Download - Occupational Therapy 5903
Occupational Therapy 5903Sandra A. Martin, M.L.I.S.
Instructor of Library ServicesHealth Sciences Resource Coordinator
John Vaughan Library Room [email protected] – 918-444-3263
1
Knowledge is the Enemy of DiseaseSir Muir Gray
• Existing Knowledge Can Prevent– Waste & Errors– Poor Patient Experience– Adoption of low value interventions– Failure to adopt high value interventions
2
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
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 in the Library at 918 444-3390 to report other technical problems
8
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
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: Donna Graham – x3243 – [email protected]
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
Overview of Online Resources Research and Clinical Databases e-Journals e-Books Consumer Health Evidence-Based Summaries
12
Journal Article Databases
Ovid MEDLINE, CINAHL Plus w/Full Text, and Mosby’s Nursing Consult are most frequently used resources to find journal articles on OT topics.
Search this section when you need articles on subjects, e.g., stroke, hand splinting, pressure ulcer
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
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: Search the Daily Update, and In-Process segments
simultaneously with desired range of years Search keywords along with subject headings
14
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
Databases - CINAHL Plus w/Full Text CINAHL stands for Cumulative Index to Nursing and
Allied Health Literature Core research tool that contains articles in 770 journals
with full text of many of nursing and allied health journals Use “CINAHL Headings” to search topics for best results,
e.g., search “pediatric occupational therapy” for occupational therapy with children
Use CINAHL to locate overviews and articles in related allied health care fields
16
Databases – Mosby’s Nursing Consult All in one resource provides full text of e-Journals, e-
Books, images, and other documents Unique features include full text from pre-searches of
popular health topics (top picks), full text monographs of all FDA approved drugs, and peer-reviewed patient education materials
Widely used in major hospitals and medical centers
17
Native American Health Care
National Library of Medicine – provides free access to American Indian Health database
Native Health Databases – contains citations and abstracts of documents pertaining to the health care of North American indigenous peoples
18
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
19
OT Journals Click on the individual OT journal title from the OT
web page
Open the year, volume, and issue you need
20
Consumer Health Resources Current, authoritative, peer-reviewed, and evidence-
based resources MEDLINEPlus – the National Institutes of Health’s web
site for patients and families Joanna Briggs Database - provides full text consumer
information sheets Mosby’s Nursing Consult - includes patient education
handouts produced by Elsevier
21
Getting Started: Match Resource to Information Need What is the question? How will information be used?
22
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
23
Proposed Research Projects Evaluate the effectiveness of fatigue
management programs for patients with multiple sclerosis
Use of virtual reality therapies in rehabilitation of stroke patients
24
Background Questions
What are methods of reducing fatigue in patients with multiple sclerosis?
What are newer approaches to rehabilitation therapy for stroke patients that are based on motor learning?
26
Answers to Background Questions
Resources: MEDLINE CINAHL Plus w/Full Text Mosby’s Nursing Consult Books – print and online
29
Information Retrieval to conduct Research Comprehensive in scope and time
All levels of resources Current and Retrospective Background and Foreground Information
30
Foreground Questions
Usually compare two or more concepts – theories, drugs, treatments, tests, harms or benefits of two approaches
31
Answers to Foreground Questions Require precise information about complex
issues Sources should provide current, original
clinical research data Start with Evidence-based summaries
32
New Tools Target High-Quality Studies
• Increase ease of accessing and understanding information
• Preprocessed (preappraised) tools - practical resources that facilitate ready access to high-quality research
• Pre-appraised – tools that have undergone a filtering process to include only those studies that are regularly updated and of higher quality
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
www.cebm.net
“Evidence-based medicine is the integration of best research evidence with clinical expertise and patient values”
Sackett DL, Rosenberg WMC, Gray JAM, Haynes RB, Richardson WS: Evidence based medicine: what it is and what it isn’t. BMJ 1996;312:71-2.
Patient Concerns
Clinical Expertise
Best research evidence
EBM
What is EBM?
EBM Process – 5 Steps
1. ASK: Convert need for information into answerable question
2. ACQUIRE: Find best evidence to answer the question
3. APPRAISE: Critically appraise evidence for validity, impact, and applicability
4. APPLY: Integrate evidence with clinical expertise and patient values
5. ASSESS: Evaluate own effectiveness
Information Retrieval to Answer Clinical Questions Requires New Skills
Clinical question formulation Search and retrieval of best evidence Critical appraisal of study methods
Is All Evidence Created Equal?
Small portion of medical literature is immediately useful to answer clinical questions
Understanding “wedge or pyramid of evidence” is helpful in finding highest level of evidence
High levels of evidence may not exist for all questions due to nature of medical problems and research limitations
As you move up the pyramid the amount of available literature decreases, but it increases in its relevance to the clinical setting.
Source: Sackett, D.L., Richardson, W.S., Rosenberg, W.M.C., & Haynes, R.B. (1996). Evidence-Based Medicine: How to practice and teach EBM. London: Churchill-Livingstone.
Highest Level of Evidence - Critically Appraised Content
Evidence Based Summaries First Consult, DynaMed, Joanna Briggs Institute
Joanna Briggs, Mosby’s Nursing Consult, OT Seeker, PEDro, ACP Journal Club, DARE
Joanna Briggs, Cochrane Database of Systematic Reviews
MEDLINE, CINAHL Plus w/Full Text
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
Summaries• FirstConsult• Includes summaries of systematic reviews of
primary research, high-quality research papers from MEDLINE and evidence-based practice guidelines
• Included studies are evaluated for clinical relevance and scientific validity
• Recommendations labeled with Levels of Evidence
• Detailed narrative format and lengthy overviews
DynaMed Summaries for more than 3,000 topics Monitors >500 medical journals and systematic
review databases Updated daily Each article evaluated for clinical relevance and
scientific validity Recommendations labeled with Levels of
Evidence
44
Joanna Briggs Institute (JBI) an international, not-for-profit research organization at
the University of Adelaide collaborates internationally with over 70 entities to
promote synthesis and transfer of evidence contributes to improving health care outcomes by
supporting evidence-based practice
45
JBI Database Evidence Summaries – literature reviews that summarize
existing literature on common health care problems Evidence-Based Recommended Practices – procedures
that recommend practice on clinical topics Best Practice Information Sheets – guidelines produced
for practicing health care professionals Systematic Reviews – comprehensive reviews of
international research literature Consumer Information Sheets – summaries designed for
patients, clients, and care providers Updated weekly, access through Ovid
46
Life-Long Learning
Selecting and searching online databases is challenging
Information is ever changing Contact Sandra (email preferred)
48
Occupational Therapy 5903Sandra A. Martin, M.L.I.S.
Instructor of Library ServicesHealth Sciences Resource Coordinator
John Vaughan Library Room [email protected] – 918-444-3263
50