Evidence based nursing practice resources By Dr. Hanan Said Ali

O BJECTIVES  Explain evidence based nursing practice resources of:  Summaries of the evidence.  Evidence-based clinical practice guidelines.  Critically appraised research studies (CAT’s).  Databases.  Electronic textbooks.  Evaluating the evidence

EBM P YRAMID AND EBM P AGE G ENERATOR, COPYRIGHT 2006 T RUSTEES OF D ARTMOUTH C OLLEGE AND Y ALE U NIVERSITY.

S UMMARIES OF THE E VIDENCE

C OCHRANE DATABASE OF SYSTEMATIC REVIEWS Created by the Cochrane Collaboration. Small collection of reviews on the effects of health care. Reviews generally focus on patient treatment and therapy issues. Stringent protocols are applied to each review. Individual documents take a long time to develop because of the intensive review process.

G OANNA B RIGGS INSTITUTE Australian based nursing oriented Evidence- based resource. Provides access to a very limited number of resources without payment, a charge is required for access to others. An international collaboration of 200 researchers, clinicians, academics and quality managers.

G OANNA B RIGGS INSTITUTE The Institute provides education and training in the process of conducting systematic reviews; the development of Best Practice Information Sheets; the implementation of evidence- based practice

C LINICAL E VIDENCE Published by the British Medical Journal. Summaries of the current state of knowledge related to clinical conditions. Focus is on prevention and treatment of clinical conditions. Based on thorough searches and appraisals of the literature.

C LINICAL E VIDENCE Covers 22 specialties and over 150 conditions. Peer-reviewed by section editors and 3 external expert clinicians. Updated frequently.

E VIDENCE -B ASED C LINICAL P RACTICE G UIDELINES

A HRQ E VIDENCE REPORTS Produced by the Agency for Healthcare Research and Quality (AHRQ), a federal agency. Supports health services research. Mission to improve the quality of healthcare and promote evidence-based decision making.

A HRQ E VIDENCE REPORTS Provide directions for handling certain clinical conditions. Guidelines often published by specialty societies, i.e. American Heart Association, American Academy of Pediatrics.

N ATIONAL G UIDELINES C LEARINGHOUSE Produced by the Agency for Healthcare Research and Quality, the AMA and The American Association of Health Plans. Provides summaries of each guideline and the development process. Provides links to full-text guidelines, if available, and/or ordering information for print copies.

C RITICALLY A PPRAISED R ESEARCH S TUDIES (CAT’ S )

ACP J OURNAL CLUB Produced by the American College of Physicians. Provides access to over 2000 critical appraisals of clinical research articles. Editors screen top clinical journals for relevant, methodologically sound studies

Bandolier Bandolier is an independent journal about evidence-based healthcare published in the UK. It includes "information about evidence of effectiveness (or lack of it), and put[s] the results forward as simple bullet points of those things that worked and those that did not. Information comes from systematic reviews, meta-analyses, randomised trials, and from high quality observational studies."

E VIDENCE - BASED NURSING JOURNAL Produced by nurses for nurses. Focuses on evidence-based practice nursing issues. Special features: “Purpose and Procedure,” “EBN Notebook” and a glossary of evidence-based health care terms

E VIDENCE - BASED NURSING JOURNAL Additional evidence-based journals : Evidence-Based Health Care Evidence-Based Medicine Evidence-Based Mental Health Worldviews on Evidence-Based Nursing

D ATABASES

CINAHL (Cumulated Index for Nursing and Allied Health Literature) CINAHL Nursing database through Ebsco Pre-CINAHL is a current awareness database of new journal articles. CINAHL Nursing database through Ebsco Pre-CINAHL

D ATABASES Major database for the nursing and allied health literature from Present. Includes citations (link to glossary) for journal articles, book chapters, nursing dissertations, research instruments, educational software and selected conference proceedings.

D ATABASES Provides access to selected full-text sources: Critical Paths, Clinical Innovations, Standards of Practice and more

P UB M ED C LINICAL Q UERIES P UB M ED C LINICAL Q UERIES A subset of PubMed designed for clinicians looking for “evidence. The National Library of Medicine states that the Systematic Reviews option retrieves citations for “systematic reviews, meta- analyses, reviews of clinical trials, evidence- based medicine, consensus development conferences, guidelines, and citations to articles from journals specializing in clinical review studies

E LECTRONIC T EXTBOOKS

UpToDateUpToDate – On Campus Use Only Physician experts write the content in 15 medical specialties Provides comprehensive, practical answers to questions about patient care Content reviewed continually and updated every 4 months

E LECTRONIC T EXTBOOKS MDConsult Produced for physicians to answer clinical questions Provides access to full-text books and journals, clinical practice guidelines, patient hand-outs and drug information

E LECTRONIC T EXTBOOKS Lippincott Manual of Nursing Practice Clinically focused guide covering all disorders and patient problems in Medical-Surgical, Maternal-Neonatal, Pediatric, and Psychiatric nursing. Patient assessment and official treatment guidelines incorporated into each chapter. Includes step-by-step guides to procedures

E VALUATING THE E VIDENCE

There are resources available that can help you evaluate information to determine its appropriateness to the clinical question at hand. Critical Appraisal Worksheet Greenhalgh, Trisha. How to Read a Paper: The Basics of Evidence Based Medicine, 2nd ed. BJM Books, (Science Reference R118.6.G )

E VALUATING THE E VIDENCE Critical Appraisal Worksheet Jordan, Theresa J. Understanding Medical Information: A User's Guide to Informatics and Decision-making. McGraw-Hill, (Science Reference R858.J )

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