Introduction to Nursing Resources 2016 Sandra A. Martin, M.L.I.S. Instructor of Library Services Health Sciences Resource Coordinator John Vaughan Library Room 305B –

Knowledge is the Enemy of Disease Sir Muir Gray Existing Knowledge Can Prevent – Waste & Errors – Poor Patient Experience – Adoption of low value interventions – Failure to adopt high value interventions 2

Sandra Martin Provides…. Instruction Research Assistance Small Group Consulting Database Searches Collection Development (Selection of print and online books, audiovisuals, journals and databases) Assistance with any health-related information need Office Hours: Tuesday 10 am to 4 pm – Tahlequah 3

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From the NSU Libraries Home Page 6

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Remote Access Enter NT-NSU user id and password to access the library’s electronic resources Contact your instructor if you have problems with your user id or password Contact Darren Tobey at to report technical Contact Sandra Martin at for search 8

Technical Issues Check your browser  Google Chrome works best with our resources Check your Internet Carrier  Satellite Systems are frequently erratic or go down entirely during inclement weather  Wireless Hotspot You need at least 3G Please access the Library Resources for Nursing page directly from your browser. Access via Blackboard can be slow. 9

Interlibrary Loan/Document Delivery Services  Delivery of journal articles, books, and other items not owned by the library  Delivery of books, audiovisuals, and journal articles in the library’s print collection  Journal articles delivered electronically if possible ILL Requests  Click on Interlibrary Loan link from Nursing Web Page (link located under “Library Info”)  Complete and submit the online registration form  Complete the online request form  Provide complete information about the journal article or book that you need and include your contact information If you have questions or need assistance, contact:  or

Learning Objectives To provide a mechanism for nursing students to access the most current nursing and health care information To familiarize nursing students with specific information resources and services to support the nursing curriculum To familiarize nursing students with evidence- based nursing and lifelong learning skills 11

Overview of Online Resources Research and Clinical Databases e-Journals e-Books Consumer Health Evidence-Based Summaries 12

Journal Article Databases CINAHL Complete, ClinicalKey for Nursing, and are most frequently used resources to find journal articles on nursing topics. Search this section when you need articles on subjects, e.g., electronic medical record, nursing education, pressure ulcers, etc. Databases in this section provide links to full text journal articles and other resources You must start at the library’s Nursing web page to access our subscribed full text

Databases - CINAHL Complete CINAHL stands for Cumulative Index to Nursing and Allied Health Literature Core research tool that contains full text of 1,400 journals and citations in more than 5,300 journals Check the box to “suggest subject terms” and search CINAHL headings for best results, e.g., search “mentorship” to find articles on “mentoring” View the brief tutorial to get started 14

Databases - CINAHL Complete 15

Databases – ClinicalKey for Nursing All in one resource provides access to e-Journals, e- Books, MEDLINE, images, videos, and more Unique features include full text “disease overviews” with links to related topics and resources Smart Search interface includes:  Autosuggest search terms to quickly display concepts, procedures, and drugs related to your topic  The most current, clinically relevant answers at the top of your search Full text monographs of all FDA approved drugs and patient education handouts 16

Databases – ClinicalKey for Nursing 17

Databases – Comprehensive, integrated Nursing and Allied Health portal with full text from 1950 to the current week Content includes nursing practice, education, research, and administration Based on the nursing and allied health subset of Ovid MEDLINE Ovid Nursing Subject Thesaurus provides search terms included in MeSH (medical subject headings) as well as those unique to nursing 18

Databases - MEDLINE Premier biomedical database from the National Library of Medicine Provides journal articles from 1946 to present in medicine, nursing, health care system, and allied health care practice, education, and research Search MEDLINE from Clinical Key or Ovid 19

Databases – Science Direct Scientific database produced by Elsevier Provides journal articles from over 2,500 journals and chapters from almost 20,000 books in all life sciences disciplines Contains full text of nursing journals not found in other databases Choose “Advanced Search” to narrow your search results to full text in selected time periods 20

Additional Research Databases Health and Psychosocial Instruments – assists researchers in identifying tests, questionnaires, rating scales in health and psychosocial sciences. Does not include full text of the instruments National Library of Medicine – provides access to hundreds of databases covering a wide range of biomedical information resources Native Health Databases – contains citations and abstracts of documents pertaining to the health care of North American indigenous peoples 21

Tracking Down the Full Text If your database search does not provide a link to full text of a relevant article, play the brief video from the Library Resources for Nursing web page: 22

e-Books R2 Digital Library – Nursing and allied health books from Doody’s Core Titles in the Health Sciences - full text of nursing and health sciences books published by Lippincott Williams & Wilkins, American Nurses Association (ANA), Joanna Briggs Institute, Jones-Bartlett, and Springer Publishing ClinicalKey for Nursing – full text of nursing books and handbooks published by Elsevier Access Medicine - text of leading medical and health sciences books from McGraw-Hill ClinicalKey for Nursing and Access Medicine contain full text monographs for the health care professional and the patient of all FDA approved drugs 23

Consumer Health Resources Current, authoritative, peer-reviewed, and evidence- based resources written specifically for the layperson MEDLINEPlus – the National Institutes of Health’s web site for patients and families Joanna Briggs Database - provides full text consumer information sheets ClinicalKey for Nursing - includes patient education handouts produced by Elsevier Access Medicine – contains patient education materials for adults and children and includes handouts for drugs and medicines 24

Databases – MEDLINEPlus National Institute’s of Health’s web site for patients and families Produced by the National Library of Medicine Contains current, reliable, well-written information summaries and videos about diseases, conditions, and wellness issues Widely used in major hospitals and medical centers 25

Information Retrieval for Evidence Based Health Care Using research findings versus conducting research Retrieving and evaluating information that has direct application to specific patient care problems Selecting resources that are current, valid and available at point-of-care Developing search strategies that are feasible within time constraints of clinical practice

New Tools Target High-Quality Studies Increase ease of accessing and finding answers to clinical questions Preprocessed - practical resources that facilitate ready access to high-quality research Preappraised – tools that have undergone a filtering process to include only those studies that are regularly updated and of higher quality

Point-of-Care Resources Evidence based textbooks  Provide rapid access to concise information to clinicians at the point of care  Not a database of articles from books, journals, or guidelines  Original, current, summaries written by experts  Formal systems used to grade strength of recommendations and quality of evidence

Clinical Question Therapy/Prevention Question  In hospitalized patients[Patient/Population], do mattress overlays on operating tables and/or hospital beds [Intervention] versus no overlay[Comparison Intervention], reduce or prevent the incidence of pressure ulcers [Outcome]?  Question based on PICO Model

Evidence Based Summaries UptoDate –Evidence based summaries of over 10,000 topics in over 22 specialties –8,500 Treatment Recommendations –GRADE System used to score recommendations and strength of evidence –Practice changing updates; Updated continuously –Drug database; Patient education materials –The Gold Standard of summaries

UTD – fast, current, peer reviewed

UTD – simple search, evidence based answers

Life-Long Learning Selecting and searching online databases is challenging Information is ever changing Contact Sandra ( preferred) 34

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