Research Committee Module #1 1 CNE Available

1. Created by Joni Walton, RN PhD ACNS BC There is no conflict of interest in the creation of this education program. Quick and Easy Access to Information - EBP Research Committee Module #1 1 CNE Available Intended Audience: This module is intended for the nurse who feels intimidated by reading, searching for, and utilizing research in practice. In today's world this must include the use of the internet as well as the familiar use of journals and libraries. Evidence-based practice involves practical application of the research being done throughout the nephrology world and these modules are designed to increase the ease with which the practicing nurse can determine the appropriateness of research found in various venues.

2. Objectives At the completion of this module the learner will be able to: • Identify two search engines to find research. • Explain the value of the Cochran Data Base with regard to evidence-based practice. • Describe the types of information that can be found on the Agency for Healthcare Research & Quality (AHRQ).

3. Problems:Identified by Nurses • Unable to effectively search for research (Sitzia, 2002). • Research is not compiled in one place (Niederhauser & Kohr, 2005). • Not capable of critical appraisal (Sitzia, 2002). • Difficulty with statistical analysis (Niederhauser & Kohr, 2005).

4. Access to Information • Equipment needed: ~ Computer ~ Internet access • Free Access at the Public Library

5. Basic Review Find almost everything imaginable: • Historical events, documents, people • Dictionary, Yellow pages, maps, directions • Criminal background checks • Education, college degree, courses • Chat rooms, my space, face book, ytube • Recipes, hobbies, translate languages • Buy or sell stuff, meet lovers, spouses, predators

6. Basic Review COST • There are a few short-term internet sites to sample but most of them you have to pay a monthly fee ($10-20/mo) • Most accounts have a family plan • High speed internet is more expensive • DSL • Satellite ($50/mo) • Wireless • Mobile phone access ($45/mo)

7. Select a search engine Most popular 1. www.google.com (65%) 2. www.yahoo.com (20%) 3. www.msn.com (7%) 4. www.Ask.com (4%) 5. www.altavista.com 6. www.webcrawler.com 7. www.lygo.com (visual) http://www.seoconsultants.com/search-engines/

8. Steps to easy access • Click on the Internet icon • Identify the bar that come up to access information • Enter your favorite search engine Reference on Best Search engine UC Berkley Library http://www.lib.berkeley.edu/TeachingLib/Guides/Internet/SearchEngines.html

9. Practice #1- Search for a Photo You want a photo of a person taking a blood pressure: Type: www.google.com or www.yahoo.com Type: click on images Type in blood pressure OR Type in blood pressure photos in yourserver (my default server is msn) Enlarge the photo, click to copy photo

10. Practice #2-Let’s try another search You want a video on blood pressure Type in www.google.com • click on more . . . • click on video or Youtube • type in blood pressure You may search for books also

11. Language translation Free language translation: • www.babelfish.altavista.com • www.freetranslation.com • www1.worldlingo.com • www.translation2.paralink.com

12. Scholarly Information* http://scholar.google.com/ - Web - Images - Maps - News - Blogs Nephrology Nursing Journal is not indexed on Google scholar, others are * filters out advertisements/junk

13. Practice #3 - Google scholar • Search a topic of your choice using Google scholar • Type in keywords • Make sure you have the correct spelling • You may not have full-text access to all references • You may also apply limitation by clicking on Advanced Search (most recent: date, author, publication)

15. Cochrane Data BaseThe reliable source of evidence in health care • www.cochrane.org • The Cochrane Collaboration

16. Cochrane Database ofSystemic Reviews (CDSR) • Cochrane Library • Systemic reviews of health care interventions (primary literature) • Critiques of each research study and clinical implications • http://www.cochrane.org/index0.htm Abstracts are free Full text reviews require subscriptions

19. Impact of Cochrane Evidence “Cochrane reviews have become known internationally as sources of high quality, reliable health information, and other groups have begun to interpret, adapt and disseminate Cochrane reviews and information derived from them” www.cochrane.org

20. Practice # 4 - Cochrane Search • Topic: Treatment for peritoneal dialysis- • associated peritonitis • Search terms: peritonitis dialysis • Open the review • Read the summary • Browse the abstract

21. Searching Primary LiteratureSubscription needed • Search using bibliographic databases • Journal articles, books, theses, dissertations • CINAHL(Cumulative Index to Nursing and Allied Health Literature) • MEDLINE(National Library of Medicine) • PsychINFO(American Psychological Association)

22. Nursing has come a long way! Historical Perspective (1940) “Ella Crandall, Mildred Grandbois and Mollie Sitner begin indexing articles from English-language nursing journals on 3x5 cards” http://www.cinahl.com/about/about.htm

23. Cumulative Index to Nursing and Allied Health Literature® (CINAHL) • 2003: CINAHL Information Systems acquired by EBSCO Publishing Inc. • The largest nursing journal on-line data base • This is not quick and easy if you do not have connections to a library or a college that has a current subscription

27. Practice GuidelinesNational Guideline Clearinghouse Agency for HealthcareResearch and Quality (AHRQ) Not all AHRQ guidelines are based on evidence: • Consensus documents • Expert opinions • Free access • http://www.guideline.gov

28. Free Access

33. Advanced Search Limit to Scholarly Journals • Peer reviewed • Core nursing journals • Current articles • Research studies

34. Health on the Net (HON)Code for Evaluation of Websites 4. Attribution Cite the source(s) of published information, date and medical and health pages 5. Justifiability Site must back up claims relating to benefits and performance 6. Transparency Accessible presentation, accurate email contact 7. Financial disclosure Identify funding sources 8. Advertising policy Clearly distinguish advertising from editorial content 1. Authoritative Indicate the qualifications of the authors 2. Complementarity Information should support, not replace, the doctor-patient relationship 3. Privacy Respect the privacy and confidentiality of personal data submitted to the site by the visitor

35. Health Information You Can TRUST HONcode Toolbar Download: http://www.hon.ch/HONcode/Plugin/Plugins.html

36. Myth Busters Avoid sending information that is a hoax or false on to your friends. Screen info first: • The top 7 hoax/myth busting sites are: • Urban Legends and Folklore  • http://urbanlegends.about.com/ • Urban Legends Reference Pageshttp://www.snopes.com/ • Hoaxbustershttp://hoaxbusters.ciac.org/ • Stiller Research Virus Hoax Newshttp://www.stiller.com/hoaxes.htm • TruthOrFiction.comhttp://www.truthorfiction.com/ • Symantec Security Response Hoaxes — http://www.symantec.com/avcenter/hoax.html • McAfee Security Virus Hoaxeshttp://vil.mcafee.com/hoax.asp

37. Make this easy!

38. References • CINAHL information systems. (2008). The History then and now. Retrieved from the web site http://www.cinahl.com/about/about.htm. • Sitzia, J. (2002). Barriers to research utilisation: the clinical setting and nurses themselves. European Journal of Oncology Nursing 5(3): 154–164. • Cochrane Collaboration. (2008). Description retrieved from the web site http://www.cochrane.org/docs/descrip.htm.

39. References • Wiggins, K. J., Craig, J, C., Johnson, D, W., & Strippoli, G. F. (2008). Treatment for peritoneal dialysis-associated peritonitis. Cochrane Database of Systematic Reviews, Issue 1. Art. No.: CD005284. DOI: 10.1002/14651858.CD005284.pub2. • UC Berkley Library. (2008). Evaluating web pages: Techniques to Apply & Questions to Ask retrieved from the web site http://www.lib.berkeley.edu/TeachingLib/Guides/Internet/Evaluate.html.

40. References • Mikkelson, B., & Mikkelson, D. P. (2008).Snopes: Frequently asked questions. Retrieved from the web site http://www.snopes.com/info/faq.asp. • National Guidelines Clearinghouse. (2008). About NGC. Retrieved from the web site http://www.guidelines.gov/about/about.aspx. • National Institute of Health. (2007). The nation’s medical research agency. Retrieved from the web site http://www.nih.gov/about/NIHoverview.html#content.

41. References • Google Scholar (2008). About Google scholar. Retrieved from the web site http://scholar.google.com/intl/en/scholar/about.html. • MedlinePlus. (2008). About MedlinePlus. Retrieved from the web site http://www.nlm.nih.gov/medlineplus/aboutmedlineplus.html.