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Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
Using the Library / Searching for the Evidence
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Using the Library / Searching for the Evidence

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  • Library is housed in Aunt Hattie’s BarnMost resources are online
  • The library website is your gateway to our online resourcesLibrary 101 is a tutorial on information literacy and using our libraryShould already be enrolled and will stay enrolled so you can consult at any timeExcellent review
  • We want to talk mainly today about searching for evidence – search strategies to use in evidence based practiceWe wrote a chapter in a forthcoming book on this topic for nurse midwives and this presentation follows that chapter outlineThis is a word cloud of the chapter
  • Most commonly cited definition from seminal article in BMJ
  • EBP cycle – we come in mostly in 3 and 4
  • Evidence Hierarchy – best evidence on topSystematic Reviews – an overview of all primary studies on a topic; “interrogating the literature”Meta-analyses – combine statistical data from individual studies and recalculateCritical appraisal – summaries to answer specific clinical questions – often found in point of care toolsRCTs – patients/subjects assigned to either receive treatment or serve as a control; other variables do not come into playCohort and case-controlled studies – compare two groups (one with condition or intervention, one without); cohort follows the groups over time, case control looks at historiesConsensus statements – guidelines from respected authorities (professional organizations)Anecdotal information – least reliable since it cannot be verified, but uses experience
  • Field – individual piece of information within a record
  • These are the ones we have – there are others
  • Zach will demo RefWorks
  • Most important resource…Once you pick your topic, talk to us before starting lit reviewWe can discuss subject headings and keywords, resources; brainstorm search strategies, etc.
  • Transcript

    • 1. Using the Library DNP Bound Frontier Nursing University
    • 2. Alice Whitman Memorial Library
    • 3. Alice Whitman Memorial Library Library Home Page Library 101 in ANGEL
    • 4. Evidence Based PracticeSEARCHING FOR THE EVIDENCEGebb, B.A., Young, Z., & Anderson, B.A. (2012). Evaluating and using the evidence. In B.A. Anderson & S. Stone (Eds.), Best practices in midwifery: Using the evidence to implement change. New York: Springer Publishing.
    • 5. Evidence Based Practice• What is EBP? – Most commonly cited definition is “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.” – Sackett, D.L., Rosenberg, W.M.C., Gray, J.A.M., Haynes, R.B., & Richardson, W.S. (1996, January 13). Evidence-based medicine: what it is and what it isn’t. BMJ, 312(71). Retrieved from http://www.bmj.com/content/312/7023/71.full
    • 6. Evidence Based Practice The EBP Cycle• Identifying a clinical problem• Formulating a focused, answerable question• Locating relevant and appropriate resources• Searching for information• Critically appraising the information• Implementation in clinical practice
    • 7. What is Evidence? Systematic Hierarchy of Research EvidenceHierarchy of Research Evidence Reviews Meta-Analyses Critical Appraisal Randomized Controlled Trials Cohort and case-controlled studies Consensus Statements Anecdotal Information
    • 8. Search Strategy• Form a clinical question – Must be focused and answerable NOT What are therapies for depression? INSTEAD Does exercise reduce depressive symptoms in women?
    • 9. Form a Clinical QuestionPICO framework: P – patient/problem I – intervention C – comparison O – outcome
    • 10. Form a Clinical QuestionDoes exercise reduce depressive symptoms inwomen? P – women with depression (age group?) I – exercise (how strenuous? how often?) C – medication O – symptom reduction, quality of life
    • 11. Boolean Operators AND – both terms must be present (will narrow a search) OR – either term is present (will broaden a search) NOT – only first term is present (will exclude terms)
    • 12. Boolean Operators• exercise AND depression – will retrieve articles with both words• zoloft OR sertraline – will retrieve articles with either word• exercise NOT running – will retrieve articles with exercise and exclude those with running
    • 13. Field Searching
    • 14. Subject Headings• Specific words or phrases selected from a controlled vocabulary that describe a work – MEDLINE = MeSH – CINAHL = CINAHL Headings
    • 15. Limiters• Parameters for your search – MEDLINE limiters include: • Age group • Publication type • Language • Dates
    • 16. Research Filters• Research filters are pre-designed search strategies• Clinical Queries – PubMed page: http://www.ncbi.nlm.nih.gov/pubmed/clinical – Limiter in MEDLINE (EBSCOhost) – ((clinical[Title/Abstract] AND trial[Title/Abstract]) OR clinical trials[MeSH Terms] OR clinical trial[Publication Type] OR random*[Title/Abstract] OR random allocation[MeSH Terms] OR therapeutic use[MeSH Subheading])
    • 17. Where is the Evidence?• Traditional bibliographic databases• Meta-search engines• Point of Care resources
    • 18. Bibliographic Databases• MEDLINE – via EBSCOhost – via PubMed• CINAHL• Cochrane Library• Joanna Briggs Institute – via ProQuest
    • 19. Meta-search Engines• SUMsearch – http://sumsearch.org• TRIP database – http://www.tripdatabase.org
    • 20. Point of Care Tools• DynaMed• Essential Evidence Plus• Natural Standard• Lexicomp
    • 21. Additional Tools• Search Alerts – MyNCBI – MyEBSCOhost – RSS Feeds
    • 22. Citation Management
    • 23. Finally…• Don’t forget about librarians as a resource!• Call us before starting your literature review!
    • 24. Library Staff• Billie Anne Gebb, Director of Library Services – billieanne.gebb@frontier.edu – (859) 253-3637 x5019• Zach Young, Information Service Librarian – zach.young@frontiers.edu – (859) 253-3637 x5011• Kristy Nowak, Library Technician – kristy.nowak@frontier.edu – (859) 253-3637 x5026
    • 25. Stay in Touch!• Library Information Forum on the Banyan Tree• Find us on Facebook• Follow us on Twitter @FSMFNLibrary• Read the FNU Library blog: http://frontierlibrary.blogspot.com/• Email• Phone

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