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To recieve any of the following current awareness bulletins complete our form and we will add you to the mailing list.

Register to recieve current awareness bulletins

AI in Healthcare

Assisted Dying

Education

Emergency Medicine & Critical Care

Frailty

Fundamentals of Care

Mental Health

Midwifery

Midwifery Monthly

Neonates & Paediatrics

Nursing News

Obstetrics & Gynaecology

Oncology

Orthopaedics

Ten Tasters - Medicine

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Training is available for groups / teams.

Please ask for further information.

dgn-tr.library@nhs.net

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We strongly recommend you download the LibKey Nomad browser extension to your device.

On the Knowledge and library services (Knowledge and library services - flo) page there’s a section on Libkey Nomad with a drop down on ‘How to install Libkey Nomad on your browser’.

This will enable you more streamlined access to the full text of articles where available via OpenAthens.

If an article is not available via OpenAthens you will be directed to a form where you can request the article from your library service.

If you would like a demo of this via Teams please send an email to dgn-tr.library@nhs.net or call 01322 428548 to arrange.

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MAH Complete includes full current issue and back file coverage of leading titles, such as:

British Journal of Nursing

British Journal of Cardiac Nursing

British Journal of Community Nursing

Dental Nursing

Gastrointestinal Nursing

International Journal of Therapy & Rehabilitation

Journal of Family and Child Health

Journal of Prescribing Practice

Journal of Wound Care

Practice Nursing

and more.. Click HERE to access the journals.
Login using OpenAthens

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KCHFT - How the Library can Support you with your QI project

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KCHFT - How the Library can Support you with your QI project

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Do you have something you would like to ask?
Fill in the form with your query and a member of the library team will come back to you.

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Library Forms :: Dartford and Gravesham NHS Trust

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Subject Guides - if the area you are interested in is not here just ask us

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Subject Guides - if the area you are interested in is not here just ask us

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Introduction to LKS for KCHNHSFT - Presentation - see how we can help you - get in touch with us to ask any questions

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Introduction to LKS for KCHNHSFT - Presentation - see how we can help you - get in touch with us to ask any questions

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Introduction to LKS for Kent Community v.5

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What are the benefits of registering for OpenAthens?

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What are the benefits of registering for OpenAthens?

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With an OpenAthens password you can get access to a range of e-resources, including:

Full text journals

E-books

Databases

Clinical Decision Support Tools

Access these resources from anywhere, from any device, when you need them.

When registering for an OpenAthens account please use your NHS email address - this will mean that your account will be approved and activated quicker.

Thank you

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Learn how to search the databases effectively to find the evidence you need, how to reference and how to critically appraise the research.

Click HERE for more information.

Sessions can be delivered for individuals or groups.

All training will be delivered either in person at Darent Valley Hospital or via Teams.

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What to expect when you request a search

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What to expect when you request a search

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Please give as much time as possible when requesting a search and let us know when you need it by. All requests will be processed in order of priority.

You will be presented with a list of abstracts, information on the search strategies used and the databases searched.

You will then be able to either access the full text of articles required by clicking on a link and logging in using OpenAthens OR you can request the full text of specific articles from the library.

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Understanding Health Literacy in Your Area

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Understanding Health Literacy in Your Area

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This tool provides an estimate of the percentage of a local authority population with low health literacy and numeracy or with just low health literacy. It draws on the most recent national survey of literacy and numeracy in England (the 2011 Skills for Life Survey) with a population update based on the 2021 Census and the 2019 Index of Deprivation.

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This tool provides an estimate of the percentage of a local authority population with low health literacy and numeracy or with just low health literacy. It draws on the most recent national survey of literacy and numeracy in England (the 2011 Skills for Life Survey) with a population update based on the 2021 Census and the 2019 Index of Deprivation. Further details are included on the Methods tab (accessed via the Map view).

To search by local authority, select either "health literacy alone" or "health literacy and numeracy combined". Then enter the name of the local authority using lower tier local authority names i.e. the local council (district or borough).

The search by local authority will give you the prevalence for the chosen indicator in the chosen council and a graph comparing the chosen council with the national average. The local authority search will also give access to tabs offering: a) a zoomable map showing the chosen values for nearby council areas; and b) a summary of the methods used in the data analysis.

Alternatively, you can search using the map view. When using the map view, you can zoom in or out to see comparative levels over a wider or smaller geographic area. Click on the local authority areas in the map to see the estimated prevalence. The map view also gives access to the Methods and Graph tabs.

Percentage of the population aged 16-65 that are BELOW threshold levels of health literacy

Estimated prevalence of low health literacy

Map shows the level of prevalence in the chosen Local Authority. Click on a neighbouring Authority to display its value.

Zoom in and out of the map using the '+' and '-' controls in the top left-hand corner. Zoom to the extent of England using the 'zoom to max extent' button.

Methods

The initial underpinning data for the estimates were taken from the Skills for Life Survey (SfLS), 2011. This remains the most recent survey for which it is possible to estimate health literacy/numeracy levels within a representative English population. Prior research by Rowlands and colleagues estimated individual levels of health literacy/numeracy using weighted logistic regression. They identified characteristics that determined whether or not an individual in the SfLS met a threshold level which would enable them to understand 70% of the health-related materials that they would be likely to encounter in routine health interactions [1],[2]

The local authority level estimates used multilevel small area estimation [3],[4],[5]. This approach has been widely used to explore geographical variations for a range of health and other measures for which geographical data do not otherwise exist, including health-related behaviours, unmet health needs and social capital, as well as health literacy [6]. Its development and application has been supported by health agencies, UK research councils and the market research industry.

For health literacy/numeracy, the multilevel small area estimation process involved:

1. Developing multilevel models to predict individual health literacy/numeracy using SflS data. The covariates for health literacy were (individual level) sex, age (ten-year bands) and education (degree, none, other), and (area level) index of deprivation (quartiles), proportion of primary sampling unit (PSU) not speaking English as a first language at home, and PSU proportion of South Asian ethnicity. The same covariates were used for the health literacy plus health numeracy model save that the non-English speaking covariate was replaced by the PSU proportion of Black ethnicity. An extensive selection process underpinned the choice of covariates reflecting literature on the determinants of health literacy/numeracy and statistical issues. Modelling used Bayesian Monte Carlo Markov Chain (MCMC) methods with MLwiN software . Models were extensively checked for quality.

2. Reworking the two multilevel equations, applying data from the 2021 Census and the 2019 Index of Deprivation to the relevant covariates to generate estimates of the numbers of individuals with particular age-sex-education characteristics living in each Lower Level Super Output Areas (LSOA) in England, adjusting these counts to reflect LSOA levels of deprivation, and (reflecting the underpinning model) proportion not speaking English, Black or South Asian ethnicity, and further adjusting to take account of regional variation. This process ensures that the LSOA estimates reflect the most recent available data as well as local and regional variation.

3. Aggregating the LSOA estimates to lower tier local authorities using look-up tables available from the Office for National Statistics and calculating credible intervals for the estimates using the MCMC modelling outputs to derive measures of the statistical uncertainty that accompanies the estimates. Credible intervals are the Bayesian term for the more familiar confidence intervals. On average the 95% credible interval for each local authority is c. +/-4%.

References

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This tool provides an estimate of the percentage of a local authority population with low health literacy and numeracy or with just low health literacy. It draws on the most recent national survey of literacy and numeracy in England (the 2011 Skills for Life Survey) with a population update based on the 2021 Census and the 2019 Index of Deprivation.

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Resources for staff to use and share with the people they care for

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Resources for staff to use and share with the people they care for

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For anyone working or studying in health and care, as well as patients, their families and carers with general health and wellbeing we have collected books and online links – take a look at our Uplifting Resources and Your Health Collection.  The books are available to staff working a Trust via their health library, but most people will be able find the books in their local public library too.

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Easy read guides to health choices and questions to ask

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Easy read guides to health choices and questions to ask

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NHS Knowledge and Library Services have worked with people with lived experience to produce two, new, easy read guides for people with learning disabilities.

Get ready to talk about your health

3 questions for better health

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Easy read guides to health choices and questions to ask -

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Library and knowledge services for the NHS

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This 2023 second edition of the Health Literacy Toolkit opens with a general introduction to health literacy and digital health literacy. The main focus of the document is a review of tools and techniques that are freely available.

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This 2023 second edition of the Health Literacy Toolkit opens with a general introduction to health literacy and digital health literacy. The main focus of the document is a review of tools and techniques that are freely available.

The full toolkit can be downloaded as a PDF or the full toolkit can be downloaded as a Word document.

The principal tools and techniques are listed below, with links where these are specific tools on external websites, rather than wider techniques. Different aspects of health literacy, such as 'Spoken Communication', are included in the full toolkit as context for using the tools
Guidance and Tools 1. Communicating with people
Tool 1: Levels of literacy and numeracy
2. Spoken communication
Tool 2: Teach-Back

Tool 3: Chunk and Check

Tool 4: Health Literacy eLearning
3. Written Information
Tool 5: How to write in plain English

Tool 6: A-Z of alternative words from the Plain English Campaign

Tool 7: Plain English lexicon from the Plain Language Commission

Tool 8: Care and Support Jargon Buster from Think Local Act Personal

Tool 9: A guide to producing written information in easy read from North Yorkshire County Council
4. Readability
Tool 10: Hemingway

Tool 11: Flesch-Kincaid readability test

Tool 12: Drivel Defence

Tool 13: NHS Medical Document Readability Tool
5. Involving service users
Levels of user involvement

Tool 14: Co-production
6. Design
Information in print

Additional tips for digital information

Pictures, graphs and other images
Acknowledgements
This is the second edition of a toolkit that was originally developed by the Community Health and Learning Foundation, Public Health England, Health Education England and NHS England. This revised version was developed in 2023 by a Task and Finish group of health knowledge and library specialists, working with Liz Woolf as an external writer.

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This page is for patients, their families and carers as well as the health and care staff supporting them. We [...]

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Health Literacy - FREE e-learning course

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Health Literacy - FREE e-learning course

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Did you know that 43% of adults aged 16-65 struggle with text-based health information and that increases to 61% if the information also includes numbers? If you want to know more, and learn how you can help people understand health information better, take this 35 minute e-learning course.

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This programme is in partnership with...

About the Health Literacy programme

Health literacy is about people having enough knowledge, understanding, skills and confidence to use health information, to be active partners in their care, and to navigate health and social care systems. Therefore, to access, assess and apply health information, people need to be health literate. The health literacy levels in England are very low: 43% of 16 to 65-year-olds struggle with text-based health information; and 61% of 16 to 65-year-olds cannot understand health information that includes both text and numbers (Rowlands et al., 2015. View article).

People working in health and social care need to be aware of health literacy and of the techniques that can help to increase understanding.

Promoting health literacy is everyone's responsibility. NHS Education for Scotland (NES) and Health Education England (HEE) have collaborated to develop a new elearning module to help you understand the role health literacy plays in making sure everyone has enough knowledge, understanding, skills and confidence to use health information, to be active partners in their care, and to navigate health and social care systems.

The elearning session takes about 30 minutes to complete. At the end of the session, you will know why health literacy is important and how to use some simple techniques including TeachBack, chunk and check, using pictures and simple language to improve how you communicate and check understanding with others. After each section you can complete an action plan of how you intend to use the techniques in your practice. You can use this plan as evidence of your learning in your appraisal or professional portfolio.
Learning objectives:

List the benefits of health literacy to individuals and services

List health literacy tools and techniques

Explain how to use health literacy tools and techniques

Describe the impact of health literacy on people's health choices

Create a personal action plan to be health literacy friendly

More information

This elearning resource is pitched educationally as an introduction to health literacy, why it is important and the core techniques that can be used to improve health literacy. It has been developed in partnership by HEE and NES to raise the awareness of health literacy and its impact on health and social care staff. It supports a more blended approach to learning and spreading awareness of health literacy, building on the NES resource in The Health Literacy Place ( http://www.healthliteracyplace.org.uk/) and HEE's health literacy toolkit ( https://www.hee.nhs.uk/our-work/population-health/training-educational-resources).

How to access

In order to access the Health Literacy programme, you will need an e-LfH account. If you do not have one, then you can register by selecting the Register button below. Please note that you do not need to have an NHS email account to register.
Register >
To view the Health Literacy programme, select the View button below. If you already have an account with e-LfH, you will also be able to login and enrol on the programme from the View button.
View >
Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access elfh Hub, you may be able to access the service by creating an OpenAthens account.

To check whether or not you qualify for free access via OpenAthens, you can view the eligibility criteria and register on the ' OpenAthens ' portal.

Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the Health Literacyprogramme, please contact elfh directly.

More information

Please select the following link for more information on how to use the elfh Hub.

elfh is a NHS England programme in partnership with the NHS and professional bodies

© elearning for healthcare 2023

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Health Literacy - elearning for healthcare

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This programme is in partnership with... Health literacy is about people having enough knowledge, understanding, skills and confidence to use health information, to be active partners in their care, and to navigate health and social care systems. Therefore, to access, assess and apply health information, people need to be health literate.

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NHS England Workforce, Training and Education

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750 million+ members | Manage your professional identity. Build and engage with your professional network. Access knowledge, insights and opportunities.

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To keep up to date in healthcare management and administration you can register to recieve updates from the following:

Kings Fund

Nuffield Trust

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We can offer help with putting your references together and using reference management software to manage them. This is available for groups or individuals.

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How to Search the Databases to find Articles and Research

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How to Search the Databases to find Articles and Research

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Learn how to search the databases to find the evidence you need to support your research or patient care.

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Do you need to learn how to appraise the research for validity, reliability and relevance?

If you are a complete beginner or need a refresher we will have something to suit all abilities.

We offer several sessions in Critical Appraisal, including:

Exploring Critical Appraisal (How to Read a Paper)

Critical Appraisal of Quantitative Studies

Critical Appraisal of Systematic Reviews

Critical Appraisal of Qualitative Studies

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Knowledge retention and transfer toolkit

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Knowledge retention and transfer toolkit

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Use this template to help elicit information from a colleague on a specific area of knowledge which they have gained through their experiences.

Knowledge Retention Toolkit for Leavers

Question template for facilitated session

Knowledge prioritisation plan template

Contact list template

Useful resources template

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Workforce, training and education | Knowledge and Library Services

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Use this template to help elicit information from a colleague on a specific area of knowledge which they have gained through their experiences

Getting Started

Start thinking about your knowledge transfer as early as possible and get dates for activities/events in diaries with colleagues early on.

1. identify what you think are the key knowledge areas you are taking with you when you leave

2. ask team/colleagues what they think they would like to know from you before you go - it may be different!

3. agree with line manager the priorities to focus on

4. agree with line manager reasonable actions for each priority. These activities may include a combination from the toolbox below

5. identify a key colleague to help and to facilitate your knowledge transfer activities

6. create your 'legacy' and capture output from the activities and store in a central area accessible to all the team

A toolbox of knowledge transfer activities:

Below are a selection of activities to help with the transfer of knowledge. They are not a checklist, but a toolbox from which to select the most appropriate.

What do others need to know about my job?

Create a table of the key priorities relating to your job and identify who needs to know this information and how you are going to give it to them.

Go to the knowledge prioritisation plan template.

Create a physical handover folder

You can put a copy of all key documents (with file path added in the footer) and a printed copy of any of the documents you created from the list below.

Collate vital emails

75% of organisational knowledge is transferred via email and is lost when your email account is deleted when you leave. Go through your mailbox thoroughly and collate the ones you know will be useful to colleagues, save as actual document.

Key contact lists

Draft a key contacts list, who you use to get your job done, internally, externally. Annotate with useful background/context.

Go to the knowledge retention and transfer contacts list template.

Calendar of my job

Create table of activities/events that take place during a standard year and note what must happen when and who is involved etc.

Go to the calendar of events template.

Organise your files to be transfered into the shared drive

Prune and organise your electronic documents and files and transfer them into your team's shared drive.

You could also leave colleagues a guide to your unique file structure. The guide could be added to your prioritisation plan.

'Work in hand' statements

Draft a brief position statement for each on going/ unfinished area of work. The position statement could be added to your prioritisation plan.

Useful resources

Draft a list (not too long) of the resources you use to get your job done (favourite databases, websites, books, etc.)

Go to a template for recording your useful resources.

Handover guides

Write up 'how to', 'best practice', and procedure guides.

My FAQs

Write up the top 5 questions you are repeatedly asked by collegues.

Elicitation interview

1:1 with line manager or other appropriate colleague on specific area of knowledge to draw out tacit knowledge (what's in your head).

Go to the knowledge and retention transfer questions template.

'Audience with...'

this is a Q&A session with your immediate (and sometimes wider) team, and can be linked to a last team meeting.

Colleagues get to ask you anything they want to know. Prepare the team in advance to think of questions. Works best if made an informal social event - i.e. over tea & cakes.

Knowledge exchange

A quick transfer of essential knowledge. You and the team, in a room, for an hour. Team draft 'top 10 things we want to know about X'.

You simultaneously draft 'Top 10 things you need to know about X'. Bring lists together, work through and answer questions there and then.

Ensures the crucial knowledge is exchanged in a short space of time, no lengthy documenting. Team members are responsible for capturing their own notes.

Masterclass

In-depth training for a group of people in a specific area of knowledge. Prepare an annotated PowerPoint presentation to leave for colleagues reference after the event.

Coaching or Baton passing

Arrange 1:1 sessions with key colleague.

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Knowledge retention and transfer toolkit | Workforce, training and education

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Use this template to help elicit information from a colleague on a specific area of knowledge which they have gained through their experiences

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Additional resources about the learning after element of the Knowledge Mobilisation Framework.

Knowledge harvesting

Retrospect

Storytelling

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Workforce, training and education | Knowledge and Library Services

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Additional resources about the learning after element of the Knowledge Mobilisation Framework.

If you want to know more about any of these techniques please contact your local NHS knowledge and library service or have a conversation with a regional library lead on [email protected] .

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Learning after resources | Workforce, training and education

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Additional resources about the learning after element of the Knowledge Mobilisation Framework.

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Additional resources about the learning during tools section of the Knowledge Mobilisation Framework.

Action Learning Sets

After Action Review

Communities of practice

Fishbowl

Knowledge assets

Knowledge Cafe

Randomised Coffee Trials

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Workforce, training and education | Knowledge and Library Services

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Additional resources about the learning during tools section of the Knowledge Mobilisation Framework.

If you want to know more about any of these techniques, contact your local NHS Knowledge and Library Service or have a conversation with a Regional Library Lead on [email protected] .

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Learning During resources | Workforce, training and education

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Additional resources about the learning during tools section of the Knowledge Mobilisation Framework.

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Additional resources about the learning before section of the Knowledge Mobilisation Framework.

Appreciative Inquiry

Before Action Review

Peer Assist

Self-Assessment

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Workforce, training and education | Knowledge and Library Services

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Additional resources about the learning before section of the Knowledge Mobilisation Framework.

If you want to know more about any of these techniques please contact your local NHS Knowledge and Library Service or have a conversation with the HEE Knowledge for Healthcare team.

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Learning before resources | Workforce, training and education

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Additional resources about the learning before section of the Knowledge Mobilisation Framework.

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A selection of tools and resources to help you use evidence and knowledge to inform NHS policy and practice

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A selection of tools and resources to help you use evidence and knowledge to inform NHS policy and practice

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Is there a specific book or journal article you would like to find? Fill out our request form with the details and we will locate if for you.

Please make sure you are registered with the library before you make your request. This will ensure your request is processed as quickly as possible. Thank you.

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British National Formulary for Children (BNFC)

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British National Formulary for Children (BNFC)

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Key information on the selection, prescribing, dispensing and administration of medicines used for children.

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The NICE British National Formulary for Children (BNFc) site is only available to users in the UK (England, Scotland, Wales and Northern Ireland)

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To access any of these databases follow the link below and login using your NHS OpenAthens account.

Cinahl

Embase

Emcare

Medline

Social Policy and Practice

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Trip is a clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care.

Authenticated by IP as well as NHS OpenAthens.

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The Cochrane Library is a collection of databases that contain high-quality, independent evidence to inform healthcare decision-making.

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Key information on the selection, prescribing, dispensing and administration of medicines.

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The NICE British National Formulary (BNF) site is only available to users in the UK (England, Scotland, Wales and Northern Ireland).

If you are outside the UK, you can access BNF content by subscribing to Medicines Complete.

If you believe you are seeing this page in error, please contact us.

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The NICE British National Formulary (BNF) site is only available to users in the UK (England, Scotland, Wales and Northern Ireland)

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Quick answers to clinical questions

Clinical Knowledge Summaries are concise, accessible summaries of current evidence for primary care professionals. There are over 370 topics to choose from.

The topics focus on the most common and significant presentations in primary care. They give trusted information to support safe decision-making and improve standards of patient care.

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The NICE Clinical Knowledge Summary (CKS) site is only available to users in the UK, Crown Dependencies and British Overseas Territories

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Kortext - ebook collections - access to over 700 e-books

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Kortext - ebook collections - access to over 700 e-books

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To access these national e-book collections you will need to login using your OpenAthens account.

Diversity Collection

Primary Care Collection

Psychological Professions Collection

Resilience and Wellbeing Collection

Sustainability Collection

E-books - Nationally purchased content

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Access the Maudsley Prescribing Guidelines HERE and login using OpenAthens

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Access BMJ Journals online HERE then login using OpenAthens

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Can't find what you need?

Email, phone or come and see us and we will be able to help you.

Email: dgn-tr.library@nhs.net

Phone: 01322 42 8548

Professional Library :: Dartford and Gravesham NHS Trust (dgt.nhs.uk)

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To book a session for yourself or a group or to discuss your needs send an email to dgn-tr.library@nhs.net or phone 01322 428548

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Join the Library                                      

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Join the Library                                      

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PLEASE REGISTER WITH THE LIBRARY BEFORE REQUESTING BOOKS OR ARTICLES - THIS WILL ENABLE US TO SPEED UP YOUR REQUESTS. THANK YOU

To register with the library just fill out our membership form HERE

Library staffed opening hours are Monday to Friday, 09.00-16.30

All library members are eligible to borrow up to 10 items for a period of 4 weeks.

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Knowledge and library services - Give the Gift of Time (2020)

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Knowledge and library services - Give the Gift of Time (2020)

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Health Education England - Library and Knowledge Services -  Gift of Time

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Browse all the journals available to you - click on the link above and make sure you are logged in with OpenAthens. Journals are sorted by subject including Nursing.

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Search the catalogue HERE to find books.

If you can't find what you are looking for just ask as we can usually locate things from elsewhere.

Once you have registered with the library you will be able to request and renew items via the catalogue.

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Is there a specific book or journal article you would like to find?

Fill out our request form with the details and we will locate if for you.

Please make sure you are registered with the library before you make your request. Thank you.

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Register for OpenAthens - Please use your NHS email when registering

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Register for OpenAthens - Please use your NHS email when registering

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HIGHLY RECOMMENDED

To access all the e-resources, including articles, e-books & healthcare databases you will need an OpenAthens account. Click above to register.

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Already have an account? Login

Please note that you need to activate your account before you can use it. Please read the information on the page you'll see after you have submitted this form, and check your inbox for your activation email.

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Already have an account? Login Please note that you need to activate your account before you can use it. Please read the information on the page you'll see after you have submitted this form, and check your inbox for your activation email.

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BMJ Best Practice is an evidence-based, clinical decision support tool that provides healthcare professionals with continually updated, reliable information on the diagnosis, treatment, and management of medical conditions.

Includes:

Comorbidities Manager - supports healthcare professionals to treat the whole patient when managing acute conditions

Differential diagnoses, unique treatment algorithms, & step-by-step guidance on treatment

Nearly 500 evidence-based patient leaflets

Typical patient case histories

5000+ images and videos

250+ clinical calculators

CME/CPD activity tracking

Login using OpenAthens or access via the App

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Access HERE - Click on the yellow bar at the top of the screen then login using your OpenAthens account.

The Knowledge and Library Hub gives access to many resources all in one place.

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Do you need to find the latest evidence to support your work?

Library staff can perform a search of the literature for you to find the latest research. When making your request be as specific as you can so that we can search as accuratley as possible for you.

As well as searching for clinical topics we can search for the evidence to support your management decision making.

Email dgn-tr.library@nhs.net with your request, come & see us or fill in our online search request form.

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Royal Marsden Manual of Clinical and Cancer Nursing Procedures, 10th edition

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Royal Marsden Manual of Clinical and Cancer Nursing Procedures, 10th edition

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Access the Royal Marsden via the link on Adagio or click HERE and login using OpenAthens