Health Information Databases Sabelo Mapasure, MA, MCLIP SCHT & PCTs Library & Knowledge Services Manager Shropshire Community Health NHS Trust

Aims and objectives  Introduction to searching clinical databases to find information relevant to individual needs and interests Plan a search strategy to search for information Aware of various clinical databases Carry out a search for information Display/print/export/save search results Leave the session with some useful information of occupational interest, CPD or studies.

ATHENS Databases  Have you signed up?  ATHENS list of resources

Types of Questions  What causes the problem? AETIOLOGY, RISK FACTORS  What is the frequency of the problem? FREQUENCY  Does this person have the problem? DIAGNOSIS  Who will get the problem? PROGNOSIS, PREDICTION

P.I.C.O. Method P Population/patient I Intervention/indicator C Comparator/control O Outcome In Evidence Based Medicine (EBM), treatments and therapies are called ‘interventions’.

Plan your search  PICO method  Medical Subject Headings (MeSH)  Keywords  Combining Terms (AND, OR, NOT)

Example Question In patients with recurrent furunculosis, do prophylactic antibiotics, compared to no treatment, reduce the recurrence rate?

Example answer P Population/patient = patients with recurrent furunculosis I Intervention/indicator = prophylactic antibiotics C Comparator/control = no treatment O Outcome = reduction in recurrence rate of furunculosis

Boolean Logic  AND  OR  NOT  Wildcards e.g. *  Proximity searching

Selecting the databases  AMED (Allied and Complementary Medicine)  BNI (British Nursing Index)  EMBASE  Medline  CINAHL (Cumulative Index to Nursing and Allied Health Literature)  PsycINFO  Health Business Elite  HMIC

Searching  Simple Search  Advanced Search  Search using Thesaurus Mapping (recommended)

Search Results  Display or Browse  Save  Print  Export  Alerts

Practical exercise 1. Plan your search strategy using given question or use your own. 2. Perform a search (advanced recommended) 3. Combine sets 4. Search limits by: adults, English, Display results 6. results 7. Change database and repeat search 8. Save Search and Create Alerts

Exercise 1  Clinical question: How effective is hypnotherapy as a form of treatment for irritable bowel syndrome?

Practical exercise 2  Clinical question: In a 70 year old woman with primary insomnia and a previous adverse reaction to hypnotics, can cognitive behavior therapy improve sleep quality and duration?

Practical exercise 3  Clinical question I am looking for references on treatment exercises i.e. anterior patellofemoral syndrome in adolescent girls.

Objectives - Recap Plan a search strategy to search for information Be aware of various clinical databases Carry out a search for information Display/print/export/save search results Leave the session with some useful information of occupational interest, CPD or studies.

Finally… Thank you for attending!  Impact assessment (please complete online)  training_appraisal_PCT_LKS training_appraisal_PCT_LKS  Other courses are available, please ask Sabelo Mapasure SCHT & PCTs Library and Knowledge Services