1.
Information Resources &
Evidence Based Care in Nursing
Kristy Padron, MLIS
kpadron@fau.edu
CINAHL

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.
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 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.
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.
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.
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.
• 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).
www.ahrq.gov/research/findings/evidence-based-
reports/index.html
Types of Literature:
Evidence-Based Reviews

9.
EXAMPLES:
Local/Hospital Level
• Nurse Driven Foley Catheter Protocol:
hospitals.jefferson.edu/files/nursing-
orientation/advanced-practice-files/nurse-driven-foley-
cath.pdf
Professional Organization Standards of Care
• American Nurses Association Professional
Standards:
www.nursingworld.org/MainMenuCategories/ThePract
iceofProfessionalNursing/NursingStandards
• National Guideline Clearinghouse
www.guideline.gov
Types of Literature:
Protocols & Guidelines

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.
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
– Clinical Trials

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:
First Floor Library / Phone - (561) 297-6911
Accessing CINAHL – From Off Campus

13.
1. Go to the FAU Libraries homepage:
www.fau.edu/library
2. If searching from off-campus, select “Off Campus
Connect.”

14.
3. Enter your FAUNet ID or 14-digit Owl Card
number and 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.
1. Go to the FAU Libraries homepage:
www.fau.edu/library
2. Select the link “Indexes/Databases.”
Using CINAHL

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.
Begin
Search
CINAHL Advanced Search

21.
Peer Reviewed
Use
LIMITERS as
needed
Research Article

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.
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

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.
An additional
window will open.
If full text is not
available, check
holdings in the FAU
Library Catalog to
search for a
print/paper version.
Select “ILLIAD” to
make an interlibrary
loan request
(account required).

28.
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.

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).
• 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 LibGuide: libguides.fau.edu/nursing-boca
• Reference: (561) 297-3785
• Ask a Librarian (Chat, Email & Text): www.askalibrarian.org/fau
• Research Consultation: tinyurl.com/consult-orient