research / evidence- based nursing ©leslie e. menz, mlis, librarian sfmc college of nursing 511 ne...

RESEARCH / EVIDENCE-RESEARCH / EVIDENCE-BASED NURSINGBASED NURSING

©Leslie E. Menz, MLIS, Librarian©Leslie E. Menz, MLIS, LibrarianSFMC College of Nursing

511 NE GreenleafPeoria, Il  61603

309.655.2180FAX -- 309.655.3648

Leslie.E.Menz@osfhealthcare.org7/31/2013

All links in this PowerPoint can be opened All links in this PowerPoint can be opened

in ‘slide sort view’ in ‘slide sort view’ by ‘right click’ by ‘right click’ on the ‘active link’ on the ‘active link’ Select ‘open hyperlink’ from the ‘drop down menu’Select ‘open hyperlink’ from the ‘drop down menu’

Screenshots and links in this presentation will guide the Screenshots and links in this presentation will guide the student student

step by step through accessing and using step by step through accessing and using Saint Francis Medical Center College of Nursing databasesSaint Francis Medical Center College of Nursing databases

EBSCO, I-SHARE, & OTHER EBSCO, I-SHARE, & OTHER IMPORTANT LIBRARY INFOIMPORTANT LIBRARY INFOWhat you need to know What you need to know

2013-14 Library Hours2013-14 Library Hours

Mondays – Thursdays Mondays – Thursdays 7:30 a.m. – 9:00 7:30 a.m. – 9:00 p.m.p.m.

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HOLIDAYS, INCLEMENT WEATHER, and unexpected closings HOLIDAYS, INCLEMENT WEATHER, and unexpected closings

will be posted in eCollege and on the Library door. If the will be posted in eCollege and on the Library door. If the College is closed, it is a safe assumption the Library is College is closed, it is a safe assumption the Library is too, but you can always call and check.too, but you can always call and check.

CONTACT INFOCONTACT INFOhttp://www.sfmccon.edu/

Library Staff:   Leslie E. Menz, MLIS, Librarian Becky Rundall, BA, Library

Technician

511 N.E. GreenleafPeoria, IL 61603

phone 309-655-2180fax 309-655-3648

e-mail CONLibrary@osfhealthcare.org

Evidence Based Practice resources available from OSF for nurses/nursing students

(The Medical Research Library of Brooklyn, 2009a)

The Research Pyramid

PICO(T)PICO(T)

PatientPatient Intervention/ExposureIntervention/Exposure ComparisonComparison OutcomeOutcome

T = Longitudinal Study (time)T = Longitudinal Study (time)

Search StrategiesSearch StrategiesNuts & BoltsNuts & Bolts

Break down question into keywordsBreak down question into keywords If you search by a whole PICO If you search by a whole PICO

question, your results will be question, your results will be overwhelming or nothingoverwhelming or nothing

Think LOGIC If A, then B, NOT C = DThink LOGIC If A, then B, NOT C = D Boolean LogicBoolean Logic

(Answers.comHealth, 2007)

EBSCO / CINAHL EBSCO / CINAHL SEARCHINGSEARCHING

PP

II

C

OO

Most journal articles are Most journal articles are written based on the written based on the PICO research questionPICO research question

Templates for Asking PICO QuestionTemplates for Asking PICO Question

PPatient population/disease atient population/disease The patient population or disease of interest, The patient population or disease of interest, for examplefor example::

AgeAge GenderGender EthnicityEthnicity With certain disorder (e.g., hepatitis)With certain disorder (e.g., hepatitis)

IIntervention or issue of interest ntervention or issue of interest The intervention or range of interventions of The intervention or range of interventions of interest, interest, for examplefor example::

Therapy Therapy Exposure to diseaseExposure to disease Prognosis factor Prognosis factor AA Risk behavior (e.g., smoking)Risk behavior (e.g., smoking)

CComparison intervention or issue of interest omparison intervention or issue of interest What you want to compare What you want to compare the intervention against, for examplethe intervention against, for example::

Alternative therapy, placebo, or no intervention/therapyAlternative therapy, placebo, or no intervention/therapy No diseaseNo disease Placebo factor Placebo factor BB Absence of risk factor (e.g., non-smoking)Absence of risk factor (e.g., non-smoking)

OOutcome utcome Outcome of interest, for exampleOutcome of interest, for example:: Outcome expected from therapy (e.g. pressure ulcers)Outcome expected from therapy (e.g. pressure ulcers) Risk of diseaseRisk of disease Accuracy of diagnosisAccuracy of diagnosis Rate of occurrence of adverse outcome (e.g., death)Rate of occurrence of adverse outcome (e.g., death)

TTimeime The time involved to demonstrate an outcome, for example:The time involved to demonstrate an outcome, for example: The time it takes for the intervention to achieve the outcomeThe time it takes for the intervention to achieve the outcome The time over which populations are observed for the outcome (e.g. quality of life) to occur, given a The time over which populations are observed for the outcome (e.g. quality of life) to occur, given a

certain condition (e.g., prostate cancer)certain condition (e.g., prostate cancer)

(Nollan, & Fineout-Overholt, 2005, p. 30)

Before starting a search, write down the answers to these PICO questions. The key elements in the answers will become search terms in your on-line search and the additional information will help you when analyzing the studies you find. It often helps to form these elements in the form of a question:

AMONG 50-year old women with a family history of breast cancer DOES hormone replacement therapy AS COMPARED TO placebo reduce the risk of Alzheimer's Disease?

(The Medical Research Library of Brooklyn, 2009b)

PICOP Patient or population Describes patient (age, sex, race,

past medical history, etc.)A 50 year old woman with a

family history of breast cancer

I Intervention What happens or is to be done; treatment, diagnostic test,

exposure, screening

Hormone replacement therapy

C Comparison Compared to what? Nothing, placebo, gold standard, another

intervention

Placebo

O Outcomes (preferably clinical) What is the effect of the intervention? (Be specific:

mortality after a particular time period, hospitalizations).

Prevention of Alzheimer's Disease

Getting There

Use EPIC log in or Use EPIC log in or request a Proxy Log-in for request a Proxy Log-in for

off-campus access off-campus access to journal databasesto journal databases

http://library.osfhealthcare.org/http://library.osfhealthcare.org/sfmcproxyidrequest.aspsfmcproxyidrequest.asp

After Log-in, click hereAfter Log-in, click here

The Electronic DatabasesThe Electronic Databases

EBSCOHost:EBSCOHost: CINAHLPlusCINAHLPlus, Cumulative Index to Nursing & Allied Health Literature, Cumulative Index to Nursing & Allied Health Literature

greater flexibility with limits and search strategiesgreater flexibility with limits and search strategies NURSING ACADEMICNURSING ACADEMIC

more full text research articlesmore full text research articles browsable full text journalsbrowsable full text journals

OVID:OVID: more search optionsmore search options all databases searchable in one database, limits flexibilityall databases searchable in one database, limits flexibility

Cochrane DatabaseCochrane Database Mostly literature reviewsMostly literature reviews U.S. hospitals use database to establish policies and proceduresU.S. hospitals use database to establish policies and procedures

PubMedPubMed from National Library of Medicinefrom National Library of Medicine Abstracts free / international in scopeAbstracts free / international in scope

Searching, searching, Searching, searching, and MORE searchingand MORE searching

examples of search terms/limits:examples of search terms/limits:

Myocardial InfarctionMyocardial Infarction Female or Male PatientsFemale or Male Patients Treatment Seeking BehaviorsTreatment Seeking Behaviors Nursing Intervention Nursing Intervention Improved HealthImproved Health Kangaroo CareKangaroo Care Patients of a Certain Age CategoryPatients of a Certain Age Category Patient EducationPatient Education Animal Assisted TherapyAnimal Assisted Therapy Fall PreventionFall Prevention Pain ManagementPain Management

Are you still with me?Are you still with me?

(Elbing, n.d.)

OvidSPOvidSP

Enter search term Enter search term

then click ‘search’then click ‘search’

click hereclick here

Additional Limits

Initial Recommended Limits

MI with limits = 119 resultsMI with limits = 119 resultsSearched “Patient Education”Searched “Patient Education”

Combined with “AND”Combined with “AND”Results = 10Results = 10

Full text optionsFull text optionsOR select “Document OR select “Document

Delivery”Delivery”

CinahlPlus via EbscoCinahlPlus via Ebscoenter topic, then select enter topic, then select ‘Suggest Subject Terms’‘Suggest Subject Terms’

Suggest Subject TermsSuggest Subject TermsThen, Include All Subheadings, Then, Include All Subheadings,

Search DatabaseSearch Database

SEARCH TERMSEARCH TERM

EDIT LIMITS HERE OR EDIT LIMITS HERE OR HEREHERE

Recommended limit options in Recommended limit options in EBSCOHost/CINAHL EBSCOHost/CINAHL (EDIT)(EDIT)

Limiters - Published Date: 20100101-20131231; English Limiters - Published Date: 20100101-20131231; English Language; Research Article; Journal Subset: Nursing; Language; Research Article; Journal Subset: Nursing;

Language: English Language: English

View ResultsView ResultsSelect ‘full text’ OR ‘document Select ‘full text’ OR ‘document

delivery’delivery’

Are you still with me?Are you still with me?Seeing patterns yet?Seeing patterns yet?

(Elbing, n.d.)

The Cochrane DatabaseThe Cochrane DatabaseSelect ‘Search’ from this screenSelect ‘Search’ from this screen

For Full Text article,

Select EBM Full Text

Still with me?Still with me?AND are you starting to see a AND are you starting to see a

pattern?pattern?Or just flying nurses?Or just flying nurses?

(Elbing, n.d.)

Nursing Research Nursing Research Internet SitesInternet Sites

Screen shots, links, and brief annotations Screen shots, links, and brief annotations

hand-picked for you by professional hand-picked for you by professional LibrariansLibrarians

When in doubt, ask!When in doubt, ask!

http://www.nih.gov/ninr/about.html

Evidence-based Evidence-based EssentialsEssentials

http://www.essentialevidenceplus.com/index.cfm

Username/Password Access:Username/Password Access:

contact the librarycontact the library

http://clinicaltrials.gov/

Who We AreWho We Are

The American Nurses Association is a full-service professional The American Nurses Association is a full-service professional organization representing the nation's 2.6 million Registered organization representing the nation's 2.6 million Registered Nurses through its 54 constituent state associations and 10 Nurses through its 54 constituent state associations and 10 organizational affiliate members. organizational affiliate members.

ANA advances the nursing profession by fostering high ANA advances the nursing profession by fostering high standards of nursing practice, promoting the economic and standards of nursing practice, promoting the economic and general welfare of nurses in the workplace, projecting a general welfare of nurses in the workplace, projecting a positive and realistic view of nursing, and by lobbying the positive and realistic view of nursing, and by lobbying the Congress and regulatory agencies on health care issues Congress and regulatory agencies on health care issues affecting nurses and the public.affecting nurses and the public.

http://www.nursingworld.org/

In an effort to support nursing knowledge worldwide, SigmaTheta Tau provides the Registry of Nursing Research (RNR) as a complimentary resource

Individual members have full access to the library.http://www.nursinglibrary.org/portal/main.aspx

http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents.aspx

The Online Journal of Issues in Nursing (OJIN) is a free, peer-reviewed, international, online publication that addresses pertinent topics affecting nursing practice, research, education and the wider health care sector. Both Medline and CINAHL index the journal. The Online Journal of Issues in Nursing is available free of charge and published jointly by The American Nurses Association and the Kent State University College of Nursing

ISSN: 1091-3734 Reprint and © Permissions

OverviewThe Office of Research on Women's Health (ORWH) serves as a focal point for women's health research at the NIH. The ORWH promotes, stimulates, and supports efforts to improve the health of women through biomedical and behavioral research on the roles of sex (biological characteristics of being female or male) and gender (social influences based on sex) in health and disease. ORWH works in partnership with the NIH institutes and centers to ensure that women's health research is part of the scientific framework at NIH and throughout the scientific community.

http://www4.od.nih.gov/orwh/index.html

http://www.healthypeople.gov/2020/default.aspx

Healthy People 2020 challenges individuals, communities, and professionals—indeed, all of us— to take specific steps to ensure thatgood health, as well as long life, are enjoyed by all

PubMed – free database, index to abstracts from the National Library of Medicine and the National Institutes of

Health

http://www.ncbi.nlm.nih.gov/pubmed/advanced

Patient EducationPatient Education

FOR YOUR PATIENTS’ FOR YOUR PATIENTS’ SAKESAKE

Don’t Google it. . . . .Don’t Google it. . . . .

Use MedlinePlusUse MedlinePlus

(see next slide)(see next slide)

Free, available from any Free, available from any computer, no password computer, no password

requiredrequired

APA FORMAT for your papersAPA FORMAT for your papers

HANDOUTS, HANDOUTS, WE HAVE HANDOUTSWE HAVE HANDOUTS POSTED IN eCOLLEGEPOSTED IN eCOLLEGE UNDERGRADUATE & GRADUATE COMMUNITYUNDERGRADUATE & GRADUATE COMMUNITY DOCSHARINGDOCSHARING

YouTube YouTube http://www.youtube.com/watch? http://www.youtube.com/watch?v=9pbUoNa5tyYv=9pbUoNa5tyY

APA StyleAPA Style

Guidelines, they’re more like Guidelines, they’re more like guidelinesguidelines

ALL APA INFORMATION IS POSTED TO DOC SHARING IN ALL APA INFORMATION IS POSTED TO DOC SHARING IN eCollegeeCollege

•The best way to ‘do’ APA is to use the book

•If questioned about a reference,

point to the page where you got the information

OR the web site:

http://www.apastyle.org/index.aspxNOTE: All citations and references in this NOTE: All citations and references in this power point are formatted in APA style (6power point are formatted in APA style (6thth ed.)ed.)

ReferencesReferences

Answers.comHealth. (2007). Answers.comHealth. (2007). chip: Definition and much more from Answers.comchip: Definition and much more from Answers.com . Retrieved from . Retrieved from

http://content.answers.com/main/content/img/CDE/CHIPLUMB.GIFhttp://content.answers.com/main/content/img/CDE/CHIPLUMB.GIF

American Psychological Association. (2010). American Psychological Association. (2010). Publication manual of the American Psychological AssociationPublication manual of the American Psychological Association (6th ed.). (6th ed.).

Washington, DC: Author.Washington, DC: Author.

Author, A. A., & Author, B. B. (2006). Author, A. A., & Author, B. B. (2006). Title of bookTitle of book (4th ed.). City, State Abbreviation: Publisher. (4th ed.). City, State Abbreviation: Publisher.

Elbing, C. (n.d.). Elbing, C. (n.d.). Welcome to Nurstoon.comWelcome to Nurstoon.com. Retrieved from http://www.nurstoon.com/index.html. Retrieved from http://www.nurstoon.com/index.html

Johnny Depp BiographyJohnny Depp Biography. (2007). Retrieved from http://www.people.com/people/johnny_depp/biography/0,,20006628_10,00.html. (2007). Retrieved from http://www.people.com/people/johnny_depp/biography/0,,20006628_10,00.html

McGuire, S. L., Gerber, D. E., & Currin, M. D. (2001). Helping students use APA format. McGuire, S. L., Gerber, D. E., & Currin, M. D. (2001). Helping students use APA format. Journal of Nursing Education, 40Journal of Nursing Education, 40, 414-, 414-

416416

The Medical Research Library of Brooklyn. (2009a). The Medical Research Library of Brooklyn. (2009a). Guide to research methods: The evidence pyramidGuide to research methods: The evidence pyramid . Retrieved from . Retrieved from

http://library.downstate.edu/EBM2/2100.htmhttp://library.downstate.edu/EBM2/2100.htm

The Medical Research Library of Brooklyn. (2009b). The Medical Research Library of Brooklyn. (2009b). What is your question?What is your question? Retrieved from Retrieved from

http://library.downstate.edu/EBM2/pico.htmhttp://library.downstate.edu/EBM2/pico.htm

References (cont.)References (cont.)

Nollan, R., & Fineout-Overholt, E. (2011). Asking compelling, clinical questions. In B.M. Melnyk,Nollan, R., & Fineout-Overholt, E. (2011). Asking compelling, clinical questions. In B.M. Melnyk,

& E. Fineout-Overholt (Eds.). & E. Fineout-Overholt (Eds.). Evidence-based practice in nursing & healthcare: A guide to best practiceEvidence-based practice in nursing & healthcare: A guide to best practice (pp. 25- (pp. 25-

39). Philadelphia, PA: Lippincott Wilkins & Williams.39). Philadelphia, PA: Lippincott Wilkins & Williams.

Watkins, J. (2000). Watkins, J. (2000). Indigenous archaeology: American Indian values and scientific practiceIndigenous archaeology: American Indian values and scientific practice . Walnut Creek, CA: Alta Mira Press.. Walnut Creek, CA: Alta Mira Press.

What What elseelse

When in Doubt. . .When in Doubt. . .

Ask a LibrarianAsk a Librarianhttp://www.sfmccon.edu/library/index.htmlhttp://www.sfmccon.edu/library/index.html

Email or call 309-655-2180 Email or call 309-655-2180