-0961 Balance Program Sit to Stand - Hands on Chair
WB85-0962 Balance Program Sit to Stand - No Hands on Chair
WB85-0963 Balance Program Backward Walk with Cane
WB85-0964 Balance Program Backward Walk
WB85-0965 Balance Program Sideways Walk - 1 Hand
WB85-0967 Balance Program Sideways Walk - No Hands
WB85-2029 Seated Exercises
WB85-2030 Walking

Respiratory System
WF85-1885 Pulmonary Rehabilitation Program

Surgery
WO85-1599 After Orthopedic Day Surgery

Kallen Rutledge

Librarian Educator, Patient Education Pamphlets Lead
Nova Scotia Hospital, Central Zone

Field is required.