1. RESEARCH / EVIDENCE- BASED NURSING ©Leslie E. Menz, MLIS, Librarian SFMC College of Nursing 511 NE Greenleaf Peoria, Il 61603 309.655.2180 FAX -- 309.655.3648 Leslie.E.Menz@osfhealthcare.org 7/31/2013

2. All links in this PowerPoint can be opened All links in this PowerPoint can be opened in ‘slide sort view’ in ‘slide sort view’ by ‘right click’ by ‘right click’ on the ‘active link’ on the ‘active link’ Select ‘open hyperlink’ from the ‘drop down menu’ 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 EBSCO, I-SHARE, & OTHER IMPORTANT LIBRARY INFO What you need to know EBSCO, I-SHARE, & OTHER IMPORTANT LIBRARY INFO What you need to know

3. 2013-14 Library Hours Mondays – Thursdays  7:30 a.m. – 9:00 p.m. Mondays – Thursdays  7:30 a.m. – 9:00 p.m. Fridays  7:30 a.m. – 5:00p.m. Fridays  7:30 a.m. – 5:00p.m. Saturdays  10:00 a.m. – 2:00p.m. Saturdays  10:00 a.m. – 2:00p.m. Sundays  1:00 p.m. – 9:00 p.m. Sundays  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.

4. CONTACT INFO http://www.sfmccon.edu/ Library Staff: Leslie E. Menz, MLIS, Librarian Becky Rundall, BA, Library Technician 511 N.E. Greenleaf Peoria, IL 61603 phone  309-655-2180 fax  309-655-3648 e-mail  CONLibrary@osfhealthcare.org CONLibrary@osfhealthcare.org

5. Evidence Based Practice resources available from OSF for nurses/nursing students Evidence Based Practice resources available from OSF for nurses/nursing students

6. (The Medical Research Library of Brooklyn, 2009a) The Research Pyramid The Research Pyramid

7. PICO(T) Patient Patient Intervention/Exposure Intervention/Exposure Comparison Comparison Outcome Outcome T = Longitudinal Study (time) T = Longitudinal Study (time)

8. Search Strategies Nuts & Bolts Break down question into keywords Break down question into keywords If you search by a whole PICO question, your results will be overwhelming or nothing If you search by a whole PICO question, your results will be overwhelming or nothing Think LOGIC If A, then B, NOT C = D Think LOGIC If A, then B, NOT C = D Boolean Logic Boolean Logic

9. (Answers.comHealth, 2007)

10. EBSCO / CINAHL SEARCHING P I C O Most journal articles are written based on the PICO research question

11. Templates for Asking PICO Question Patient population/disease The patient population or disease of interest, for example: Age Age Gender Gender Ethnicity Ethnicity With certain disorder (e.g., hepatitis) With certain disorder (e.g., hepatitis) Intervention or issue of interest The intervention or range of interventions of interest, for example: Therapy Therapy Exposure to disease Exposure to disease Prognosis factor A Prognosis factor A Risk behavior (e.g., smoking) Risk behavior (e.g., smoking) Comparison intervention or issue of interest What you want to compare the intervention against, for example: Alternative therapy, placebo, or no intervention/therapy Alternative therapy, placebo, or no intervention/therapy No disease No disease Placebo factor B Placebo factor B Absence of risk factor (e.g., non-smoking) Absence of risk factor (e.g., non-smoking) Outcome Outcome of interest, for example: Outcome expected from therapy (e.g. pressure ulcers) Outcome expected from therapy (e.g. pressure ulcers) Risk of disease Risk of disease Accuracy of diagnosis Accuracy of diagnosis Rate of occurrence of adverse outcome (e.g., death) Rate of occurrence of adverse outcome (e.g., death) Time The time involved to demonstrate an outcome, for example: Time The time involved to demonstrate an outcome, for example: The time it takes for the intervention to achieve the outcome 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) 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)

12. B efore 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) PICO PPatient or populationDescribes patient (age, sex, race, past medical history, etc.) A 50 year old woman with a family history of breast cancer IInterventionWhat happens or is to be done; treatment, diagnostic test, exposure, screening Hormone replacement therapy CComparisonCompared to what? Nothing, placebo, gold standard, another intervention Placebo OOutcomes (preferably clinical)What is the effect of the intervention? (Be specific: mortality after a particular time period, hospitalizations). Prevention of Alzheimer's Disease

13. Getting There Getting There

14. Use EPIC log in or request a Proxy Log-in for off-campus access to journal databases http://library.osfhealthcare.org/sfmcproxyidrequest.asp

15. After Log-in, click here

16. The Electronic Databases EBSCOHost: EBSCOHost: CINAHLPlus, Cumulative Index to Nursing & Allied Health Literature CINAHLPlus, Cumulative Index to Nursing & Allied Health Literature greater flexibility with limits and search strategies greater flexibility with limits and search strategies NURSING ACADEMIC NURSING ACADEMIC more full text research articles more full text research articles browsable full text journals browsable full text journals OVID: OVID: more search options more search options all databases searchable in one database, limits flexibility all databases searchable in one database, limits flexibility Cochrane Database Cochrane Database Mostly literature reviews Mostly literature reviews U.S. hospitals use database to establish policies and procedures U.S. hospitals use database to establish policies and procedures PubMed PubMed from National Library of Medicine from National Library of Medicine Abstracts free / international in scope Abstracts free / international in scope

17. Searching, searching, and MORE searching examples of search terms/limits: examples of search terms/limits: Myocardial Infarction Myocardial Infarction Female or Male Patients Female or Male Patients Treatment Seeking Behaviors Treatment Seeking Behaviors Nursing Intervention Nursing Intervention Improved Health Improved Health Kangaroo Care Kangaroo Care Patients of a Certain Age Category Patients of a Certain Age Category Patient Education Patient Education Animal Assisted Therapy Animal Assisted Therapy Fall Prevention Fall Prevention Pain Management Pain Management

18. Are you still with me? (Elbing, n.d.)

19. OvidSP

20. Enter search term then click ‘search’

21. click here

22. Additional Limits

23. Initial Recommended Limits

24. MI with limits = 119 results Searched “Patient Education” Combined with “AND” Results = 10

25. Full text options OR select “Document Delivery”

27. CinahlPlus via Ebsco enter topic, then select ‘Suggest Subject Terms’

28. Suggest Subject Terms Then, Include All Subheadings, Search Database

29. SEARCH TERM EDIT LIMITS HERE OR HERE

30. Recommended limit options in EBSCOHost/CINAHL (EDIT) Recommended limit options in EBSCOHost/CINAHL (EDIT)

31. Limiters - Published Date: 20100101-20131231; English Language; Research Article; Journal Subset: Nursing; Language: English

32. View Results Select ‘full text’ OR ‘document delivery’

33. Are you still with me? Seeing patterns yet? (Elbing, n.d.)

34. The Cochrane Database Select ‘Search’ from this screen

35. For Full Text article, Select EBM Full Text

36. Still with me? AND are you starting to see a pattern? Or just flying nurses? (Elbing, n.d.)

37. Nursing Research Internet Sites Screen shots, links, and brief annotations hand-picked for you by professional Librarians When in doubt, ask!

38. http://www.nih.gov/ninr/about.html

39. Evidence-based Essentials http://www.essentialevidenceplus.com/index.cfm Username/Password Access: Username/Password Access: contact the library

40. http://clinicaltrials.gov/

41. 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/

42. 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

43. 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

44. 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

45. 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

46. 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

47. Patient Education

48. FOR YOUR PATIENTS’ SAKE Don’t Google it..... Use MedlinePlus (see next slide)

49. Free, available from any computer, no password required Free, available from any computer, no password required

50. APA FORMAT for your papers HANDOUTS, HANDOUTS, WE HAVE HANDOUTS WE HAVE HANDOUTS POSTED IN eCOLLEGE POSTED IN eCOLLEGE UNDERGRADUATE & GRADUATE COMMUNITY UNDERGRADUATE & GRADUATE COMMUNITY DOCSHARING DOCSHARING YouTube  http://www.youtube.com/watch?v=9pbUoNa5tyY YouTube  http://www.youtube.com/watch?v=9pbUoNa5tyY http://www.youtube.com/watch?v=9pbUoNa5tyY

51. 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.aspxhttp://www.apastyle.org/index.aspx NOTE: All citations and references in this power point are formatted in APA style (6 th ed.)

52. References Answers.comHealth. (2007). chip: Definition and much more from Answers.com. Retrieved from http://content.answers.com/main/content/img/CDE/CHIPLUMB.GIF 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 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 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, 414- 416 The Medical Research Library of Brooklyn. (2009a). Guide to research methods: The evidence pyramid. Retrieved from http://library.downstate.edu/EBM2/2100.htm 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 http://library.downstate.edu/EBM2/pico.htm

53. 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. 25- 39). Philadelphia, PA: Lippincott Wilkins & Williams. Watkins, J. (2000). Indigenous archaeology: American Indian values and scientific practice. Walnut Creek, CA: Alta Mira Press.

54. What else

55. When in Doubt... Ask a Librarian http://www.sfmccon.edu/library/index.html EmailEmail or call 309-655-2180 Email