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Evidence Based Nursing Practice: Finding Information
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Evidence Based Nursing Practice: Finding Information

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This ppt. is based on library instruction provided to a Nursing course on using library and information materials for Evidence-Based Practice.

This ppt. is based on library instruction provided to a Nursing course on using library and information materials for Evidence-Based Practice.

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  • 1. Information Resources &Evidence Based Care in NursingKristy Padron, MLISkpadron@fau.edu CINAHL
  • 2. Session GoalsNursing students will be able to……identify the types of information resources available.…integrate Evidence-Based Care in their search for information (“evidence”).…utilize CINAHL database to find articles related to his or her chosen topic.
  • 3. Session Activities• Describe the basic concepts in Evidence-Based Care in Nursing.• View examples of nursing literature that contain information.• Demonstration of CINAHL database and its features for gathering evidence.
  • 4. Evidence-Based Care in NursingDefinitions:• A conscientious, explicit and judicious use of current best evidence in making decisions about the care of individual patients (1).• An approach that enables clinicians to provide the highest quality of care in meeting the multifaceted needs of their patients and families (2).• Can also include finding evidence on administration and policies within a health care setting.(1) Sackett, D., Rosenberg, W.M.C., Gray, J.A. Muir, Haynes, R.B., & Richardson, W.S. (1996). Evidence based medicine: What it is and what it isn’t. BMJ 312(7023):71.(2) Melynyk, B. & Fineout-Overholt, E. (2005). Evidence-based practice in nursing and healthcare. Philadelphia: Lippincott Williams & Wilkins.
  • 5. Main Concepts in EBC-Nursing• The Five (or Four) Steps of Evidence-Based Practice (depending on the model used)• Creating a Clinical Question: PICO• Using Study Designs to Answer (or inform) a Clinical Question• Levels of Evidence• Types of Literature and Research**• Acquiring the Evidence****This session will discuss these concepts.
  • 6. Level I: Systematic ReviewLevels of Meta-Analysis Evidence-Based GuidelineEvidencefor Level II: Randomized Control Trial (RCT)Evidence Level III: Controlled Trial WithoutBased Randomization (Quasiexperimental Study)Practice Level IV: Non-Experimental Study : Case Control, Cohort, or CorrelationalSource: LoBiondo-Wood,G.P. & Haber, J. (2010). Level V: Systematic Review of Descriptive /Nursing research: Qualitative StudiesMethods and criticalappraisal for evidence-based practice (7th Ed.). Level VI: Descriptive / Qualitative StudySt. Louis, MO: MosbyElsevier. Level VII: Opinion of Authorities Expert Committee Report
  • 7. Types of Literature: Journals Journal of • Commonly found in Juvenile Nursing databases such as In this issue: Flu shots and children: A study. By CINAHL or Ovid H. Carly, Ph.D, RN Online. Caregiver education in juvenile American diabetes. By L. Lopez, MPH • Includes articles usingNursing Journal Results of nutrition counseling on all levels of evidence weight control for obese children. Jan-Mar. 2009 Volume 29, Issue 1 By A. LaFleur, Ph.D, RN and K. Bailey, MSN and types of research. Editorial Board: Accidents and children. By L. Shane, Ph.D, RN • Specific EBC Journals:M. Casey, Ph.D. MSNL. Eggerly, Ph.D., BSN Evidence-BasedK. Fuzzy, MPH, RNA. Lena, Ph.D., RN Nursing andM. Padron, Ph.D., BSNJ. Rosario-Betts, Ph.D, RN Worldviews onPublished by Buckley Press Evidence-Based Nursing
  • 8. Types of Literature: Evidence-BasedReviews • ACP Journal Club: rigorously reviewed and selected articles that discuss important advances in health care. • Cochrane databases: systematic reviews of primary research in health care and policy. • Central Register of Controlled Trials • Database of Systematic Reviews • AHRQ Evidence-Based Practice: a review of the research for topics in clinical, technical, and heath care services (Free Resource) http://www.ahrq.gov/clinic/e pcix.htm
  • 9. Types of Literature: Protocols &Guidelines Local/Hospital Level • UT Medical Branch: http://www.utmb.edu/cpg/ Professional Organization Standards of Care • Hartford Institute of Geriatric Nursing: Fall Prevention http://consultgerirn.org/topics/falls/wa nt_to_know_more • National Guideline Clearinghouse http://www.guideline.gov
  • 10. Other Types of Literature Nursing Handbook of A study of school- Management ER Nursing based health programs & Staffing for adolescents By A. Butzel, Ph.D, MSN & L. Zelanka, MD By K. Padron THESIS -- Nursing (MSN) Florida Atlantic University, 2008 By Paula Caruso, Ph.D, MSNTheses Handbooks Books
  • 11. CINAHL : Database of Nursing Articles• CINAHL has a major collection of publications in nursing.• Database: (in the library world) an online collection of publications.• Types of publications include: – Journal Articles – Reports – Evidence Based Care Sheets – Clinical Trials
  • 12. Accessing CINAHL – From Off Campus• The FAU Libraries pays for access to its databases. They are not available to everyone.• FAU students will need to authenticate themselves to use databases from off campus.• Activate your Owl Card by visiting or contacting the FAU Libraries circulation desk (First Floor Library; Phone - (561) 297-6911)
  • 13. 1. Go to the FAU Libraries homepage (http://wise.fau.edu/library)2. If searching from off-campus, select “Off Campus Connect (EZproxy)”.
  • 14. 3. Enter your 14-digit Owl Card number, and then your verification (birth month & day)
  • 15. 4. The next page will indicate successful log-in, and then will return you to the library home page. Congratulations! You have been successfully connected! You are now being redirected to the FAU Library Homepage to continue your search. While connected to EZproxy, most URLs will look like: “http...database_URLezproxy.fau.edu…” If this doesn’t work for your browser, please CLICK HERE NOW!
  • 16. Using CINAHL1. Go to the FAU Libraries homepage (wise.fau.edu/library)2. Select the link “Indexes/Databases”
  • 17. 3. Select the letter “C” in the A-Z list.
  • 18. 4. Scroll down the next page until you see a link to “CINAHL”, then select that link.
  • 19. 5. This will take you to CINAHL’s Advanced Search.
  • 20. CINAHL Advanced Search Begin Search
  • 21. UseLIMITERS asneeded Peer Reviewed
  • 22. INDEX: (available in a drop-down menu)Allows searching by title of an article (TI), its author(AU), and subject heading. Index
  • 23. CINAHL Headings: a standard vocabulary of nursing concepts. Most articles are assigned one or more.
  • 24. Use these to find articles with a specific focus on a topic. Headings for ‘Flu’
  • 25. 6. Interpreting your search results Narrow Results
  • 26. 7. Getting Articles• Use “Find it @ FAU” link to access full-text articles.• Select “PDF/Full-Text” link to see a full article.• Some articles are not available online but are in their paper/print format. Getting that article may require a trip to the FAU library!• Use Interlibrary Loan to receive an article that is not available through the FAU Libraries.
  • 27. Links – Full Text(Whole Article) Find it FAU
  • 28. An additionalwindow will open.‘Full Text’ indicateswhere the fullarticle can befound. Select “GO”where indicatedone to get to thearticle.If full text is notavailable, checkholdings in the FAUCatalog to searchfor a print/paperversion.
  • 29. Key Points• Evidence-based care emphasizes making healthcare decisions based on research and how they may be applied to a patient or within a setting.• Information (or “evidence”) can be found in journal articles, protocols, and standards, as well as specialized sources (Cochrane, ACP Journal Club).• Use CINAHL and its features to find information; OVID and other online resources are also useful.• ‘Find it @ FAU’ can help you locate articles if they are not directly available in CINAHL. ‘Interlibrary Loan’ will assist in attaining articles not available at FAU.
  • 30. Need Assistance?• Nursing Tutorial: http://www.library.fau.edu/depts/ref/nursing.htm• In-Person: Available at Reference/Information Desk• Ask a Librarian (Chat & Text): http://www.askalibrarian.org/fau• Phone: (561) 297-3785• Research Consultation: http://www.library.fau.edu/eforms/refcon.htm Kristy Padron, MLIS kpadron@fau.edu Phone: (561) 297-3772 FAU Libraries