Speech Language Pathology 4543 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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Bookmark this Page: 5

From the NSU Libraries Home Page 6

From the Health Professions Page, Click on Speech Language Pathology 7

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  Internet Explorer does not work with our online resources  Use Firefox or Chrome Check your Internet Carrier  Satellite Systems are frequently erratic or go down entirely during inclement weather  Wireless Hotspot You need at least 3G The library link from within Blackboard does not work well. Please access the Library Resources for SLP page directly from your browser 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 SLP Web Page  Complete and submit the online registration form  Complete the online request form  Provide complete information about the journal article or book that you need. Indicate your status as a health professions student and include your contact information If you have questions or need assistance, contact:  or

Learning Objectives To provide a mechanism for students to access the most current speech language pathology and health care information To familiarize students with specific information resources and services to support the speech language pathology curriculum To familiarize SLP students with evidence-based health care 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 MEDLINE, are most frequently used resources to find journal articles on SLP topics Search these resources when you need articles on subjects, e.g., aphasia, stuttering, stroke, etc. Databases in this section provide links to full text journal articles and other resources You must start at the library’s SLP web page to access our subscribed full text 13

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 next to “suggest subject terms” and search CINAHL headings for best results, e.g., search “fluency disorders” for “stuttering” Full text of ASHA journals included 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 – Ovid MEDLINE Premier biomedical database from the National Library of Medicine Provides journal articles in over 5,000 journals from 1946 to present in medicine, nursing, health care system, and allied health care practice, education, and research Hints:  In Ovid MEDLINE, search the Daily Update, and In-Process segments simultaneously with desired range of years  Search keywords along with subject headings 18

Use MEDLINE to locate Articles that report results of primary (original) studies Conclusions supported by data and reproducible methodology Ovid MEDLINE contains full text of many rehabilitation journals

Databases – PsycINFO Includes articles from over 1,800 professional journals, chapters, books, reports, theses and dissertations published internationally Updated weekly Comprehensive subject coverage of all areas of psychology as well as related disciplines such as psychiatry, education, medicine, and allied health 20

Databases - PsycARTICLES Full text, scholarly articles Contains over 180,000 articles from 80 journals published by the American Psychological Association (APA) Includes articles and book reviews from 1894 to present 21

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 life sciences journals not found in other databases 22

Databases – Education Full Text Full text of over 350 journals Includes coverage of special education and educational tests Includes full text back to

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 24

Tracking Down the Full Text If your database search does not provide a link to full text of a relevant article:  Print a list of the citations  Click on the Library e-Journals link on the Library’s SLP web page  Enter full title of the journal  Click on link to database that contains the full text 25

ASHA Journals Click on the individual ASHA journal titles from the SLP web page Open the year, volume, and issue you need Click on the PDF full text icon to display the article 26

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, 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 27

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 28

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 29

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 30

Getting Started: Match Resource to Information Need What is the question? How will information be used? 31

Information Retrieval to conduct Research Comprehensive in scope and time  All levels of resources  Current and Retrospective  Background and Foreground Information 32

Background vs. Foreground Questions Asking questions about your proposed topic helps to clarify your knowledge gap Clarifying type of question helps to determine which sources are most likely to have the answers you need 33

Background Questions Generally ask who, what, why, where or how about a single concept 34

Proposed Research Project Evaluate the effectiveness of constraint induced aphasia therapy for patients following stroke 35

Background Questions What is the role of speech therapists in working with stroke patients? What are rehabilitation methods of addressing aphasia in patients following stroke? 36

Answers to Background Questions Resources:  CINAHL Complete  ClinicalKey for Nursing  MEDLINE  PsycINFO  Science Direct 37

Foreground Questions Usually compare two or more concepts – theories, drugs, treatments, tests, harms or benefits of two approaches 38

Foreground (Clinical) Question In adult patients with chronic aphasia following stroke, does constraint induced aphasia therapy versus no therapy stimulate language recovery?

Answers to Foreground Questions Require precise information about complex issues Sources should provide current, original clinical research data  Start with evidence-based summaries and systematic reviews 40

Highest Level of Evidence - Critically Appraised Content Evidence Based Summaries UpToDate, Clinical Key for Nursing, Joanna Briggs Institute ClinicalKey for Nursing Cochrane Database of Systematic Reviews, ClinicalKey for Nursing, Joanna Briggs Institute ClinicalKey for Nursing, MEDLINE, CINAHL Complete, Science Direct, PsycINFO SOURCE: Haynes, R. B. (2001). Of studies, syntheses, synopses, and systems: the “4S” evolution of services for finding current best evidence. Evidence-Based Medicine, 6 (2), Retrieved from

New Tools Target High-Quality Studies Increase ease of accessing and understanding clinical information 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

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

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

Simple UTD Search Provides Quick Answers

Reviews current research and practice

Systematic Review Analyzes data from several primary studies to answer a specific clinical question Provides search strategies and resources used to locate studies Includes specific inclusion and exclusion criteria (results in less bias) Meta-Analysis (subclass) statistically summarizes results of several individual studies SOURCES: Cochrane Database of Systematic Reviews (Ovid Full Text), Clinical Key for Nursing, ASHA research journals, Joanna Briggs

Life-Long Learning Selecting and searching online databases is challenging Information is ever changing Contact Sandra ( preferred) 50

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Speech Language Pathology 4543 Sandra A. Martin, M.L.I.S. Instructor of Library Services Health Sciences Resource Coordinator John Vaughan Library Room 305B –