Evidence-based Resources for HINARI Users

1
From the Advanced Search 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. Note that there are
other search lists including an A-Z list, Updated
Reviews and New Reviews.
2
For more training material, you can click on The
Cochrane Library Help hyperlink. We have opened
the Search Manual. Another option is a listing
of Web Updates.
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
Librarys 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 for Influenza.
The results page includes summaries of the key
issues including Related resources and References
and links 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
We now access the fourth Reference Sources option
for evidence-based health information BMJs
BestPractice a combination of research
evidence, guidelines and expert opinion.
10
We have completed a keyword search for diabetes.
Note the drop down menu with the broad category
results of the search.
11
The results for the diabetes search are displayed
in broad subject categories. Note that each
category contains full-text documents on the
Highlights, Basics, Prevention, Diagnosis,
Treatment, Followup and Resources.
12
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.
13
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.
14
Open the Clinical Queries box. This search tool
assigns filters to keyword searches - to locate
articles on Clinical Studies, Systematic Reviews
and Medical Genetics. In June 2010, these
features were revised so that you can complete a
search for Clinical Studies, Systematic Reviews
and Medical Genetics at the same time.
15
To use the Search by Clinical Study Categories,
you would type a disease or procedure in the
Search box and select one Category and Scope per
search. We have displayed the options for
Category and clicked on Therapy from the drop
down menu. Note the definition of the Filters on
the bottom of the page. Note you can go directly
to PubMed Clinical Queries
The direct link to PubMed Clinical Queries is
http//www.ncbi.nlm.nih.gov/pubmed/clinical
16
For the Scope option, we will enter Narrow and
also enter type 2 diabetes AND developing
countries in the search box.
17
The Therapy (Category) and Narrow (Scope) type 2
diabetes AND developing countries search has
resulted in 8 citations. We now will click on
the See all option. Note that the results for
Systematic Reviews and Medical Genetics also are
displayed.
18
We have displayed all 8 articles for this search
including 7 HINARI and 3 Free Full Text
articles. Remember - you can access the
full-text articles by clicking on these Filters
or changing the display from Summary to Abstract.
Note that the specific search is listed in the
Search box including the AND (Therapy/Narrowfilte
r) for systematic reviews.
19
We have clicked on the See all option for the
systematic reviews results. The type 2 diabetes
AND developing countries AND systematic sb
search resulted in 13 articles.
20
If you have a MY NCBI account, you can add
Meta-analysis and Systematic Reviews to your
Filters. Go to Manage Filters, click on
Properties option and put each term in the Search
with terms box. 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 Filters.
21
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.campbellcollaborat
  ion.org/library.php

22

• McMaster PLUS collection http//hiru.mcmaster.ca/h
  iru/HIRU_McMaster_PLUS_projects.aspx
• Duke University Medical Center Library EBM
  http//www.mclibrary.duke.edu/subject/ebm?tabcont
  ents
• EBM Librarian
• https//sites.google.com/site/ebmlibrarian/

23
EvidenceUPDATES contain a searchable database, an
email alerting system and links to selected
evidence-based resources. Registration is
required but free.
24
Trip Database is a clinical search tool for
health professionals to identify quality clinical
evidence for clinical practice. Registration is
required but free and gives the users additional
resources.
25
The Essential Health Links gateway contains
annotated links to numerous Evidence-Based
Medicine resources available on the Internet.
26
The Canadian Institutes of Health Research web
site contains four Knowledge Translation Learning
Modules. Several of these online courses are
relevant for evidence based practice and use of
knowledge to make informed health decisions.
27
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.

28

• 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/welc
  ome.htm

29

• 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.

30
Appendix 1

• Appendix 1 Contains four case studies for
  developing Evidence-Based Practice curriculum
  experimental cancer research, EBP curriculum
  for pharmacy students, health literacy for
  pharmacy students and outreach activity for
  early intervention providers
• Developed byIrena Bond, Library Manager
  Associate Professor of Library and Learning
  ResourcesMassachusetts College of Pharmacy and
  Health Sciences

31
Research Evidence

Practitioners 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 AM
  University.
• Material revised and enhanced by Irena Bond,
  Library Manager, Associate Professor of Library
  and Learning Resources, Massachusetts College of
  Pharmacy and Health Sciences.
• 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 2011 08