NU430 - Community Health Nursing: Care Plan Resources

One of the highest levels of evidence based practice is evidence from a systematic review or meta-analysis of relevant randomized controlled trials (RCT).

Systematic Review- through a well-defined process, researchers identify and analyze multiple research studies addressing the same clinical issue to come to a conclusion on the effectiveness of a specific intervention, diagnostic test, or methodology.

Meta-Analysis- quantitative statistical analysis of data collected from the many studies in a systematic review.

To locate and access this type of evidence, use one of the following databases:

For more about Cochrane Reviews, see: https://www.cochrane.org/about-us

For Cochrane Library tutorial videos, see: https://www.wiley.com/network/cochranelibrarytraining

1. Start your search by typing keywords for the disease, condition, intervention, or methodology into the search box and click "Go":

2. Results will display where your search term(s) appear in the title, abstract or assigned keywords of the systematic review. Click on a title to view the full text of the review.

3. Once you have chosen a specific result, you will be shown the abstract for the review. To view the summary or full version of the review, or just the figures, tables, or references, choose one of the options in the middle of the screen:

but, you will probably want to scroll down the screen a bit and start with reading the plain language summery:

If the review is not available full text, you will need to request a copy via interlibrary loan. You can find the steps in the interlibrary loan topic guide here.

1. Start by typing your search term(s) into the search boxes at the top of the screen.

2. Next, scroll down the screen into the portion labeled "Search Options" until you see the limit labeled "Publication Type." Scroll through these options and click on the selection "Meta Analysis" or "Systematic Review."

3. Then click "Search" to see search results related to your search terms with that publication type. Click on full text links to view the systematic review or meta-analysis:

The CINAHL database also includes helpful search limits to locate other types of evidence-based research articles.

1. Start by typing your search term(s) into the search boxes at the top of the screen.

2. Next, browse some of the limiters available below the search boxes, in the portion of the screen headed "Search Options"

• Checking the "Evidence Based Practice" box will limit your results to articles from evidence based practice journals (including the Cochrane Library systematic reviews), as well as articles about evidence based practice, research articles (including systematic reviews, clinical trials, meta analyses, and qualitative studies), commentaries on research studies, and case studies meeting the research or EBP criteria.

• Checking the "Research Article" box will result in a larger result set than the "Evidence Based Practice" limit, as the criteria for research articles are broader than those for EBP. Limits results to both quantitative and qualitative studies.

• Checking the "Randomized Controlled Trials" box will limit results to studies based on RCTs.

• Choosing "Practice Guidelines" from the Publication Types limit will limit your results to articles discussing or outlining clinical guidelines.

3. Once you have chosen a limit or multiple limits, click "Search." Remember, the more limits you choose, the more limited your search will be, meaning fewer results.

This database does not have as many specific limiters as CINAHL, but is still useful for locating sources for your care plans.

1. Start by typing your search term(s) into the search boxes at the top of the screen.

2. Next, scroll down the page to the search options to find the option labeled "Document Type." Choose "Evidence Based Healthcare," then click "Search."

3. Results will be limited to evidence-based practice publications like systematic reviews, evidence summaries, and best practice information sheets.