PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal.

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Presentation transcript:

PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

EBP What is evidence based practice? Evidence ‐ based practice is the integration of  Your individual clinical expertise  With the best available clinical evidence from research  And with the patient’s values and expectations

Some Ways to Categorize Literature Editorials, news articles, trade magazines Scholarly Journal articles Peer-reviewed literature Research Meta-analysis Systematic Review

PEER REVIEW: Peer Review Is Important!

c) Copyright Trustees of Dartmouth College and Yale University. All Rights Reserved. Produced by Jan Glover, Dave Izzo, Karen Odato, and Lei Wang. EBM Pyramid es.shtml

Components of Research Reports 1. Introduction 2. Literature Review (Johnson, 2010) 3. Methodology 4. Results – data report – often includes tables, graphs, charts 5. Conclusion See tutorial “How to Find Research Literature” linked from “How do I….” on Benner Online.

Library Databases CINAHL Cumulative Index to Nursing and Allied Health Literature Use the CINAHL headings Limit your CINAHL search:  Date range, Scholarly/Peer-viewed, "Research"  or other "publication" types (i.e., systematic review). Note: EBP – The Evidence-Based Practice field in CINAHL will retrieve articles about the importance of EBP, the implementation of EBP, and/or the implications of EBP. NOT necessarily the research that is foundational to EBP. You want the RESEARCH.

Resources & Strategies The Cochrane Database of Systematic Reviews An EBSCO Database  This is a database of reviews of hundreds of articles by topic.  Teams of experts do comprehensive literature reviews.  They critique the literature and the research reported.  They summarize the findings of the best studies. Published by the International Cochrane Collaboration.  Reviews are subjected to VERY STRICT peer review.

Medline -1 Systematic Reviews are also searchable in MEDLINE Enter your search query. - USE MeSH headings to help Scroll down to "Subject Subsets." Select "Systematic Reviews"

Medline - 2 Other useful fields: EBM –In Medline Evidence Based Medicine searches top of the pyramid – Critically appraised literature! THAT’S USEFUL. If EBM retrieves too few results (or none), try publication types: Clinical trial Evaluation study Meta-analysis Multi-center study Validation

ProQuest Nursing & Allied Health Google-ish! Ways to focus the search  Type: research or study or method in one search box  Select abstract  Try your search terms as subject or title words

PsycINFO International coverage of the professional and academic literature in psychology, medicine, psychiatry, nursing, sociology, education, pharmacology, physiology, linguistics, and other areas. To limit your PsycINFO search to the best evidence- producing studies: use "Clinical Queries" or limit to "methodology" types

Meta-search Engines *TRIP - Turning Research Into Practice   This search tool was “designed to allow health professionals to rapidly identify the highest quality clinical evidence for clinical practice.”  You will find useful citations in TRIP.  Copy the journal title into the Library’s eJournal search to see if Olivet has access to the Full Text document.  Or request the article through Interlibrary Loan:  Copy and paste citation to  Use your ONU  ILL will find a source and send the article to you Health Services/Technology Assessment Texts (HSTAT) 

Appraising original research Are the results valid?  Is the research question focused?  Was the method appropriate? (Is it a method I could use?)  How was it conducted? What are the results?  How was data collected and analyzed?  Are they significant? Will the results help my work with patients?

Google Scholar Work from library.olivet.edu to have access to our FT and to use “request” function Caveat – w/o database limits, the discernment is entirely up to you! Use to find citation trails  Cited by  Limit date  Limit topic = search within

When you need data collection tools…. Look on the NURSING Databases & Guides page Find the tutorial on Health & PsychoSocial Instruments Call or for help if you do not find what you need.

HELP!!!! Pam Greenlee – SGCS Research Librarian To request an item through interlibrary loan, copy the citation(s) and paste into an to