An Introduction to the National Library for Health (NLH)


Published on

An introduction to the (former) National Library for Health delivered in 2005 (NHS Evidence incorporated NLH in April 2009).

Published in: Health & Medicine
1 Like
  • Be the first to comment

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide
  • Welcome & introduction Sign in Housekeeping Toilets Fire exit(s) Break (10-15 mins) Information packs (evaluation forms (box) Knowledge Officer , ASP serving PCTs, MHP, NSC SHA etc. Leaflet 1) Lit.searching 2) 3) CA 4) Information skills training (FE1 / FE2)
  • Today’s course Awareness of NLH resources Key principles in searching
  • Focus will be: The following course “Finding Evidence 2” covers more details about searching especially within the clinical databases such as MEDLINE, CINAHL, BNI etc.
  • A federated library service, encompassing the NeLH (to be merged by March 2006) and drawing on the skills, services, and resources of all NHS services. (Not simply a web site nor a single library service with centralised decision-making).
  • NICE – makes recommendations on treatments and care using the best available evidence. Technology appraisals - guidance on the use of new and existing medicines and treatments within the NHS in England and Wales. Clinical guidelines - guidance on the appropriate treatment and care of people with specific diseases and conditions within the NHS in England and Wales. Interventional procedures - guidance on whether interventional procedures used for diagnosis or treatment are safe enough and work well enough for routine use in England, Wales and Scotland. NeLH Guidelines Finder developed in collaboration with Sheffield Evidence for Effectiveness and Knowledge (SEEK). The database currently holds details of over 1000 UK national guidelines with links to Internet downloadable versions of the guidelines and, where available, to the NLH Full text-guidelines collection. NeLH Protocols & Care Pathways The primary audience for this site is health professionals who are Developing, Implementing and Evaluating Care Pathways and Clinical Protocols. Clinical Department – lists protocols/pathways currently available according to subject (A-Z) and relevant links ICPs - ICPs that embed guidelines, protocols and locally agreed, evidence-based, patient-centred, best practice, into everyday use for the individual patient. Can submit your ICPs via this site. Clinical Evidence – EB synopsis of key evidence (include Cochrane Reviews where applicable) related to common clinical conditions; updated monthly. NEED – has been funded by the Departments of Health of England and Wales to assist decision-makers by systematically identifying and describing economic evaluations, appraising their quality and highlighting their relative strengths and weaknesses. DTB (includes Treatment Notes ) / iDTB - Rigorous and independent evaluations of individual treatments and overall management of disease for healthcare professionals. DTB similar information for patients in the form of Treatment Notes . Bandolier – The impetus behind Bandolier was to find information about evidence of effectiveness (or lack of it), and put the results forward as simple bullet points of those things that worked and those that did not : a bandolier with bullets. Information comes from systematic reviews, meta-analyses, randomised trials, and from high quality observational studies .
  • Clinical Databses Covered in detail in FE2 (requires Athens username/password with the exception of Zetoc – BL current awareness and Images MD) Journals and Books Full-text access to over 1,000 healthcare journals through PROQEST, BMJ Publishing, OVID, EBSCO, SWETS BioMed Central is an independent publishing house committed to providing immediate free access to peer-reviewed biomedical research All the original research articles in journals published by BioMed Central are immediately and permanently available online without charge or any other barriers to access. This commitment is based on the view that open access to research is central to rapid and efficient progress in science and that subscription-based access to research is hindering rather than helping scientific communication. Mental Health ebooks Electronic access to full text of mental health textbooks (requires Athens authentication)
  • Answers in response to common clinical conditions Where no evidence it says so Includes references to Cochrane systematic reviews Find the evidence: By SECTION By CONDITIONS IN DEPTH (drop down menu) By SEARCH ENGINE (best avoided)
  • The Cochrane Library is considered to be the best single source of reliable evidence about the effects of health care. It is internationally respected as providing the gold standard in "what works and what doesn’t". It is used by researchers and clinicians worldwide, and increasingly by patients and their families. It also provides the evidence base for many people involved in the preparation of health guidelines. The Cochrane Library is freely available to NHS staff, patients and the public in England through the NLH. The Cochrane Collaboration is an international non-profit and independent organisation, dedicated to making up-to-date, accurate information about the effects of healthcare readily available worldwide. The Cochrane Collaboration was founded in 1993 and named for the British epidemiologist, Archie Cochrane. Those who prepare the reviews are mostly health care professionals who volunteer to work in one of the many Collaborative Review Groups , with editorial teams overseeing the preparation and maintenance of the reviews, as well as application of the rigorous quality standards for which Cochrane Reviews have become known.
  • Cochrane Database of Systematic Reviews – A systematic review identifies an intervention for a specific disease or other problem in health care, and determines whether or not this intervention works. To do this authors locate, appraise and synthesise evidence from as many relevant scientific studies as possible. They summarise conclusions about effectiveness, and provide a unique collation of the known evidence on a given topic, so that others can easily review the primary studies for any intervention. Reviews are of two types: full reviews and protocols. Protocols are reviews “in progress”. There are now more than 3000 Cochrane reviews in CDSR, more than half of which already contain key findings and conclusions. Database of Abstracts of Reviews of Effects – DARE includes structured abstracts of systematic reviews. Only reviews that meet minimum quality criteria are included. These reviews cover topics that have yet to be addressed in Cochrane reviews.   Central Register of Controlled Trials – CENTRAL is the world’s largest index of published clinical trials.   Cochrane Database of Methodology Reviews – CDMR contains full-text systematic reviews of methodological studies.   Health Technology Assessment Database – HTA contains details of ongoing projects and completed publications from health technology assessment organisations.   NHS Economic Evaluation Database – Contains structured abstracts of articles describing economic evaluations of health care interventions. Papers are included if they provide a comparison of treatments and examine both the costs and outcomes of the alternatives.
  • Browse via databases or by topic
  • Search options Simple (quick) Advanced
  • Advanced Uses Boolean operators in pull down menus Allows field searching
  • Search Tips  •    If you want to search a phrase, you must enter it with quotes, e.g. “colon cancer”, otherwise the words will be searched as colon AND cancer, which will give many irrelevant results.  •     Plurals are automatically searched, so searching child will also find children .  •    You can truncate terms by using *. e.g. depress* will find depression, depressive, depressed, etc. You can truncate at either end of a word or in the middle, e.g. *depress* also finds antidepressants.  •     Some alternative spellings are automatically searched (e.g. tumor/tumour), but to be certain of catching them, use internal truncation, e.g. isch*mic to find ischaemic or ischemic.   •    Use brackets to control the order in which the search executes, if you are using a combination of AND and OR, e.g. magnesium AND (eclampsia OR perinatal asphyxia)  •     NEAR can be used instead of AND to narrow your search. e.g. smoking NEAR pregnancy will find the two words within 6 words of each other in either order, so is more specific than using AND. NEAR/n will find the words within n words of each other in either order, e.g. NEAR/4.  •      Hyphens are treated as valid characters. To search a term that may be hyphenated, enter both alternatives, e.g. epstein-barr or epstein-barr .
  • Contents – go straight to sections
  • OMNI – medical information NMAP – nursing, midwifery, allied health Index evaluated web sites (nothing the size of Google!)
  • Hitting the Headlines Links the leading news story to the research evidence within 48 hours of the story first appearing in the press Recent examples Specialist Libraries Bring together important information and resources on a topic into a community of practice Indexed via subject and profession Future developments
  • SSE Whether you're looking for information in a website, a database or a full-text journal, the search engine is a single easy-to-use interface that connects you to the information you need. You can search a range of freely-available resources without logging in, or you can log in to access more resources and additional search features. NLH Question and Answering Service Essentially the NLH Question-Answering service seeks to answer questions that health professionals have been unable to answer for themselves.   Once the NLH Question-Answering team has received the question the initial step will be an understanding of the question. Often questions are poorly worded or simply ambiguous. If there is ambiguity the requestor will be contacted and asked for further clarification. Where necessary we will re-word the question in a more structured format that will be used to formulate the search strategy.   The initial search will concentrate on secondary sources as identified using the NLH Search Engine. If the question can be fully answered using these resources the search will be stopped. However, the majority of questions are likely to need additional material and in these situations two primary care sources will be used: PubMed and the Cochrane Controlled Trials Register. Map of Medicine The Map of Medicine® is an innovative, online clinical knowledge management tool designed to help improve patient care and the utilisation of resources within primary and secondary care settings. Written by clinicians, for clinicians, the Map provides desktop access to specialist knowledge and evidence-based practice in all the major diagnostic areas, including Accident and Emergency, internal medicine, obstetrics and gynaecology, oncology and palliative care, paediatrics, and surgery. The Map represents clinical knowledge and best practice as patient journeys. Patient journeys begin with presenting complaints and span the primary and secondary care divide. Journeys are linked across specialities.  The Map is fully localisable, through clinical and administrative review, to reflect the requirements of the local healthcare community. 
  • ASP Knowledge Services Web site Register with us to gain access to documents etc., Literature-searching is also a service we provide. Athens Some resources e.g. Clinical databases, full-text journals are restricted to NHS staff only Self-registration via Eastern Region web site: Need 1) Name of employer 2) Email address Consider what PERSONAL password you want to use Register from an NHSnet connected – PC and allow for up to 3 hrs for confirmation (registration from home PC takes considerably longer as it requires reference checking) IF YOU FORGET YOUR PASSWORD PLEASE CONTACT US – WE CAN RE-SET IT FOR YOU – YOU NEED SEVERAL ATHENS ACCOUNTS (UNLESS YOU’RE ACCESSING UNIVERSITY ACCTS AS WELL!)
  • An Introduction to the National Library for Health (NLH)

    1. 1. Finding the Evidence - Part 1 An introduction to the National Library for Health (NLH) and key principles of searching ASP Knowledge Services Tel 01480-398708
    2. 2. Finding the Evidence – Part 1 <ul><li>Course Aims </li></ul><ul><li>To provide a comprehensive introduction to good quality information resources within the National Library for Health (NLH), and key principles in searching for evidence </li></ul>
    3. 3. Finding the Evidence - Part 1 <ul><li>Objectives </li></ul><ul><li>By the end of the session you will: </li></ul><ul><ul><li>Be aware of the resources available via the NLH </li></ul></ul><ul><ul><li>Gained some experience in using NLH resources </li></ul></ul><ul><ul><li>Have an understanding of the basic principles of searching for evidence </li></ul></ul>
    4. 4. Finding the Evidence - Part 1 <ul><li>Upon successful completion of this course you will be able to: </li></ul><ul><ul><li>Identify and use the appropriate resources within the NLH for finding relevant evidence </li></ul></ul><ul><ul><li>Conduct basic searches in Clinical Evidence </li></ul></ul><ul><ul><li>Understand and use Boolean operators [AND/OR] and truncation for advance searches within The Cochrane Library </li></ul></ul><ul><ul><li>Use OMNI/NMAP search engine to find evaluated Web sites </li></ul></ul>
    5. 5. Finding the Evidence – Part 1
    6. 6. Finding the Evidence - Part 1 <ul><li>NLH – NHS portal, one-stop shop </li></ul><ul><ul><li>Guidance </li></ul></ul><ul><ul><ul><li>NICE guidance </li></ul></ul></ul><ul><ul><ul><li>NeLH guidelines finder </li></ul></ul></ul><ul><ul><ul><li>NeLH protocols and care pathways </li></ul></ul></ul><ul><ul><li>Evidence </li></ul></ul><ul><ul><ul><li>Clinical Evidence </li></ul></ul></ul><ul><ul><ul><li>Cochrane Databases of Systematic Reviews </li></ul></ul></ul><ul><ul><ul><li>Database of Abstracts of Reviews of Effectiveness </li></ul></ul></ul><ul><ul><ul><li>NHS Economic Evaluations Database </li></ul></ul></ul><ul><ul><ul><li>iDTB </li></ul></ul></ul><ul><ul><ul><li>Bandolier </li></ul></ul></ul>
    7. 7. Finding the Evidence Part - 1 <ul><li>Clinical databases </li></ul><ul><ul><li>Medline </li></ul></ul><ul><ul><li>Psychinfo </li></ul></ul><ul><ul><li>Embase </li></ul></ul><ul><ul><li>AMED </li></ul></ul><ul><ul><li>British Nursing Index </li></ul></ul><ul><ul><li>DH-Data </li></ul></ul><ul><ul><li>Zetoc </li></ul></ul><ul><ul><li>Images MD </li></ul></ul><ul><ul><li>King’s Fund </li></ul></ul><ul><li>Journals and Books </li></ul><ul><ul><li>A-Z electronic journals </li></ul></ul><ul><ul><li>BioMed Central </li></ul></ul><ul><ul><li>Mental health ebooks </li></ul></ul>
    8. 8. Finding the Evidence - Part 1 <ul><li>Clinical Evidence </li></ul><ul><ul><li>Sections </li></ul></ul><ul><ul><ul><li>Child Health </li></ul></ul></ul><ul><ul><ul><li>Eye disorders </li></ul></ul></ul><ul><ul><ul><li>Musculoskeletal disorders </li></ul></ul></ul><ul><ul><ul><li>Wounds </li></ul></ul></ul><ul><ul><li>Conditions in depth – </li></ul></ul><ul><ul><ul><li>Acute sinusitis </li></ul></ul></ul><ul><ul><ul><li>Jet lag </li></ul></ul></ul><ul><ul><ul><li>Schizophrenia </li></ul></ul></ul><ul><ul><ul><li>Sickle Cell disease </li></ul></ul></ul><ul><ul><ul><li>Tennis elbow </li></ul></ul></ul><ul><ul><li>Results in HTML / PDF format </li></ul></ul>
    9. 9. Finding the Evidence – Part 1 <ul><li>The Cochrane Library </li></ul><ul><li>Evidenced-based healthcare databases </li></ul><ul><li>BEST resource for information on the effectiveness of healthcare interventions </li></ul><ul><li>Cochrane Reviews: systematically derived and reviewed clinical evidence </li></ul>
    10. 10. Finding the Evidence Part 1 <ul><li>The Cochrane databases </li></ul><ul><li>The Cochrane Database of Systematic Reviews (Cochrane Reviews) (CDSR) </li></ul><ul><li>Central Register of Controlled Trials (CENTRAL) </li></ul><ul><li>Database of Abstracts of Reviews of Effects (DARE) </li></ul><ul><li>Cochrane Database of Methodology Reviews (CDMR) </li></ul><ul><li>Health Technology Assessment Database (HTA) </li></ul><ul><li>NHS Economic Evaluation Database (NHS EED) </li></ul>
    11. 11. Finding the Evidence Part - 1 Browsing by Topic Browsing by Database <ul><li>Browsing by Database </li></ul><ul><li>Browsing by Topics </li></ul>
    12. 12. Finding the Evidence Part - 1 <ul><li>Use the quick search box at the top right on the Cochrane homepage </li></ul><ul><li>Enter “free-text” terms and click go </li></ul>
    13. 13. Finding the Evidence – Part 1 Use drop menus to limit your search to different fields Select operators AND / OR / NOT
    14. 14. Finding the Evidence - Part 1 <ul><li>Advance search features include: </li></ul><ul><li>Use quotation marks to search for a phrase e.g. “colon cancer” </li></ul><ul><li>Boolean logic (AND, OR, NOT etc) e.g. smoking AND pregnancy </li></ul><ul><li>Plurals automatically searched e.g. child also finds children </li></ul><ul><li>Using truncation e.g. depress* finds depression, depressive, depressed etc. </li></ul><ul><li>Internal truncation e.g. isch*mic finds ischaemic, ischemic </li></ul><ul><li>Combining search sets </li></ul>
    15. 15. Finding the Evidence Part - 1 Title of Review and bibliographic data Main content in the right frame Table of contents in the left frame <ul><li>Viewing Records </li></ul>
    16. 16. Finding the Evidence - Part 1 <ul><li>OMNI/NMAP – Reviewed internet sources </li></ul><ul><ul><li>Evaluated sites </li></ul></ul><ul><ul><ul><li>Hot Topics </li></ul></ul></ul><ul><ul><li>Keyword </li></ul></ul><ul><ul><li>Browse </li></ul></ul><ul><ul><ul><li>NLM </li></ul></ul></ul><ul><ul><ul><li>MeSH </li></ul></ul></ul><ul><ul><li>Advanced </li></ul></ul><ul><ul><ul><li>Book </li></ul></ul></ul><ul><ul><ul><li>Database </li></ul></ul></ul><ul><ul><ul><li>Mailing list </li></ul></ul></ul><ul><ul><ul><li>Patient info </li></ul></ul></ul><ul><ul><li>New records </li></ul></ul>
    17. 17. Finding the Evidence - Part 1 <ul><li>Hitting the Headlines </li></ul><ul><ul><li>Busy health professional </li></ul></ul><ul><ul><li>Evidence behind big news story </li></ul></ul><ul><ul><ul><li>HRT and venous thrombosis </li></ul></ul></ul><ul><ul><ul><li>Antidepressants and the risk of suicide </li></ul></ul></ul><ul><ul><ul><li>Diet may help prevent Alzheimer’s </li></ul></ul></ul><ul><ul><ul><li>HRT and risk of breast cancer </li></ul></ul></ul><ul><ul><ul><li>Single pill tackles smoking and obesity </li></ul></ul></ul><ul><ul><li>48 hours </li></ul></ul><ul><li>Specialist Libraries </li></ul><ul><ul><li>Subject </li></ul></ul><ul><ul><ul><li>Cancer </li></ul></ul></ul><ul><ul><ul><li>Cardiovascular diseases </li></ul></ul></ul><ul><ul><ul><li>Child Health </li></ul></ul></ul><ul><ul><ul><li>Clinical Genetics </li></ul></ul></ul><ul><ul><ul><li>Diabetes </li></ul></ul></ul><ul><ul><ul><li>Emergency Care </li></ul></ul></ul><ul><ul><ul><li>ENT / Audiology </li></ul></ul></ul><ul><ul><ul><li>Health Management </li></ul></ul></ul><ul><ul><ul><li>Learning Disabilities </li></ul></ul></ul><ul><ul><ul><li>Mental Health </li></ul></ul></ul><ul><ul><ul><li>Oral Health </li></ul></ul></ul><ul><ul><ul><li>Women’s Health </li></ul></ul></ul>
    18. 18. Finding the Evidence – Part 1 <ul><li>New developments </li></ul><ul><ul><li>NLH Single Search Engine (SSE) </li></ul></ul><ul><ul><li>Primary Care Answering Service </li></ul></ul><ul><ul><ul><li>When you can’t find the answer </li></ul></ul></ul><ul><ul><ul><li>Secondary resources using SSE </li></ul></ul></ul><ul><ul><ul><li>PubMed and Cochrane Controlled Trials register </li></ul></ul></ul><ul><ul><ul><li>Provided by TRIP database Ltd. </li></ul></ul></ul><ul><ul><li>Map of Medicine </li></ul></ul><ul><ul><ul><li>Online clinical management tool </li></ul></ul></ul><ul><ul><ul><li>Desktop access to specialist knowledge & evidence-based practice </li></ul></ul></ul><ul><ul><ul><li>Clinical knowledge & best practice as patient journeys </li></ul></ul></ul><ul><ul><ul><li>Written by clinicians for clinicians </li></ul></ul></ul><ul><ul><ul><li>Developed at Royal Free Hospital </li></ul></ul></ul>
    19. 19. Finding the Evidence - Part 1 <ul><li>Where do I go from here? </li></ul><ul><ul><li>Register with ASP Knowledge Services http://www.knowledge.asp. nhs . uk / </li></ul></ul><ul><ul><ul><li>What’s New bulletins </li></ul></ul></ul><ul><ul><ul><li>Knowledge database </li></ul></ul></ul><ul><ul><ul><li>Further training details </li></ul></ul></ul><ul><ul><li>Athens registration http://www. athens . nhs . uk /region/ nhseas / </li></ul></ul><ul><ul><ul><li>Access to clinical databases </li></ul></ul></ul><ul><ul><ul><li>Access to Full-text journals (A-Z) </li></ul></ul></ul><ul><ul><li>Finding the Evidence Part 2 </li></ul></ul>