Evidence based nursing practice resources

By

Dr. Hanan Said Ali

OBJECTIVESExplain evidence based nursing practice resources of: Summaries of the evidence. Evidence-based clinical practice guidelines. Critically appraised research studies (CAT’s). Databases . Electronic textbooks. Evaluating the evidence

EBM PYRAMID AND EBM PAGE GENERATOR, COPYRIGHT 2006 TRUSTEES

OF DARTMOUTH COLLEGE AND YALE UNIVERSITY.

SUMMARIES OF THE EVIDENCE

COCHRANE DATABASE OF SYSTEMATIC REVIEWS

Created by the Cochrane Collaboration. Small collection of reviews on the effects of

health care.

Reviews generally focus on patient treatment and therapy issues .

Stringent protocols are applied to each review .

Individual documents take a long time to develop because of the intensive review process .

GOANNA BRIGGS INSTITUTE Australian based nursing oriented Evidence-

based resource.

Provides access to a very limited number of resources without payment, a charge is required for access to others.

An international collaboration of 200 researchers, clinicians, academics and quality managers.

GOANNA BRIGGS INSTITUTE

The Institute provides education and training in the process of conducting systematic reviews; the development of Best Practice Information Sheets; the implementation of evidence-based practice

CLINICAL EVIDENCEPublished by the British Medical

Journal. Summaries of the current state of

knowledge related to clinical conditions.

Focus is on prevention and treatment

of clinical conditions. Based on thorough searches and

appraisals of the literature.

CLINICAL EVIDENCE

Covers 22 specialties and over 150 conditions.

Peer-reviewed by section editors and 3 external expert clinicians.

Updated frequently.

EVIDENCE-BASED CLINICAL PRACTICE

GUIDELINES

AHRQ EVIDENCE REPORTSProduced by the Agency for

Healthcare Research and Quality (AHRQ), a federal agency.

Supports health services research. Mission to improve the quality of

healthcare and promote evidence-based decision making.

AHRQ EVIDENCE REPORTS

Provide directions for handling certain clinical conditions.

Guidelines often published by

specialty societies, i.e. American Heart Association, American Academy of Pediatrics.

NATIONAL GUIDELINES CLEARINGHOUSE

Produced by the Agency for Healthcare Research and Quality, the AMA and The American Association of Health Plans.

Provides summaries of each guideline

and the development process. Provides links to full-text guidelines,

if available, and/or ordering information for print copies.

CRITICALLY APPRAISED RESEARCH STUDIES

(CAT’S)

ACP JOURNAL CLUBProduced by the American College of

Physicians. Provides access to over 2000 critical

appraisals of clinical research articles. Editors screen top clinical journals for

relevant, methodologically sound studies

Bandolier Bandolier is an independent journal about

evidence-based healthcare published in the UK. It includes "information about evidence of effectiveness (or lack of it), and put[s] the results forward as simple bullet points of those things that worked and those that did not.

Information comes from systematic reviews, meta-analyses, randomised trials, and from high quality observational studies."

EVIDENCE-BASED NURSING JOURNAL

Produced by nurses for nurses. Focuses on evidence-based practice

nursing issues. Special features: “Purpose and

Procedure,” “EBN Notebook” and a glossary of evidence-based health care terms

EVIDENCE-BASED NURSING JOURNAL

Additional evidence-based journals :Evidence-Based Health Care Evidence-Based Medicine

Evidence-Based Mental Health

Worldviews on Evidence-Based Nursing

 

DATABASES

DATABASES CINAHL (Cumulated Index for Nursing and Allied

Health Literature)

CINAHL Nursing database through Ebsco

Pre-CINAHL is a current awareness database of new journal articles.

DATABASES Major database for the nursing and

allied health literature from 1982-Present.

Includes citations (link to glossary)

for journal articles, book chapters, nursing dissertations, research instruments, educational software and selected conference proceedings.

DATABASES

Provides access to selected full-text sources: Critical Paths, Clinical Innovations, Standards of Practice and more

PUBMED CLINICAL QUERIES            A subset of PubMed designed for clinicians

looking for “evidence.

The National Library of Medicine states that the Systematic Reviews option retrieves citations for “systematic reviews, meta-analyses, reviews of clinical trials, evidence-based medicine, consensus development conferences, guidelines, and citations to articles from journals specializing in clinical review studies

ELECTRONIC TEXTBOOKS

ELECTRONIC TEXTBOOKS

UpToDate – On Campus Use Only

Physician experts write the content in 15 medical specialties

Provides comprehensive, practical answers to questions about patient care

Content reviewed continually and updated every 4 months

ELECTRONIC TEXTBOOKS

MDConsult Produced for physicians to answer clinical questions

Provides access to full-text books and journals, clinical practice guidelines, patient hand-outs and drug information

ELECTRONIC TEXTBOOKS

Lippincott Manual of Nursing Practice Clinically focused guide covering all

disorders and patient problems in Medical-Surgical, Maternal-Neonatal, Pediatric, and Psychiatric nursing .

Patient assessment and official treatment guidelines incorporated into each chapter .

Includes step-by-step guides to procedures

EVALUATING THE EVIDENCE

EVALUATING THE EVIDENCE

There are resources available that can help you evaluate information to determine its appropriateness to the clinical question at hand.

Critical Appraisal Worksheet Greenhalgh, Trisha. How to Read a

Paper: The Basics of Evidence Based Medicine, 2nd ed. BJM Books, 2001. (Science Reference R118.6 .G77 2001)

EVALUATING THE EVIDENCE

Critical Appraisal Worksheet

Jordan, Theresa J. Understanding Medical Information: A User's Guide to Informatics and Decision-making. McGraw-Hill, 2002. (Science Reference R858 .J67 2002)

Thank You