Occupational Therapy 5903
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Occupational Therapy 5903

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Occupational Therapy 5903




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Presentation on theme: "Occupational Therapy 5903"— Presentation transcript:

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Occupational Therapy 5903

Sandra A. Martin, M.L.I.S.Instructor of Library ServicesHealth Sciences Resource CoordinatorJohn Vaughan Library Room 305Bmarti004@nsuok.edu – 918-444-3263

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Knowledge is the Enemy of Disease

Sir Muir GrayExisting Knowledge Can PreventWaste & Errors

Poor Patient ExperienceAdoption of low value interventionsFailure to adopt high value interventions

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Sandra Martin Provides….

InstructionResearch AssistanceSmall Group ConsultingDatabase SearchesCollection Development (Selection of print and online books, audiovisuals, journals and databases)

Assistance with any health-related information needOffice Hours: Tuesday 10 am to 4 pm – TahlequahBy Appointment: NSU Muskogee

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Bookmark this Page: http://library.nsuok.edu/collegesh/healthpr/ot/index.html

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From the NSU Libraries Home Page

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From the Health Professions Page, Click on Occupational Therapy

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Remote Access

Enter NT-NSU user id and password to access the library’s electronic resourcesContact your instructor if you have problems with your user id or passwordContact Darren Tobey at tobey@nsuok.edu to report technical problemsContact Sandra Martin at marti004@nsuok.edu for search assistance

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Technical Issues

Check your browserUse Chrome or FirefoxCheck your Internet CarrierSatellite Systems are frequently erratic or go down entirely during inclement weatherWireless HotspotYou need at least 3GThe library link from within Blackboard is sometimes slow.

Please access the Library Resources for OT page directly from your browser

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Interlibrary Loan/Document Delivery

ServicesDelivery of journal articles, books, and other items not owned by the library

Delivery of books, audiovisuals, and journal articles in the library’s print collection Journal articles delivered electronically if possible

ILL Requests

Click on Interlibrary Loan

link

from

OT

Web Page

Complete and submit the online registration form

Complete the online request form

Provide complete information about the journal article or book that you need. Indicate your status as a graduate student and include your contact information

If you have questions or need assistance, contact:

ill@nsuok.edu

or 918-444-3278

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Learning Objectives

To provide a mechanism for students to access the most current occupational therapy and health related informationTo familiarize students with specific information resources and services to support the occupational therapy curriculumTo familiarize OT students with evidence-based health care and lifelong learning skills

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Overview of Online Resources

Research and Clinical Databasese-Journalse-BooksConsumer HealthEvidence-Based Summaries

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Journal Article Databases

CINAHL Complete, ClinicalKey, MEDLINE, and OT Search are most frequently used resources to find journal articles on OT topicsSearch these resources when you need articles on subjects, e.g., multiple sclerosis, hand splinting, homelessness, movement therapy, etc.Databases in this section provide links to full text journal articles and other resourcesYou must start at the library’s OT web page to access our subscribed full text

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Databases - CINAHL Complete

CINAHL stands for Cumulative Index to Nursing and Allied Health LiteratureCore research tool that contains full text of 1,400 journals and citations in more than 5,300 journalsCheck the box to “suggest subject terms” and search CINAHL headings for best results, e.g., search “pediatric occupational therapy” for “occupational therapy with children”View the brief tutorial to get started

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Databases - CINAHL Complete

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Clinical Key

“All in one” database with full text access to 1,000 books and 500 journals in every medical and surgical specialty12 Content Types including MEDLINE, images & videosAccess to information at all levels from topic overview to evidence-based data in one search

Smart search engine matches first few letters of search word/words to relevant clinical contentNo complicated search strategies or Boolean connectorsEasier than Google – but with reliable, evidence-based results

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ClinicalKey “Autosuggest” displays search term choices

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MEDLINE

U. S. National Library of Medicine’s premier database. Contains over 20 million citations to journal articles in medicine, nursing, allied health, and basic sciences as they relate to health careCovers 1946-presentOvid and Clinical Key include “user friendly” interface. Natural language processing of keywords eliminate complicated searches

Use Ovid or Clinical Key MEDLINE for links to full text in our subscribed journals

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Databases – OT Search

Bibliographic database provided by the Wilma L. West LibraryCovers the literature of occupational therapy and related subject areas, such as rehabilitation, education, psychiatry or psychology, and health care deliveryGood source for retrospective literature, archival information about theories/theoristsFull text not included

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Databases – Science Direct

Scientific database produced by ElsevierProvides journal articles from over 2,500 journals and chapters from almost 20,000 books in all life sciences disciplinesContains full text of life sciences journals not found in other databasesChoose “Advanced Search” to narrow your search results to full text in selected time periods

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Databases – PsycINFO

Includes articles from over 1,800 professional journals, chapters, books, reports, theses and dissertations published internationallyUpdated weeklyComprehensive subject coverage of all areas of psychology as well as related disciplines such as psychiatry, education, medicine, and allied health

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Additional Research Databases

Health and Psychosocial Instruments – assists researchers in identifying tests, questionnaires, rating scales in health and psychosocial sciences. Does not include full text of the instrumentsNational Library of Medicine – provides access to hundreds of databases covering a wide range of biomedical information resources Native Health Databases

– contains citations and abstracts of documents pertaining to the health care of North American indigenous peoples

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OT Journals

Click on the individual OT journal title from the OT web page Open the year, volume, and issue you need

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Tracking Down the Full Text

If your database search does not provide a link to full text of a relevant article, play the brief video from the Library Resources for OT web page:

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e-Books

R2 Digital Library – Nursing and allied health books from Doody’s Core Titles in the Health SciencesClinicalKey – full text of over 1,000 books in all medical specialtiesBooks@Ovid - full text of nursing and health sciences books published by Lippincott Williams & Wilkins, American Nurses Association, Joanna Briggs Institute, Jones-Bartlett, and Springer Publishing

Access Medicine - text of leading medical and health sciences books from McGraw-Hill ClinicalKey, UpToDate, and Access Medicine

contain full text monographs for the health care professional and the patient of all FDA approved drugs

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Consumer Health Resources

Current, authoritative, peer-reviewed, and evidence-based resources written specifically for the laypersonMEDLINEPlus – the National Institutes of Health’s web site for patients and familiesClinicalKey and UpToDate - include patient education handouts with basic and detailed versionsAccess Medicine –

contains patient education materials for adults and children and includes handouts for drugs and medicines

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Databases – MEDLINEPlus

National Institute’s of Health’s web site for patients and familiesProduced by the National Library of MedicineContains current, reliable, well-written information summaries and videos about diseases, conditions, and wellness issuesWidely used in major hospitals and medical centers

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Getting Started: Match Resource to Information Need

What is the question?How will information be used?28

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Information Retrieval to conduct Research

Comprehensive in scope and timeAll levels of resourcesCurrent and RetrospectiveBackground and Foreground Information

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Background vs. Foreground Questions

Asking questions about your proposed topic helps to clarify your knowledge gapClarifying type of question helps to determine which sources are most likely to have the answers you need 30

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Background Questions

Generally ask who, what, why, where or how about a single concept31

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Proposed Research Projects

Effectiveness of occupational therapy interventions with homeless peopleEvaluate the effectiveness of fatigue management programs for patients with multiple sclerosis32

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Background Questions

What is the role of occupational therapy in working with the homeless population?What are methods of reducing fatigue in patients with multiple sclerosis?33

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Answers to Background Questions

Resources:CINAHL CompleteClinicalKey

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Foreground Questions

Usually compare two or more concepts – theories, drugs, treatments, tests, harms or benefits of two approaches35

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Foreground (Clinical) Question

In adult patients with multiple sclerosis and cognitive impairment, [patient] does cognitive training [intervention] versus no therapy [comparison intervention] benefit memory span [outcome]?PICO Model: Patient, Intervention, Comparison Intervention, Outcome

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Answers to Foreground Questions

Require precise information about complex issuesSources should provide current, original clinical research data Start with evidence-based summaries and systematic reviewsSupplement with searches of ClinicalKey, CINAHL Complete, Science Direct, etc.

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New Tools Target High-Quality Studies

Increase ease of accessing and understanding clinical informationPreprocessed - practical resources that facilitate ready access to high-quality researchPreappraised – tools that have undergone a filtering process to include only those studies that are regularly updated and of higher quality

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Point-of-Care Resources

Evidence based textbooksProvide rapid access to concise information to clinicians at the point of careNot a database of articles from books, journals, or guidelinesOriginal, current, summaries written by experts

Formal systems used to grade strength of recommendations and quality of evidence

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Information Retrieval for Evidence Based Health Care

Using research findings versus conducting researchRetrieving and evaluating information that has direct application to specific patient care problemsSelecting resources that are current, valid and available at point-of-careDeveloping search strategies that are feasible within time constraints of clinical practice

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Summaries

UpToDateEvidence based summaries of over 10,000 topics in over 22 specialties8,500 Treatment RecommendationsGRADE System used to score recommendations and strength of evidencePractice c

hanging updates; Updated continuouslyDrug

d

atabase;

Patient

education materials

The Gold Standard of summaries

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Simple UTD Search Provides Quick Answers

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Summaries

FirstConsult Search online in Clinical KeyApp available through NSU subscription to Clinical Key for iPhone or iPad onlyCreate a personal account in Clinical KeyDownload the app from the Apple app store

Login with your CK username and passwordConcise summaries; sections on differential diagnosis; quality of evidence gradedNot updated as rapidly as UTD

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ClinicalKey “stroke” search terms

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CK First Consult Summary

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Systematic Review

Analyzes data from several primary studies to answer a specific clinical questionProvides search strategies and resources used to locate studiesUses explicit methods to identify, select, and critically appraise relevant research and to collect and analyze data from the studiesStatistical methods (meta-analysis) may or may not be used to analyze and summarize results Benefits: Limits bias and increases confidence in conclusions

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Syntheses

Cochrane Database of Systematic Reviews (DSR)Part of the Cochrane Library (1996)Over 3,000 reviews & protocols (reviews in the making)The Gold Standard of systematic reviewsFull Text Available in Ovid

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Syntheses

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Not all topics fit the 6S Model

High levels of evidence may not exist for all questions

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If no synthesized research is available, find individual studies

Clinical Key (Includes MEDLINE)Ovid MEDLINE (tools for “precise” search strategies)CINAHL Complete – targets nursing & allied health topicsScience Direct – targets scientific and technical topics

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Take Home Points

Focused clinical question (PICO) reveals your search terms and best type of studiesStart your search at top of 6S hierarchy and work down (UpToDate, First Consult)Be aware of the filters: levels of evidence, graded recommendations, speed of updating

Look at more than one resource in the hierarchy. Findings may differ

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Life-Long Learning

Selecting and searching online databases is challengingInformation is ever changingContact Sandra (email preferred)55

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If you need Help, contact Sandra

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Occupational Therapy 5903

Sandra A. Martin, M.L.I.S.Instructor of Library ServicesHealth Sciences Resource CoordinatorJohn Vaughan Library Room 305Bmarti004@nsuok.edu – 918-444-3263

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