Knowledge Of Nursing

hello everyone. my name is kara thompson. i'm the campus librarian at marconi campus in sydney. today we're going to be featuring cinahl complete. cinahl is a key database that library services has for individuals in the health sciences field such as practical nursing, cca, dental hygiene. it's also useful in other areas but those are the core programs

that tend to utilize it. for the next little bit i'm going to be showing you some of the great features of this database so you can make the most of it. at the end we are going to show you a slide with a survey monkey survey. this just gives us feedback on these programs so we can improve what we're doing. i'd really appreciate it if you filled the

survey out so we could get some feedback. so what is cinahl? cinahl is the cumulative index to nursing and allied health literature. it's the definitive tool for all areas of nursing and allied health literature. it contains over 5,400 journals and more than 4.8 million records dating back to 1937. it's fast and easy access

to the top nursing and allied health journals, evidence-based care sheets and quick lessons for healthcare professionals. it has broad content that covers over 50 nursing specialties; speech-language pathology, nutrition, general health and more. so if you have any questions after this session you can contact me at kara.thompson@nscc.ca

or you can visit your local campus library and talk to the librarian for any assistance. what i'm gonna do now is i'm going to take these powerpoint slides down and i'm actually going to share my desktop so we can do a live search. so give me just one second. so you're all seeing the library services

homepage and i just want to point out a couple of things for you. number one is note the tabs that we have at the top. these are ways that you can access all of our resources: books, ebooks and more is our catalog; articles and eresources will let you search our electronic resources as well as our databases

(this is how we're going to access cinahl); the reserves tab will direct you to reserve readings on novanet; our streaming video tab highlights our streaming videos; and our subject guides are available for all of the programs that we teach across the province. it's a really great jumping-off tool if you're not sure what databases or

electronic resources to use. go to the subject guide for your program and that will help you. also, just a quick reminder, when you're on an nscc campus, all of these databases and resources open for you automatically. if you're off campus - if you're at home or in your office and you're accessing these what you're going to do is you'll

have a little page pop-up that wants a username and password. your username is your w number and your password is whatever your personal password is. it's the same a thing that you use to login to your email, the same thing that you use to login to computers on campus. so just be aware of that. it's going to open up nice and cleanly for me today

because i'm on a campus but at home you will need your w number and password to do this. so what i'm going to do is come to the articles and eresources tab. there's a couple of different ways you can access this. you'll also find a cinahl link in the subject guide for practical nursing, dental hygiene, cca and a couple of other programs. you can go in

by subject. so this is a health database. so we would find cinahl listed with the health databases. or what i like to do is just go into databases by name and this is an alphabetical listing of all of the databases that nscc provides access for. and i'm going to come to cinahl - c i n a h l - and i'm going to click on it and then you just click on go and it's going to

open up the database for us. so the screen that you see is a basic search screen in cinahl. it has what's called a basic search box. so it's very google in how it looks. you're going to notice over here on the far right there's a help button and i would encourage you here at home trying to do this and you're stuck to use the

help button. they have really great tips, tip sheets and little videos that you can watch that are actually quite helpful. i also want you to note that although there is a basic search and that's the default page that's going to come up, there is an advanced search function. we're going to look at that a little

farther down in the presentation. the main search box also allows you to search with filters. you always want to kind of filter what you're looking for to make sure you're getting the most up-to-date information. you'll see that there's a limit to just full-text. this means you're only going to get results that have a full text link attached to

them. i'm not a super fan of limiting your search this way, because although it's really convenient, the article that may provide you with the best information may actually come from a journal that we just don't have access to full text. if there's an article that you really need, you can always contact library services

and do a document delivery request for that article. or it might be an article that we have access to through a different database. so always check with your library. be careful about limiting to full-text. the convenience is great but you will lose some really great stuff. some of the other limits that are here is a

publication date, clinical queries ties to evidence-based practice. it's other ways that you can limit your search. we're not going to get into that. there's journal subsets, there's sex (male / female / all), you can limit to images, english-language, peer-reviewed. what i anticipate you're going to use the most would be limiting to peer-reviewed or

english language. what i usually recommend to my students are these three limits: number one, a date range. in healthcare you never really want to go back further than 10 years and usually you don't want to go back more than five years unless you're doing a historical study. so what you're going to notice throughout the bulk of my searches is

i'm going to set a publication date range of 2011 to 2016 which is the last five years. the other limit that i set is english. this is an international database. there's articles in multiple languages. if you limit just to english language, you'll be sure that you're going to get articles that you can actually read if english is your only

language. and finally under publication type. as i mentioned, these are huge databases. there's millions of citations. there's all kinds of information in here that you don't necessarily want. there's abstracts, there's anecdotes, there's book reviews, there's book chapters, there's brief items. what you're really looking for the most part would be something

like a care plan. so if you're looking for patient care plans or if you're looking for a case study. but what i tend to encourage students to search for is articles. so we're actually going to go - went a little bit too far there - limit our publication type to journal article. that means that you're going to get an article; you're not going to get book

reviews, you're not going to get these teeny tiny things, you're going to get solid articles. so i've got my limits set. let's do a search. so the question or the information that we're looking for today is: you're part of a team on a unit that's working on updating your patient falls prevention policy as part of a facility wide

safety initiative. so what you need to do is search the information for "patient safety falls prevention". the last time that you searched for this information, or the last time that your unit did this was in 2009, so we need to search more updated information. so we're going to be searching from 2011 to 2016. this, as i explained, is a basic search interface.

this is very much like google, so my search is going to be pretty basic: falls patient safety. so this is going to do a search for articles that talk about falls and patient safety. i have my limits set; i'm only looking back five years, i'm only looking for english language and i'm only looking for journal articles. now i'm going to hit

search. and what you're going to find is that we've got a fairly reasonable number of results, 43. we haven't gotten a thousand, we haven't gotten 10,000 results and part of the reason we haven't gotten those big numbers is those limits that we set. so this can kind of help from becoming overwhelmed when you're looking. so what you're going

to see is some of the articles are going to have pdf full text links, other articles will have the find it at nscc link. it's worthwhile to click on this. it may be something that we would have to order for you through document delivery, but it also could be that it's an article that's available through another

database. so it's worthwhile to kind of click on the find it at nscc and see if it's available. if we go down to search result number four: "essential care after an inpatient fall: national patient safety agency advice". this is an article that's on topic with what we're looking for. you're going to notice that it comes

from the british journal of nursing, but a lot of times when it comes to health and safety issues, whether it's coming out of the us, or it's coming out of canada, or it's coming out of the uk, you can still use that information. you just have to take into consideration the unique components of where you are. whether it's a long-term care facility,

or it's a urgent aid hospital, whatever it is. so if we take a look, what i like to do when i'm in the databases is when i open up a pdf or when i go to open up the record for a search, is i open that up in a new tab. so i'm going to do that with this pdf. i'm going to open this link in a new tab. and the reason i do this, is sometimes when you're in a

database and you start hitting the back-and-forth buttons to get from the pdf back to your search, sometimes you can actually corrupt your search. so this is just a quick and easy way to kind of open up the information that you need without kind of ruining your original search. so if you come here, what you're going to see is this is a

pdf link of the full text of this article. so there's a couple of things that you can do at this point. you can print this article. so if i hit print, this is going to print to the printer that's attached to my computer and i'll have a paper copy that i can use. but you're not always going to want to print. you may want to have this in electronic

form, or you may be sharing this with the group. so one of the things that you can do is you can email this. so if i wanted to email this to myself, i would just type in my email address. you could type in a subject, so my subject might be falls, and i could write a note to myself if i wanted to. and then you have a couple of options when you go to email

this to yourself. you can attach the pdf. if you don't want the pdf, for example if i had already printed it, i wouldn't need the pdf, or you can leave it attached. but what's really handy is you'll see this button called citation format. pretty much everyone in healthcare has to utilize the apa - i know in nursing it's the standard - apa

formatting style. if you click on this and you come down and change this to apa, when i send this email to myself it's not only going to include the information and the abstract on the article and it's not only going to include the pdf that i can then print or load to my tablet, it's also going to have the apa citation that i can use in my

reference list. so it's a really handy tool. so i'm going to hit send and that's been emailed off to me and i'll be able to get that when i open my email. another tool that you can use is this little button - it looks like a little yellow piece of paper - and you'll see when i put my mouse over it the word cite comes up. this gives you the citation style for

this article. so this is brazilian national standards, we have ama, and then right here we have the apa reference for this journal article. again, this is a really handy tool because you can copy and paste this into a working bibliography or into your reference list. what i will tell you is this: technology is an amazing thing but there can

sometimes be data entry issues, so it's still important that when you take this apa reference into your reference list, that you double check it against either the apa manual or library services offers a little six-page sort of essential apa handout that you can use. and just double check and make sure everything's formatted right. the periods

are where they're supposed to be, what's capitalized is capitalized, what's not supposed to be capitalized isn't, and double-check on that. these tools are really handy but, as i said, technology is technology. and then finally, if you're working in a group on something, whether it's group work in school or as is the example that we started off with, you're

working with a group on your unit to update patient safety initiatives. you don't really want to, or need to, print this article off for everybody and distribute it that way. what you can do is this little tiny chain over here on the right and when i mouse over it says permalink. if you click on

that, what it does is up here - i've got it highlighted blue right now - this is the permalink to this article. so if i copy this link and put it into an email, i can send that out to everybody in my group and when they click on this link, they'll be thrown right back into the nscc cinahl database and they'll come right to this page where they can login

and print this off for themselves. so it's just a really nice tool if you're sharing things, or if your faculty or you're the lead in a group, this is a way that you can distribute information that you want everyone to read in one quick and easy way. i'm going to close this tab now because we're done with this article. another thing i just want to highlight

right now, before we move on is, you'll see up here, this little folder. there's a couple of ways that you can use this folder. you can use it temporarily. so if you were doing a longer-term search, you can kind of throw things into this folder, so you kind of make your first initial sort of choice on whether interested by the title or a quick read

of the abstract and throw it into your folder. then at a point down the road, whether it's in 15 minutes or a half hour when you're done you're searching, you can open your folder and kind of go through take a closer look at what's there and determine if you're actually interested in the information or not. that's a temporary use of this folder.

when i close this search out, that folder won't exist anymore. you can also create a personal account for yourself and i'm not going to go through how to do that, i just want you to be aware. and what you can do is you can create an account for yourself where you can save these folders. so in the case of longer-term, you're working on a

patient safety project, everything that you save for patient safety will go into a folder that you can then access long-term and down the road. i've had an account in cinahl for the last 12 years and i still have resources from searches and things that i did 10 years ago that are saved in there. so it saves

as permanently as any technology can save. but you can also just use it short-term. if this was an article we're interested in, over here if i hit this plus sign, it's added to my folder and you'll see that my little folder graphic now has a little piece of paper. that's telling you that there's information in that folder.

so i'll add that one, i'm going to add this one. i'll add this and i'll add this. so once i do this, i might throw 30, 40, 50 things into my folder. when i've done my searches, i could move on and do a completely different search on patient safety and hand hygiene and keep adding things into the folder and when i'm done my searches, i can come back to my folder

and sort through these and determine what information do i want to keep and what information isn't as relevant as i initially thought. so if i looked at this i might say, you know what, i'm not that interested in this, i don't think it's going to be that relevant to me, i check it off and i can delete this item. and now i'm left with,

instead of four, i've got the three that i'm interested in. i can then, same as with the individual articles, i can email this to myself. so you could potentially have a list of 50 or 60 resources that you want to use for your group, or for your project, so research patient safety, so you know what it is when it gets to your email. i want to include the

citation style because that's going to make my life easier down the road when i have to create a reference list for whatever resource i'm creating. and then i'm going to hit send. so that email has now again gone to me and i've got all those results. now we've only got three but this could potentially be 25, 30, 40, 50 articles that you want to go into

more detail with. so it's a handy tool but again i want to reiterate, it's temporary. when we close out of this search, this folder will not exist anymore. if you want to have the folder stick, you just need to go in and do to the sign-in. and this is pretty basic - it's just your email address, username and a password and you can use that. so that is

a basic search in ebsco cinahl. you can do this for most of your searches, this is a quick and easy way to do things, but i do want to show you that there is an advanced search function. if you come to advanced search, it's going to look a little bit different. this is showing you multiple boxes where you can put various

terms in. it also utilizes boolean operators - and, or and not - to do a more complex search, a more pointed search that will kind of direct you directly to what you're looking for. and the example we are going to use for this is: you're doing research on kidney donors and you're searching for case studies on kidney transplant donors. so it's people

that donate their kidneys for transplant. so we're really looking for case studies, so that's going to be a limiter that we set. a case study is about a person, a group, or a situation, that's been studied over time. if a case study is about a group, for instance like say: kidney donors. it will describe the behavior of the group as a whole, not sort of individuals.

so case studies are really handy tools to use for this sort of thing. so the search that i'm going to do is: transplant donor and kidney. but what i'm going to also do here is, or renal, because in some cases it may look for the word kidney but the word renal is also related to the kidney so by putting both in there i'm just kind of, synonyms or near synonyms will

help me get more results. so i've got my search ready to go, but before i hit the search button, i'm going to set some limits. and i'm setting that sort of basic 2011 to 2016 - my five-year date range - i'm choosing english language only, and then when i go down to publication type what i'm going to do here is instead of choosing journal article, i'm

going to pick a case study because that's the specific type of article that i'm looking for. now you'll see that there's other limits that you can set here so you can again get really specific with this, but we're just going to stick with those three basic ones. so i'm going to go now and i'm going to hit the search

button and this is going to run our search for transplant donors, kidney or renal and these are our results. so again we've got a reasonable amount of results. 38 is fairly reasonable to sort of sort through. our limits are set. if you look over here to the left, it will always tell you what limits are there: 2011 to 2016, english language and the publication

type is case study. now you can kind of modify your search here, if you wanted to change the publication date or you didn't want case studies. the other thing is you can always come over here and change the date range that you use. if you were too limited with five years, you might go wider. i'm going to go back to my five year, but you can always make

modifications to see what happens. and what i always tell people is this, when you're using the databases, especially when you're new to it, see what happens when you try some of these other limits, because it might give you a better search. it might not, but you sometimes just need to try things out and see what's going to happen for you.

so that is how to use the advanced search function and this may not be something you use on a regular basis, just want you to be aware of it, that it's there and it can help you do a more focused search if you need it. so the next type of search that i'm going to show you how to do, is something that again, you may not ever use. i just

want you to be aware it's there. every database has its own vocabulary and in cinahl, they have cinahl headings. and what that is, is that's the exact terminology that cinahl uses. for example, we call it a heart attack, medical professionals call it a myocardial infarction. so myocardial infarction is sort of the subject

heading that they use and the subject heading that you would find in databases. so if we come in to do a cinahl search, it's right again, up here at the top. i'm going to click cinahl headings and our search for this is: we're part of a team looking at limiting mrsa transmission. so mrsa is my main topic. so i'm going

to type in mrsa, because that's the term that we use on the floor. and when you take a look, cinahl doesn't actually use the term mrsa, they use the full term which is: methicillin-resistant staphylococcus aureus, so that's the term that the database wants you to use, because that's what they use. so, we are going to click

on the click on the term and that's going to, excuse me, we're going to click next to it and what this does is, this brings up subheadings, so for every term there's all kinds of teeny tiny subheadings that go with it and since we are looking at mrsa transmission, we can choose the subheading transmission. and again, this is allowing us to put a

really fine point on the search that we're doing. so instead of finding articles broadly about mrsa, we're going to find them specifically about transmission because that's what we've asked the database to give us. a couple of other things to highlight is you'll see the option of choosing a major concept. when you click off major concept,

that means the article's major concept is what you're looking at. so it's not just that mrsa is mentioned in an article broadly about hospital infections, it's that mrsa is the sort of major concept that the article talks about. and i am going to choose to make this a major concept, because i'm really

specific on what i'm looking for. and i am, if you come over to the subheadings, another thing i would suggest is, you'll see there's a little sort of lines next to it and when you mouse over it says scope note. i highly recommend that you read the scope note, because your perception of what that term means may not be what the databases means. so for

example, if we click on transmission, they define transmission as being: used with diseases and microbes for the modes of transportation, which is exactly what we're interested in so absolutely we're going to click off transmission. what i'm going to do now is search the database. and this is doing a search for that very specific heading.

and if you look up here in the search box, this is showing that aureus is our major heading, that's what mm means and the / tm, tm is showing that we're searching specifically for the subheading of transmission. so this has still just done a general search, so what we're now going to do is come back,

because some of these might not be in english. i'm going to set the limit of english and i'm again i'm only interested in the last five years, and we've gone from 96 to 90 - not a huge break. but the other thing i'm going to choose is academic journals because again, it allows us to get a higher level of information. we're not that interested

in dissertations or continuing education units; we want articles. so if you take a look here, again you can scroll through, you could add these into your folder if you wanted to. you could open up the pdfs in different tabs and look through that, again the ability to email, get the citation, get the persistent link or print this off is all

there. that's consistent. so that is the basics of a cinahl heading search. so the last thing i want to show you is evidence-based care sheets. so cinahl has these evidence-based care sheets and what they are, are they're summaries on very specific key topics that nursing and allied health run into. their focused primarily on nursing practice and each

evidence-based care sheet incorporates the latest evidence, statistics and research on a given topic. these are really quick sort of 2 to 3 page overviews of a topic. it's really great for sort of point-of-care help. so i'm going to click on evidence-based care sheets and this is taking me in and you'll see that there's a large list in

here and i'm going to actually search for: breast cancer. and if i hit browse it's going to show me the results available for breast cancer. so you can see there's quite a few evidence-based care sheets related to it: so breast cancer and older women, breast cancer screening, breast cancer psychological adjustment,

breast cancer treatment with surgery. i'm going to take a look at breast cancer screening for women at high risk. if you click on this and hit search, it will pull this up. so this is breast all of the evidence-based care sheets are full-text. so i'm going to open this so we can take a look and again, as i said, these care sheets are summaries on

specific key topics. they have the most up-to-date evidence and as you'll see as you take a look at it, they're quick sort of things that you can use on the unit or on the floor to get a really quick overview. all of the references are in here. lots of quick, fast information for you and as with - here's your reference list - as with anything you could print

this if you wanted to, you can email it, you can get the apa citation, so there it is right there and you could also get the permalink if that was something that you wanted to send someone. so i'm going to close out here. as a quick review before we end this is cinahl complete (the cumulative index to nursing and allied health literature).

it's a database thats related directly to nursing and allied health professions. can search it, you can do your basic search, you can use the advaned search function that allows you to be a little more complex and how you put your search together, you can search by cinahl headings, which is the sort of standard controlled vocabulary for this, or you

can access these really great evidence-based care sheets, which are quick overviews and summaries on key topics that you'll run into. so i'd like to thank you all for coming. as i mentioned, if you have any questions in relation to cinahl please check with your local campus library. they are more than happy to help you with it. so thank

you very much. have a great day!