圖書館資料庫課程: nursing consultlib3.cgmh.org.tw/pub/ebn.pdf · 圖書館資料庫課程:...
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實證五大步驟-5A
• Ask:提出一個可回答的臨床問題
• Acquire:尋找最好的研究證據
• Appraisal:嚴格評讀文獻評判文獻的有效性、影響性、適用性
• Apply:應用於病人身上
• Audit:對過程進行稽核評估整個過程的績效,同時思考下次執行的改進方法
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證據等級與文獻類型
• 證據等級表及建議等級
• 台灣護理學會實證健康照護知識館
• https://www.ebhc.e-twna.org.tw/1132/1177/1264/
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證據等級與文獻類型
Systematic
Review
Randomized
Control Trial
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建議查詢以下幾種資料庫
•PubMed / Medline
•Cochrane Library
•Embase
•CEPS (華藝)
•Clinicalkey Nursing
• Scopus
• Web of Science
•中國期刊全文數據庫 等等
考科藍組織Systematic
Review
必查
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實證晉升報告需查詢以下資料庫
•Clinicalkey Nursing
•PubMed
•Medline
•Cochrane Library
•CEPS (華藝)
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關鍵字分析 (利用PICO找出關鍵字)
手部衛生是否可降低新生兒HAI 感染率?
Patient/Problem
病人問題新生兒
Intervention
介入處置 (檢查)手部衛生
Comparison
對照的處置
無感控措施
或其他對照組….
Outcomes
臨床結果降低HAI感染率
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找出英文關鍵字
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關鍵字分析 (利用PICO找出關鍵字)
手部衛生是否可降低新生兒HAI 感染率?
Patient/Problem
病人問題Newborn
Intervention
介入處置 (檢查)Hand hygiene
Comparison
對照的處置placebo
Outcomes
臨床結果HAI rate
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先用PubMed / Embase來暖身
Patient/Problem
病人問題Newborn
Intervention
介入處置 (檢查)Hand hygiene
Comparison
對照的處置placebo
Outcomes
臨床結果HAI rate
先用2組重要的主題
hand hygiene AND hai
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Patient/
Problem
newborn or infant or infants or neonates or neonatal
Intervention Hand hygiene or hand washing or
hand cleansing
Comparison
Outcomes HAI or healthcare associated infection
or cross infection
擴增關鍵字
同義字之間用OR
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如何擴展關鍵字
• 注意單複數
• 縮寫/全稱都要查詢
• 使用其他資料庫搜尋相關字詞 related terms
• Medline: Basic search
• Embase: PICO search
• 使用醫學標題(如MeSH)→PubMed、Embase
• 了解其同義詞/廣義詞/狹義詞
• 查詢EBM資料庫(如Cochrane library),參考其檢索策略
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Embase找同義字
輸入關鍵字後,點選後方的Synonyms
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實證晉升報告需查詢以下資料庫
•Clinicalkey Nursing
•Cochrane Library
•Medline
•PubMed
•CEPS (華藝)
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Clinicalkey Nursing(全文型)
實證護理專論
Mosby's Evidence-Based Nursing Monographs
90+本護理電子書
藥物
資訊
臨床
指引
衛教
資料
多媒體
影音
50+種護理期刊
護理教育Nursing
Scale
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輸入關鍵字後,系統可自動帶出查詢建議
Google-like
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Filter可組合使用(文獻種類/研究類型/專科/日期)
多組關鍵字間使用空格隔開即可(系統會自動以”and”組合查詢)
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摘要重要參考文獻並標上證據等級
「疾病」相關資訊分類:病理簡介、照護計畫、用藥、衛教、照護指引等等。
實證護理專論Mosby's Evidence-Based Nursing Monograph
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Clinical Key Nursing 文獻證據等級
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Cochrane Library
查詢系統性回顧文獻
必查
直接進入進階查詢
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關鍵字查詢
以多欄位一次檢索
基礎班
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進階班
使用關鍵字及MeSH組合查詢
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查詢結果分類
SR有全文
RCT不一定有全文
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資料庫 簡介
PubMed
(書目型)
為美國國家醫學圖書館(NLM, National Library of Medicine)所製作,收錄全球自 1950 年至今有關基礎、臨床生物醫學共約5,600 餘種期刊之書目摘要型資料(1975年以後有摘要),是醫學專業資料庫中使用率最高的資料庫。
Ovid Medline
(書目型)
為PubMed中重要的核心資料庫,已做好MeSh Term的主題分析。本院訂購Ovid SP版本的Medline。
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1 or 2
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O
I
P & O
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年代
年齡
實驗對象(動物)
性別
期刊主題
語言
文獻類型
• Systematic Review
• Meta-Analysis
• Randomize
controlled trial
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• PubMed:直接輸入關鍵字查找
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自動轉換成醫學標題查詢
✓記得檢查MeSH轉換是否正確
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✓如果檢索策略較複雜→主題先個別查詢→再做組合查詢
從PubMed首頁點選Advanced
1
2 從Advanced頁面下方取得檢索歷史的編號
#2 AND #3 AND #53
直接輸入編號(例如#1 AND #2)進行組合查詢
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找到337篇
然後呢?
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v
1 找高證據等級文章類型
• Systematic Review
• Meta-Analysis
• Randomize
controlled trial
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2 篩選年代找最即時新穎的資料
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課程結束,謝謝大家!