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Explore evidence-based nursing and library research methods at the EAHIL Workshop in Oslo, 2003. Learn about producing evidence, research impact, and searching techniques. Compare evidence in medicine and nursing in Nordic and Baltic libraries.
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NORDIC BALTIC EAHIL WORKSHOPJune 25-28, OSLO 2003Evidence-based nursing and libraries: do we find what we are searching?Liisa Salmi Kuopio University Library Kuopio University Hospital Library Kuopio, Finland
HOW IS EVIDENCE PRODUCED? Evaluation of research methods and operational processes • impact • safety • efficiency • finances • social, legal, ethical, political issues • usability
EVIDENCE IN MEDICINE • research is not necessarily based on theories • expert group evaluates research results systematically • agreed upon criteria • systematic reviews, practice guidelines, technology assessment • application to clinical practice • Cochrane Collaboration, practice guidelines, regional guidelines • to write a systematic review takes several years • mostly quantitative despite efforts
EVIDENCE IN NURSING • strong (philosophical) theories • more qualitative • patients are human beings • patient – centred thinking • knowledge through common experience • quality assurance
EVIDENCE IN NURSING • research not evaluated systematically • evidence = research carried out; empirical research • no evaluation of research • no agreed upon criteria • no definition of concepts • what does evidence-based mean? • what does systematicreview mean?
EVIDENCE IN NURSING • who is qualified to evaluate research and degree of evidence in nursing?
SEARCHES IN EVIDENCE-BASED NURSING Familiarity with database • structure • coverage familiarity with search software familiarity with thesaurus how is evidence indexed ?
LIMITING SEARCHES TO EVIDENCE-BASED RESEARCH • publication type • randomized controlled trial • practice guideline • multicenter study • thesaurus terms • double-blind method • evidence-based nursing • placebos • free text words denoting evidence • search filters • Cinahl: research • PubMed: clinical queries
SEARCHING EVIDENCE-BASED NURSING • • PubMed • publication types • MeSH terms • Clinical Queries • usable except Clinical Queries, incl. Systematic Reviews • Cinahl • publication types
SEARCHING EVIDENCE-BASED NURSING • Cinahl Thesaurus terms • Research filter • not reliable • indexing inconsistent • basic concepts not clear, definitions missing • concentrating in technical gimmicks
WHAT DO WE DO IN OUR OWN COUNTRIES ? DENMARK Science Database, no thesaurus FINLAND FinMeSH, Finnish Nursing Thesaurus ebn terms exist, not used ICELAND No database, no thesaurus NORWAY No database, no thesaurus SWEDEN Svemed+, Svenska MeSH