Occupational Therapy 5903Sandra A. Martin, M.L.I.S.

Instructor of Library ServicesHealth Sciences Resource Coordinator

John Vaughan Library Room 305Bmarti004@nsuok.edu – 918-444-3263

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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

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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

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

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From the NSU Libraries Home Page

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From the Health Professions Page, Click on Occupational Therapy

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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

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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

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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 – grahamdg@nsuok.edu

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

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

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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

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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

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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

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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

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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

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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

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OT Journals Click on the individual OT journal title from the OT

web page

Open the year, volume, and issue you need

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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

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

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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

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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

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Background Questions

Generally ask who, what, why, where or how about a single concept

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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?

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Answers to Background Questions

Resources: MEDLINE CINAHL Plus w/Full Text Mosby’s Nursing Consult Books – print and online

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Information Retrieval to conduct Research Comprehensive in scope and time

All levels of resources Current and Retrospective Background and Foreground Information

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Foreground Questions

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

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Answers to Foreground Questions Require precise information about complex

issues Sources should provide current, original

clinical research data Start with Evidence-based summaries

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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

Critically Appraised (Evidence-Based) Summaries DynaMed First Consult Joanna Briggs Institute

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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

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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

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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

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Life-Long Learning

Selecting and searching online databases is challenging

Information is ever changing Contact Sandra (email preferred)

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If you need Help, contact Sandra

Occupational Therapy 5903Sandra A. Martin, M.L.I.S.

Instructor of Library ServicesHealth Sciences Resource Coordinator

John Vaughan Library Room 305Bmarti004@nsuok.edu – 918-444-3263

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