picot (patient-intervention- comparison-outcome-time) ebp-----fnp tips for literature review and...

17
PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

Upload: rodger-small

Post on 25-Dec-2015

220 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

PICOT            (PATIENT-INTERVENTION-COMPARISON-OUTCOME-TIME)

EBP- - - - -FNP

Tips for Literature Reviewand Research Proposal

Page 2: 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

Page 3: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

Some Ways to Categorize Literature

Editorials, news articles, trade magazinesScholarly Journal articlesPeer-reviewed literatureResearchMeta-analysisSystematic Review

Page 4: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

PEER REVIEW: http://www.ijcta.com/peerreview.php

Peer ReviewIs

Important!

Page 5: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

c) Copyright 2006 - 2011. Trustees of Dartmouth College and Yale University. All Rights Reserved.

Produced by Jan Glover, Dave Izzo, Karen Odato, and Lei Wang.

EBM Pyramid

http://www.dartmouth.edu/~biomed/resources.htmld/guides/ebm_resources.shtml

Page 6: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

Components of Research Reports

1. Introduction2. Literature Review (Johnson, 2010)3. Methodology4. Results – data report – often includes

tables, graphs, charts5. Conclusion

See tutorial “How to Find Research Literature” linked from “How do I….” on Benner Online.

Page 7: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

Library Databases

CINAHLCumulative Index to Nursing and Allied Health LiteratureUse the CINAHL headingsLimit 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.

Page 8: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

Resources & Strategies

The Cochrane Database of Systematic ReviewsAn 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.

Page 9: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

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"

Page 10: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

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

Page 11: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

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

Page 12: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

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

Page 13: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

Meta-search Engines

*TRIP - Turning Research Into Practice http://www.tripdatabase.com/ 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 [email protected] Use your ONU email ILL will find a source and send the article to you

Health Services/Technology Assessment Texts (HSTAT) http://www.ncbi.nlm.nih.gov/books/NBK16710/

Page 14: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

http://www.kcl.ac.uk/content/1/c6/03/45/29/quantitativeCAS.pdf

Appraising original researchAre 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?

Page 15: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

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

Page 16: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

When you need data collection tools….

Look on the NURSING Databases & Guides page

Find the tutorial on Health & PsychoSocial Instruments

Call or email for help if you do not find what you need.

Page 17: PICOT (PATIENT-INTERVENTION- COMPARISON-OUTCOME-TIME) EBP-----FNP Tips for Literature Review and Research Proposal

HELP!!!!

Pam Greenlee – SGCS Research [email protected]

To request an item through interlibrary loan, copy the citation(s) and paste into an email to [email protected]