1. Occupational Therapy 5903 Sandra A. Martin, M.L.I.S. Instructor of Library Services Health Sciences Resource Coordinator John Vaughan Library Room 305B marti004@nsuok.edumarti004@nsuok.edu – 918-444-3263 1

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 2

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 By Appointment: NSU Muskogee 3

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5. Bookmark this Page: http://library.nsuok.edu/collegesh/healthpr/ot/index.html 5

6. From the NSU Libraries Home Page 6

7. From the Health Professions Page, Click on Occupational Therapy 7

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 tobey@nsuok.edu to report technical problemstobey@nsuok.edu Contact Sandra Martin at marti004@nsuok.edu for search assistancemarti004@nsuok.edu 8

9. 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 OT page directly from your browser 9

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 OT 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 graduate student and include your contact information If you have questions or need assistance, contact:  ill@nsuok.edu or 918-444-3278 ill@nsuok.edu

11. Learning Objectives To provide a mechanism for students to access the most current occupational therapy and health related information To familiarize students with specific information resources and services to support the occupational therapy curriculum To familiarize OT students with evidence-based health care and lifelong learning skills 11

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

13. Journal Article Databases CINAHL Complete, ClinicalKey for Nursing, MEDLINE, and PsycINFO are most frequently used resources to find journal articles on OT topics Search these resources when you need articles on subjects, e.g., stroke, hand splinting, homelessness Databases in this section provide links to full text journal articles and other resources You must start at the library’s OT web page to access our subscribed full text 13

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 to “suggest subject terms” and search CINAHL headings for best results, e.g., search “pediatric occupational therapy” for “occupational therapy with children” View the brief tutorial to get started 14

15. Databases - CINAHL Complete 15

16. 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

17. Databases – ClinicalKey for Nursing 17

18. 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

19. 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 OT and rehabilitation journals

20. 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

21. Databases – OT Search Bibliographic database provided by the Wilma L. West Library Covers the literature of occupational therapy and related subject areas, such as rehabilitation, education, psychiatry or psychology, and health care delivery Full text not included 21

22. 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

23. 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 23

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 OT web page  Enter the title of the journal in the search box  Click on the database that contains the year you need 24

25. OT Journals Click on the individual OT journal title from the OT web page Open the year, volume, and issue you need 25

26. e-Books R2 Digital Library – Nursing and allied health books from Doody’s Core Titles in the Health Sciences Books@Ovid - 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 26

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 27

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 28

29. Getting Started: Match Resource to Information Need What is the question? How will information be used? 29

30. Information Retrieval to conduct Research Comprehensive in scope and time  All levels of resources  Current and Retrospective  Background and Foreground Information 30

31. 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 31

32. Background Questions Generally ask who, what, why, where or how about a single concept 32

33. Proposed Research Projects Effectiveness of occupational therapy interventions with homeless people Evaluate the effectiveness of fatigue management programs for patients with multiple sclerosis 33

34. Background Questions What is the role of occupational therapy in working with the homeless population? What are methods of reducing fatigue in patients with multiple sclerosis? 34

35. Answers to Background Questions Resources:  CINAHL Complete  ClinicalKey for Nursing  MEDLINE  PsycINFO  OT Search 35

36. Foreground Questions Usually compare two or more concepts – theories, drugs, treatments, tests, harms or benefits of two approaches 36

37. Answers to Foreground Questions Require precise information about complex issues Sources should provide current, original clinical research data  Start with evidence-based summaries and clinical trials 37

38. Highest Level of Evidence - Critically Appraised Content Evidence Based Summaries UpToDate, Joanna Briggs Institute ClinicalKey for Nursing, OT Seeker, PEDro, Joanna Briggs, ACP Journal Club, DARE Cochrane Database of Systematic Reviews, ClinicalKey for Nursing, Joanna Briggs ClinicalKey for Nursing, MEDLINE, OT Search, CINAHL Complete, Science Direct 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), 36-38. Retrieved 2-07-07 from http://ebm.bmj.com/cgi/reprint/6/2/36 http://ebm.bmj.com/cgi/reprint/6/2/36

39. 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

40. 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

41. 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

42. 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

44. Clinical Question In adult patients with multiple sclerosis and cognitive fatigue, does cognitive training versus no therapy, benefit memory span?

45. Simple UTD Search Provides Quick Answers

46. Life-Long Learning Selecting and searching online databases is challenging Information is ever changing Contact Sandra (email preferred) 46

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