LSHSL: Allied Health Subject Guide: Evidence-Based Practice (EBP) Resources

Library Databases and Resources

Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Cochrane Methodology Register (in Ovid)
Systematic reviews and meta-analyses, which summarize and interpret the results of medical research, protocols.
Joanna Briggs Institute EBP
The Institute is widely regarded as one of the world’s leading providers of evidence–based information from across the globe, as well as the tools that help healthcare professionals implement an effective evidence–based practice programs.
Publications include literature reviews, recommended practices and procedures, information guideline sheets, comprehensive systematic reviews and protocols, consumer information sheets and technical reports.

TRIP Database
A clinical search engine designed to allow users to quickly and easily find and use high-quality research evidence to support their practice and/or care. As well as research evidence other content types including images, videos, patient information leaflets, educational courses and news.

Evidence-Based Practice: A way of providing health care that is guided by a thoughtful integration of the best available scientific knowledge with clinical expertise. This approach allows the practitioner to critically assess research data, clinical guidelines, and other information resources in order to correctly identify the clinical problem, apply the most high-quality intervention and re-evaluate the outcome for future improvement (NLM PubMed MeSH).

The Evidence Pyramid is often used to illustrate the levels of evidence in the literature. When beginning your search for evidence, begin at the highest possible tier.

PICO Questions

Excellent sources for PICO information

PubMed PICO Question Builder

pubmedhh.nlm.nih.gov/nlmd/pico/piconew.php

A PICO template to search Pubmed for clinical queries.

7 Steps to the Perfect PICO Search Evidence-Based Nursing Practice

https://www.ebsco.com/blogs/health-notes/seven-steps-perfect-pico-search

Ovid database, go to Support & Training, then Tools, then click onto Pico Resource Center

https://tools-ovid-com.proxyhu.wrlc.org/ovidtools/pico.html

Types of Questions

Common Types of Questions:

Therapy: how to select treatment to offer patients that do more good than harm and that are worth the efforts and costs of using them.

Diagnosis: how to select and interpret diagnostic tests in order to confirm or exclude a diagnosis, based on considering their specificity, sensitivity, likelihood ratios, expense, safety, etc.

Prognosis: how to estimate the patient's likely clinical course over time and anticipate likely complications of disease.

Etiology/Harm: how to identify causes for disease.

Prevention: how to reduce the chance of disease by identifying and modifying risk factors and how to diagnose early by screening.

The type of question is important and can help lead you to the best study design. To limit your search to a specific study design, use the database's filters/limits or add keywords to your search (e.g., lung cancer AND cohort).