nursing research spring 2016
TRANSCRIPT
O R I G I N A L LY P R E PA R E D B Y T H E R E S A K L I N E , M L I S
KRYSTAL K SLIVKA, MLSLIB RARIAN
330 -363 -3833KRYSTAL.SL [email protected] OM
NURSI NG RESEARC H L IB GUID E: HT TP: / /AULTMAN.L IB GUID ES.COM/NURSI NGRESEARCH
Nursing Research:Using PICO Format & Medical Subject Headings
Objectives
Use the PICO format to form the search query and assist in selecting search terms
Choose appropriate Databases/Resources
Use Medical Subject Headings (MeSH) to retrieve better, more relevant citations
Refine Your Research Question –PICO Format
P Patient, Problem Patient Population, Problems associated with group, etc.
I Intervention, Exposure Interventions or Treatments
C Comparison, Control Compare to Alternative Treatments or Interventions, or
to a Control group
O Outcome What you hope to accomplish
PICO Format Example
Scenario: I am an RN who works on a geriatric ward and have many patients with arthritis. I’m wondering if massage therapy will help ease their arthritis pain?
P = Geriatric Patients with arthritisI = massage therapyC = Geriatric patients with arthritis NOT receiving treatmentO = reduced arthritic pain
New PICO Question
Do geriatric patients receiving massages have lessened arthritic pain (feel better) compared to those that do not?
Search TermsInpatientsOsteoarthritisMassage OR Massage TherapyPain OR Satisfaction
Limits – English, Aged, possibly time period 5 years…
PICO Example
Clinical problem: My 45 year old male patient has Type 2 diabetes for which he receives insulin treatment. He would like to know if exercise can help manage Diabetes.
What is my PICO question???
PICO Example
Clinical problem: My 45 year old male patient has Type 2 diabetes for which he receives insulin treatment. He would like to know if exercise can help manage Diabetes.
What is my PICO question???
Will exercise likely reduce insulin usage in a middle-aged male?
Databases: Where to Start
• CINAHL• Full text of over 770 nursing and allied health journals,
books, & conference proceedings• Cochrane Library
• Evidence-based medicine. Systematic reviews, controlled trials, methodology reviews
• ProQuest Nursing Journals• Full text of over 850 nursing, allied health, and consumer
health titles• PubMed
• Covers medicine, nursing, and health care system. 24 million + citations from journals and books
Databases: Selection
• All of the suggested databases are generated by subject specialists
• Most provide added indexing terms – preferably controlled vocabulary
• AVOID Google, Yahoo, Bing Searches – these are mega-crawlers that index everything (nearly) that they find with no consideration of its authenticity. Google Scholar is an exception and can be useful, but the four databases previously listed, are really better choices
Medline - Medical Subject Headings (MeSH)
Fixed, controlled vocabulary used by MEDLINE indexers
Pull together many words that mean the same thing
Example: Heart Attack, Myocardial Infarction
Shows hierarchy (broader and narrower terms)
Much more specific information than keyword searching
PubMed – Includes Medline
http://www.ncbi.nlm.nih.gov/pubmed?holding=ohahflib_fft&otools=ohiolink
PubMed – Search Box
PubMed – MeSH Heading Search Results
PubMed – Subheadings
PubMed - Hierarchy
PubMed Search Builder
PubMed Search Details
PubMed Search ADVANCED Options
PubMed Search Builder
PubMed Results
Arthritis (keyword search) 269,295 results
Osteoarthritis (keyword search) 63,145 results
Osteoarthritis/therapy (MeSH) 25,147 results
Osteoarthritis/therapy (MeSH) AND Massage (MeSH)
45 results
PubMed Tutorials
https://www.nlm.nih.gov/bsd/disted/pubmed.html
Quick Tours
Webcasts
Handouts
Much more….
Review Objectives
Use the PICO format to form the search query and assist in selecting search terms
Choose appropriate Databases/Resources
Use Medical Subject Headings (MeSH) to retrieve better, more relevant citations
Questions?
Library Staff are available to assist you with this process
Please look at the PubMed Tutorials – they are excellent …