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If your institution does not have access to Cochrane…. Access to the Abstracts is free from a link at:

From the initial page of the Cochrane Library , we have clicked on the Cochrane Reviews: By Topic hyperlink. This has displayed the Topics for Cochrane Reviews. From this extensive list, you have another option for locating subject- specific material.

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If your institution does not have access to Cochrane…. Access to the Abstracts is free from a link at:

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  1. From the initial page of the Cochrane Library, we have clicked on the Cochrane Reviews: By Topic hyperlink. This has displayed the Topics for Cochrane Reviews. From this extensive list,you have another option for locating subject- specific material.

  2. For more training materials, we can click on The Cochrane Library Help hyperlink.We can access a list of User Guides, Quick Reference Guides plus other teaching tools. These resources are in multiple languages and downloadable as PDF files.

  3. If your institution does not have access to Cochrane….Access to the Abstracts is free from a link at: http://www.cochrane.org/

  4. After accessing the Cochrane Collaboration (http://www.cochrane.org/), click on the Cochrane Library link. This will give you access to the Library’s search options and the abstracts but not the full-text articles. Click here

  5. We now access the third Reference Sources option for evidence-based health information - EBM Guidelines.

  6. This is the initial page of EBM Guidelines Evidence-Based Medicine. Also published by John Wiley, this resource is a collection of clinical guidelines for primary care combined with evidence-based research. You can Search by keyword or Browse database contents by EBM Guidelines, Evidence summaries, Pictures, Audio samples, Videos and Programs.

  7. We have completed a keyword search forInfluenza. The results page includes summaries of the keyissues including Related resources and References andlinks to important websites. Also included are links to the Evidence summaries.

  8. We have displayed the first Evidence summary. Each link contains a brief review of the study and notes the reference(s).

  9. HINARI Evidence-Based Journals(other journals may have EBM articles) We have browsed the ‘E’in the HINARI Find journals by title list and it notes several journals for evidence-based practice.

  10. From the A-Z Find journals by title list, we have accessed the Evidence-based Healthcare and Public Health journal. In this journal, we will searchMRSA (Methicillin-resistant Staphylococcus aureus)in the All fields box.

  11. The search results list 5 articles on MRSA related topics.

  12. We now search for evidence-based articles using PubMed. From the main HINARI webpage, go to PubMed by clicking on Search HINARI journal articles through PubMed (Medline). Remember you must login to HINARI to have access to the full-text articles.

  13. Open the Clinical Queries box. This search tool assigns filters to keyword searches - to locate articles on Clinical Studies, Systematic Reviews and Medical Genetics.

  14. To use the Search by Clinical Study Category, you would type a disease or procedure in the Search box and select one Category and Scope per search. You only can use one Category or Scope bullet per search. For this search, we have entered Type 2 diabetes and developing countries and selected therapy (Category) and narrow, specific search (Scope).

  15. The narrow Clinical Study search resulted in 7 articles on type 2 diabetes and developing countries. Note that the specific search is listed in the Search box and Search details display.

  16. Now, we complete the same search in the Find Systematic Reviews box.

  17. The type 2 diabetes and developing countries AND systematic reviews search resulted in 11 articles. Note the Free Full Text and HINARI filters that list 2 and 8 articles. You can access the full-text articles by clicking on these Filters or changing the display from Summary to Abstract.

  18. Another option for locating evidence-based practice in PubMed is in the Limits option. After entering your terms in the PubMed search box, click on the Meta-Analysis and/or Randomized Controlled Trials Type of Article drop down menu. A Meta-Analysis is a statistical method that combines the results of several studies that address a set of related research hypotheses. A Randomized Controlled Trial (RCT) is a type of scientific experiment most commonly used in testing the efficacy or effectiveness of a health-care service or health technologies.

  19. If you have a MY NCBI account, you can add Meta-analysis and Systematic Reviews to your Filters. Open Search for Filters, enter the terms in the Search box and then add these to My Filters.When you save a PubMed search, you will be sent an email listing new articles on the specific topic. Remember that you will need to go to HINARI to get the full-text articles. In this example, Free Full Text, HINARI, Meta-analysis and Systematic Reviews are listed in My PubMed Filters.

  20. Additional Evidence-based Health Resources • National Guidelines Clearinghouse http://www.guideline.gov/ • DARE: Database of Abstracts of Reviews of Effects http://www.crd.york.ac.uk/crdweb/ • health-evidence.ca http://health-evidence.ca • The Campbell Library http://www.campbellcollaboration.org/library.php • McMaster PLUS collection http://hiru.mcmaster.ca/hiru/HIRU_McMaster_PLUS_projects.aspx

  21. Review/Summary • Evidence-based practice depends on knowing the most recent, valid scientific knowledge. • This involves finding the ‘best’ studies. • Sometimes others have evaluated the quality of the studies, including methodology; many new evidence-based tools mentioned in this tutorial provide evaluation.

  22. When there is no evaluation available, it is essential to evaluate the validity of the study. • Tools for evaluating studies can be found in the Evaluating the Evidence section in the EBM tutorial mentioned earlier and found at: http://www.hsl.unc.edu/Services/Tutorials/ebm/welcome.htm

  23. It is always important to consider studies in terms of applicability to and values of the local patient/situation. • Evidence-based practice is a developing field and new, useful resources are continuously being developed.

  24. Research Evidence Practitioner’s Experience Local Conditions Patient/Community Preferences & Values This is the end of the Evidence-based Medicine for HINARI Users module. The material initially was developed by: Gale G. Hannigan, PhD, MLS, MPH; Professor & Medical Informatics Education Librarian, Texas A&M University. There is a workbook that accompanies this module. The workbook will take you through a live session covering the topics included in this demonstration with working examples. Updated 01 2010

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