Wagner/NYU P11.4121.001 Spring 2010 Locating the Evidence for Health Management Course Summary In this information-seeking methods course, students frame answerable research questions, select specialized databases, develop effective search strategies and critically appraise the literature of healthcare management. Going beyond Googling, the course illuminates the hierarchical nature of scholarly literature, use of specialized databases, and introduces major U.S. health statistics sources. The course prepares students for the Capstone: Advanced Project in Health Services Management and supports evidencebased decision-making in the workplace. Instructor will post assignment details, supplemental documents and updates on the course Blackboard site (located at home.nyu.edu/ under the Academics tab). Faculty: Susan Kaplan Jacobs, MLS, MA, RN, AHIP Associate Curator/Librarian for Health Sciences susan.jacobs@nyu.edu ph: 212 998-2432 Office #907A, 9 th floor, Coles Science Center, Bobst Library Office hours: Wednesdays 5:30-6:30, or by appointment. Students are encouraged to e- mail/call at any time. Day/Hour: 6:45-8:25pm, Wednesdays, Jan 20, Jan 27, Feb 3, Feb 10, Feb 17, Feb 24, Mar 3 Location: Bobst Library Lower Level Computer Classroom #1 (enter library, walk down 1 flight, thru café to computer center, bear right to Classroom #1) Learning Objectives 1. Demonstrate an understanding of information architecture, the scholarly process, and the context of information in the hierarchy of research evidence. 2. Use the evidence-based paradigm to select databases, frame an answerable research question, develop an effective search strategy, locate, retrieve, and critically appraise the literature of healthcare management. 3. Demonstrate competence in managing the evidence: organize, effectively communicate, and cite the published and non-published evidence. 1
4. Demonstrate an understanding of the social issues and ethical concerns related to the provision, dissemination, and sharing of information. 5. Demonstrate an understanding of a conceptual framework of evidence and information seeking that can be applied to a variety of research questions and environments. CLASS SCHEDULE Date Topic Required Reading Assignment Week 1: 1/20/10 Pretest Information Architecture/Information Literacy Discovery Part I: Framing the question; Simple searching with a PubMed focus For the first class, please email or bring: a brief biosketch w/ photo of yourself (copy of ID is ok) short statement of what you d like to get out of this course. Pre-reading: 1 (Flemming) Week 2: 1/27/10 Week 3: 2/3/10 Discovery Part II: Searching, Filtering with a CINAHL focus; Other databases; Research methodology; Leveling the evidence Discovery Part III: EB Healthcare Practice/Synthesized Sources Managing/Citing/Sharing the Evidence: Bibliographic Management Software Read/Do: 2; 3; 4; 5; 6 Begin Assignment #1 Read/Do: 7; 8; 9; 10; 11 Register for a Refworks account* Assignment #1 DUE Week 4: 2/10/10 Week 5 2/17/10: Review/return Assignment 1 Read/Do: 12; 13 Begin Assignment #2 Discovery Part IV: Statistical Information, Major health surveys (US/Intl); Grey Lit; Datasets Critical appraisal/criteria; Tools Read/Do: 14; 15; 16; 17; Assignment #2 DUE Week 6 2/24/10: Week 7 3/3/09: Review/return Assignment #2 Current Awareness Tools/Alerting Services/ /Web 2.0 Student presentations part 1 Student presentations part 2 Feedback on presentations; Final paper (Assignment #3) instructions (Due date TBA) Read/Do: 18 2
Evaluation Required Reading: 1. Flemming, K. (1998). Asking answerable questions. Evidence-Based Nursing, 1(2), 36-37. http://ezproxy.library.nyu.edu:10513/content/1/2/36.abstract 2. New York University Libraries-Mount Sinai Libraries Nursing Tutorial Working Group. (2002). Nursing resources: A self-paced tutorial and refresher. http://library.nyu.edu/research/subjects/health/tutorial/beginners.html MODULES 1 and 2 3. Pubmed Tutorials (from the National Library of Medicine) Two Minute Pubmed Simple Subject Search (Causes of Sleep Walking) http://www.nlm.nih.gov/bsd/viewlet/search/subject/subject.html Three Minute Searching with the MESH Database http://www.nlm.nih.gov/bsd/viewlet/mesh/searching/mesh1.html Four Minute Combining MeSH Terms Using the MeSH Database http://www.nlm.nih.gov/bsd/viewlet/mesh/combining/mesh2.html Five Minute Applying Subheadings and Other Features Using the MeSH Database http://www.nlm.nih.gov/bsd/viewlet/mesh/subheadings/mesh3.html 4. National Network of Libraries of Medicine. (2009). PubMed BASICS. http://nnlm.gov/training/resources/pmtri.pdf 5. Delwiche, F. (2008). Searching MEDLINE via PubMed. Clinical Laboratory Science, 21(1), 35-41. https://ezproxy.library.nyu.edu/login?url=http://proquest.umi.com/pqdweb?did =1430662731&sid=1&Fmt=3&clientId=9269&RQT=309&VName=PQD 6. CINAHLPlus Ebsco Tutorial from the University of Florida Click Begin : Single Subject Heading with Subheading http://www.hscl.ufl.edu/help/cinahl/media/tutorial2/tutorial_2.htm 7. Browse ICIRN Essential Nursing Resources (esp the Databases section): http://www.icirn.org/homepage/essential-nursing-resources/essential-nursing- Resources-PDF.aspx 8. Browse the NYU Libraries Evidence Pyramid http://tinyurl.com/nyupyramid 3
9. Dicenso, A., Bayley, L., & Haynes, R. B. (2009). Accessing pre-appraised evidence: Fine-tuning the 5S model into a 6S model. Evidence-Based Nursing, 12(4), 99-101. http://tinyurl.com/yh96o4t 10. Wagner Academic Code, (especially Part B, section 1: plagiarism ) http://wagner.nyu.edu/current/policies/ 11. Refworks tutorial, NYU Libraries http://nyu.libguides.com/refworks Scroll down and watch 3 minute intro movie. Refworks.com tutorial, Watch the first 6 videos ( Logging In, Navigating, Entering Your References Into Refworks Direct Import Importing Text Files and Entering References Manually ; approx total 20 min). http://refworks.com/tutorial/ *[ Register for a Refworks account at: https://ezproxy.library.nyu.edu/login?url=http://www.refworks.com/refworks/l ogin.asp? ] Click on: Sign up for an individual account 12. New York University Libraries-Mount Sinai Libraries Nursing Tutorial Working Group. (2002). Nursing resources: A self-paced tutorial and refresher. http://library.nyu.edu/research/subjects/health/tutorial/websearching.html MODULE 3, Searching the Web 13. Finding Health Statistics, part two of tutorial. National Information Center on Health Services Research and Health Care Technology (NICHSR). http://www.nlm.nih.gov/nichsr/usestats/finding_health_statistics.html (the link to an EXERCISE on the tutorial page 23 is assignment #2) 14. Callas, P. (2008). Searching the Biomedical Literature: Research Study Designs and Critical Appraisal. Clinical Laboratory Science, 21(1), 42-8. http://tinyurl.com/yefzery 15. Chapter 3: Getting your bearings (what is this paper about?) in Greenhalgh, Trisha. (2001). How to Read a Paper: The Basics of Evidence Based Medicine. London, GBR: BMJ Publishing Group. http://tinyurl.com/5rdj9v Review checklist for the methods section of a paper (in Appendix 1,): https://ezproxy.library.nyu.edu/login?url=http://site.ebrary.com/lib/nyulibrary/ Doc?id=10033049&ppg=220 16. Chapter 4: Assessing methodological quality in Greenhalgh, Trisha. (2001). How to Read a Paper: The Basics of Evidence Based Medicine. London, GBR: BMJ Publishing Group. http://tinyurl.com/66ah6r 4
17. Chapter 10: Papers that tell you what things cost (economic analyses) in Greenhalgh, Trisha. (2001). How to Read a Paper : The Basics of Evidence Based Medicine. London, GBR: BMJ Publishing Group. http://tinyurl.com/573kmf 18. Glasziou, P., & Heneghan, C. (2009). A spotter s guide to study designs. Evidence Based Nursing, 12(3), 71-72. http://ezproxy.library.nyu.edu:10513/content/12/3/71.abstract Recommended Reading and Resources (Starred * items are recommended for information literacy review): Bowker, G. C., & Star, S. L. (1999). What difference a name makes -- the classification of nursing work. In Sorting things out: Classification and its consequences (pp. 229-254). Cambridge, Mass.: MIT Press. http://cognet.mit.edu/library/books/mitpress/0262024616/cache/chap7.pdf Appendix B, Interdisciplinary Collaboration, Team Functioning, and Patient Safety. In, Page, Ann. Keeping Patients Safe: Transforming the Work Environment of Nurses. Washington, DC, USA: National Academies Press, 2004. p xix. https://ezproxy.library.nyu.edu/login?url=http://site.ebrary.com/lib/nyulibrary/ Doc?id=10051642&ppg=19 Chapter 5: Statistics for the non-statistician in Greenhalgh, Trisha. (2001). How to Read a Paper: The Basics of Evidence Based Medicine. London, GBR: BMJ Publishing Group. http://tinyurl.com/5ueraz Cullum, N. (2000). EBN users' guide. Users' guides to the nursing literature: An introduction. Evidence-Based Nursing, 3(3), 71-72. http://ezproxy.library.nyu.edu:25987/link_router/index/5297413 DiCenso, A., Guyatt, G., & Ciliska, D. (2005). Evidence-based nursing: A guide to clinical practice. St. Louis, Mo.: Elsevier Mosby. Fineout-Overholt, E, Melnyk, B. (2005). Building a culture of best practice. Nurse leader, 3(6), 26-. http://tinyurl.com/9xomtk Galganski, C. J. (2006). Mapping the literature of nursing administration. Journal of the Medical Library Association, 94(2 SUPPL.), E87-E91. http://www.ncbi.nlm.nih.gov/pmc/articles/pmc1463030/?tool=pmcentrez&report=a bstract 5
McKibbon, K., & Marks, S. (1998). EBN notebook. searching for the best evidence. Part 1: Where to look. Evidence-Based Nursing, 1(3), 68-70. McKibbon, K. A., & Marks, S. (1998). Searching for the best evidence. part 2: Searching CINAHL and Medline. Evidence-Based Nursing, 1(4), 105-107. Mowatt, G. (2001). Getting evidence into practice: The work of the Cochrane effective practice and organization of care group (EPOC). The Journal of Continuing Education in the Health Professions, 21(1), 55. http://tinyurl.com/6edaod * New York University Libraries. Anatomy of a database record and Boolean logic. Bobst library: Nursing tutorial. http://library.nyu.edu/research/subjects/health/tutorial/periodicals.html *New York University Libraries. (2009). Bibliographic and footnote style guide. http://nyu.libguides.com/citations *NYU Libraries Databases in Nursing, Medicine & Allied Health http://arch.library.nyu.edu/databases/subject/nursing-medicine-allied-health *New York University Libraries. (2009). Framing the research question. http://nyu.libguides.com/content.php?pid=27011&sid=551267 Gray, J. A. M., & Ison, E. (2001). Evidence-based healthcare: how to make health policy and management decisions (2nd ed.). Edinburgh; New York: Churchill Livingstone. Pravikoff, D. S., Tanner, A. B., & Pierce, S. T. (2005). Readiness of U.S. nurses for evidence-based practice: Many don't understand or value research and have had little or no training to help them find evidence on which to base their practice. American Journal of Nursing, 105(9), 40-52. http://tinyurl.com/9s8khm Stone P., W., Bakken, S., Curran C., R., & Walker P., H. (2002). Evaluation of studies of health economics. Evidence-Based Nursing, 5(4), 100-104. Taylor, Mary K., Gebremichael, Meseret D., and Wagner, Catherine E. Mapping the literature of health care management. J Med Libr Assoc. 2007 April; 95(2): e58 e65. doi: 10.3163/1588-9439.95.2.E58. http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=1852631 UIC EBN tutorial module 5: Evaluating the Quality of Research http://ebp.lib.uic.edu/nursing/?q=node/21 United States National Library of Medicine. Health Economics Information Resources: A Self-Study Course, Module 3: Identification and Retrieval of Published Health Economic Evaluation Studies http://www.nlm.nih.gov/nichsr/edu/healthecon/03_he_intro.html 6
United States National Library of Medicine, PubMed Tutorial: Downloading Results for Use in Reference Management Software (2 min., http://www.nlm.nih.gov/bsd/viewlet/results/downloading.html Assignments, Spring 2010 For all written assignments, cite all sources using the APA citation style. 1. Due week 3: Assignment #1 [20% of final grade] Frame a broad research question addressing a health management issue, propose databases, internet sources, and other resources to be searched. Propose a search strategy using controlled vocabulary (e.g., MeSH ) and key words appropriate for selected databases. Submit a preliminary list of at least 5 sources retrieved, rated as to level of evidence. Present feedback in print [worksheet]. (See related documents: evidence rating scale and worksheet template on blackboard) 2. Due Week 5: Assignment #2 [20% of final grade] Complete the tutorial (reading #13) and do the online exercise listed below from the National Information Center on Health Services Research and Health Care Technology (NICHSR) site. Be sure to cite all sources in APA style. Using Published Reports from the Internet http://www.nlm.nih.gov/nichsr/usestats/exercise13.html 3. Weeks 6/7: Student presentations [30% of final grade] [More details/guidelines will be provided] 4. Final Paper, Due: TBA [30% of final grade] Based on the research question outlined in assignment #1, submit a 5-7 page paper reviewing the literature that addresses the question. In addition to the databases searched for assignment 1, include syntheses/ pre-filtered resources, as well as background sources to provide context to your topic. Summarize current best practice based on the best 10-15 sources of available evidence and describe appropriate appraisal tools. [More details/guidelines will be provided] 5. Students should come to class prepared to discuss weekly readings and assignments. 7