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Evidence-Based Practice Literature Review

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Evidence-Based Practice Literature Review Fall 2007 Helen Hough, BA, BS, M.L.S. What is Evidence-Based Nursing (EBN)? the process by which nurses make clinical ... – PowerPoint PPT presentation

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Title: Evidence-Based Practice Literature Review


1
Evidence-Based Practice Literature Review
  • Fall 2007
  • Helen Hough, BA, BS, M.L.S.

2
What is Evidence-Based Nursing (EBN)?
  • the process by which nurses make clinical
    decisions using the (1) best available research
    evidence, (2) their clinical expertise and (3)
    patient preferences.
  • Three important areas of research competence are
    (1) interpreting and using research, (2)
    evaluating practice, and (3) conducting research.

Adapted from http//evidence.ahc.umn.edu/ebn.htm
3
To carry out EBN
  • the following factors must be considered
  • -sufficient research must have been published on
    the specific topic
  • -the nurse must have skill in accessing and
    critically analyzing research
  • -the nurse's practice must allow implementation
    of changes based on EBN

Adapted from http//evidence.ahc.umn.edu/ebn.htm
4
Where is research published?
Typically in journals, with focus in research
journals
  • Advances in Nursing Science
  • Annual Review of Nursing Research
  • Applied Nursing Research
  • Biological Research for Nursing
  • Canadian Journal of Nursing Research
  • Clinical Nursing Research
  • Evidence Based Nursing
  • Journal of Nursing Measurement
  • Journal of Nursing Scholarship
  • NT Research
  • Nurse Researcher
  • Nursing Research
  • Nursing Science Quarterly
  • Oncology Nursing Forum
  • Online Journal of Knowledge Synthesis
  • Research in Nursing and Health
  • Scholarly Inquiry for Nursing Practice
  • Western Journal of Nursing Research

5
Other useful materials
  • Journals resources may also have
  • Meta-analysis
  • Clinical guidelines
  • or be
  • Cochrane review(http//eresource.uta.edu/cgi-bin/
    db-cochlib.cgi)
  • www.guidelines.gov
  • Agency for Healthcare Research and Quality
    (http//www.ahrq.gov/ )

6
First thing to do
  • A literature review
  • Where is the literature stored?
  • In libraries
  • http//www.uta.edu/library
  • How do you find the literature?
  • A lit database search.
  • http//library.uta.edu/JDBC/DBs/dbAtoZ.jsp

7
Access - Databases
  • The questiondictates the appropriate database.
  • Favorites
  • CINAHL Medline/PubMed
  • Health Source/Nursing PsycINFO
  • Health Reference Center
  • http//library.uta.edu/JDBC/DBs/dbAtoZ.jsp

8
Half of all good work is the thought put into it
before action Expert accumulation of thought
9
Question-basedliterature review strategy
  • What is the problem?
  • Children with autism are difficult to treat and
    their parents are weird/demanding.
  • What is the question?
  • Are there unique orientation, patient education,
    treatment information needs of the child and
    family impacted by autism?
  • What are the questions concepts?
  • 1 autism 2 information

10
Question-baseddatabase selection
  • Q Are there unique orientation, patient
    education, treatment information needs of the
    child and family impacted by autism?
  • Areas Health related, Children, Psychiatric
  • Databases Nursing, Medical, Education,
    Psychology

11
Be prepared
  • Preparatory exploration of database (content
    area, layout, limits, protocols)
  • Concept synonyms
  • Adjust strategy(new information, subjects vs
    keywords)
  • False drops (irrelevant retrievals)
  • You cant break the DB, attempts are trials

12
General Rule
  • Start big
  • Narrow down
  • Is the reason for 0 retrievals becausethere
    nothing in the stupid databaseorwere the wrong
    words used?
  • http//library.uta.edu/JDBC/DBs/dbAtoZ.jsp

13
Examples
  • Cochrane Reviews
  • 1. Autism 2. Patient education
  • Consider references,Cited reference searching

14
Examples
  • National Guideline Clearinghouse
  • (www.guidelines.gov)
  • Agency for Healthcare Research and Quality
    (www.ahrq.gov/)
  • Autism

15
Examples
  • CINAHL ----------------------------------- Autism
  • Limits
  • Peer-review Meta-analysisReviews ResearchP
    rotocols CEUs
  • Guidelines
  • Do NOT limit to full text
  • Explore records/thesaurus for patient education
    concepts
  • Cited reference searching
  • http//library.uta.edu/JDBC/DBs/dbAtoZ.jsp

16
Examples
  • Medline with MESH Autism
  • PsycINFO
  • Autism, Asperger, Pervasive Developmental
    Disorder
  • What are available limits? http//library.uta.e
    du/JDBC/DBs/dbAtoZ.jsp

17
Getting the materials
  • Using MyEBSCO (alerts) and/or RefWorks
  • http//eresource.uta.edu/cgi-bin/db-cinahl.cgi
  • 1st At UT Arlington
  • Check E-journal list Library Catalog
    http//library.uta.edu/
  • 2nd Not at UT Arlington
  • Interlibrary Loan
  • TexShare, Find In A Library or
    WorldCat http//www.worldcat.org
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