1. Health Information Databases Sabelo Mapasure, MA, MCLIP SCHT & PCTs Library & Knowledge Services Manager Shropshire Community Health NHS Trust Sabelo.mapasure@shropcom.nhs.uk

2. Aims and objectives  Introduction to searching clinical databases to find information relevant to individual needs and interests Plan a search strategy to search for information Aware of various clinical databases Carry out a search for information Display/print/export/save search results Leave the session with some useful information of occupational interest, CPD or studies.

3. ATHENS Databases  Have you signed up?  ATHENS list of resources www.athens.nhs.uk www.athens.nhs.uk

4. Types of Questions  What causes the problem? AETIOLOGY, RISK FACTORS  What is the frequency of the problem? FREQUENCY  Does this person have the problem? DIAGNOSIS  Who will get the problem? PROGNOSIS, PREDICTION

5. P.I.C.O. Method P Population/patient I Intervention/indicator C Comparator/control O Outcome In Evidence Based Medicine (EBM), treatments and therapies are called ‘interventions’. http://learntech.physiol.ox.ac.uk/cochrane_tutorial/cochlibd0e84.php

6. Plan your search  PICO method  Medical Subject Headings (MeSH)  Keywords  Combining Terms (AND, OR, NOT)

7. Example Question In patients with recurrent furunculosis, do prophylactic antibiotics, compared to no treatment, reduce the recurrence rate?

8. Example answer P Population/patient = patients with recurrent furunculosis I Intervention/indicator = prophylactic antibiotics C Comparator/control = no treatment O Outcome = reduction in recurrence rate of furunculosis

9. Boolean Logic  AND  OR  NOT  Wildcards e.g. *  Proximity searching http://www.internettutorials.net/boolean.asp

10. Selecting the databases  AMED (Allied and Complementary Medicine)  BNI (British Nursing Index)  EMBASE  Medline  CINAHL (Cumulative Index to Nursing and Allied Health Literature)  PsycINFO  Health Business Elite  HMIC

11. Searching  Simple Search  Advanced Search  Search using Thesaurus Mapping (recommended)

12. Search Results  Display or Browse  Save  Print  Export  Alerts

13. Practical exercise 1. Plan your search strategy using given question or use your own. 2. Perform a search (advanced recommended) 3. Combine sets 4. Search limits by: adults, English, 2000+ 5. Display results 6. E-mail results 7. Change database and repeat search 8. Save Search and Create Alerts

14. Exercise 1  Clinical question: How effective is hypnotherapy as a form of treatment for irritable bowel syndrome?

15. Practical exercise 2  Clinical question: In a 70 year old woman with primary insomnia and a previous adverse reaction to hypnotics, can cognitive behavior therapy improve sleep quality and duration?

16. Practical exercise 3  Clinical question I am looking for references on treatment exercises i.e. anterior patellofemoral syndrome in adolescent girls.

17. Objectives - Recap Plan a search strategy to search for information Be aware of various clinical databases Carry out a search for information Display/print/export/save search results Leave the session with some useful information of occupational interest, CPD or studies.

18. Finally… Thank you for attending!  Impact assessment (please complete online)  https://www.surveymonkey.com/s/post- training_appraisal_PCT_LKS https://www.surveymonkey.com/s/post- training_appraisal_PCT_LKS  Other courses are available, please ask Sabelo Mapasure SCHT & PCTs Library and Knowledge Services library@shropcom.nhs.uk