using the library - dnp bound (updated 9/15)

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Using the Library & Searching for the Evidence DNP Bound Frontier Nursing University

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Page 1: Using the Library - DNP Bound (updated 9/15)

Using the Library&

Searching for the Evidence

DNP BoundFrontier Nursing University

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Alice Whitman Memorial Library

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Alice Whitman Memorial Library

Library Home Page Library 101

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SEARCHING FOR THE EVIDENCEEvidence Based Practice

Gebb, B.A., Young, Z., & Anderson, B.A. (2012). Evaluating and using the evidence. In B.A. Anderson & S. Stone (Eds.), Best practices in midwifery: Using the evidence to implement change. New York: Springer Publishing.

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Evidence Based Practice• What is EBP?– Most commonly cited definition is “the

conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”

– Sackett, D.L., Rosenberg, W.M.C., Gray, J.A.M., Haynes, R.B., & Richardson, W.S. (1996, January 13). Evidence-based medicine: what it is and what it isn’t. BMJ, 312(71).

Retrieved from http://www.bmj.com/content/312/7023/71.full

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Systematic Reviews

Met

a-Analyses

Critical Appraisal

Rando

mized C

ontrolled Trials

Cohort and case-

controlled studies

Consensus Statements

Anecdotal Information

Hier

arch

y of

Res

earc

h Ev

iden

ceWhat is Evidence?

Hierarchy of Research Evidence

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Evidence Based PracticeThe EBP Cycle

• Identifying a clinical problem• Formulating a focused, answerable question• Locating relevant and appropriate resources • Searching for information • Critically appraising the information• Implementation in clinical practice

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Form a Clinical Question

• Must be focused and answerable

NOTWhat are therapies for depression?

INSTEADDoes exercise reduce depressive symptoms in women?

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Form a Clinical Question

PICO framework:

P – patient/problemI – interventionC – comparisonO – outcome

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Form a Clinical Question

Does exercise reduce depressive symptoms in women?

P – women with depression (age group?)I – exercise (how strenuous? how often?)C – medicationO – symptom reduction, quality of life

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Locate Resources

• Where is the Evidence?– Traditional bibliographic databases– Meta-search engines– Point of Care resources

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Bibliographic Databases

• MEDLINE– via EBSCOhost– via PubMed

• CINAHL• Cochrane Library• Joanna Briggs Institute EBP Resources

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Meta-search Engines

• SUMsearch – http://sumsearch.org• TRIP database – http://www.tripdatabase.org

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Point of Care Tools

• DynaMed• Essential Evidence Plus• Natural Standard• Lexicomp

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Search for Information

• Advanced Search Strategies– Boolean Operators– Field Searching– Subject Headings– Limiters– Research Filters

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Boolean OperatorsAND – both terms must be present (will narrow a search)

OR – either term is present (will broaden a search)

NOT – only first term is present (will exclude terms)

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Boolean Operators

• exercise AND depression – will retrieve articles with both words

• zoloft OR sertraline – will retrieve articles with either word

• exercise NOT running – will retrieve articles with exercise and exclude those with running

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Field Searching

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Subject Headings

• Specific words or phrases selected from a controlled vocabulary that describe a work – MEDLINE = MeSH– CINAHL = CINAHL Headings

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Limiters• Parameters for your search – MEDLINE limiters include:• Age group• Publication type• Language• Dates

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Research Filters• Research filters are pre-designed search strategies• Clinical Queries

– PubMed page: http://www.ncbi.nlm.nih.gov/pubmed/clinical– Limiter in MEDLINE (EBSCOhost)

– ((clinical[Title/Abstract] AND trial[Title/Abstract]) OR clinical trials[MeSH Terms] OR clinical trial[Publication Type] OR random*[Title/Abstract] OR random allocation[MeSH Terms] OR therapeutic use[MeSH Subheading])

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Additional Tools

• Search Alerts– MyNCBI– MyEBSCOhost– RSS Feeds

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Citation Management

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Finally…

• Don’t forget about librarians as a resource!• Call us before starting your literature review!

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Library Staff• Billie Anne Gebb, Director of Library Services– [email protected]– (859) 899-2519

• Zach Young, Assistant Director of Library Services – [email protected]– (859) 899-2511

• Aimee Niles, Library Technician– [email protected] – (859) 899-2526

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Stay in Touch!

• Find us on Facebook • Follow us on Twitter @FSMFNLibrary • Read the FNU Library blog:

http://frontierlibrary.blogspot.com/ • Email• Phone