HELLO, BLOCK 2
NURSING STUDENTS!
Ann Roselle
Librarian
Evidence-Based Nursing
First Step
What type of question am I trying to answer?
Background Question
Foreground Question
Who, what, when , why, where, or how To inform clinical decisions or actions Specific to the clinical case (patient)
Best practice question
Often compares two interventions
Single disease, drug, intervention,
concept
Asks for specific knowledge
Asks for general knowledge
More refined/focused
Broad
For example, In middle aged women
For example, What are the causes of
with migraines, is there any evidence
migraines?
that acupuncture compared to
relaxation training reduces the
frequency of migraines?
Second Step
Where is the best place to start my research
(evidence)?
Two Most Important PC Library
Webpages for You
1. Nursing Research LibGuide
PC Library > Class Guides > NUR
2. Nursing Databases
PC Library > Databases by Subject > Nursing
Real Life Research
• How to .
..
• Eliminate ventilator-associated pneumonia (VAP)
• Decrease hospital acquired pressure ulcers in the ICU
• Decrease the need for peripheral IV restarts
• Negate compassion fatigue in acute care nurses
• Prevent catheter associated urinary tract infections (CA-UTI)
• Improve immunization practices
Real research question:
Does early patient
mobilization affect length of stay and patient outcomes?
Learning Objectives
• By the end of today’s session, you will be
able to:
• Use PICO to breakdown a clinical question in order to
search effectively.
• Construct a search in PubMed with PICO keywords in
order to locate relevant research.
• Understand the use of Journal Finder in order to
locate full-text research articles.
• Describe “Level of Evidence.”
PICO
P
I
C
O
Population/Patient/
Problem
Intervention
Comparison
Outcome
Who or what? (How would you
describe a group of patients
similar to yours?)
How? (Which main intervention,
prognostic factor, or exposure
are you considering?)
What is the main alternative?
(optional)
What are you trying to
accomplish, measure, improve,
or affect?
Clinical case: A pregnant woman with type 1 diabetes is concerned about the
effect her current treatment may have on her pregnancy and unborn child.
You've heard that insulin pump therapy may be a more successful treatment
than conventional insulin therapy.
Clinical question (want you want to answer): Are insulin pumps more effective
than conventional therapies in managing type 1 diabetes in pregnant women?
P
Population/Patient/
Problem
Pregnant women with type 1
diabetes
I
Intervention
Insulin pump therapy
C
Comparison
Conventional insulin therapy
O
Outcome
Improved management of
glucose levels
Keywords for Your Search
diabetes AND pregnancy AND "insulin pump" AND "insulin
injections"
OR
“type 1 diabetes” AND pregnancy AND "insulin infusion
systems"
AND = combines search words
“Quotation Marks”= phrase searching
(WARNING! - Don’t use phrase searching in PubMed)
Nursing Research LibGuide
Library > Class Guides > NUR
Need Help?
1.
P = hip replacement
I = patient controlled analgesia
C = intramuscular injection
2.
P = older patients
I = vitamin D supplementation
O = reduce falls
3.
P = critically ill
I = disposable bath
C = traditional bath
O=hygiene
Journal Finder
Shows which PC Library Database contains full-text articles