Robin Parker & Melissa Helwig. Reference Questions The Search.
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Transcript of Robin Parker & Melissa Helwig. Reference Questions The Search.
TIPS & TRICKS IN HEALTH SCIENCESRobin Parker & Melissa Helwig
PART 1 & 2 Reference Questions The Search
REFERENCE QUESTIONSThings to consider:
Background vs Foreground Question6S pyramid
BACKGROUND QUESTIONS Ask for general knowledge about a condition or thing Tend to have two components:
A question root (who, what, when, how, why?) and a verb A disorder, test, treatment or other aspect of health care
Examples: What causes SARS? What causes migraines? How often should women over the age of 40 have a mammogram?
BACKGROUND QUESTIONS
Where to find the answers: Textbooks (ex. Harrisons Principles of Internal Medicine) Handbooks (ex. Handbook of Fluid, Electrolyte & Acid-Base Imbalances)
Databases (ex. Dynamed)
FOREGROUND QUESTION Ask for specfic knowledge to inform clinical decisions or actions Have essential components: PICO OR PIOx OR PICOT
Examples of Foreground Questions: In young children with acute otitis media, is short-term antibiotic therapy as effective as long-term antibiotic therapy?
Among family members of patients undergoing diagnostic procedures, does standard care, listening to tranquil music or audiotaped comedy routines make a difference in the reduction of reported anxiety?
SO WHAT DOES THIS MEAN FOR A SEARCH?
BEFORE WE SEARCH DON’T FORGET 6S
DiCenso A, Baley L, Haynes RB. (2009). Accessing preappraised evidence: fine-tuning the 5S model into a 6S model. ACP Journal Club, 151(3): JC3-2-3. Available online: http://plus.mcmaster.ca/macplusfs/documentation/Haynes_6S_Editorial.pdf
WHERE TO SEARCH…Point of care tools
Dynamed, Clinical Key, etc
Citation Databases PubMed, CINAHL, Web of Science, PsycINFO
Specialized/hybrid databases Cochrane Library, Canadian Electronic Library
Other resources Association, society websites, government sources, statistics
SEARCH One of your med students has identified a potential mentor for their RIM program with similar area of interest in family practice, specifically related to end of life care. Before meeting with this potential mentor, they want to scope the literature, become familiar with the research in the field, and get some ideas for potential research questions for their RIM project. You open PubMed to start a literature search with the student.
SEARCH - FOCUSED In order to have a more focused question, the student decides to look at the role of hydration (fluid therapy) in palliative care at end of life.
Population/ setting
Intervention Outcomes
Terminal care hydration Quality of life
End of life Fluid therapy dementia
Palliative care rehydration pain
Terminally ill Fluid*
URLSSearching in PubMed:
http://libcasts.library.dal.ca/Kellogg/PubMed/index.php
Answering a clinical question:
http://libcasts.library.dal.ca/Kellogg/EBP/Module%201_Clinical%20Question/
Developing a search stragegy
http://libcasts.library.dal.ca/Kellogg/EBP/Module%202_Viable%20Search%20Strategy_Final/index.php