Evidence Based Nursing Practice: Finding Information


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Updated September 2015. 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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Evidence Based Nursing Practice: Finding Information

  1. 1. Information Resources & Evidence Based Care in Nursing Kristy Padron, MLIS kpadron@fau.edu CINAHL
  2. 2. Session Goals Nursing 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. 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. 4. Evidence-Based Care in Nursing Definitions: • 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. 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. 6. Levels of Evidence for Evidence Based Practice Source: LoBiondo-Wood, G.P. & Haber, J. (2010). Nursing research: Methods and critical appraisal for evidence- based practice (7th Ed.). St. Louis, MO: Mosby Elsevier. Level I: Systematic Review Meta-Analysis Evidence-Based Guideline Level III: Controlled Trial Without Randomization (Quasiexperimental Study) Level IV: Non-Experimental Study : Case Control, Cohort, or Correlational Level V: Systematic Review of Descriptive / Qualitative Studies Level VI: Descriptive / Qualitative Study Level VII: Opinion of Authorities Expert Committee Report Level II: Randomized Control Trial (RCT)
  7. 7. Types of Literature: Journals • Commonly found in databases such as CINAHL or Ovid Online. • Includes articles using all levels of evidence and types of research. • Specific EBC Journals: Evidence-Based Nursing and Worldviews on Evidence-Based Nursing Journal of Juvenile Nursing 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. Bailey, MSN Accidents and children. By L. Shane, Ph.D, RN American Nursing Journal Jan-Mar. 2009 Volume 29, Issue 1 Editorial Board: 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
  8. 8. • 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 resource). http://www.ahrq.gov/research/findings/evidence-based- reports/index.html Types of Literature: Evidence-Based Reviews
  9. 9. Local/Hospital Level • Florida Hospital: https://www.floridahospitalnursing.com/flo rida-hospital- nurses/units/cvicu/education/protocols Professional Organization Standards of Care • Hartford Institute of Geriatric Nursing: Fall Prevention http://consultgerirn.org/topics/falls/want_t o_know_more • National Guideline Clearinghouse http://www.guideline.gov Types of Literature: Protocols & Guidelines
  10. 10. Other Types of Literature Theses A study of school- based health programs for adolescents By K. Padron THESIS -- Nursing (MSN) Florida Atlantic University, 2008 Nursing Management & Staffing By Paula Caruso, Ph.D, MSN Books Handbook of ER Nursing By A. Butzel, Ph.D, MSN & L. Zelanka, MD Handbooks
  11. 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. 12. • 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) Accessing CINAHL – From Off Campus
  13. 13. 1. Go to the FAU Libraries homepage (http://www.fau.edu/library) 2. If searching from off-campus, select “Off Campus Connect.”
  14. 14. 3. Enter your FAUNet ID or 14-digit Owl Card number and your verification (birth month & day).
  15. 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. 16. 1. Go to the FAU Libraries homepage (http://www.fau.edu/library). 2. Select the link “Indexes/Databases.” Using CINAHL
  17. 17. 3. Select the letter “C” in the A-Z list.
  18. 18. 4. Scroll down the next page until you see a link to “CINAHL,” then select that link.
  19. 19. 5. This will take you to CINAHL’s Advanced Search.
  20. 20. Begin Search CINAHL Advanced Search
  21. 21. Peer Reviewed Research Article Use LIMITERS as needed
  22. 22. Fields SELECT A FIELD: (available in a drop-down menu) Allows searching by title of an article (TI), its author (AU), and subject heading.
  23. 23. CINAHL Headings: a standard vocabulary of nursing concepts. Most articles are assigned one or more.
  24. 24. Use these to find articles with a specific focus on a topic. Headings for ‘Flu’
  25. 25. 6. Interpreting your search results
  26. 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. 27. Links – Full Text (Whole Article) Find it FAU
  28. 28. An additional window will open. ‘Full Text’ indicates where the full article can be found. Select “GO” where indicated one to get to the article. If full text is not available, check holdings in the FAU Library Catalog to search for a print/paper version.
  29. 29. Interlibrary Loan • Register and create an ILL account. • Publication information is needed for any requested library material, such as: – Title – Author – Publisher – Publication Location – Year of Publication • Give 7 – 10 days to receive an article.
  30. 30. 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). • 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.
  31. 31. Kristy Padron, MLIS kpadron@fau.edu FAU Libraries 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