Evidence Based Nursing Practice: Finding Information
Information Resources &
Evidence Based Care in Nursing
Kristy Padron, MLIS
Nursing students will be able to…
…identify the types of information resources
…integrate Evidence-Based Care in their search
for information (“evidence”).
…utilize CINAHL database to find articles related
to his or her chosen topic.
• Describe the basic concepts in Evidence-Based
Care in Nursing.
• View examples of nursing literature that
• Demonstration of CINAHL database and its
features for gathering evidence.
Evidence-Based Care in Nursing
• 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.
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
• Levels of Evidence
• Types of Literature and Research**
• Acquiring the Evidence**
**This session will discuss these concepts.
G.P. & Haber, J. (2010).
Methods and critical
appraisal for evidence-
based practice (7th Ed.).
St. Louis, MO: Mosby
Level I: Systematic Review
Level III: Controlled Trial Without
Level IV: Non-Experimental Study :
Case Control, Cohort, or
Level V: Systematic Review of Descriptive /
Level VI: Descriptive / Qualitative Study
Level VII: Opinion of Authorities
Expert Committee Report
Level II: Randomized Control Trial (RCT)
Types of Literature: Journals
• Commonly found in
databases such as
CINAHL or Ovid
• Includes articles using
all levels of evidence
and types of research.
• Specific EBC Journals:
In this issue:
Flu shots and children: A study. By
H. Carly, Ph.D, RN
Caregiver education in juvenile
diabetes. By L. Lopez, MPH
Results of nutrition counseling on
weight control for obese children.
By A. LaFleur, Ph.D, RN and K.
Accidents and children. By L.
Shane, Ph.D, RN
Volume 29, Issue 1
M. Casey, Ph.D. MSN
L. Eggerly, Ph.D., BSN
K. Fuzzy, MPH, RN
A. Lena, Ph.D., RN
M. Padron, Ph.D., BSN
J. Rosario-Betts, Ph.D, RN
Published by Buckley Press
• Cochrane Library: systematic reviews of primary research
in health care and policy.
• Cochrane Database of Systematic Reviews
• Central Register of Controlled Trials
• AHRQ Evidence-Based Practice: a review of the research
for topics in clinical, technical, and heath care services (free
Types of Literature: Evidence-Based
• Florida Hospital:
Professional Organization Standards of Care
• Hartford Institute of Geriatric Nursing:
• National Guideline Clearinghouse
Types of Literature: Protocols &
Other Types of Literature
A study of school-
based health programs
By K. Padron
THESIS -- Nursing
By Paula Caruso,
By A. Butzel, Ph.D, MSN
& L. Zelanka, MD
CINAHL : Database of Nursing Articles
• CINAHL has a major collection of publications
• Database: (in the library world) an online
collection of publications.
• Types of publications include:
– Journal Articles
– Evidence Based Care Sheets
– Clinical Trials
• The FAU Libraries pays for
access to its databases.
They are not available to
• 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)
Accessing CINAHL –
From Off Campus
1. Go to the FAU Libraries homepage
2. If searching from off-campus, select “Off Campus
3. Enter your FAUNet ID or 14-digit Owl Card
number and your verification (birth month &
4. The next page will indicate successful log-in,
and then will return you to the library home
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!
1. Go to the FAU Libraries homepage
2. Select the link “Indexes/Databases.”
7. Getting Articles
• Use “Find it @ FAU” link to access full-text
• 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.
window will open.
‘Full Text’ indicates
where the full
article can be
found. Select “GO”
one to get to the
If full text is not
holdings in the FAU
Library Catalog to
search for a
• Register and create an
• Publication information
is needed for any
material, such as:
– Publication Location
– Year of Publication
• Give 7 – 10 days to
receive an article.
• Evidence-based care emphasizes making
healthcare decisions based on research and how
they may be applied to a patient or within a
• Information (or “evidence”) can be found in
journal articles, protocols, and standards, as well
as specialized sources (Cochrane).
• 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
Kristy Padron, MLIS
• Nursing Tutorial: http://www.library.fau.edu/depts/ref/nursing.htm
• In-Person: Available at Reference/Information Desk
• Ask a Librarian (Chat & Text):
• Phone: (561) 297-3785
• Research Consultation: