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

2. 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

3. 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

5. Bookmark this Page: http://library. nsuok

6. From the NSU Libraries Home Page

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

8. 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 problems
Contact Sandra Martin at for search assistance

9. Technical Issues Check your browser Check your Internet Carrier
Use Chrome or Firefox
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 is sometimes slow. Please access the Library Resources for SLP page directly from your browser

10. 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

11. 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

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

13. Journal Article Databases
CINAHL Complete, ClinicalKey, 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

14. 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

15. Databases - CINAHL Complete

16. Clinical Key
“All in one” database with full text access to 1,000 books and 500 journals in every medical and surgical specialty
12 Content Types including MEDLINE, images & videos
Access to information at all levels from topic overview to evidence-based data in one search
Smart search engine matches first few letters of search word/words to relevant clinical content
No complicated search strategies or Boolean connectors
Easier than Google – but with reliable, evidence-based results

17. ClinicalKey “Autosuggest” displays search term choices

18. MEDLINE Covers 1946-present
U. S. National Library of Medicine’s premier database. Contains over 20 million citations to journal articles in medicine, nursing, allied health, and basic sciences as they relate to health care
Covers 1946-present
Ovid and Clinical Key include “user friendly” interface. Natural language processing of keywords eliminate complicated searches
Use Ovid or Clinical Key MEDLINE for links to full text in our subscribed journals

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 life sciences journals not found in other databases
Choose “Advanced Search” to narrow your search results to full text in selected time periods

20. Databases – Education Full Text
Full text of over 350 journals
Includes coverage of special education and educational tests
Includes full text back to 1996

21. 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

22. 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

23. 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 SLP web page:

24. e-Books
R2 Digital Library – Nursing and allied health books from Doody’s Core Titles in the Health Sciences
ClinicalKey – full text of over 1,000 books in all medical specialties
- full text of nursing and health sciences books published by Lippincott Williams & Wilkins, American Nurses Association, Joanna Briggs Institute, Jones-Bartlett, and Springer Publishing
Access Medicine - text of leading medical and health sciences books from McGraw-Hill
ClinicalKey, UpToDate, and Access Medicine contain full text monographs for the health care professional and the patient of all FDA approved drugs

25. 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
ClinicalKey and UpToDate - include patient education handouts with basic and detailed versions
Access Medicine – contains patient education materials for adults and children and includes handouts for drugs and medicines

26. 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

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

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

29. 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

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

31. Research Project Examples
Is speech and language therapy more effective than no treatment in improving functional communication in patients with aphasia following stroke?
Evaluate the effectiveness of constraint induced aphasia therapy for patients following stroke.

32. Background Questions
What are the signs & symptoms, causes, incidence & prevalence of aphasia?
What percentage of stroke survivors experience aphasia?
What percentage of strokes are ischemic?
What is the clinical presentation of ischemic stroke?

33. Answers to Background Questions
Resources
ClinicalKey
CINAHL Complete

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

35. Foreground (Clinical) Question
In adult patients with chronic aphasia following stroke, [patient] does constraint induced aphasia therapy [intervention] versus no therapy [comparison intervention] stimulate language recovery [outcome]?
PICO Model: Patient, Intervention, Comparison Intervention, Outcome

36. Answers to Foreground Questions
Require precise information about complex issues
Sources should provide current, original clinical research data
Start with evidence maps (ASHA), evidence-based summaries and systematic reviews
Supplement with searches of ClinicalKey, CINAHL Complete, etc.

38. 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

39. 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

40. 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

41. 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

43. Simple UTD Search Provides Quick Answers

44. Reviews current research and practice

45. Summaries FirstConsult Search online in Clinical Key
App available through NSU subscription to Clinical Key for iPhone or iPad only
Create a personal account in Clinical Key
Download the app from the Apple app store
Login with your CK username and password
Concise summaries; sections on differential diagnosis; quality of evidence graded
Not updated as rapidly as UTD

46. ClinicalKey “stroke” search terms

47. CK First Consult Summary

48. ASHA Evidence Map - Aphasia

49. Systematic Review
Analyzes data from several primary studies to answer a specific clinical question
Provides search strategies and resources used to locate studies
Uses explicit methods to identify, select, and critically appraise relevant research and to collect and analyze data from the studies
Statistical methods (meta-analysis) may or may not be used to analyze and summarize results
Benefits: Limits bias and increases confidence in conclusions

50. Syntheses Cochrane Database of Systematic Reviews (DSR)
Part of the Cochrane Library (1996)
Over 3,000 reviews & protocols (reviews in the making)
The Gold Standard of systematic reviews
Full Text Available in Ovid

53. ASHA - Aphasia

54. Not all topics fit the 6S Model
High levels of evidence may not exist for all questions

55. If no synthesized research is available, find individual studies
Clinical Key (Includes MEDLINE)
Ovid MEDLINE (tools for “precise” search strategies)
CINAHL Complete – targets nursing & allied health topics
Science Direct – targets scientific and technical topics

56. Take Home Points
Focused clinical question (PICO) reveals your search terms and best type of studies
Start your search at top of 6S hierarchy and work down (UpToDate, First Consult, ASHA)
Be aware of the filters: levels of evidence, graded recommendations, speed of updating
Look at more than one resource in the hierarchy. Findings may differ

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

58. If you need Help, contact Sandra

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