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CINAHL- : EBSCO Publishing Taiwan, CINAHL Division jchouebscohost 02-2729-8821

Agenda. ???????????????(why)???(what)???(how)???????EBN steps?????????Coding Matrix (Level of Evidence)?????????????????????????? CINAHL

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CINAHL- : EBSCO Publishing Taiwan, CINAHL Division jchouebscohost 02-2729-8821

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    1. Add the name of the presentation Location or organization on top of the date.Add the name of the presentation Location or organization on top of the date.

    2. Agenda ?????????? ?????(why)???(what)???(how) ??????? EBN steps ????????? Coding Matrix (Level of Evidence) ???????????? ?????????????? CINAHL & NRC Introduction

    3. ?????????? ???????????

    4. Evidence-Based Medicine / Nursing

    5. ???????? based on Different Methodologies systematic review?????:?????,??????????,????????????????????????????,????????,???????????????????????,?????????,??????????????????(meta-analysis) ???????????,??????????(????:????????3?) Meta-Analysis????:????,???????????????????????????,???????????????????????????(????:????????3?) Cohort study????:????,??????????(observational study),???????? (the cohort) ????????????( outcome) ?????????????,???(???)???????????,????????????????????,??????????(??????????)?(????:????????3?) Case control study??????:?????????????????????????,????????????(???)????????(???)????,???????????????????????????????????????????,???????????????,????????????????,??????????????????(????Green S, Higgins J, editors. Glossary. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005]. http://www.cochrane.dk/cochrane/handbook/handbook.htm [(accessed 30/08/2006)]. Case-series: Report of a number of cases of disease. (Harm/Etiology) RCTs, Case Cohorts, Control Studies Randomized controlled trial(??????????): An experimental comparison study in which participants are allocated via a randomization mechanism to either an intervention/treatment group or a control /placebo group, then followed over time and assessed for the outcomes of interest.  Participants have an equal chance of being allocated to either group. (Therapy) Double Blind A double blind study is one in which neither the patients nor the health care personnel involved in treatment know whether a particular patient is receiving the treatment being studied or is part of the control group.  Clinical Research Critiques:Reviews of patient care relevant studies. Clinical practice guidelines (CPG) ??????:??????,???“????????????????,???????????????????????????”???IOM????????????????????????????????????????????????????????????????????????(Institute of Medicine (1990). Clinical Practice Guidelines: Directions for a New Program, M.J. Field and K.N Lohr (eds.) Washington, DC: National Academy Press) systematic review?????:?????,??????????,????????????????????????????,????????,???????????????????????,?????????,??????????????????(meta-analysis) ???????????,??????????(????:????????3?) Meta-Analysis????:????,???????????????????????????,???????????????????????????(????:????????3?) Cohort study????:????,??????????(observational study),???????? (the cohort) ????????????( outcome) ?????????????,???(???)???????????,????????????????????,??????????(??????????)?(????:????????3?) Case control study??????:?????????????????????????,????????????(???)????????(???)????,???????????????????????????????????????????,???????????????,????????????????,??????????????????(????Green S, Higgins J, editors. Glossary. Cochrane Handbook for Systematic Reviews of Interventions 4.2.5 [updated May 2005]. http://www.cochrane.dk/cochrane/handbook/handbook.htm [(accessed 30/08/2006)]. Case-series: Report of a number of cases of disease. (Harm/Etiology) RCTs, Case Cohorts, Control Studies Randomized controlled trial(??????????): An experimental comparison study in which participants are allocated via a randomization mechanism to either an intervention/treatment group or a control /placebo group, then followed over time and assessed for the outcomes of interest.  Participants have an equal chance of being allocated to either group. (Therapy) Double Blind A double blind study is one in which neither the patients nor the health care personnel involved in treatment know whether a particular patient is receiving the treatment being studied or is part of the control group.  Clinical Research Critiques:Reviews of patient care relevant studies. Clinical practice guidelines (CPG) ??????:??????,???“????????????????,???????????????????????????”???IOM????????????????????????????????????????????????????????????????????????(Institute of Medicine (1990). Clinical Practice Guidelines: Directions for a New Program, M.J. Field and K.N Lohr (eds.) Washington, DC: National Academy Press)

    6. Level of Evidence (LOE)

    7. ??:Oxford Center for Evidence-Based Medicine

    8. ??:????????

    9. ??:??????????

    10. ??????? EBN steps

    12. EBN Evidence-based Nursing

    13. EBN Taught in Nursing Schools

    16. ????????? Coding Matrix (Level of Evidence)

    17. Coding Matrix ????(Levels of Evidence) M:????????(Published meta-analysis) SR: ???????/???????? (Published systematic or integrative literature review ) RCT:??????(??????)[Published research (randomized controlled trial) ] R:??????(???????)[ Published research (not randomized controlled trial) G: ??????(Published guidelines) RV:????????( Published review of the literature) RU: ??????????(Published research utilization report ) QI:??????????( Published quality improvement report) L : ???(Legislation) PGR: ????????(Published government report) PFR: ????????(Published funded report) PP: ??,??, ??(Policies, procedures, protocols) X: ????,??,??(Practice exemplars, stories, opinions) GI: ???????(General or background information/texts/reports) U: ??????,??,?????Unpublished research, reviews, poster presentations or other such materials CP: ??????,??,??(Conference proceedings, abstracts, presentations)

    18. ???????????? ?????????????

    19. Types of Medical / Nursing Reference Database Primary Database (??????) ex: Medline, CINAHL Secondary Database (???????) Articles Review (?????? ??????) ex: Evidence Based Medicine, Evidence Based Nursing Topic Review (????????????) ex: DynaMed, Nursing Reference Center

    20. EBM 5S Model System: ????????????????Computerized decision support systems that link individual patient characteristics to pertinent evidence Summary????: ?????????????????Summaries integrate best available evidence from the lower layers to provide a full range of evidence concerning management options for a given health problem(Evidence Based Textbooks) Synopses??: ?????????????Very brief descriptions of original articles and reviews(Evidence Based Journal Abstract) Syntheses???: ????Systematic reviews systematic review??:??????????????????????????????????????????????????????????????,???????????????????????????????????????????????Systematic reviews??????review??????Systematic reviews ???????????????????,????????,???????? Original Studies???? ?????????? System??????????????(HIS)???..????????????~ ?? ??????????????~ ????~ ???????????clineguide??????????????? ??????~ ???????????????.. ???????,??????????,?????????,?????,????????~ ?????~ ?????????????? ?????????????????????????????????,????????????????????????????????? ???????,????????,??????????????????????????,????????? ????????????,???????????,????Federated Search Engines???????,???????????? TRIP (http://www.tripdatabase.com) and SUMsearch (http://sumsearch.uthscsa.edu/) If you are not familiar with which evidence-based resource is best for a particular clinical problem — or you know that the resources you usually use don‘t cover the problem at hand — then “federated search engines,” such as TRIP (http://www.tripdatabase.com) and SUMsearch (http://sumsearch.uthscsa.edu/), provide means to search many resources, with the retrieval being organized according to the source of evidence. But if you use such services, you will need to keep your critical appraisal filters on alert: The quality of the retrieval depends on the source, and many sources do not provide critical appraisal of evidence. System: ????????????????Computerized decision support systems that link individual patient characteristics to pertinent evidence Summary????: ?????????????????Summaries integrate best available evidence from the lower layers to provide a full range of evidence concerning management options for a given health problem(Evidence Based Textbooks) Synopses??: ?????????????Very brief descriptions of original articles and reviews(Evidence Based Journal Abstract) Syntheses???: ????Systematic reviews systematic review??:??????????????????????????????????????????????????????????????,???????????????????????????????????????????????Systematic reviews??????review??????Systematic reviews ???????????????????,????????,???????? Original Studies???? ?????????? System??????????????(HIS)???..????????????~ ?? ??????????????~ ????~ ???????????clineguide??????????????? ??????~ ???????????????.. ???????,??????????,?????????,?????,????????~ ?????~ ?????????????? ?????????????????????????????????,????????????????????????????????? ???????,????????,??????????????????????????,????????? ????????????,???????????,????Federated Search Engines???????,???????????? TRIP (http://www.tripdatabase.com) and SUMsearch (http://sumsearch.uthscsa.edu/) If you are not familiar with which evidence-based resource is best for a particular clinical problem — or you know that the resources you usually use don‘t cover the problem at hand — then “federated search engines,” such as TRIP (http://www.tripdatabase.com) and SUMsearch (http://sumsearch.uthscsa.edu/), provide means to search many resources, with the retrieval being organized according to the source of evidence. But if you use such services, you will need to keep your critical appraisal filters on alert: The quality of the retrieval depends on the source, and many sources do not provide critical appraisal of evidence.

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