NUR 214:Scholarly Inquiry in Nursing

Preparing for a Lifetime of Evidence-Based Practice

Preparing for a lifetime of Evidence-Based Practice

Stay tuned for a life-changing presentation….

What you are about to learn is not temporary knowledge that you only need for this class! Magnet recognition Shared governance Journal club Evidence-based practice council

What we will learn today

A short review of theory with important acronyms: EBP, PET, PICO

How to form a researchable question How to perform the literature search:

CINAHL, Cochrane, and PubMed How to research in your sleep!

EBP Process

PET

Newhouse, R.P., Dearholt, S.L., Poe, S.S., Pugh, L.C., & White, K.M. (2007). Johns Hopkins nursing evidence-based practice model and guidelines. Indianapolis, IN: Sigma Theta Tau International.

PICO

From your reading:

PICO (continued…)

Patient/Population In patients with…

Intervention is/does the use of…

Control/Comparison when compared to… (may be standard treatment or no

treatment)Outcome

effective in controlling…. lead to… cause adverse effect…

PICO (continued…)

Question: Will a vasectomy cause testicular cancer?

▪ P: adult male▪ I: vasectomy▪ C: no vasectomy▪ O: testicular cancer

In adult males, does having a vasectomy, compared to not having a vasectomy, lead to testicular cancer?

PICO (continued…)

Question: Does water exercise improve pain in adults with knee osteoarthritis?

▪ P: adults with osteoarthritis in the knee▪ I: water exercise▪ C: -▪ O: improved pain

In adults with knee osteoarthritis, is water exercise effective in improving pain symptoms?

Poe, S., K. M. White, Sigma Theta Tau International and Johns Hopkins University (2010). Johns Hopkins nursing evidence-based practice : implementation and translation. Indianapolis, IN, Sigma Theta Tau International.

Some of these questions require further refinement to become researchable.

Levels of Evidence

From your reading:

Levels of Evidence (continued…)Evidence Pyramid

Evaluation of Articles

Consult the Research Appraisal Checklist, p. 256-258

Problem statement is clear Study limitations defined Problem significance discussed Literature review included Subject population described Sample size is adequate Design and controls defined Statistics are appropriate Conclusion is clearly stated

The Literature Search

Nursing databases at the library: Go deep!

Today we will use: Cochrane Database of Systematic

Reviews CINAHL PubMed

In people with knee osteoarthritis, is water exercise effective in improving pain symptoms?

Continue Your Research While You Sleep

Create personal accounts at Ebsco and PubMed, set up alerts Ebsco account sends email alert with

link to an RSS feed. Example: http://rss.ebscohost.com/AlertSyndicationService/Syndication.asmx/GetFeed?guid=4109668

PubMed account sends email results in summary or abstract format

More Resources

Consult the Nursing subject guide (Home / Find / Course & Subject Guides / Nursing)

Library tutorials: (Home / Help / Library Instruction Online)

▪ Boolean searching▪ Truncation ▪ Citing sources

Need help? Call, email, or IM your librarian!