NURSING 475

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NURSING 475

• Step Five
• RESEARCH APPLICATION

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STEP FIVE The Assignment

• Select a nursing intervention you performed on
  this patient. What are some of the decisions that
  were made in the provision of nursing care? Were
  these based on tradition or is there scientific
  evidence to support them?

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STEP FIVE The Assignment

• Formulate a researchable problem related to that
  intervention. (Why were things done this
  way?), I wonder what would have happened if
  Would there have been a better way
  to.)

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STEP FIVE The Assignment

• Conduct a literature search to identify nursing
  research studies that address your research
  problem.
• Find three research articles from peer reviewed
  nursing or medical journals.

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Step 5 The Assignment

• For each study, summarize the studys purpose,
  design, methods and findings.
• For each study, analyze the strengths and
  limitations of the research and support your
  argument.
• Discuss the generalization of the research
  findings to your patient and/or family.

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Step Five The Assignment

• Can you generalize all/some of the findings and
  apply to the care of your patient? Why or why
  not?

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STEP SIX Format

• Correct grammar must be used throughout the
  paper.
• Use APA format (5th edition)
• Do not exceed 22 pages (excluding appendices and
  reference list).
• Use headings and subheadings for each section of
  the paper.

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Publication Manual of the American Psychological
Association

• Often shortened to APA MANUAL.
• A copy is available at Ready Reference.
• Call number is WZ 345 P512P 2001.
• It is the fifth edition.

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These Databases may help your research efforts

• CINAHL, available from 1982-present
• MEDLINE, available from 1950-present
• While the Cochrane Library Evidence-based
  Medicine is considered the Gold Standard, some of
  its topic reviews contain a collection of
  research articles which are reviewed for their
  efficacy.

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Databases continued

• At this time, in your research career, use only
  MEDLINE and CINAHL for this particular
  assignment.
• The properties of each database will be discussed
  separately.

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Cumulative Index to Nursing and Allied Health
Literature(CINAHL )
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What does CINAHL include?

• Journal articles
• Dissertations
• Chapter and book citations
• Standards of professional practice
• Audiovisual materials and educational software
• Conference Proceedings

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CINAHL is available online from 1982 to the
present.

• Prior to 1982, you can use the Red Index
  Cumulative Index to Nursing and Allied Health
  Literature found in Reference to look for
  citations.

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CINAHL is a proprietary (subscription)
database.
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More helpful hints

• Keep one thought to a line.
• Combine terms as set numbers.
• Do not combine ors and ands together in
  the same search line.

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SAMPLE CINAHL SEARCH

• Go to the Library web page,
• http//www.ahsl.arizona.edu
• Scroll down the left side of the page to CINAHL
  EBSCO, click on this.

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SEARCHING CINAHL

• In the search box, place the following subject
  headings on separate lines.
• RESEARCH
• STUDY DESIGN
• PROFESSIONAL PRACTICE
• EDUCATION, NURSING, RESEARCH-BASED.

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Term is explodable
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Exploding terms

• Select the Explode box if you wish to retrieve
  citations using the selected term and all of its
  more specific terms.

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2. Study Design
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3. Professional Practice
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4. EDUCATION, NURSING
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Searching Continued

• When you Or these terms together, you have a
  huge number of citations.
• Next, insert the condition, disease, or other
  search term you wish to research.

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Focusing terms

• Select the Focus box if you wish to limit your
  search to those documents in which your subject
  heading is considered the major point of the
  article

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Exploding and Focusing

• You may do both, explode and focus.
• You may decide to neither focus or explode,
  thats alright too.

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Searching

• Combine the term myocardial infarction
• AND the terms Ored and you have 102 citations.
  Next begin the limitation process.

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1. Press clear
2. Go to search history
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2. Make sure the boolean operator is and, then
add
1. Select the two sets, S1 and S2 by checking
each box.
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Click on Search
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Limiting the search

• Limit to English, limit to the required years,
  limit to peer review. You may also limit to age
  and gender.

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After you get the retrieval, go to
advanced search to limit.
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Press search
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Limiting

• There are 151 citations in the set.

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DISPLAYING THE SEARCH

• As you begin to review the citations, look to the
  right below each citation.
• It will say abstract, complete reference and
  often full text.
• The full text may be in different print formats.
  It may be PDF, ASCII, or HTML.

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Article retrieval

• If the article isnt available in full text in
  EBSCO, it may be in the electronic journals which
  the campus libraries owns or available in a paper
  copy on the third floor.

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CINAHL does not use the same indexing terms as
MEDLINE.
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MEDLINE

• Includes a nursing index. The International
  Nursing Index is here.
• The time line is further back, records are
  included from 1950.
• There are many foreign language journals in this
  database. If you request an inter-library loan,
  of a foreign language journal article, the
  article will be in the language indicated on the
  screen.

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Go to the Ovid Searches

• Select MEDLINE instead of CINAHL as the database
  to search.
• Select the years 1996-present.
• You will have more limits available.
• The peer review limit is NOT available in
  MEDLINE.

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OVID MEDLINE 1996-present
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SEARCHING

• To facilitate the search, Include a group of
  terms that are applicable. Each term is added on
  a separate line.
• Each term is exploded and focused when you
  mark the box opposite the term.
• Select all subheadings and continue.

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Click on the set numbers and Combine with or
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Note the database uses different search terms and
uses exp for explode.
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Next type in myocardial infarction And it with
set 5
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Searching

• Use or (which is like the mathematical
  addition sign )
• oring (or adding) the subject headings of the 4
  terms you have listed will create a larger set of
  results.
• Next you add the surgical or medical condition
  that is of interest to you.
• Use myocardial infarction to be consistent with
  the search in CINAHL.

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Searching

• When you OR you get more, but when you take
  this string of ORs and AND it to another term
  on a different line, your retrieval will be less.

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Limiting

• You may do a number of limits at the same time.
  On the following screen, the limits are years,
  ages, language, and to human only.

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Limiting

• You may limit to a type of journal, such as
  nursing journals.
• MEDLINE doesnt have a limit for peer reviewed
  journals.

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Limiting

• As you can see, each limit decreases the search
  significantly. You may wish to select articles
  from both CINAHL and MEDLINE. Some may be
  duplicates.
• Some may not be in full text. You may have to
  check the catalog and e-journal list to see if
  the library holds the journal.

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Medline Citations

• Select the appropriate article citations and
  check the catalog or electronic journals to
  determine availibility

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Didnt cover what you wanted to know?

• Contact BOTH of us to make an appointment!
• Hannah Fisher, 520-626-2933
• hannah_at_ahsl.arizona.edu or
• Mary Riordan 520-626-3510
• mriordan_at_ahsl.arizona.edu