Ascension Wisconsin Librarians support your health care decisions with evidence-based research and fulltext resources.  

For guidance in how to read a medical research article, see the Critical Appraisal page on our Evidence-based Practice LibGuide.

Safety of the BNT162b2 mRNA Covid-19 Vaccine in a Nationwide Setting

N Engl J Med
2021 Aug 25. Online ahead of print.
Noam Barda 1, Noa Dagan 1, Yatir Ben-Shlomo 1, et al.
PMID: 34432976
DOI: 10.1056/NEJMoa2110475

Read the full article at NEJM

• This study was recently cited by Dr. Rich Fogel at a national Ascension Covid Update Meeting as to the safety and efficacy of the Covid vaccines.
• One of the studies from Israel where they have a high level of vaccination rates.
• The full article includes a graphic charting the (Figure 4) Absolute Excess Risk of Various Adverse Events after Vaccination or SARS-CoV-2 Infection.  This should help clarify some of the risks of getting the vaccine vs. going without it.
• Conclusions: In this study in a nationwide mass vaccination setting, the BNT162b2 [Pfizer] vaccine was NOT associated with an elevated risk of most of the adverse events examined.
•  The vaccine was associated with an excess risk of myocarditis (1 to 5 events per 100,000 persons). The risk of this potentially serious adverse event and of many other serious adverse events was substantially increased AFTER SARS-CoV-2 infection. 

Effectiveness of mRNA Covid-19 Vaccine among U.S. Health Care Personnel.

Pilishvili T, Gierke R, et al.; Vaccine Effectiveness among Healthcare Personnel Study Team.

N Engl J Med. 2021 Sep 22.    Online ahead of print.

PMID: 34551224

DOI: 10.1056/NEJMoa2106599. 

Read the full article at NEJM

• Results: For complete vaccination, vaccine effectiveness was 88.8% (Pfizer) and 96.3% (Moderna).
• Conclusions:  The [Pfizer and Moderna] vaccines are highly effective under real-world conditions in preventing symptomatic Covid-19 in healthcare personnel.  

Efficacy of the mRNA-1273 SARS-CoV-2 Vaccine at Completion of Blinded Phase.
El Sahly HM, Baden LR, et al.; COVE Study Group.

N Engl J Med. 2021 Sep 22.   Online ahead of print.

PMID: 34551225

doi: 10.1056/NEJMoa2113017. 

Read the full article at NEJM

• Vaccine efficacy in preventing Covid-19 illness was 93.2%
• The efficacy in preventing severe disease was 98.2%
• Efficacy in preventing asymptomatic infection was 63% 14 days after the 2nd injection.

Brought to your attention by Your Ascension Wisconsin Librarians:

Michele Matucheski  &  Kellee Selden

 How to fight the 'nursing exodus.' (Hint: It isn't $40,000 sign-on bonuses.)

September 14, 2021

The biggest crisis in health care right now isn’t Covid-19 spikes or economic uncertainty—it’s the dire state of the frontline clinical workforce, particularly RNs, according to this Advisory Board article. 

With demand for direct patient care jobs increasingly outpacing supply, the competition for nurses is fierce. This is especially true for RNs willing, able, and available to work in inpatient care. Recruitment strategies normally reserved for crises are now the norm; for example, offering sign-on bonuses upwards of $40,000, or extending travelers’ contracts indefinitely. While these tactics may keep your hospitals running tomorrow, here’s the problem: these band-aid solutions are unsustainable and will do nothing to stabilize your clinical workforce in the long-term. 

For myriad reasons, the current RN shortage will not reverse itself. C-suites and leadership boards must be prepared to confront hard truths regarding what it will take to stop the exodus of RNs from hospital-based care. 

Beyond budgetary impact, failing to invest now will affect quality and safety while eroding your organization’s capacity to advance growth and expand market share. 

Read on for must-do strategies for C-suite leaders working to turn the tide of the RN exodus.

Read the Full Article

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Why the change?

• It has been increasingly difficult, even impossible to maintain 4 separate Library intranets across Ascension Wisconsin (AW) with limited staff.
• Since the merger of Ascension Wisconsin in 2016, we’ve been working diligently behind the scenes to make sure we offer the SAME library resources throughout the state.   Over the last few years, we’ve  been making changes “under the hood” to codify, unify, and standardize Library offerings.  You may already be using some of our new AW Library Services LibGuide pages.  This will be the new standard going forward.
• This move is congruent with the idea of One Ascension Wisconsin with one Library Services Department to serve the whole of Ascension Wisconsin. 
•  Rest assured : You’ll still be able to access your favorite Library resources such as Nursing Reference Center, Clinical Key, Access Medicine, LibGuides, ebooks, your favorite eJournals, and more …
• Your Librarians, Michele Matucheski and Kellee Selden, will still be available to support the work you do by providing articles, and full-text access, research, and training—as usual.
• The physical libraries at Mercy Medical Center in Oshkosh and the CSM Library in Milwaukee remain the resource libraries for ALL of Ascension Wisconsin.  The Libraries at St Joseph's and All Saints remain open for self service, though Kellee is there on a limited schedule, as posted.  Only the Library intranet website is changing. 

What to use instead?

·          Use the Ascension Wisconsin Library Services LibGuide as the Library Intranet  Home Page: 

·         

How to get there?

·       Good Day Ascension >  My Ministry - Asc. Wisconsin > AW Library Services

·      

        Direct Link :  https://ascension-wi.libguides.com/libraryservices 

          Handy Tip :  Bookmark this page for easy future reference!

After October 21, 2021, the previous paths on the legacy Source intranet will also lead you to the new AW Library LibGuide.

The Source > Links & Resources > Library

NOTICE: The old CSM Library intranet ages will be retired on September 30, 2021.  

     >  Use the Ascension Wisconsin Library Services LibGuide as the NEW AW Library Intranet  Home Page.

Why the change?

• It has been increasingly difficult, even impossible to maintain 4 separate Library intranets across Ascension Wisconsin (AW) with limited staff.
• Since the merger of Ascension Wisconsin in 2016, we’ve been working diligently behind the scenes to make sure we offer the SAME library resources throughout the state.   Over the last few years, we’ve  been making changes “under the hood” to codify, unify, and standardize Library offerings.  You may already be using some of our new AW Library Services LibGuide pages.  This will be the new standard going forward.
• This move is congruent with the idea of One Ascension Wisconsin with one Library Services Department serving the whole of Ascension Wisconsin. 
•  Rest assured : You’ll still be able to access your favorite Library resources such as Nursing Reference Center, Clinical Key, Access Medicine, LibGuides, ebooks, your favorite eJournals, and more …
• Your Librarians, Michele Matucheski and Kellee Selden, will still be available to support the work you do by providing articles, and full-text access, research, and training—as usual.
• The physical libraries at Mercy Medical Center in Oshkosh and the CSM Library in Milwaukee remain the resource libraries for ALL of Ascension Wisconsin.  The Libraries at St Joseph's and All Saints remain open for self service, though Kellee is there on a limited schedule, as posted.  Only the Library intranet website is changing. 

What to use instead?

·          Use the Ascension Wisconsin Library Services LibGuide as the Library Intranet  Home Page: 

·         

How to get there?

·       Good Day Ascension >  My Ministry - Asc. Wisconsin > AW Library Services

·      

        Direct Link :  https://ascension-wi.libguides.com/libraryservices 

          Handy Tip :  Bookmark this page for easy future reference!

After DATE: the previous paths on the legacy intranets will also lead you to the new AW Library LibGuide.

CSM Intranet > Departments & Resources > Library

Why the change?

• It has been increasingly difficult, even impossible to maintain 4 separate Library intranets across Ascension Wisconsin (AW) with limited staff.
• Since the merger of Ascension Wisconsin in 2016, we’ve been working diligently behind the scenes to make sure we offer the SAME library resources throughout the state.   Over the last few years, we’ve  been making changes “under the hood” to codify, unify, and standardize Library offerings.  You may already be using some of our new AW Library Services LibGuide pages.  This will be the new standard going forward.
• This move is congruent with the idea of One Ascension Wisconsin with one Library Services Department to serve the whole of Ascension Wisconsin. 
•  Rest assured : You’ll still be able to access your favorite Library resources such as Nursing Reference Center, Clinical Key, Access Medicine, LibGuides, ebooks, your favorite eJournals, and more …
• Your Librarians, Michele Matucheski and Kellee Selden, will still be available to support the work you do by providing articles, and full-text access, research, and training—as usual.
• The physical libraries at Mercy Medical Center in Oshkosh and the CSM Library in Milwaukee remain the resource libraries for ALL of Ascension Wisconsin.  The Libraries at St Joseph's and All Saints remain open for self service, though Kellee is there on a limited schedule, as posted.  Only the Library intranet website is changing. 

What to use instead?

·          Use the Ascension Wisconsin Library Services LibGuide as the Library Intranet  Home Page: 

·         

How to get there?

·       Good Day Ascension >  My Ministry - Asc. Wisconsin > AW Library Services

·      

        Direct Link :  https://ascension-wi.libguides.com/libraryservices 

          Handy Tip :  Bookmark this page for easy future reference!

After September 21, 2021: the previous paths on the legacy intranets will also lead you to the new AW Library LibGuide.

TauNet > Library

See this page as a Google Doc.

Step 1:

The Good Day Ascension Portal should be a shortcut on your computer desktop.

This study was recently cited by Dr. Rich Fogel at a national Ascension Covid Update Meeting as to the safety and efficacy of the Covid vaccines.

Safety of the BNT162b2 mRNA Covid-19 Vaccine in a Nationwide Setting

 N Engl J Med

. 2021 Aug 25.

 doi: 10.1056/NEJMoa2110475. Online ahead of print.

Noam Barda 1, Noa Dagan 1, Yatir Ben-Shlomo 1, et al.

PMID: 34432976

 

DOI: 10.1056/NEJMoa2110475

Read the full article at NEJM

Copyright © 2021 Massachusetts Medical Society.

Chances are you've either presented a poster at a conference, or visited poster sessions as an attendee. Sometimes it goes well and you get ideas to bring back to your institution. Sometimes no one visits your poster and you feel like it was a waste of time. 

"A group of researchers from MIT found that stories that trigger an emotional response are shared way more than straight news stories. Added to that, neuroscientists have confirmed that we are more likely to remember stories that make us angry, sad, or laugh." Source (firstdraftnews.org)

In the era of fake news, it can be difficult to tell good info from bad on social media and the web.  One option is to use SIFT, a set of 4 moves that you can apply in less than 30 seconds. 

SIFT is an acronym that can help you quickly sort through misinformation on social media

SIFT stands for: 

• Stop.
• Investigate the source.
• Find better or other sources.
• Trace back to the original source to see quotes in their original context. 

Here's a slightly different take on it:

SIFT to Find Quality Sources Online

• Stop before you share
• Investigate the source
• Find the original source. 
• Use Trustworthy sources

Mike Caufield's Intro video to Sifting Through the Outbreak.  (about 4 min.)

Read more about SIFT:

• News Literacy Project

  NLP empowers educators to teach students the skills they need to be smart, active consumers of news and other information and engaged, informed participants in civic life. It also provides people of all ages with tools and resources that enable them to identify credible information and know what to trust, share and act on.
• SIFTing Through the Pandemic

  Mike Caulfield's blog about critically evaluating pandemic-related news and information. This site teaches a four-step process to use with coronavirus-related information that will show you “the skills that will make a dramatic difference in your ability to sort fact from fiction on the web (and everything in between).

Don’t Go Down the Rabbit Hole Critical thinking, as we’re taught to do it, isn’t helping in the fight against misinformation. Feb. 18, 2021

Fact Checking Websites

• FactCheck.org

  A project of the Annenberg Public Policy Center of the University of Pennsylvania, this nonpartisan, nonprofit seeks to "reduce the level of deception and confusion in U.S. Politics (FactCheck.org - About Us)."
• Snopes.com

  One of the internet's oldest rumor and fact-checking websites. Owner is apolitical.
• Politifact

  "PolitiFact is a fact-checking website that rates the accuracy of claims by elected officials and others who speak up in American politics. PolitiFact is run by editors and reporters from the Tampa Bay Times..."
• AP Fact Check

  "Fact-checking and accountability journalism from AP journalists around the globe. " - AP Fact Check
• All Sides Media Bias Ratings

  All Sides uses a variety of scientific surveying techniques to rate common media websites and news sources based on their right or left leaning bias. Check out all sides to get an idea of the general bias of a new source. Look for sources that are labeled C for the most neutral sources.

Questions or comments, contact Your Ascension Wisconsin Librarians:

Michele Matucheski  &  Kellee Selden

Reducing documentation burden on U.S. clinicians is an urgent priority within the healthcare community, and leaders around the field continue to collaborate on this effort since the conclusion of the 25×5 Symposium, held over six weeks early in 2021 to set the foundation for those efforts.

The 25×5 Symposium was developed to establish strategies and approaches to reduce clinician documentation burden on US clinicians to 25% by 2025.

Visit the 25 by 5 Website for 

• Executive Summary
• Appendix of  82 Action Items for
• Providers & Health Systems
• Health IT Vendors
• Policy & Advocacy Groups
• Symposium Materials
• Presentation Slides
• Videos

To aid the work in addressing the complex issue of documentation burden, an organizing framework from the American Nursing Informatics Association 2020 Position Paper was used to outline the Six Domains of Burden.  (Rosetti & Rosenbloom, 2021)

All of these should look familiar to our Clinicians and Caregivers.

For a brief explanation of the 25 by 5 Symposium, see the following blog post:

Rosetti, S., & Rosenbloom, S.T. (2021). 25×5: Decreasing Documentation Burden on U.S. Clinicians. Retrieved 27 August 2021, from https://nlmdirector.nlm.nih.gov/2021/08/11/25x5-decreasing-documentation-burden-on-u-s-clinicians/  Accessed 27 August 2021.

Brought to your attention by Ascension Wisconsin Librarians:
     Michele Matucheski  & Kellee Selden

What to say to your vaccine-hesitant patients: A doctor's 5 tips

Amid research showing the overwhelming majority of Americans trust their personal doctors more than other health information sources, one physician, Chau Che, is advocating for a doctor-driven grassroots effort to convince patients to get vaccinated against Covid-19—and she offers her five-step, two-minute approach to do so.

1. Acknowledge misinformation and your patient's apprehension.
2. Remind your patient of your trusted relationship, and how they didn't take health advice from the news, friends, or internet before Covid-19 without a consultation, so why would they start now.
3. Speak about your personal experience receiving the vaccine, and why you felt—and still feel—it was the best decision.
4. If applicable, speak about your children and how you plan to vaccinate them as well.
5. Come full circle, again acknowledging the patient's apprehension, but reminding them to have confidence that you, as their physician, have their best interest in mind.

Read the full story from The Advisory Board Daily Digest, August 24, 2021

Ascension Wisconsin Librarians support your health care decisions with evidence-based research and fulltext resources.  

Nurses Choice Recommended Reading - August 2021

Many people are experiencing increased stress and anxiety as we continue to battle COVID-19.  A blog post from the director of the National Institute of Mental Health states “The mental health impacts of COVID-19 continue. From all that we know, it is clear these impacts will outlive the pandemic itself.”[1] The American Psychological Association reports that many people are coping with their stress in unhealthy ways including increased alcohol consumption.[2] 

Mental Health Resources

Mental Health from MedlinePlus Mental health includes our emotional, psychological, and social well-being. It affects how we think, feel, and act as we cope with life.

How to Improve Mental Health from MedlinePlus: provides health information and tips for improving your mental health.

Depression from MedlinePlus  Depression is more than just a feeling of being sad or “blue” for a few days. If you are one of the more than 19 million teens and adults in the United States who have depression, the feelings do not go away.

Anxiety from MedlinePlus  Anxiety is a feeling of fear, dread, and uneasiness. It might cause you to sweat, feel restless and tense, and have a rapid heartbeat. It can be a normal reaction to stress. For example, you might feel anxious when faced with a difficult problem at work, before taking a test, or before making an important decision.

SAMHSA (The Substance Abuse and Mental Health Services Administration) leads public health efforts to advance the behavioral health of the nation and to improve the lives of individuals living with mental and substance use disorders, and their families.

Caring for your Mental Health – National Institute on Mental Health Mental health includes emotional, psychological, and social well-being. It affects how we think, feel, act, make choices, and relate to others. Mental health is more than the absence of a mental illness—it’s essential to your overall health and quality of life. Self-care can play a role in maintaining your mental health and help support your treatment and recovery if you have a mental illness.

NIH Emotional Wellness Toolkit: This NIH toolkit provides six strategies for improving your emotional health. 

NIH Social Wellness Toolkit: This NIH toolkit provides six strategies for improving your social health.

CDC COVID-19: Care for Yourself: The Centers for Disease Control and Prevention (CDC) provides information on caring for yourself, particularly during the COVID-19 pandemic.

CDC COVID-19: Coping With Stress: CDC provides information on how to cope with stress, particularly during the COVID-19 pandemic.

Shareable Resources on Coping with COVID-19 from NIMH: Help raise awareness about coping with COVID-19 by sharing these resources, includes graphics and social media.

Utilize your workplace EAP

What is an Employee Assistance Program (EAP)? An Employee Assistance Program (EAP) is a voluntary, work-based program that offers free and confidential assessments, short-term counseling, referrals, and follow-up services to employees who have personal and/or work-related problems.  EAPs address a broad and complex body of issues affecting mental and emotional well-being, such as alcohol and other substance abuse, stress, grief, family problems, and psychological disorders.  EAP counselors also work in a consultative role with managers and supervisors to address employee and organizational challenges and needs.  Many EAPs are active in helping organizations prevent and cope with workplace violence, trauma, and other emergency response situations.

Get immediate help in a crisis

Call 911

Disaster Distress Helpline

• 1-800-985-5990 (press 2 for Spanish)
• text TalkWithUs for English or Hablanos for Spanish to 66746.
• Spanish speakers from Puerto Rico can text Hablanos to 1-787-339-2663.

National Suicide Prevention Lifeline

• 1-800-273-TALK (8255) for English,
• 1-888-628-9454 for Spanish
• Lifeline Crisis Chat 

National Domestic Violence Hotline

• 1-800-799-7233
• text LOVEIS to 22522

National Child Abuse Hotline 

• 1-800-4AChild (1-800-422-4453)
• text 1-800-422-4453

National Sexual Assault Hotline from RAINN (Rape, Abuse & Incest National Network,) the nation's largest anti-sexual violence organization. 

• 1-800-656-HOPE (4673)
• Online Chat 

The Eldercare Locator 

• 1-800-677-1116  TTY Instructions

Veteran’s Crisis Line

• 1-800-273-TALK (8255)
• Crisis Chat 
• text: 8388255

Find a health care provider or treatment for substance use disorder and mental health

SAMHSA’s National Helpline

• 1-800-662-HELP (4357)
• TTY 1-800-487-4889
• Treatment Services Locator Website
• Interactive Map of Selected Federally Qualified Health Centers 

[1] Joshua Gordon, “NIMH Director’s Messages.”

[2] American Psychological Association, “One Year Later, a New Wave of Pandemic Health Concerns.”

Originally posted here by Bobbi Newman, the Community Engagement and Outreach Specialist at the Network of the National Library of Medicine Region 6 at the University of Iowa on August 3, 2021. Reprinted with permission from the author.

The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity

by The National Academies Press

Read online for FREE.

Description

The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.

RESOURCES AT A GLANCE

• Report Highlights
• Report Brief: Valuing Community and Public Health Nursing
• Report Brief: Transforming Nursing Education
• Report Brief: Paying for Health Equity
• Report Brief: Lifting Nurse Practice Barriers to Advance Health Equity
• Report Brief: Preparing Nurses to Respond to Disasters and Public Health Emergencies
• Press Release
• Report Brief: Highlights for Federal Policymakers and Agencies

• Report Recommendations
• Infographic
• Communications Toolkit
• Interactive Stakeholder Toolkit
• Frequently Asked Questions

Commissioned Papers

• White Paper: Paying for nursing care in fee-for-service and value-based systems
• Social Determinants of Health: Nursing, Health Professions and Interprofessional Education at a Crossroads

Brought to your attention by Ascension Wisconsin Librarians:
     Michele Matucheski  & Kellee Selden