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Accessing and Assessing the Evidence: An Online Tool for Teaching Evidence-Based Nursing Practice

Accessing and Assessing the Evidence: An Online Tool for Teaching Evidence-Based Nursing Practice. Mary Lou Klem Health Sciences Library System University of Pittsburgh Elizabeth LaRue School of Nursing University of Pittsburgh Peter Draus School of Adult and Continuing Education

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Accessing and Assessing the Evidence: An Online Tool for Teaching Evidence-Based Nursing Practice

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  1. Accessing and Assessing the Evidence: An Online Tool for Teaching Evidence-Based Nursing Practice Mary Lou Klem Health Sciences Library System University of Pittsburgh Elizabeth LaRue School of Nursing University of Pittsburgh Peter Draus School of Adult and Continuing Education Robert Morris University

  2. Background • 2005: School of Nursing introduced a new curriculum designed to promote EBP • Internal taskforce charged with identifying or creating online tools to assist faculty in teaching of EBP skills

  3. Accessing and Assessing the Evidence (AAE): User Goals • Practice the creation of answerable clinical questions • View literature searches designed to answer clinical questions • Practice critical appraisal of selected citations

  4. AAE Content • Module 1: Clinical scenarios and questions • Developed by clinical nursing faculty and allied health professionals • Expert-developed clinical questions • Module 2: Literature search and opportunity for critical appraisal • Search conducted by medical librarian • Annotated search history plus selected citations • Rank citation relevancy

  5. Data Collection and Storage • Username and password are assigned • Data stored in MySQL database • Chosen scenario and question type • PICO elements • Final clinical question • Citation rankings

  6. Results • 33 students enrolled in undergraduate nursing research course • Generated a total of 102 clinical questions • Provided a total of 380 citation rankings

  7. Question Types Chosen By Students(%)

  8. Success in Creating Clinical Questions

  9. Student versus Expert Rankings of Citation Relevancy (%)

  10. Summary • AAE provides students with: • Practice at forming answerable clinical questions • Overview of expert lit search to answer a clinical question • A first step in appraising evidence • Students • Successful at creating questions • Biased toward creating certain types of questions • Overall agreement with experts on relevance of selected citations

  11. Future Directions • Effects of prior instruction versus no instruction • Content development and revision

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