1. Dartmouth Institute for Medical Librarians Lenora Kinzie, MLS Stormont-Vail HealthCare Topeka, KS November 16, 2010

2. Thank you NN/LM - MCR Professional Development Award 2010

3. Supporting Clinical Care: An Institute in Evidence-Based Practice for Medical Librarians 3 rd Annual Dartmouth College Stellar Presenters Institutional Need Staff Nursing School Self-serving

8. Evidence-Based Practice Research Evidence Clinical Expertise Patient Preference and Values Resources Assessment

9. Steps of Evidence Assess Ask Acquire Appraise Apply Assess

10. PICO - sometime PICOT Patient/Population Intervention Comparison Outcome Time Frame

11. A nurse in the ICU asks about the care of patients with head injuries. She’s wondering if elevating the head of the bed 30 degrees will reduce intracranial pressure.

12. PICO breakdown P – Head injury I – Elevate head-of-the bed 30% C – Elevate / % or not at all O – reduce intracranial pressure T –

15. Resources TRIP Database Cochrane – Systematic Reviews DARE – Database of Abstracts of Reviews of Effects Joanna Briggs Institute Clinical Queries (PubMed, CINAHL) CEBM – Centre for Evidence Based Medicine

16. www.tripdatabase.com

17. Finding Evidence Fast - TRIP 1 - Systematic Reviews 2 - Medline – Systematic Reviews Searches PubMed Clinical Queries 3 - Evidence Based Synopses 4 – Guidelines 5 – Medline – Diagnosis, Therapy… Searches PubMed Clinical Queries

18. 3rd 1st 4th

19. 5th 2nd

20. 3rd 1st 4th

21. 5th 2nd

22. Cochrane

28. CINAHL

31. Gray Literature Is produced on all levels of government, academics, business and industry in print and electronic format but not controlled by publishers Reports Memoranda Conferences / Association Proceedings Standards Technical Documents

32. Studies Whoa boy Go girl

33. So what does this mean in my world? EPIC (Electronic Documentation) Journal Clubs Evidence-Based/Best Practices Research Council Educating Staff/Students Conversation with Faculty/Physicians/Staff IRB Searching Literature