getting started - ohio state university · 10/29/2019 · ebp toolkit instructional handout ......

EBP Toolkit Instructional Handout

© Copyright 2018-2020 Helene Fuld Health Trust National Institute for Evidence-based Practice in Nursing and Healthcare

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Using the EBP Toolkit Getting Started: Let’s begin an EBP project! These screenshots and instructions will guide you through the necessary need-to-know basics of the EBP Toolkit. Note: You are limited to 10 projects

To begin a new project, select the “EBP Toolkit Home” link and follow the instructions given. When you are ready to begin your project, scroll all the way down to the bottom and click, “Start.”

Once you begin a project, you will be allowed to navigate the project start to finish, beginning with Project Description and ending with Completed Project. The order of events looks like the picture below, it mimics the seven steps of EBP:

Tips to use the Toolkit: Each page has the following three or four options; Back, Next, Print, and Save & Exit.

• Back allows you to go to the previous page • Next allows you to proceed forward as long as all of the required fields have been filled. When you

click the Next button, it saves the project up to that page. • Print allows you to print the page you are on. • Save & Exit allows you to save the work you have completed thus far. If you decide to leave and

resume the project later, you must click the Save & Exit option at the bottom of the page or you will lose all of the data entered on that page. When you click the Save and Exit button, this will take you to the “EBP Projects in Progress” page. This means that your project is saved up to that point and you can resume at any time. Clicking the Resume button will bring you back to the page where you left off.

These buttons are located at the bottom of each page when you scroll all the way down.



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Project Description Page: Required Fields: Fill in all fields that contain a red asterisk next to them. They are mandatory. For example:

Tooltip Explained: Hovering over the “?” tool tip feature will provide you with additional explanation and information. For example:

PICOT Question Page: On the PICOT question page, you will be asked to select the type of question you are interested in and fill in the P,I,C,O,T fields. The completed PICOT will automatically populate in the template for that question type at the bottom of the page.



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In addition, you will be asked if you want to include your project in the PICOT Hub. If you choose, "yes," this will be added to our comprehensive database of all PICOT questions that Fuld Institute for EBP Immersion attendees have shared with us and you are giving permission to let a member contact you.

Searching: After filling out the PICOT question page, you are presented with two options. You will indicate that you have either completed your literature search or you have not.

Clicking, “No,” will take you straight to the RCA page, skipping over the “Search Keyword and Database” page that is explained in the next section. You can select the relevant article type to use the appropriate rapid critical appraisal (RCA) tool to appraise the article and follow the necessary steps. You are presented with the following options for critical appraisal:

For directions on filling out the RCA forms, please scroll down to the “RCA Forms” section below. When you have finished filling out the chosen form, and you click “Next,” you will be redirected back to the “Search Keyword and Database” page, which is explained in the section below.

If you click the option that says, “Yes,” and you have completed your literature search, you will be directed to the “Search Keyword and Database Page” explained below.



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Search Keyword and Database Page: This page has five total mandatory fields, enter all the required fields to move onto the RCA step.

At the bottom when you are selecting databases utilized in your search, there is an option to select “other.” Doing so will create a text box for you to write in the other database(s) used.



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Rapid Critical Appraisal (RCA) Forms: Depending on the choice you made on the Searching Page, you are directed to the RCA forms page. There are 10 options to choose from:

Provided below are screenshots of the mandatory fields for one of the ten possible forms that can be filled out. (If you are interested in reviewing any of the RCA forms, refer to the “RCA forms” handout.)

These mandatory fields are the only fields that will automatically transfer over to the evaluation tables.

In order to effectively appraise any article, fill out all relevant fields. Even though they will not automatically transfer over, you can click print and then use that PDF to copy and fill out the evaluation table.

-Systematic Review/Meta-Analysis of Quantitative Studies



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The final question on each RCA page is:

Selecting, “include,” will retain this as a “keeper article.”

Note: You are limited to 10 keeper articles. If you need to add more keeper articles, this can only be done manually after your project has been downloaded.

You can add as many non-keepers as you want, but they will need to be added before you get to the 10th keeper article. In addition, non-keepers will not be added to the evaluation and synthesis tables.



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Summarize Search: After filling out an RCA form, you will be prompted with the following question, which asks if you need to appraise more articles (fill out more RCA forms) or if you are ready to move on. Select the option that applies to you.

If interested in viewing, editing, or deleting an already completed form, select the, “View/Edit/Delete Completed RCA Tools,” option.

Note: In the “View/Edit/Delete Completed RCA tools” page, you can view the non-keeper articles and print them. Please do this before you move onto the evaluation and summary tables as the non-keeper articles will not be included in the final download zipped folder.

Evaluation and Summary Tables: After you finish the necessary RCA forms and click “Yes” as indicated in the previous step, the site will generate an Evaluation and Summary Table that looks like the below screenshot: (For this example I filled out a Descriptive Study RCA form and an Expert Opinion RCA form. The required fields have auto-populated, and to fill in any additional information, you can click on the cell you wish to edit:



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Clicking within a cell inside the table allows you to make edits to already filled out cells or add information in the empty ones.

Once you click on the cell you would like to edit, a text box like this will pop up on your screen:

Once you click “Submit,” on the edits you have made, they should appear in your evaluation table like this:

Note:

1. Depending on your preference, you can choose to complete one keeper article at a time and then complete the relevant summary table row for that article (or) you can choose to complete critical appraisal of all the articles and then fill out the complete evaluation table. Going back and forth between critical appraisal and evaluation/summary table is allowed.

2. Tip: We suggest printing your RCA form when you complete it, this enables copying relevant information from the downloaded PDF to the evaluation table as needed.



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LOE Synthesis Table: The next table generated is the LOE Synthesis table. No edits need to be made to this table and it will look like this:

Outcomes Synthesis Table: The next step is to create an Outcomes Synthesis Table. The main page will have a drop down box which allows you to select how many outcomes you want to synthesize in this particular table. It also lists the articles you’ve appraised (your RCA forms) so you can check any combination desired. It will look like this:

After clicking “Next” you will be taken to a page where you will actually synthesize your outcomes. At the top of the page there are detailed instructions on how to approach this table. Essentially, you will list the outcomes you are measuring, create descriptions for the symbols you use, apply those symbols to your outcomes, and fill in the remaining text boxes. The page looks like this:



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IMPORTANT NOTE: Synthesis Tables are created uniquely based on your selections regarding number of outcomes and keeper articles. Please note - clicking “Back” button will lead to LOST data on the synthesis table you filled out. If you absolutely must go back, you will need to begin anew and recreate the synthesis table again.

Synthesis Tables – Other: Once finished and you click “Next,” you are given the option to create up to 5 additional synthesis tables. These tables can be filled out similar to the “Outcomes Synthesis” tables with the addition that you are able to name your “Other” tables whatever you want. The following text box will appear at the top of your screen and you can rename the Synthesis Table to something unique instead of just calling it “Synthesis Table- Other” by typing into the text box.



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Recommendation and Action Page: The next page is the “Recommendation and Action” page. There are red asterisks that denote the fields that are required to fill out. The page should look like this:

Once you fill out all of the required fields and you have scrolled to the bottom, there is a quoted sentence that will auto-populate in accordance with your entries. It looks like this:

Completed Project Page: Finally, you have reached the final page for a completed project. It will look like this:



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Once you complete the project up to the Recommendations section, you can click Download Project and a zip folder will download with your completed files. This file will be saved to your default download folder.

Clicking the “Save and Finish” button will bring up a warning pop-up:

When you click Save and Finish, the projects will now be listed under the “Completed EBP projects” page. The Save and Finish button marks the project as complete and this means it cannot be edited.

*If you want to go back and add/update things within your project, do not click the “Save and Finish” button.

getting started - ohio state university · 10/29/2019 · ebp toolkit instructional handout ......

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