In Search of Evidence Quarterly Updates Evidence-Based Practice for Public Health Nurses Session II November 4, 2008 Teresa Hartman, MLS / Associate Professor Head, Education Department, UNMC McGoogan Library of Medicine
MeSH = Me dical S ubject H eadings: these are the terms that the over 18 million citations are indexed by in the database.
MeSH terms used for Question 1 (access the link on the left hand blue PubMed sidebar, under PubMed Services, and search terms like you do using a dictionary):
“ Child, preschool”[MeSH] “Injections ”[MeSH]
“ Vaccination ”[MeSH] “Immunization ”[MeSH]
You could start with a simple text word search in PubMed
To search for MeSH terms, click on the MeSH database link on the left side of PubMed screen.
Type in a term you are searching for – example, preschool.
Check the results to see if any of them fit your search. Click on the box next to it, then click on Send To, and select Search Box with And. The term will be added automatically to a new box that appears on the next screen.
Note: PubMed and MeSH tutorials: http://www.nlm.nih.gov/bsd/disted/pubmed.html
Now, search for your next term – example ‘injections’
After clicking on the box next to Injections, and then the Send to drop down menu and selecting Search Box with And, this is how your screen should look. Click on Search PubMed to run the search.
You can also use Clinical Queries to search for evidence.
Type in text words – example: preschool injections thigh
What other complications than ‘pain’ are you searching for?
For adults who are 21-50 years old, is there a higher incidence of influenza vaccination with those who attend a group education session during pre-school and elementary parent-teacher conferences as compared to those who did not attend?
P adults, aged 21-50
I attended childhood education session on benefits of flu vaccine
My questions – are there other public health issues that have been shown through established research that they were changed/improved through education, during childhood or at other times? (Would seat belt/helmet use be similar?) Maybe there is research in another area that could be applied to this question. Example: there is a lot of research on health care professionals (adults) and their compliance with flu shots (possibly related to preparations for pandemic flu prevention.)
For teenage mothers enrolled in a high school teen parenting class, are their children more current with immunization guidelines/schedules as compared to children of teenage mothers who do not receive the education?
P teenage mothers
I attended high school based parenting class
C did not attend high school based parenting class
MeSH search used: ("Child"[Mesh] OR "Child, Preschool"[Mesh] OR "Adolescent"[Mesh]) AND "Pregnancy in Adolescence"[Mesh] AND "Parenting"[Mesh] immuniz* ( this is a truncated text word)
Clicking on Related Articles for the first citation retrieves promising citations that may lead to further MeSH terms to use when conduct further searches.
For parents who receive SCHIP benefits and a nurse provided telephone education intervention, are their children more current with immunization guidelines/schedule as compared to children of parents who do not receive the education?
P parents/families receiving SCHIP benefits, state health plans for uninsured children
I nurse provided telephone education/intervention
C no nurse provided telephone education/intervention
Note: I could not locate a mention in the research of an SCHIP program that used nurse telephone intervention/education (that does not mean it isn’t there – just that I didn’t find one.). Only successful search was: “State health plans”[MeSH] AND immuniz*, resulted in 33 citations. One citation appeared particularly useful: PMID 15867017
First and foremost: Use the expert librarians at UNMC – we are here to serve you. Email [email_address] , or call toll-free 1-866-800-5209 with your search request. Put our graduate degrees and post-graduate education to work for your information needs! (Plus, we can search the CINAHL and Cochrane full-text databases for you).
Start with a text word search, using synonyms for the terms you are looking for. Think like an author – what terms do you think they used when writing about what you are hunting? Identify relevant citations; use the MeSH terms found on those citations to create more focused searches
Use the Clinical Queries/Systematic Reviews search function to locate “citations for systematic reviews, meta-analyses, reviews of clinical trials, evidence-based medicine, consensus development conferences, and guidelines.”