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Cultural Competency

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Cultural Competency Finding Information Using Alumni Medical Library Resources * Other Useful Databases MEDLINE is the primary resource for biomedical journal ... – PowerPoint PPT presentation

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Title: Cultural Competency


1
Cultural Competency
  • Finding Information Using 
  • Alumni Medical Library Resources

2
Subject Guide Pages
  • Healthcare Disparities Subject Page
  • Minority Health Subject Page
  •  

3
Subject Guide Pages
  • Each Subject Guide page contains links to
  • Library catalog searches
  • E-texts
  • Databases
  • E-journals
  • Recommended websites
  • All of these can be good starting places for an
    information search.

4
Print Materials Library Catalog
  • Search the library catalog for books on a topic.
  • There are three main ways it may be helpful to
  • search the catalog by Keyword, by Subject,
  • and using MeSH (Medical Subject Headings)

5
Searching the Catalog Keywords
  • A keyword search looks for the terms you enter
  • in the title or description of the item.
  • Here, you can use cultural competen (the
    serves as a wild card to retrieve cultural
    competence, culturally competent, etc.)

6
Searching the Catalog Subject
  • Choose Advanced Search option

7
Searching the Catalog Subject
  • Select Subject
  • from menu
  • Subject terms to try
  • Cultural Pluralism
  • Multiculturalism

8
Searching the Catalog MeSH
  • MeSH (Medical Subject Headings) is the vocabulary
  • used to index articles in PubMed. You can also
    search
  • the library catalog using these terms. 
  • The next slides show MeSH terms that may be
    useful in
  • locating print information on Cultural
    Competency.

9
MeSH Terms People
  • Population Groups
  • African Continental Ancestry Group
  • American Native Continental Ancestry Group
  • Asian Continental Ancestry Group
  • European Continental Ancestry Group
  • Oceanic Ancestry Group
  • Ethnic Groups
  • African Americans
  • Arabs
  • Asians
  • Gypsies
  • Hispanic Americans
  • Inuits
  • Jews

10
MeSH Terms Specific Issues
  • Cultural Diversity
  • Culture
  • Disabled Persons
  • Homosexuality
  • Religion and Medicine

11
Searching for Journal Articles
  • Often you will not find a print book on your
    topic, and will wish to search one or more of the
    library's databases to locate useful journal
    articles.
  • The premier database for biomedical journal
    literature is the National Library of Medicine's
    MEDLINE, accessible through PubMed.
  • PubMed uses the MeSH vocabulary.

12
MEDLINE Overview
  • Millions of citations to articles in biomedical
    journals
  • Sign in through the Medical Library homepage to
    get full-text access to articles in journals to
    which the library subscribes.

13
MeSH Notes
  • Many more MeSH terms are useful for article
    searches in PubMed than are likely to be used for
    print items in the library catalog.
  • Cultural Competency is a broad and varied topic
    with many potentially relevant terms, so you may
    need to try different combinations of
    headings depending on exactly what you're looking
    for.
  • It is almost always a good idea to use a
    controlled vocabulary (like MeSH) if one is
    available, since a human is responsible for
    assigning these terms.

14
MeSH in PubMed
  • To take advantage of the MeSH terms once you are
    on the PubMed site, click on MeSH Database under
    More Resources.

15
Locating MeSH Terms
  • Enter search terms one at a time and click Go.
    The system will suggest MeSH terms related to
    your concept. 
  • The next slide shows MeSH terms that may be
    helpful for locating materials on Medical
    Professionalism.
  • Choose those that seem most promising for your
    topic.

16
MeSH for Cultural Competency
  • Relevant terms new in 2008 (so only for recent
    articles)
  • Cultural Competency
  • Healthcare Disparities
  • Health Status Disparities
  • Minority Health
  • Many population and ethnic groups are MeSH terms
    (next slide). It may be helpful to combine these
    with
  • Cross-Cultural Comparison
  • Cultural Diversity
  • Culture
  • Population Characteristics

17
MeSH Terms Groups of People
  • Population Groups
  • African Continental Ancestry Group
  • -African Americans
  • American Native Continental Ancestry Group
  • -Indians, Central American
  • -Indians, North American
  • -Indians, South American
  • -Inuits
  • Asian Continental Ancestry Group
  • -Asian Americans
  • European Continental Ancestry Group
  • Oceanic Ancestry Group
  • Ethnic Groups
  • African Americans
  • Arabs
  • Asian Americans
  • Gypsies
  • Hispanic Americans
  • -Mexican Americans
  • Inuits
  • Jews

18
MeSH Terms Specific Issues
  • Communication Barriers
  • Disabled Persons
  •    -Hearing Disabled Persons    -Mentally
    Disabled Persons   -Mentally Ill Persons  
    -Visually Disabled Persons
  • Educational Status
  • Homosexuality
  • Language
  • Religion
  •      -"Religion and Medicine"

19
Searching with MeSH Terms
  • If more than one term is suggested, check the box
    beside the one that looks most useful.
  • You can also click on a term for more information
    and to select subheadings.

20
Subheadings
  • MeSH terms may be associated with one or more
    subheadings, which narrow the search to specific
    aspects of a topic for example, only
    educational aspects of Cultural Competency.
  • If you do not specifically want to limit the
    search to a particular aspect, leave these boxes
    unchecked to include all subheadings.

21
Searching PubMed with MeSH
  • Once you have checked off a search term, you will
    tell PubMed to search for it.
  • Click Send To and select Search Box with AND.

22
Searching, Continued
  • This creates a search box in which you will build
    your PubMed search.
  • You can either click to Search PubMed
    immediately, or add more terms to your search in
    the same way you added the first one, using AND
    or OR to combine.

23
Results
  • When you have the search terms you want, click
    Search PubMed to see results.
  • Review articles and articles available in free
    full text will be sorted out for you.
  • Note that Free Full Text in this context means
    free to anyone you may have full text access to
    more than these articles through BUs
    subscriptions.

24
Refining Results
  • If you get too many results to easily review, you
    can click on the Advanced Search link to apply
    limits.
  • Scroll down to Limits.
  • Limits let you narrow search results by article
    type, publication year, subject criteria,
    language and more. It is advisable to apply
    limits one at a time, to see how each affects
    the search results.

25
Keyword Searches
  • You always have the option to search for a term
    as a keyword or phrase simply type it in the
    search box on the front page of PubMed, rather
    than using the MeSH Database. Use quotation marks
    for multi-word phrases.
  • Since the MeSH term Cultural Competency is new,
    the phrase was likely used by authors before it
    was assigned to any articles, and it is a good
    idea to run this keyword search in addition to
    using MeSH.

26
Combining Search Results
  • You can run searches for several different terms
    separately and then combine your results.
  • Click on Advanced Search to see a list of
    searches you have completed.

27
Combining Searches, Continued
  • Right-click the number next to a search and
    select
  • - AND (if you want results to contain both of
    the terms from the initial searches) 
  • - OR (if you want results to contain either of
    the terms from the initial searches)

28
Example Use of OR
  • If a MeSH term is new, as with Cultural
    Competency, it may be helpful to combine several
    related terms or phrases using OR to cover that
    broader concept.

29
Example Use of AND
  • If you are interested in cultural competency as
    it
  • relates to a specific issue, for example
    Language, you
  • can then search for this term as well and combine
    it with
  • your main set using AND.

30
Viewing and Accessing Results
  • Results of the most recent search will normally
    be displayed.
  • To see results for an earlier search, click
    Advanced Search and click on the number listed to
    the right of any search.

31
Article Information
  • Click the title of an article to see the abstract
    (if available) and other citation information.
  • Look for a full-text link at the upper right if
    BU has an online subscription to the journal.
  • The Find_at_BU link will search the catalog to see
    if the journal is available in print.

32
Article Information, Continued
  • Scroll down and click on Publication Types,
  • MeSH Terms to see terms used to index an
  • article.
  • If any of these look useful,
  • you can click to add them
  • to your search. This can be a
  • good way to find relevant
  • terms for a search.

33
PubMed Help
  • Alumni Medical Library tutorials 
  • http//medlib.bu.edu/tutorials/medline/
  • Reference Desk, staffed 830am-500pm weekdays
  • Meet with a librarian call or email to make an
    appointment

34
Other Useful Databases
  • MEDLINE is the primary resource for biomedical
    journal articles, but other databases may also be
    helpful
  • Academic OneFile
  • CINAHL (Cumulated Index of Nursing and Allied
    Health Literature)
  • PsycINFO
  • Web of Knowledge

35
Accessing Databases
  • Access databases on the Alumni Medical Library
  • homepage under E-Resources

36
Academic OneFile
  • Academic OneFile lists articles from journals
    covering a
  • broad range of subjects.
  • While it does not primarily focus on medical
    topics,
  • useful articles can still be found here.

37
Academic OneFile Subject
  • Subject Guide Search
  • Cultural Competence
  • Multiculturalism
  •  

38
Academic OneFile Keyword
  • Advanced Search
  • Keyword phrase cultural competen
  • Also try adding specific language, country or
    cultural
  • keywords depending on the information need.

39
Academic OneFile Results
  • You can refine results by adding more search
    terms, or by limiting to publication type,
    document type, date, etc.

40
CINAHL
  • CINAHL (Cumulated Index to Nursing and Allied
    Health
  • Literature) covers major nursing and allied
    health
  • journals.
  • It will not always be relevant for biomedical
    searches,
  • but it can be a good source of information on
    some
  • topics.

41
CINAHL Subject
  • CINAHL Headings (subject search) 
  • Cultural Competence
  • Cultural Sensitivity (used before 1994)

42
CINAHL Keyword
  • Advanced Search 
  • Select TX All Text and enter keyword phrase
  • cultural competen

43
CINAHL Results
  • You can narrow and limit results, add extra
    search terms, or search the library catalog for
    the journal.
  •  

44
CINAHL Results
  • Click an article title to see the full reference
    and the subject terms used to index it.
  • If one of them seems relevant, you can click to
    run a search for that term.

45
PsycINFO
  • PsycINFO (and PsycARTICLES, a subset that
    includes only full-text articles) searches the
    psychological literature.
  • PsycINFO is larger (including all information
    from the PsycARTICLES subset), so for a broad
    search, you will want to use it even though many
    results are not full-text.
  • If you want only full-text results, you may wish
    to use PsycARTICLES.
  • Both may be searched in the same way.

46
PsycINFO Subject
  • Thesaurus (Subject) Search
  • Cross Cultural Differences
  • Cultural Sensitivity
  • Multiculturalism
  • Sociocultural Factors

47
PsycINFO Combining Subjects
  • Try combining subject headings 
  • ((DE "Cultural Sensitivity") or (DE "Cross
    Cultural Differences") or (DE "Sociocultural
    Factors") or (DE "Multiculturalism"))
  • You can also apply various limits to narrow the
    search.

48
PsycINFO Keyword
  • Advanced Search 
  • Select TX All Text and enter cultural
    competen."
  • Depending on the specific topic, you may also
    wish to try other keywords for language, country,
    etc.

49
PsycINFO Results
  • You can narrow and limit results, add extra
    search terms, or access full text (if available).
  •  

50
PsycINFO Results
  • Click the article title to see the full reference
    and subject
  • terms used to index it.
  • If one of the other indexing terms seems
    relevant, you
  • can click to run a search for that term.

51
Web of Knowledge
  • Web of Knowledge is a major source for articles
    in a
  • wide range of fields, including the sciences,
    social
  • sciences, and humanities.
  • The subset database Web of Science is an
    excellent
  • place to find articles from scientific journals
    that may not
  • be included in MEDLINE.

52
Web of Knowledge Search
  • Web of Knowledge (and its subset database, Web of
    Science) does not use a controlled vocabulary to
    index items, so effective use of keywords is
    necessary.
  • Try "cultural competen" as a topic phrase
    (again, the serves as a 'wild card' to retrieve
    different word endings).

53
Web of Knowledge Results
  • Refine the search by adding 
  • additional terms related to the 
  • specific issue (i.e. religion") 
  • or by checking off specific categories 
  • or subject areas.
  • You can also try additional topic
  • keywords.
  • Since there is no standardized list
  • of subject terms, you may need to 
  • try the search with several different
  • terms and combinations.

54
Web of Science
  • This science-focused subset of Web of Knowledge
    also lacks a standardized subject vocabulary, but
    does offer an Advanced Search option (it can also
    be searched in the same way as Web of Knowledge
    using the default Search mode).
  • Access Web of Science from its tab on the main
    Web of
  • Knowledge page.

55
Web of Science Search
  • In the Advanced Search mode, you must use the
    listed "field tags," i.e. TS for a Topic (or
    subject).
  • The wildcard indicator () and Boolean operators
    (AND, OR, NOT) may also be used.

56
Web of Science Search
  • Try for example
  • tscultural AND (tscompeten OR tssensitiv)
  • Scroll to Search History at the bottom of the
    page and click on the number of results to
    display.

57
Web of Science Results
  • You can then narrow the results 
  • by adding more terms or checking 
  • a desired Subject Area, 
  • Document Type, etc.
  • Again, you may need to try several 
  • combinations of keywords since
  • there is no standardized list
  • of subject terms.

58
Web Searching Google Scholar
  • Google Scholar (http//scholar.google.com) can be
    a way to locate relevant materials that are not
    published in journals position papers,
    association guidelines, policy statements, etc.
  • Try combining various synonyms of your keywords
    with Boolean operators (AND, OR) to focus your
    query. 
  • For example
  • (medical OR health OR physician) cultural
    (competence OR sensitivity)

59
For Additional Assistance
  • If you have questions about any of the library's
    resources, or would like advice on a search
  • Call or visit the Reference Desk 830am-500pm,
    Monday through Friday (617) 638-4228 
  • Email your question to refquest_at_bu.edu
  • Call or email to make an appointment to meet with
    a librarian 
  • Your library is here for you!
  • ?

60
Additional Resources
  • Cross Cultural Efficacy, University of Maryland
    One step further than Cultural Competency.
    Eight practice cases, with pre- and post-study
    self-assessment questionnaires.
  • Cultural Competence Health Practitioner
    Assessment, National Center for Cultural
    Competence Answer a series of questions for an
    evaluation (approx. 20 minutes).
  • Cultural Competency, Medical University of South
    Carolina Nicely designed explanation of key
    concepts.
  • Cultural Competency/Health Disparities Education,
    University of California - Irvine Six teaching
    modules with practice cases.

61
Additional Resources CME
  • Educating Physicians on Controversies and
    Challenges in Health Health Care Disparities
    Among Racial-Ethnic Minority Patients, American
    Medical Association CME course with a cultural
    competencies module.
  • A Physicians Practical Guide to Culturally
    Competent Care, Think Cultural Health Up to nine
    hours worth of CME credits (free registration
    required).
  • Quality Care for Diverse Populations, American
    Association of Family Physicians CME course
    (RealPlayer required).
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