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Information Resources & Evidence Based Care in Nursing


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What are the main concepts in evidence-based care and types of evidence utilized? This presentation defines these concepts and demonstrates how CINAHL and Cochrane Collaborative can be used to locate it through the FAU Libraries. While articles and information can be found, critical appraisal is another important step in using the evidence.

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Information Resources & Evidence Based Care in Nursing

  1. 1. Information Resources & Evidence Based Care in Nursing Kristy Padron, MLIS CINAHL
  2. 2. Session Goals Nursing students will be able to… …identify the types of information resources available for Evidence-Based Care in their search for information (“evidence”). …utilize CINAHL database to find articles related to his or her chosen topic. …use Cochrane Library and other information sources to locate evidence.
  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 and Cochrane Library and their 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. Type of Source Purpose Where to Find One Examples Journal Articles (Peer Reviewed; Refereed; Scholarly) Communicate original research of all types within a discipline or field. • CINAHL • Ovid • PubMed/MEDLINE • Other health science databases (PsycInfo, EMBASE, etc.) Found in journals: • Evidence-Based Nursing • Worldviews on Evidence-Based Nursing Systematic Reviews • Multiple studies are reviewed and findings are summarized. • Pre-established criteria such as patients/population, study design, or treatment for selected studies. • Cochrane Library • CINAHL • Ovid • PubMed/MEDLINE Meta Analyses • Data from multiple studies are combined and then statistically analyzed. • Pre-established criteria such as patients/population, study design, or treatment for selected studies. • Conclusions are based on statistical results. • Cochrane Library • CINAHL • Ovid • PubMed/MEDLINE Guidelines / Standards of Care An established diagnostic or treatment process for a certain type of patient, condition, or clinical circumstance; a baseline for care. • Professional associations and societies • Hospitals • Health care organizations • American Nurses Association Standards for Excellence • Nurse Driven Foley Catheter Protocol Evidence-Based Practice Reports A review of all relevant scientific literature on a variety of clinical and health science literature. • Professional associations and societies • Hospitals • Health care organizations • AHRQ Evidence-Based Reports Types of Evidence (Publications)
  7. 7. 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
  8. 8. • 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
  9. 9. 1. Go to the FAU Libraries homepage: 2. If searching from off-campus, select “Off Campus Connect.”
  10. 10. 3. Enter your FAUNet ID or 14-digit Owl Card number and your verification (birth month & day).
  11. 11. 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: “…” If this doesn’t work for your browser, please CLICK HERE NOW!
  12. 12. 1. Go to the FAU Libraries homepage. 2. Select the link “Research” and then “Indexes/ Databases.” Using CINAHL
  13. 13. 3. Select the letter “C” in the A-Z list.
  14. 14. 4. Scroll down the next page until you see a link to “CINAHL, ” then select that link.
  15. 15. 5. This will take you to CINAHL’s Advanced Search. Begin Search
  16. 16. Fields SELECT A FIELD: (available in a drop-down menu) Allows searching by title of an article (TI), its author (AU), and subject heading.
  17. 17. Peer Reviewed Use LIMITERS as needed Research Article
  18. 18. 6. Interpreting your search results
  19. 19. 7. Getting Articles • Use “Find it @ FAU” link to access full-text articles. • Select “PDF/Full-Text” link to see a full article. • Use Interlibrary Loan to receive an article that is not available through the FAU Libraries.
  20. 20. Cochrane Library (aka Cochrane Database of Systematic Reviews) • A collection of systematic reviews and meta analyses. • Since information from these come from a higher level of evidence, results of these are generally used to inform practice.
  21. 21. Systematic Reviews: • Multiple studies are reviewed and findings are summarized. • The studies selected for a systematic review are based on pre-established criteria such as patients/population, study design, or treatment. Study #1 Study #2 Systematic Review: Summary and Findings from Selected Studies #1 – 3 Cochrane Library
  22. 22. Cochrane Library Meta analysis: • Data from multiple studies are combined and then statistically analyzed. • The studies selected also were based on pre-established criteria (patients/ population, treatment, study design, etc.). • Conclusions are based on statistical results. Study #1 and Data Study #2 and Data Meta analysis: Combined Data from Studies #1 – 3 And Conclusions
  23. 23. Cochrane Library Go to the database following the same directions as CINAHL, and find “Cochrane Library” on the database pages.
  24. 24. Three ways to search: 1. Basic search. 2. Advanced Search. 3. Browse Reviews. Urinary Catheters
  25. 25. List of Results: select title link for additional information.
  26. 26. Information about the review: Author and publication information. Abstract Links to Full Text. Additional Features (export citation, e-mail link, etc.).
  27. 27. View of Full Review (PDF). Full review includes complete analysis of each reviewed study. Standard review has the complete report without analysis of each reviewed study. Summary provides plain language.
  28. 28. Full Review. Use the icons to navigate the page and for other features (Print, Save).
  29. 29. • Interlibrary Loan (ILL) provides books, articles and other library materials that are not available at the Libraries. • ILL also sends requests from one FAU campus libraries to another. • Make a request online through the Libraries home page; go to the link. Interlibrary Loan
  30. 30. 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.
  31. 31. Critical appraisal of an article is very important! • Author(s) • Type of publication – Everything in CINAHL and other sources are not necessarily original research (e.g., opinion pieces, editorial, or non-research based). • Type of research, study premise, and appropriate use of methodology. • Writing conventions and organization of ideas • Publisher/ Journal – Location/country – Open access: a publishing model that provides access to journals with minimal or no restrictions. – “Predatory” publishers: misuse of the open access model; use of questionable publishing conduct and ethics, including peer review that may result in publications with flawed or inaccurate original research. *The quality of evidence used will affect the quality of your research and outcomes!
  32. 32. 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). • ‘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. • Critical appraisal is an important step in evaluating the evidence.
  33. 33. Need Assistance? • Nursing LibGuide: • Ask a Librarian o Chat, Email & Text: o Phone: (561) 297-3785 • Research Consultation: Kristy Padron, MLIS FAU Libraries