RESEARCH / EVIDENCEBASED NURSING
©Leslie E. Menz, MLIS, Librarian
SFMC College of Nursing
511 NE Greenleaf
Peoria, Il 61603
309.655.2180
FAX -- 309.655.3648
[email protected]
7/31/2013
EBSCO, I-SHARE, & OTHER
IMPORTANT LIBRARY INFO
What you need to know
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All links in this PowerPoint can be opened
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in ‘slide sort view’
by ‘right click’
on the ‘active link’
Select ‘open hyperlink’ from the ‘drop down menu’
Screenshots and links in this presentation will guide the student
step by step through accessing and using
Saint Francis Medical Center College of Nursing databases
2013-14 Library Hours
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Mondays – Thursdays 
Fridays 
Saturdays 
Sundays 
7:30 a.m. – 9:00 p.m.
7:30 a.m. – 5:00p.m.
10:00 a.m. – 2:00p.m.
1:00 p.m. – 9:00 p.m.
HOLIDAYS, INCLEMENT WEATHER, and unexpected closings
will be posted in eCollege and on the Library door. If the College
is closed, it is a safe assumption the Library is too, but you
can always call and check.
Library Staff: Leslie E. Menz, MLIS, Librarian
Becky Rundall, BA, Library Technician
CONTACT INFO
511 N.E. Greenleaf
Peoria, IL 61603
http://www.sfmccon.edu/
phone  309-655-2180
fax 
309-655-3648
e-mail [email protected]
Evidence Based Practice resources available
from OSF for nurses/nursing students
The Research Pyramid
(The Medical Research Library of Brooklyn, 2009a)
PICO(T)
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Patient
Intervention/Exposure
Comparison
Outcome
T = Longitudinal Study (time)
Search Strategies
Nuts & Bolts
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Break down question into keywords
If you search by a whole PICO
question, your results will be
overwhelming or nothing
Think LOGIC If A, then B, NOT C = D
Boolean Logic
(Answers.comHealth, 2007)
EBSCO / CINAHL
SEARCHING
P
O
Most journal articles are
written based on the PICO
research question
I
C
Templates for Asking PICO Question
Patient population/disease
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The patient population or disease of interest,
for example:
Age
Gender
Ethnicity
With certain disorder (e.g., hepatitis)
Intervention or issue of interest
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The intervention or range of interventions of interest,
for example:
Therapy
Exposure to disease
Prognosis factor A
Risk behavior (e.g., smoking)
Comparison intervention or issue of interest
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intervention against, for example:
Alternative therapy, placebo, or no intervention/therapy
No disease
Placebo factor B
Absence of risk factor (e.g., non-smoking)
What you want to compare the
Outcome
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Outcome of interest, for example:
Outcome expected from therapy (e.g. pressure ulcers)
Risk of disease
Accuracy of diagnosis
Rate of occurrence of adverse outcome (e.g., death)
Time
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The time involved to demonstrate an outcome, for example:
The time it takes for the intervention to achieve the outcome
The time over which populations are observed for the outcome (e.g. quality of life) to occur, given a certain
condition (e.g., prostate cancer)
(Nollan, & Fineout-Overholt, 2005, p. 30)
PICO
P
Patient or population
Describes patient (age, sex, race,
past medical history, etc.)
A 50 year old woman with a
family history of breast cancer
I
Intervention
What happens or is to be done;
treatment, diagnostic test,
exposure, screening
Hormone replacement therapy
C
Comparison
Compared to what? Nothing,
placebo, gold standard, another
intervention
Placebo
O
Outcomes (preferably clinical)
What is the effect of the
intervention? (Be specific:
mortality after a particular time
period, hospitalizations).
Prevention of Alzheimer's Disease
Before
starting a search, write down the answers to these PICO questions. The key elements in the answers will
become search terms in your on-line search and the additional information will help you when analyzing the
studies you find. It often helps to form these elements in the form of a question:
AMONG 50-year old women with a family history of breast cancer DOES hormone replacement therapy
AS COMPARED TO placebo reduce the risk of Alzheimer's Disease?
(The Medical Research Library of Brooklyn, 2009b)
Getting There
Use EPIC log in or
request a Proxy Log-in for
off-campus access
to journal databases
http://library.osfhealthcare.org/sfmcproxyidrequest.asp
After Log-in, click here
The Electronic Databases
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EBSCOHost:
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OVID:
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more search options
all databases searchable in one database, limits flexibility
Cochrane Database
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CINAHLPlus, Cumulative Index to Nursing & Allied Health Literature
 greater flexibility with limits and search strategies
NURSING ACADEMIC
 more full text research articles
 browsable full text journals
Mostly literature reviews
U.S. hospitals use database to establish policies and procedures
PubMed
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from National Library of Medicine
Abstracts free / international in scope
Searching, searching,
and MORE searching
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examples of search terms/limits:
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Myocardial Infarction
Female or Male Patients
Treatment Seeking Behaviors
Nursing Intervention
Improved Health
Kangaroo Care
Patients of a Certain Age Category
Patient Education
Animal Assisted Therapy
Fall Prevention
Pain Management
Are you still with me?
(Elbing, n.d.)
OvidSP
Enter search term
then click ‘search’
click here
Additional Limits
Initial Recommended Limits
MI with limits = 119 results
Searched “Patient Education”
Combined with “AND”
Results = 10
Full text options
OR select “Document Delivery”
CinahlPlus via Ebsco
enter topic, then select
‘Suggest Subject Terms’
Suggest Subject Terms
Then, Include All Subheadings,
Search Database
SEARCH TERM
EDIT LIMITS HERE OR HERE
Recommended limit options in
EBSCOHost/CINAHL (EDIT)
Limiters - Published Date: 20100101-20131231; English Language;
Research Article; Journal Subset: Nursing; Language: English
View Results
Select ‘full text’ OR ‘document delivery’
Are you still with me?
Seeing patterns yet?
(Elbing, n.d.)
The Cochrane Database
Select ‘Search’ from this screen
For Full Text article,
Select EBM Full Text
Still with me?
AND are you starting to see a pattern?
Or just flying nurses?
(Elbing, n.d.)
Nursing Research
Internet Sites
Screen shots, links, and brief annotations
hand-picked for you by professional Librarians
When in doubt, ask!
http://www.nih.gov/ninr/about.html
Evidence-based Essentials
http://www.essentialevidenceplus.com/index.cfm
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Username/Password Access:
contact the library
http://clinicaltrials.gov/
Who We Are
The American Nurses Association is a full-service professional
organization representing the nation's 2.6 million Registered Nurses
through its 54 constituent state associations and 10 organizational
affiliate members.
ANA advances the nursing profession by fostering high standards of
nursing practice, promoting the economic and general welfare of
nurses in the workplace, projecting a positive and realistic view of
nursing, and by lobbying the Congress and regulatory agencies on
health care issues affecting nurses and the public.
http://www.nursingworld.org/
In an effort to support nursing knowledge worldwide, Sigma
Theta Tau provides the Registry of Nursing Research (RNR)
as a complimentary resource
Individual members have full access to the library.
http://www.nursinglibrary.org/portal/main.aspx
http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents.aspx
The Online Journal of Issues in Nursing (OJIN) is a free, peer-
reviewed, international, online publication that addresses
pertinent topics affecting nursing practice, research, education
and the wider health care sector. Both Medline and CINAHL
index the journal.
The Online Journal of Issues in Nursing is available free of
charge and published jointly by The American Nurses
Association and the Kent State University College of Nursing
ISSN: 1091-3734 Reprint and © Permissions
Overview
The Office of Research on Women's Health (ORWH) serves as a focal point for
women's health research at the NIH. The ORWH promotes, stimulates, and
supports efforts to improve the health of women through biomedical and
behavioral research on the roles of sex (biological characteristics of being female
or male) and gender (social influences based on sex) in health and disease.
ORWH works in partnership with the NIH institutes and centers to ensure that
women's health research is part of the scientific framework at NIH and throughout
the scientific community.
http://www4.od.nih.gov/orwh/index.html
http://www.healthypeople.gov/2020/default.aspx
Healthy People 2020 challenges individuals,
communities, and professionals—indeed,
all of us— to take specific steps to ensure that
good health, as well as long life, are enjoyed by all
PubMed – free database, index to abstracts from the National
Library of Medicine and the National Institutes of Health
http://www.ncbi.nlm.nih.gov/pubmed/advanced
Patient Education
FOR YOUR PATIENTS’ SAKE
Don’t Google it. . . . .
Use MedlinePlus
(see next slide)
Free, available from any
computer, no password required
APA FORMAT for your papers
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HANDOUTS,
WE HAVE HANDOUTS
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POSTED IN eCOLLEGE
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UNDERGRADUATE & GRADUATE COMMUNITY
DOCSHARING
YouTube 
http://www.youtube.com/watch?v=9pbUoNa5tyY
APA Style
Guidelines, they’re more like guidelines
ALL APA INFORMATION IS POSTED TO DOC SHARING IN eCollege
•The best way to ‘do’ APA is to use the book
•If questioned about a reference,
point to the page where you got the information
OR the web site: http://www.apastyle.org/index.aspx
NOTE: All citations and references in this power
point are formatted in APA style (6th ed.)
References
Answers.comHealth. (2007). chip: Definition and much more from Answers.com. Retrieved from
http://content.answers.com/main/content/img/CDE/CHIPLUMB.GIF
American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.).
Washington, DC: Author.
Author, A. A., & Author, B. B. (2006). Title of book (4th ed.). City, State Abbreviation: Publisher.
Elbing, C. (n.d.). Welcome to Nurstoon.com. Retrieved from http://www.nurstoon.com/index.html
Johnny Depp Biography. (2007). Retrieved from http://www.people.com/people/johnny_depp/biography/0,,20006628_10,00.html
McGuire, S. L., Gerber, D. E., & Currin, M. D. (2001). Helping students use APA format. Journal of Nursing Education, 40, 414416
The Medical Research Library of Brooklyn. (2009a). Guide to research methods: The evidence pyramid. Retrieved from
http://library.downstate.edu/EBM2/2100.htm
The Medical Research Library of Brooklyn. (2009b). What is your question? Retrieved from
http://library.downstate.edu/EBM2/pico.htm
References (cont.)
Nollan, R., & Fineout-Overholt, E. (2011). Asking compelling, clinical questions. In B.M. Melnyk,
& E. Fineout-Overholt (Eds.). Evidence-based practice in nursing & healthcare: A guide to best practice (pp. 2539). Philadelphia, PA: Lippincott Wilkins & Williams.
Watkins, J. (2000). Indigenous archaeology: American Indian values and scientific practice. Walnut Creek, CA: Alta Mira Press.
What else
When in Doubt. . .
Ask a Librarian
http://www.sfmccon.edu/library/index.html
Email or call 309-655-2180
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EVIDENCE-BASED PRACTICE