FINDING THE EVIDENCEprofessionalpractice.providencehealthcare.org/sites...PICO EXAMPLE FROM CINAHL TUTORIAL . 6 . PICO – BUILDING A SEARCH STRATEGY ... “Does implementation of

FINDING THE EVIDENCE

H E L E N B R O W N , h e l e n . l . b r o w n @ u b c . c a K AT H E R I N E M I L L E R , k a t h e r i n e . m i l l e r @ u b c . c a

Providence Health Care Research Challenge Research Skills and Resources

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BY THE END OF THE SESSION YOU WILL HAVE LEARNED HOW TO…

• Select the best database for your research • Use PICO to structure your search • Develop and improve searches by extending or narrowing your search using OR,

AND, & Limits • Leverage keywords and subject headings in your searches • Save searches and set up alerts to stay current

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5 ELEMENTS OF A GOOD SEARCH

• Use PICO format/Concept 1-2-3 for research questions. • Search each concept one at a time to be combined later. • Select appropriate keywords and subject headings for PICO

elements/each concept. • Apply limits at the very end of the search. • Verify results are relevant to your research question.

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PICO

• Answers the question, “WHAT am I searching?” • Takes your question and puts it into a researchable format

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http://guides.library.ubc.ca/CINAHL

PICO EXAMPLE FROM CINAHL TUTORIAL

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PICO – BUILDING A SEARCH STRATEGY

• Using handout – • Organize question into its component parts – PICO/Concept 1-2-3. • Brainstorm synonyms for your concepts, if appropriate

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PICO EXAMPLE

“Does implementation of Omnicell ADC in mental health inpatient units at St. Paul’s Hospital decrease the number of medication errors and medication-related adverse events.”

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PICO EXAMPLE

“Does implementation of Omnicell ADC in mental health inpatient units at St. Paul’s Hospital decrease the number of medication errors and medication-related adverse events.”

P mental health inpatient units

I Omnicell ADC

C n/a

O decrease the number of medication errors and medication-related adverse events

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RESEARCH GUIDES

Nursing Research Guide

http://guides.library.ubc.ca/nursing

* Answers the question, “WHERE do I search?”

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CINAHL

• Key resource in nursing, with coverage of over 2700 nursing and allied health journals from 1982 to present

• Also includes records for some books, pamphlets, dissertations, audiovisuals, standards of practice, practice acts, critical pathways, research instruments, and government publications

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INTRODUCTION TO NAVIGATING CINAHL

• CINAHL Headings

• Keywords

• Searches

– Create account and save searches

– Delete unwanted lines (really nice!)

– Combine lines

– Edit searches

• Add Limits

• Saving records to a folder for later

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KEYWORDS AND SUBJECT HEADINGS

• Answers the question, “HOW do I search”?

working together

Keywords Subject Headings

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DATABASE RECORD

We search the database record not the full text of the article.

Subject Headings

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SUBJECT HEADINGS

What are Subject Headings? • Controlled vocabulary indexing the article’s

content. Subject specialists index the article by tagging it with controlled vocabulary from a standardized list. e.g. critical care unit is Intensive Care Units

• Organized in a hierarchical structure which

allows for searching at various levels of specificity. • Articles are indexed to the most specific

subject heading eg. Intensive Care Units, Neonatal

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KEYWORDS

• Search words that you create. They are found in the database record (e.g. title, subject headings, and abstract)

• It takes a few months for articles to be indexed with subject headings

• Sometimes an appropriate subject heading is not available

• Indexing errors/omissions

• Completeness of your search

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CINAHL SEARCH

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CINAHL SEARCH

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REVERSE ENGINEERING

Reverse Engineering in a library research context:

1. Using an article that is on-topic

2. Look it up in CINAHL & PubMed

3. Reuse the subject headings in a new search

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REVERSE ENGINEERING - CINAHL

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PRACTICE

• Practice a search in CINAHL searching concepts one at a time using keywords and subject headings

• Create an account and save your search

• Ask questions

• Take a quick break!!

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PUBMED

PubMed.gov is the U.S. National Library of Medicine's free, web searchable database which includes MEDLINE - the premier international index to biomedical research covering more than 5,600 peer-reviewed, scholarly journals and indexing over 24 million citations from 1946 to present.

Medline

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PUBMED

Search Box

Clinical Queries for quick clinical searches

Additional tools for finding help, tutorials, specific articles, & MeSH

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PUBMED

Limit your search by article type, date, or population.

Suggested articles with your terms in the title

How did PubMed interpret your search?

Click here for more filters

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PUBMED

Browse Similar Articles to find more

Add to a collection to look at later

Create an account

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REVERSE ENGINEERING - PUBMED

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PRACTICE

• Practice a search in PubMed

• Check Search Details and look at a relevant article – Can you improve your search?

• Create an account and save your search

• Ask questions

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GETTING HELP – YOUR MATRIX OF SUPPORT

• HLWIKI http://hlwiki.slais.ubc.ca/index.php/Nursing_-_library_resources_at_Vancouver_General_Hospital

• Your libraries – hospital… academic… public…

• Your association(s)

• Online Tutorials – http://guides.library.ubc.ca/nursing/coursehelp

• Katherine Miller, Woodward Library [email protected] 604-822-0295

• AskAway – Chat with librarians from across BC Library homepage →

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• Selecting database for your topic • Using PICO to structure your search • Database features such as Search Details and Limits • Extending or narrowing your search using OR, AND, & Limits • Leveraging keywords and subject headings in your searches • Saving searches and setting up alerts to stay current

TODAY WE COVERED…

QUESTIONS?