Research Committee Research Committee Module #1Module #1

1 CNE Available1 CNE Available

Created by Joni Walton, RN PhD ACNS BC

There is no conflict of interest in the creation of this education program.

Intended Audience:This module is intended for the nurse who feels intimidated by reading, searching for, and utilizing research in practice. In today's world this must include the use of the internet as well as the familiar use of journals and libraries. Evidence-based practice involves practical application of the research being done throughout the nephrology world and these modules are designed to increase the ease with which the practicing nurse can determine the appropriateness of research found in various venues.

At the completion of this modulethe learner will be able to:

1. Identify two search engines to find research.

2. Explain the value of the Cochran Data Base with regard to evidence-based practice.

3. Describe the types of information that can be found on the Agency for Healthcare Research & Quality (AHRQ).

Objectives

Problems:Identified by Nurses

1. Unable to effectively search for research (Sitzia, 2002).

2. Research is not compiled in one place (Niederhauser & Kohr, 2005).

3. Not capable of critical appraisal (Sitzia, 2002).

4. Difficulty with statistical analysis (Niederhauser & Kohr, 2005).

Access to Information

1. Equipment needed:~ Computer~ Internet access

2. Free Access at the Public Library

Basic ReviewFind almost everything imaginable:

Historical events, documents, people Dictionary, Yellow pages, maps, directions Criminal background checks Education, college degree, courses Chat rooms, my space, face book, ytube Recipes, hobbies, translate languages Buy or sell stuff, meet lovers, spouses,

predators

Basic ReviewCOST

There are a few short-term internet sites to sample but most of them you have to pay a monthly fee ($10-20/mo)

Most accounts have a family plan

High speed internet is more expensive• DSL• Satellite ($50/mo)• Wireless

Mobile phone access ($45/mo)

Select a search engineMost popular

1. www.google.com (65%)

2. www.yahoo.com (20%)

3. www.msn.com (7%)

4. www.Ask.com (4%)

5. www.altavista.com

6. www.webcrawler.com

7. www.lygo.com (visual)

http://www.seoconsultants.com/search-engines/

Steps to easy access

1. Click on the Internet icon

2. Identify the bar that come up to access information

3. Enter your favorite search engine

Reference on Best Search engine UC Berkley Libraryhttp://www.lib.berkeley.edu/TeachingLib/Guides/Internet/SearchEngines.html

Practice #1- Search for a Photo

You want a photo of a person taking a blood pressure:

Type: www.google.com or www.yahoo.com Type: click on images Type in blood pressure OR Type in blood pressure photos in your

server (my default server is msn) Enlarge the photo, click to copy photo

Practice #2- Let’s try another search

You want a video on blood pressure

Type in www.google.com• click on more . . .

• click on video or Youtube

• type in blood pressure

You may search for books also

Language translation

Free language translation:www.babelfish.altavista.com www.freetranslation.comwww1.worldlingo.comwww.translation2.paralink.com

Scholarly Information*http://scholar.google.com/

- Web - Images

- Maps - News - Blogs

Nephrology Nursing Journal is not indexed on Google scholar, others are

* filters out advertisements/junk

Practice #3 - Google scholar

Search a topic of your choice using Google scholar

Type in keywords Make sure you have the correct spelling You may not have full-text access to all

references You may also apply limitation by clicking

on Advanced Search (most recent: date, author, publication)

Cochrane Data BaseThe reliable source of evidence in health care

www.cochrane.org

The Cochrane Collaboration

Cochrane Database ofSystemic Reviews (CDSR)

Cochrane Library Systemic reviews of health care

interventions (primary literature) Critiques of each research study and

clinical implications http://www.cochrane.org/index0.htm

Abstracts are freeFull text reviews require subscriptions

Impact of Cochrane Evidence“Cochrane reviews have become known internationally as sources of high quality, reliable health information, and other groups have begun to interpret, adapt and disseminate Cochrane reviews and information derived from them”

www.cochrane.org

Practice # 4 - Cochrane Search

Topic: Treatment for peritoneal dialysis- associated peritonitis

Search terms: peritonitis dialysisOpen the reviewRead the summaryBrowse the abstract

Searching Primary LiteratureSubscription needed

Search using bibliographic databases Journal articles, books, theses,

dissertations CINAHL

(Cumulative Index to Nursing and Allied Health Literature)

MEDLINE(National Library of Medicine)

PsychINFO(American Psychological Association)

Nursing has come a long way!

Historical Perspective (1940)

“Ella Crandall, Mildred Grandbois and Mollie Sitner begin indexing articles from English-language nursing journals on 3x5 cards”

http://www.cinahl.com/about/about.htm

Cumulative Index to Nursing and Allied Health Literature® (CINAHL)

2003: CINAHL Information Systems acquired by EBSCO Publishing Inc.

The largest nursing journal on-line data base

This is not quick and easy if you do not have connections to a library or a college that has a current subscription

Practice GuidelinesNational Guideline Clearinghouse

Not all AHRQ guidelines are based on evidence: Consensus documents Expert opinions Free access http://www.guideline.gov

Agency for HealthcareResearch and Quality (AHRQ)

Advanced Search

Limit to Scholarly Journals Peer reviewed Core nursing journals Current articles Research studies

Health on the Net (HON)Code for Evaluation of Websites

1. Authoritative

Indicate the qualifications of the authors

2. Complementarity

Information should support, not replace, the doctor-patient relationship

3. Privacy

Respect the privacy and confidentiality of personal data submitted to the site by the visitor

4. Attribution Cite the source(s) of published information, date and medical and health pages

5. Justifiability

Site must back up claims relating to benefits and performance

6. Transparency Accessible presentation, accurate email contact

7. Financial disclosure Identify funding sources

8. Advertising policy Clearly distinguish advertising from editorial content

Health Information You Can TRUST

HONcode Toolbar

Download: http://www.hon.ch/HONcode/Plugin/Plugins.html

Myth BustersAvoid sending information that is a hoax or false on to your friends. Screen info first:

The top 7 hoax/myth busting sites are:• Urban Legends and Folklore 

http://urbanlegends.about.com/• Urban Legends Reference Pages

http://www.snopes.com/• Hoaxbusters

http://hoaxbusters.ciac.org/• Stiller Research Virus Hoax News

http://www.stiller.com/hoaxes.htm• TruthOrFiction.com

http://www.truthorfiction.com/• Symantec Security Response Hoaxes —

http://www.symantec.com/avcenter/hoax.html • McAfee Security Virus Hoaxes

http://vil.mcafee.com/hoax.asp

Make this easy!

References CINAHL information systems. (2008). The

History then and now. Retrieved from the web site http://www.cinahl.com/about/about.htm.

Sitzia, J. (2002). Barriers to research utilisation: the clinical setting and nurses themselves. European Journal of Oncology Nursing 5(3): 154–164.

Cochrane Collaboration. (2008). Description retrieved from the web site http://www.cochrane.org/docs/descrip.htm.

References Wiggins, K. J., Craig, J, C., Johnson, D, W., &

Strippoli, G. F. (2008). Treatment for peritoneal dialysis-associated peritonitis. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD005284. DOI: 10.1002/14651858.CD005284.pub2.

UC Berkley Library. (2008). Evaluating web pages: Techniques to Apply & Questions to Ask retrieved from the web site http://www.lib.berkeley.edu/TeachingLib/Guides/Internet/Evaluate.html.

References Mikkelson, B., & Mikkelson, D. P. (2008).Snopes:

Frequently asked questions. Retrieved from the web site http://www.snopes.com/info/faq.asp.

National Guidelines Clearinghouse. (2008). About NGC. Retrieved from the web site http://www.guidelines.gov/about/about.aspx.

National Institute of Health. (2007). The nation’s medical research agency. Retrieved from the web site http://www.nih.gov/about/NIHoverview.html#content.

References Google Scholar (2008). About Google

scholar. Retrieved from the web site http://scholar.google.com/intl/en/scholar/about.html.

MedlinePlus. (2008). About MedlinePlus. Retrieved from the web site http://www.nlm.nih.gov/medlineplus/aboutmedlineplus.html.