National Library of Medicine training: Develop a Clinical Question
NURS 6363 Guide Ask Us
Guide Sections
Forming a Question
Finding Evidence
Choose appropriate databases to search: You have many academic databases to choose from, but we suggest starting with CINAHL and PubMed as they're the go-to nursing/health/medical databases. You're not limited searching only these databases. Think about who else or what other disciplines might study and write about your topic what and consider searching in those related databases (find additional databases here).
Key Resources
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CINAHL with Full Text (Cumulative Index to Nursing & Allied Health Literature - EBSCO)
CINAHL with Full Text is the world's most comprehensive source of full text for nursing & allied health journals, providing full text for more than 500 journals indexed in CINAHL. This authoritative file contains full text for many of the most used journals in the CINAHL index - with no embargo. With full-text coverage dating back to 1981, CINAHL with Full Text is the definitive research tool for all areas of nursing and allied health literature.
Permitted Use | Subscribed multi-user unlimited access | 1981-Current -
PubMed
PubMed is the U.S. National Library of Medicine's (NLM®) database of biomedical citations and abstracts. It includes MEDLINE, which covers over 4,800 journals published in the United States and more than 70 other countries primarily from 1966 to the present.
Open Access -
EMBASE
EMBASE is a major biomedical and pharmaceutical database indexing international journals in the following fields: drug research, pharmacology, pharmaceutics, toxicology, clinical and experimental human medicine, health policy and management, public health, occupational health, environmental health, drug dependence and abuse, psychiatry, forensic medicine, and biomedical engineering/instrumentation.
Subscribed multi-user unlimited access | 1947-Current -
Scopus
Scopus, a multidisciplinary online resource, will be invaluable to students and faculty in various fields of study within the sciences, health sciences and the social sciences. Scopus offers full-text linking, abstracting-and-indexing information including peer-reviewed titles from international publishers, Open Access journals, conference proceedings, trade publications, quality web sources.
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PsycINFO (American Psychological Association; APA - EBSCO)
PsycINFO is an abstracting and indexing database of more than 2000 journals (approximately 3.3 million records) devoted to peer-reviewed literature (journals, books and dissertations) in the behavioural sciences and mental health.
Permitted Use | Subscribed multi-user unlimited access | 1887-Current -
Google scholar
Google Scholar searches a subset of the Web that Google has classified as "scholarly literature". They do not publish a list of chosen sites, and they do not state how often sites are checked. Some important sources are not covered at all. Thus, Google Scholar alone should not be relied on for comprehensive research.
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Sociological Abstracts (ProQuest)
Sociological Abstracts "covers the world's literature in sociology and related disciplines in the social and behaviorial sciences."
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ERIC (EBSCO)
ERIC is a "bibliographic database that contains education-related documents and journal articles." The EBSCO interface also provides some full text linking.
Subscribed multi-user unlimited access | 1966-Current -
Global Index Medicus (WHO - World Health Organization)
Provides access to biomedical and health literature produced by and within low-middle income countries. The following regional databases can be searched all together or separately: Latin American and the Caribbean Literature on Health Sciences (LILACS), African Index Medicus (AIM), Index Medicus for the Eastern Mediterranean Region (IMEMR), Index Medicus for the South-East Asia Region (IMSEAR), Western Pacific Region Index Medicus (WPRO).
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Native health database
This database contains bibliographic information and abstracts of health-related articles, reports, surveys, and other resource documents about the health and health care of Indigenous peoples located in North America.
Open Access
Consider broadening your search for evidence to include diverse voices and researchers who are underrepresented: Databases covering research outputs from the global south
Step by step instructions on linking your Google Scholar search results to UNB Libraries' holdings - once you've linked your account, use the "Check for Fulltext @ UNB" links to either get access to the full-text article or request it if it's not in our holdings.
CINAHL (Cumulative Index for Nursing & Allied Health)
PubMed
Searching Tips
Brainstorm terms to use as keywords in databases: Before you start searching on your topic, it's helpful to consider the various possible keywords you could use in searching. Here's why:
- The more words you put in a database search, the fewer results you'll get, so breaking down your research question or topic down into the most important keywords is critical
- Most databases are clueless and don't know that certain words are used interchangeably. For example, they might not know that a word like salary means the same thing as earnings, wages, or pay, so it's important to think of terms that mean the same things
- The terms you naturally think of when you think about your topic may not be the same words that experts use to write about the topic
This requires you to think not only of the terms that naturally come to mind, but to brainstorm terms that mean the same thing or are related. You can identify other keywords by looking for a Wikipedia entry on your topic or simply doing a Google search on your topic and seeing what related or synonymous words are used in the titles of titles. Try to think of as many synonyms or related terms as you can.
Search the databases using keywords: Your goal when searching is to find relevant articles that relate to your topic and could be a good fit to use in your paper or assignment.
Review your search results: Scan through the results on the first page or so, reading the title/abstracts to find potentially relevant articles.
How do you know if an article is relevant? Just because an article is in the results doesn't mean it'll provide the information you need for your practice problem. Look at the article title and abstract to get a summary of what the article is about, and save it to read fully later if it appears to meet your inclusion criteria.
Redo your search as needed: if you're not finding relevant article try using different search terms or another database; this is completely normal and expected.
Advanced search tips
Critical Appraisal Tools
Critical appraisal (also called 'risk of bias assessment') is a step used in evidence-based practice in which research publications are appraised for quality and likelihood of bias. There are many critical appraisal tools available, with some tools being preferred by (or more appropriate in) certain disciplines. Here is a selection of the more common tools:
- JBI Critical Appraisal Tools
- 12 checklists – one each for 12 different kinds of studies
- Their “Checklist for text and opinions” can be used for grey literature
- Critical Appraisal Skills Programme (CASP) Checklists
- 8 checklists
- No checklists for grey literature
- Centre for Evidence-Based Medicine (CEBM) Checklists
- 6 Checklists
- Some checklists available in multiple languages (including Chinese, German, Lithuanian, and Persian)
- Scottish Intercollegiate Guidelines Network (SIGN) Checklists
- Major producer of clinical practice guidelines
- 6 Checklists
Getting Help
Between May 10-21 I'll be on vacation and not checking messages. My colleagues Tatiana (T.Zaraiskaya@unb.ca) and Jingjing (jingjing.li@unb.ca) are available to help with your assignments as needed; both are on the Fredericton campus and can meet in person or virtually as needed.
- Book a time to meet with Alex one-on-one in person or through Teams (email if the times listed don't work for you)
- Email me at alex.goudreau@unb.ca
- Send me a chat message through Teams
- Drop in to see me in my office in Saint John - Hans W. Klohn Commons, room #117
- You can use our Ask Us service to talk, chat or text with Research Help staff.
How do I get writing help if I need it?
UNB Saint John's Writing Centre has writing consultants available for one-on-one support, and group workshops and tutorials available throughout the term. Visit their website for more information and links to helpful writing resources.
- Alex Goudreau (she/her/hers)
- Science/Health Sciences Librarian
- UNB Saint John
- Alex.Goudreau@unb.ca
- Ask Us
- askus@unb.ca
- 506-453-3546
- Ask Us @ UNB Libraries
- Library Hours
Last modified on September 6, 2024 11:57