1. Information Literacy and Evidence-based Nursing Practice

2. Are you Information Literate?
Do you KNOW the question & what information you might need to address it?
Can you ACCESS information effectively & efficiently?

3. Are You Information Literate?
Can you EVALUATE the information & its sources critically?
Can you USE the information effectively to accomplish your purpose?
Do you know how to do all these things ETHICALLY?

4. Information Literacy
Necessary skills for Evidenced-based practice (EBP)
Steps for EBP:
Question
Search for the best evidence
Analyze the evidence
Determine application to practice
Evaluate the outcome

5. Question PICO P = Population/Patient or problem I = Intervention
C = Comparison intervention (if any)
O = Outcome
Examples

6. Access - Search Search Tips:
Use key words related to Population/Patient/Problem and Intervention in search
Advanced search options
Truncation: Asterick *
Boolean operators
AND – narrows search
AND NOT – finds documents which have the first word but not the second word
OR – broadens search

7. Information Resources
Library Database - Journal Search
Databases:
ProQuest Nursing
Ovid

8. Access - Search EBP Guidelines: Cochrane Reviews
National Guideline Clearinghouse
Registered Nurses Association of Ontario

9. Access - Search Government Agencies National Organizations
Agency for Healthcare Research and Quality
CDC
FDA
PubMed
National Organizations
American Diabetes Association
American Heart Association

10. Evaluate – Analyze
Is the quality of the information/study good enough to use the results?
Reputable sources
Peer-reviewed or scholarly journals
Evaluation of Web sites
Source--recognized authority
Unbiased & credentialed
Intended audience
Accurate & complete information
Current & updated

11. Hierarchy of Evidence
From Shirm, V. (2007). Evidence Based Practice Tutorial for Nurses.

12. Levels of Evidence
Level I : systematic review of random controlled tests (RCT)
Level II: Evidence obtained from at least one well-designed RCT
Level III: one well-designed controlled trials without randomization
Level IV: well-designed case-control and cohort studies
Level V: systematic reviews of descriptive or qualitative study
Level VI : single descriptive or qualities study
Level VII: opinion of authorities and/or reports of expert committees

13. Use – Apply Application of results
Are the findings applicable in my setting?
What do the results mean for my patient?
Ethical use of information & resources
Citation of print and online sources
APA Format

14. Practice
Situation:
There have been several readmissions for diabetic patients with foot ulcers. You note different treatments are being used and that your unit does not have patient education materials on foot care.
Formulate a Question using PICO

15. Practice - Search Journals: Library Database EBP Guidelines
Cochrane Review:
National Guideline Clearinghouse

16. Practice - Search American Diabetes Association
Medline Plus
Google & Google Scholar

17. Practice Evaluate quality of information found.
Are the findings applicable to my patient?
How would changes in practice be implemented?

18. References
Craig, J. and Smyth, R. (2002) The Evidence-based practice manual for nurses. Edinburgh: Churchill Livingston.
Shirm, V. (2007). Evidence based practice tutorial for nurses. Retrieved June 23, 2009, from Penn State University Park website