NHS GGC E-book trial

1. NHS GGC E-book trial Charlotte Boulnois Library Services Manager NHS Greater Glasgow and Clyde

2. Context • GRI library in temporary accommodation as from March 2011 • Very limited space for books – no space for new book titles • Although book budget reduced, still not able to spend it all • Recognition that e-books are the way to go • Attendance joint NHS/HE e-books conference Bristol May 2012

3. Test of change • Formal Knowledge into Action Test of change project • Existing book supplier Coutts which has well established e-book platform Myilibrary • Working in partnership with well defined test subjects through Nursing Practice Development – 2 cohorts of nurses on CCU/HDU advanced practice course

4. Obtaining the resources • Contact with Coutts • Investigate Myilibrary model • Payment of Platform fee • Payment of Download fee • Purchase of 10 e-book titles • Purchase of 7 Nexus 7 tablets

5. What did we get for our money • Up to 3 concurrent users able to download title to mobile device for between 14 – 28 days (our normal loan period) • Online “reference” version always available • Once loan period up book automatically removed from device • Users can borrow up to 8 titles at any one time • Users can reserve titles that already out

6. Why did we also buy Nexus 7’s • Recognition that not everyone will have the right mobile device as e-books not available on Kindles/Kindle Paperwhites • Equity of access – particularly during trial • Able to use patient’s wi-fi (special dispensation for trial) so could access books at work • Just before second cohort started GRI library broken into and Nexus 7’s stolen

7. Trialling e-books • 2 cohorts, all nurses undertaking advanced practice CCU/HDU course • 10 in first cohort, 16 in second • First cohort lent 7 Nexus tablets • All asked to fill in pre and post use survey • Each course last 8 weeks • 10 e-book titles brought specifically for course • All books accessed via Myilibrary site using Athens authentication

8. Pre-use survey • 100% compliance • Both cohorts thought e-books would be helpful with learning • Over 90% students had own mobile devices • Cohort 1 – 90% thought having access to tablet borrowed from library would help access • Only 25% in each cohort borrowed print books from Library Network on Monthly basis • 33% (C1) and 57% (C2) respectively never used TKN for journals/databases etc • 87.5% (C1) and 84% (C2) used DDS for articles • Over 80% of both groups confident or very confident in use of technology • 90% of both groups either happy or very keen to try out e-books • 70% (C1) and 68.5% (C2) used e-books for leisure reading

9. Post – use survey • Out of 26 students only 2 filled in post use survey – one in each cohort • Neither respondents used any of the e-books • Member of cohort 1 did not use because they prefered to make highlighted notes on own printed copy of books/articles • Member of cohort 2 unable to access e-books as only e-reader available was Kindle (cohort 2 did not have access to library tablets)

10. However the statistics show a different picture • Administrator sites on myilibrary provided good statistics • Able to ascertain not only number of downloads but also number of pages viewed from online version – per title • http://lib.myilibrary.com/Login.aspx

11. Usage figures – cohort 1 • Most popular title – “How to read a paper” – T. Greenhalgh • Accessed 8 times and downloaded 4 times • Out of the 10 titles available 9 were accessed and there were 14 downloads. • Also downloaded/accessed multiple times:- • ABC of intensive care • Clinical anatomy for dummies • Getting started on health research

12. Usage figures – cohort 2 • All 10 titles accessed/downloaded • How to read a paper most popular again with 6 downloads • Monitoring the critically ill patient – 5 downloads • Guided reflection – 3 downloads

13. Actual statistics – Cohort 1& Cohort 2

14. Even more e-books • Extra titles added to myilibrary collection • 152 titles from 123.library • Titles purchased by NES as online only • Paid 15% download fee • Only one person download at time for 1 month • Accessible via GGC catalogue and TKN • Use Athens login • https://www.123library.org/

15. Examples of 123 titles • 100 cases in clinical medicine • A guide to MRCP Part 2 • ABC of Asthma • Bailey & Love’s Short practice of surgery • Cracking the MRCS Viva • Evidence based dementia care • Handbook of child psychology • Lower extremity wounds • Rutter’s Child and adolescent psychiatry • Scott-Brown’s Otorhinolaryngology: head and neck surgery

16. Pros Titles brought in “perpetuity” like print books – will have to purchase new editions Users like, but good idea to be able to loan equipment as not available on Kindle devices Use of e-books for point of care material eg Oxford handbooks Can’t have an e-book overdue nor steal it – perfect for high demand books eg exam related titles NHSGGC LN decided to ring fence 30% of resource budget to purchase “core collection” of e- books as overall positive response Additional titles up to individual sites to decide to purchase print or e-book format Cons E-books cost more as have to pay VAT and platform/download fees Once e-book on loan can’t return early – will be on device until loan period up E-books or not

17. Questions?