1. Evidence-based Practice for HINARI Users (Advanced Course Module 6 Part B)
This module explains why HINARI users might want to start by searching evidence-based resources and highlights HINARI, as well as, freely available resources that support evidence-based practice.
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2. Table of Contents Evidence & EBM definitions 5 step EBM process
HINARI Resources
Cochrane Library
Evidence-based Medicine Guidelines
Essential Evidence Plus
EBM Journals
PubMed/Clinical Queries
PubMed Filters
Evidence Aid
Other (Internet) Resources
introduce you to Evidence-based Practice and related HINARI resources
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3. JBI Database of Systematic Reviews and Implementation Reports (JBI)
JBI resources are primarily found through the Ovid platform, however, when it is feasible, some of the Protocols will be published through PROSPERO which is Open Access. Besides Systematic Reviews, JBI publishes:
Best Practice Information Sheets
Consumer Information Sheets
Evidence Summaries
Recommended Practices
Systematic Review Protocols
Systematic Reviews
and Technical Reports
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4. Two Methods for Searching JBI: The first is article searching
No advanced Search
Best bet when you have an article title/volume/issue
Retrieval Path
Click on J from the Journals Collection
Find the JBI Database of Systematic Reviews and Implementation Reports
Note: There are two options. Choose the year range that is appropriate for your citation.
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5. JBI Database of Systematic Reviews and Implementation Reports: Article Searching
Note the Article searching options. Enter Keywords and also use the All Issues option.
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6. Article Searching through JBI Database
Advanced Search
Search the journal issue list
Using Date, Volume, issue and page number
The Advanced Search is a simple title, author, etc search.
Keyword/subject search; generally used when you have no citation available; this method searches 2003 to present; from volume 1/issue 1
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7. Open the Joanna Briggs Institute EBP Database from the Browse databases list -another option for locating subject- specific material.
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8. Check All Resources and click on OK.
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9. To search for just JBI materials, perform a Multi-Field Search.
Type JBI in the search box, and in the drop down menu select Journal Words. Enter specific search – Blood donation with All Fields – in the box below.
Open Search History above to see more details.
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10. Field limiters available in the OVID Database for JBI:
Abstract – to ensure you are coming up with the best search possible, search for keyword; should only be used for main phrase terms; note: you will lose any material without an abstract
Title - this is very specific and searchers should be very careful to only search the most specific term using this method
Text Word – the text word limiter searches both Abstract and Title
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11. Example Search – JBI & infectious diseases and Africa
The results for this search are 26 that will be opened by clicking on Display Results.
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12. From the Reference sources list, we have opened the initial page of EBM Guidelines Evidence-Based Medicine. Also published by John Wiley, this resource is a collection of clinical guidelines for primary care combined with evidence-based research.
You can Search by keyword or Browse database contents by EBM Guidelines, Evidence summaries, Pictures, Audio samples, Videos and Programs.
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13. Also included are links to the Evidence summaries.
We have completed a keyword search for Influenza. The results page includes summaries of the key issues including Related resources and References and links to important websites. PRIMARY and SECONDARY HITS
Also included are links to the Evidence summaries.
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14. We have displayed the 2nd Evidence summary
We have displayed the 2nd Evidence summary. Each link contains a brief review of the study and notes the reference(s).
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15. By keyword, you can Search all or some of the databases.
From the Reference Sources list, we have opened the initial page of Essential Evidence Plus. Also published by John Wiley, it includes access to Cochrane Library and also a series of databases and tools to access the EBM material.
By keyword, you can Search all or some of the databases.
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16. We have opened the EBMG evidence summaries database that, via broad subject categories, has access to 4440 articles.
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17. We have opened the initial page of EBMG evidence summaries listing for Infectious disease. Material is listed by either a summary view or expanded view that includes a sentence describing each entry.
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18. We have opened Decision Support Tools that has 406 tools and calculators that assist in clinical decision making.
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19. HINARI Evidence-Based Journals (other journals may have EBM articles)
We have browsed the ‘E’ in the HINARI Find journals by title list and it notes several journals for evidence-based practice.
Depending on publishers’ offer to countries, some of these journals may not be accessible.
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20. Table of Contents – Part B
Internet Resources
PubMed/Clinical Queries
PubMed Filters
Evidence Aid
Other (Internet) Resources
introduce you to Evidence-based Practice and related HINARI resources
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21. Conduct systematic reviews of the literature
(HINARI) PubMed
Conduct systematic reviews of the literature
Limit to specific populations & publication types
Utilize EBM built-in filters
Set up and distribute alerts relating to evidence-based medicine
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22. We now search for evidence-based articles using PubMed
We now search for evidence-based articles using PubMed. From the HINARI Content page, go to PubMed by clicking on Databases for discovery list
Remember you must login to HINARI to have access to the full-text articles.
In the HINARI Portal you can access PubMed from the Content page. Click on Search inside HINARI full-text using PubMed.
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23. Open PubMed which is at the top of the Browse databases list.
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24. Open the Clinical Queries box
Open the Clinical Queries box. This search tool assigns filters to keyword searches - to locate articles on Clinical Studies, Systematic Reviews and Medical Genetics.
Note: for these PubMed applications, all individuals will have access to the free full text articles. The examples are from HINARI/PubMed searches and, for those properly logged in, will also include access to articles from HINARI participating publishers.
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25. On the PubMed Clinical Queries page, we have entered the pregnancy pregnancy complications AND developing countries search.
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26. Note the Category and Scope options for Clinical Studies Categories
Etiology
Diagnosis
Therapy
Prognosis
Clinical Prediction Guides
Scope
Broad
Narrow
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27. Note: you can go directly to PubMed Clinical Queries.
The default search results for the Clinical Study Categories are Category: Therapy and Scope: Broad. Other options in the Category drop down menu are Etiology, Diagnosis, Prognosis and Clinical Prediction Guides. There are 1357 articles for Therapy: Broad and 165 articles for Systematic Reviews.
Note: you can go directly to PubMed Clinical Queries.
The direct link to PubMed Clinical Queries is
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28. For the Scope option, we will enter Narrow and for the same pregnancy complications AND developing countries search.
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29. The Therapy (Category) and Narrow (Scope) pregnancy complications AND developing countries search has resulted in 145 citations. We now will click on the See all option (bottom of the page).
Note that the results for Systematic Reviews and Medical Genetics also are displayed.
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30. We have displayed all 145 articles for this search including 80 HINARI and 80 Free Full Text articles. Remember - you can access the full-text articles by clicking on these Filters or changing the display from Summary to Abstract.
Note that the specific search is listed in the Search box including the AND (Therapy/Narrow[filter]) for clinical studies categories and systematic reviews.
Note: from a search results page, return to Clinical Queries by clicking on the PubMed.gov logo as this displays the initial PubMed Search page.
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31. After returning to the search results on the Clinical Queries page, we have clicked on the See all option for the systematic reviews results. The pregnancy complications AND developing countries AND systematic [sb] search resulted in 165 articles.
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32. Another tool from PubMed is using the Filters option – see the left-column. In the Article types filter list, click on Customize. Check the boxes for Meta-Analysis, Randomized Control Trial and Systematic Reviews Article types. Finally, click on the Show box.
Filters can be activated from any search results page. Remember to clear them before beginning other searches.
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33. Note how the various Filters have been displayed under the Article types list. You now can use of the filters with the hypertension AND diet search.
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34. We have checked the Meta-Analysis box in the Article types section and entered hypertension AND diet in the PubMed Search box. The search Results number is 86. Note the Filters activated: Meta- Analysis line below the Results number.
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35. Now displayed are the results of a hypertension AND diet search with the Systematic Reviews Article types filter activated. The citations for this search include 109 Free Full text and 167 HINARI articles.
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36. Now displayed are the results of a hypertension AND diet search with the Randomized Controlled Trial Article types filter activated. The citations for this search include 371 Free Full text and 689 HINARI articles.
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37. Remember to clear the filters.
The final displayed search are the results of a hypertension AND diet search with the Meta-Analysis, Systematic Reviews and Randomized Controlled Trial Article types filters activated. The citations for this search total 1598.
Remember to clear the filters.
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38. Another useful tool is evidenceaid
Another useful tool is evidenceaid. The Resources page contains links to numerous published systematic reviews that have relevance for natural disasters, humanitarian crises or major healthcare emergencies. It also includes five disaster-specific Special Collections.
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39. To learn more about EBM, go to the online tutorial Introduction to Evidence-Based Medicine. Tutorial is intended for any health care practitioner who needs a basic introduction to the principles of Evidence-Based Practice. Developed by Duke University Medical Center Library and Health Sciences Library/University of North Carolina/Chapel Hill.
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40. Additional Evidence-based Health Resources continued
Trip Database – ‘a smart, fast tool for you to find high-quality clinical research evidence’
McMaster PLUS (Premium Literature Service): ‘a database created by the McMaster Health Knowledge Refinery; articles… selected from current medical literature’ (HKR)hiru.mcmaster.ca/hiru/HIRU_McMaster_PLUS_projects.aspx
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41. Bandolier Knowledge - Oxford University – ‘premier source of evidence based healthcare information in the UK and worldwide for healthcare professionals’
EBM Librarian – ‘site offers a place to: share teaching materials and class handouts discuss issues and ask advice from colleagues share useful information about teaching EBM
Listed here are some freely available websites that are useful resources for finding clinical and public health evidence.
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42. Open Clinical: Clinical Practice Guidelines – ‘a "one-stop shop" tracking developments on advanced knowledge management technologies for healthcare such as point-of-care decision support systems, "intelligent" guidelines and clinical workflow’
National Guidelines Clearinghouse - Agency for Healthcare Research and Quality: ‘a public resource for summaries of evidence-based clinical practice guidelines’
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43. Evidence Alerts - McMaster University/DynaMed Plus – ‘access to current best evidence from research’ plus.mcmaster.ca/evidenceupdates/
Equator Network Reporting Guidelines: Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement
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44. Additional Clinical Practice Guidelines resources
National Guideline Clearinghouse (USA)
Open Clinical: Clinical Practice Guidelines
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45. Review: 5 Steps to evidence-based health care
Step 1 Ask: Formulate your question
foreground clinical question
PICO format
population, intervention, comparison intervention, outcome
Step 2 Access: Search for the evidence – highest quality studies are included in a systematic review
types of studies
evidence hierarchies 
Here are some general comments to remember about evidence-based practice. We hope that this tutorial has led to a better understanding of what evidence-based practice is and how to efficiently find good evidence using HINARI resources.
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46. validity (internal & external) impact
Step 3: Appraise the evidence - use criteria to evaluate the studies for:
validity (internal & external)
impact
Step 4 Apply: Put the evidence into practice
patient
setting
Step 5: Assess progress and performance
yourself
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47. This is the end of HINARI Module 6
There is a Work Book to accompany this part of the module. The workbook will take you through a live session covering the topics included in this demonstration with working examples.
Updated
20 May 2018