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Evidence-based Practice Library Lab

Evidence-Based Practice Library Lab

 

Transcript begins:

Visual: Adobe Connect: Evidence-Based Practice Library Lab, slide 1

Narration, with Emily speaking: Welcome everyone! I’m Emily Adams. I am the nursing librarian at the Walden Library. And joining me for this presentation is Kerry Sullivan, our health sciences librarian. We’re excited to present this Evidence Based Practice information, and we know that this is important for NURS 6052 and beyond, so we’re going to talk about how to find this in the Library.  We’ve got a lot of material to cover, so we’re going to jump right in.  I’ll move over to presentation mode, and we’ll get started.

Visual: Objectives, slide 2

Narration: You’ll notice in the presentation layout that we have a Q & A pod where you can enter your questions.  So if you have any questions as we go along, feel free to enter those in there. We will either type a response, or verbally answer your question if it is relevant to everyone.  So please do make use of that Q&A pod.

So today, our objectives:  first we are going to go over picking relevant keywords so that you can actually find the information you need. We’ll go over PICOT questions and picking out the different parts of that, and then which words to put in the databases to find what you need. Then we’re going to go over how to access the Evidence Hierarchy Pyramid and finding information on the different levels of evidence, and then how to get into filtered and unfiltered resources.  All of those are combined.  That will be the majority of what we’re going to cover today.

Visual: Week 2 Discussion Requirements, slide 3

Narration:  So just to recap.  In NURS 6052 you have this Week 2 discussion.  This Library Lab is really designed to help you complete your Week 2 Discussion. First, while you’ll need your PICOT question for the final project, for this week 2 discussion, you just need to pick a simple search topic related to your PICOT question. You don’t need to take your entire PICOT question and try to find a Systematic Review that matches everything – that will make your life very hard!  Keeping this to one or two search terms will make your life much easier.  And you do only need one database for each level of the pyramid, so you don’t need to spend forever going into each database for each level.

So with that kind of background information, I’m going to turn it over to Kerry, who is going to talk about keyword searching.

Kerry speaks:

Visual: Keyword Searching Strategies, slide 4

Narration:  Alright, thanks Emily.  Emily really set us off on the right note there, talking about doing simple searches in the databases so that you get results.  That’s what we want to demonstrate for you, so that you can successfully complete the assignment.  There are strategies that we want you to learn, and they are going to help you not just now, on this search, but also for your final project and then in other places where you’ll be asked to do this type of research for your program.  We want you to start thinking about dividing up your topic, and then thinking of synonyms for those words, related to the different areas of your topic, understanding that the way you speak about things day to day in your jobs and interacting with your colleagues may not be the way that the articles in the databases indexe that topic in the literature.  And so you may want to think of all the different ways you refer to your things to get the best results.  And then of course using those Boolean operators that are already there in the databases, making them work to the best of your ability so that you can get more and better results, especially when you go into the filtered resources where there are not many results to begin with.

Visual: PICO(T) translated to search strategy, slide 5

Narration: So we have here a PICO(T) that we have put into a sentence form: In the NICU,  what is the effect of handwashing on infection control compared with hand sanitizers?

You can see I’ve just bolded the terms that make up our PICO(T) and they will become your keywords.  Now, whether you will use all of these keywords will depend on what sort of results you need to get.  If you were doing the assignment where you’re trying to get one piece of evidence from each level of the pyramid, we probably won’t use all of these terms in our search.  But if you were trying to do a very complete literature review like in your final project, you would probably use more of them.

But in addition to using the keywords that are written out in our PICO(T) we want to consider what synonyms there are for these words.  Anytime that you have an acronym (and we use a lot of acronyms in nursing), we would want to break it out to the full terms.  And when you do break it out to the full term, you may not search on all aspects of it.  For example, We repeatedly search just neonatal rather than neonatal intensive care because that one word is going to work to get the results we need, in the filtered resources especially.

And so, what we do is suggest that you make a list.  As you describe your PICO, we’ll start pulling out keywords and synonyms and I may even ask you to define something.  We may find other keywords to use in those definitions. You can find terms in the articles you’re reading, and in the results that you find in the databases themselves.

Alright, so hopefully that gives you an overview about keywords, and using your PICO to generate keywords, so now I’ll turn it back over to Emily to talk about the levels of evidence and how to use keywords to find them.

Emily speaks:

Visual: Evidence Hierarchy Pyramid

Narration: The Evidence Hierarchy Pyramid should look pretty familiar, in your Week 2 Resources.   You’ll notice that the filtered information is at the top.  At the top of the pyramid are the systematic reviews, the highest level of evidence. And you’ll notice that that’s the smallest part of the pyramid, indicating that there are the fewest of this level of evidence.  That means that there aren’t that many systematic reviews.

As you work your way down the pyramid the quality of evidence diminishes, but the amount of evidence available increases. So, it’s important to remember that you may not be able to find a systematic review on your exact topic. You may have to look for a systematic review that is broader in scope, but still related. Just like Kerry said, just use a couple of your terms, or a single term like neonatal rather than a phrase. Then as you work your way down the pyramid you’ll be able to find evidence more closely related to your topic.

And below the Filtered information you’ll find the Unfiltered information.  These are the studies themselves.  People do randomized trials, and cohort studies, and case series.  And the filtered information is people who take the unfiltered information and analyze or appraise it.

Kerry and I were trying to think of an example of this, and we decided on Holiday M&Ms.  If you want just the red and green M&Ms in July, you can’t find them in the grocery store.  You’ll find all of the colors of M&Ms so you buy a big bag and pull out the colors that you want.  And that’s kind of what’s going on with the appraised information; they look at everything that’s in the unfiltered, all of these different studies, and they pull out the best studies and analyze them.  It saves you time.  Another way to look at this is that an expert has looked at this and pulled out the best evidence.

So with that, are there any questions, Kerry?

[Kerry:   So far, no, no questions]

Visual: Screenshare: Access the Evidence Hierarchy Pyramid from the NURS 6052 course readings page.

Narration:  Excellent, then I’m going to talk about the filtered resources.  So filtered resources, as I mentioned, are the ones where they’re reviewing the unfiltered resources, appraising the quality.  And they make recommendations.  This is for busy doctors and nurses. They can go to this and see that someone else has looked through this evidence, picked out the best, and made this recommendation.

So with your filtered resources, we have Systematic Reviews, Critically Appraised Topics, and Critically Appraised Individual articles, and so I’m going to talk about each of those, to give you a background, and then I’m going to go into the databases and show you how to find these.

So let’s start with Systematic Reviews.  They have a specific clinical query, and they go out and find EVERYTHING that matches their criteria.  So, systematic reviews are huge, they take a lot of time and effort, they’re comprehensive.  They go through the literature, do analysis on it, and then make practice recommendations.  So these are really valuable pieces of evidence, when you’re doing evidence based research.  If there’s a systematic review on your topic you really need to know about it and find it.

Our two databases for systematic reviews are the Cochrane Database of Systematic Reviews and the Joanna Briggs Institute.  Now, Cochrane is the gold-standard; those are the very best systematic reviews.  But there aren’t that many of them.  So if you can’t find a Cochrane systematic review, don’t sweat it,go to Joanna Briggs, go to some of the other resources that I’ll show you, to find a systematic review there.  I will be demonstrating how to search Cochrane and Joanna Briggs.

Coming down on the pyramid, on the next level is the critically appraised topics.  These are where researchers/experts have gone out and evaluated several research studies.  It’s not quite as big as systematic reviews, where they’re totally comprehensive.  Generally they’ll concentrate on what is most current, best evidence that they can find.  Then they analyze it, they review it, and they publish their critically appraised topic.  And the sources for these are listed here on the slide.  I am going to show you the National Clearinghouse.  In the Library we feel like that’s the best place to search to find this.  But you can also search AHRQ and Annual Reviews to find critically appraised topics.

And the last layer of our filtered information is Critically Appraised Individual Articles.  These are really short, a brief synopsis of an individual research study.  Someone reads a study, writes a quick review, and publishes it.  So these are really short,some of them are amazingly short.  And the sources for them are ACP Journal Club, Bandolier, and Evidence Updates.  And I am going to point out Evidence Updates, because that’s a really good source for these critically appraised individual articles.

So before I jump out and show you how to search for these resources, are there any questions Kerry?

[Kerry:  Not so far.  I’m just answering them back here]

 

Ok then, I’m going to go ahead and share my screen, and show you how to find the evidence pyramid in the library and access all of these resources that I’ve just talked about.

Visual: Library website homepage

Narration: Hopefully now you’re all seeing the Library homepage.  On the Library homepage, there are a couple of ways to get to the Evidence Based resources, but I’m going to highlight the way that is specifically for NURS 6052 students.  On the Library homepage, library.waldenu.edu, you’ll see these buttons on the left; click on the Course Readings button.  This will take us to a page with lots of brown boxes over here.  We’ll pick N for nursing, and then we’ll pick NURS.  This will give me a list of all the Nursing classes, so I’ll scroll down to NURS 6052.  Now when I quick on this link I am taken to the Required Course readings page, so any reading in your course that says “Retrieved from the Walden Library” will be linked here.  But over on the left   we have a number of week-specific helps for doing the research you need to do in the Library. Since this is week 2, and you’ll see the very first thing linked at the top is the Evidence Based pyramid, and I’m going to click on that.  Here we see the Evidence Pyramid.  We’ve already talked about the different levels for filtered, but what I want to point out is that we’ve broken down each level of evidence.   Systematic reviews are here at the top.  This gives a brief synopsis of what systematic reviews are, that they’re comprehensive, well-done, really important, and they make practice recommendations.  And then we list out three databases where you can find systematic reviews.  So when you’re working on this assignment you want to come here and pick one of these databases and search for systematic reviews.  That’s the easiest way to do it.

Visual: Cochrane Database

Narration:  I’m going to go into the Cochrane Database for Systematic Reviews.   It’s one of our EBSCO databases so it looks very similar to CINAHL and Medline and other databases that we get from EBSCO.  And as Kerry mentioned, when you’re searching in the databases you need to pull apart your topic and just search on a few keywords.   So for this search I’m going to do handwashing.  Type in handwashing and then in the second box, next to and, I’ll put infection.  That way I’ll get articles that have both the terms handwashing and infection.  I click on the green search button to run my search, and I see that I get 2 results, which isn’t very many.  But as I said, Cochrane Systematic Reviews are the gold standard.  There aren’t Cochrane systematic reviews on every topic, and that’s why we want to keep it broad.  Look broadly, and see what you get.  And we got 2 results and this first one actually looks pretty good, because it is on newborns.  So it’s related–it’s not exactly on my topic–but it’s good enough.

So to open it up, I click on this PDF full-text link, and it would open up.  Now, systematic reviews are very large and they may take awhile to open, so I’m not going to do that now, but that’s how you’d view the systematic review.

Visual: Systematic Reviews from the Joanna Briggs Institute

Narration: Now I’m going to jump back to the Evidence pyramid.  The other database I wanted to point out is the systematic reviews of the Joanna Briggs Institute.  This is another great source for systematic reviews.  You can find critically appraised topics in this database.  I have it open here.  Now this database looks a little different than our EBSCO one.  We just have one search box.  So instead of entering handwashing and infection in different boxes, I’ll just type them all in the same box, and you don’t have to capitalize AND when you use it.  It’s a Librarian thing to capitalize it to make it pop out.

Now, to limit to Systematic Reviews, go to the limit box down here and then go down to publication types.  And one of my options is Systematic Reviews, so I click on that, and then I go click on the blue Search button.   And now, this database is also different in that everything shows up below the search boxes, so scroll down and then I see 7 results.  I can look through these and see if any look interesting or relevant.  One thing to notice is that the PDF link is a bit hidden over on the right.  So if I want to look at this first option, I come over to the JBI database PDF and click on that to open the full review.   Again these are long documents, so it may take a little bit to open it up.

I think that’s what I wanted to show about systematic reviews.  Are there any questions Kerry?

[Kerry:  Nope, we’re doing great]

Ok, then I want to go back to my Levels of Evidence page, and let’s go down to critically appraised topics.  As I scroll down this page, I’m going to the next level of evidence and the resources that I have to find critically appraised topics.

Visual: Critically-Appraised Topics databases

Narration: Critically appraised topics are smaller than systematic reviews, they look at a smaller set of articles, usually more recent ones.  They’re limited in their scope,  shorter than systematic reviews, but longer than critically appraised individual articles.

So you have Joanna Briggs Institute, and limit to evidence summaries to find appraised topics.  The one I want to highlight is the National Guideline Clearinghouse, which is a great place to go to find critically appraised topics. So let me demonstrate that one.  I have it open in another tab, so let me go to that.

Visual: National Guideline Clearinghouse.

Narration: This is what the National Guideline Clearinghouse looks like.  I have the one search box, so I can come here and type:  handwashing AND infection.   And it brings back 9 results;  that’s a few more than I got for systematic reviews.  So I can look through these and see if any are helpful.  Here’s one for postnatal care, so that’s close.  I’ll click on that. There’s a lot of great information on the Guideline. You can read through this and it will explain what they did, who is their audience, the recommendations they make, which articles they reviewed.  Just read it on this page, or download the PDF.

So that’s what I wanted to show on critically appraised topics.  Any questions about that?

[Kerry:  I don’t think so.  There aren’t any questions.   You might want to go back and show the other options for Critically appraised topics. ]

Ok, let me show you the options on the levels of evidence pyramid page.

Visual:  Evidence Pyramid

Narration: I showed National Guideline Clearinghouse.   And let me show you the Joanna Briggs Institute.  And if I go back to Ovid,  where I was before, I see also under publication types there is evidence summaries, and those are critically appraised topics.  And again, I see that I’m getting a few more,8 instead of 7.  So don’t expect a big jump from the systematic reviews to the critically appraised topics; there may not be many more.  So it’s good to keep your search terms broad and use as few as you can, to get the most results.

And then the other options are the AHRQ Evidence Based Practice website, and the Annual Reviews.  These can be helpful. I’ll open up Annual Reviews in a new tab.  In here, you’re looking more at journals, navigate to the Life Sciences/BioMedical, and pick the one most relevant for you. You are looking for ones that have a checkmark, as those are the ones that we subscribe to.  You can browse, or you can search at the top.  I could do my search on handwashing AND infection.

So those are the critically appraised topics resources, and you can have fun exploring them.  And they can be frustrating too.  Depending on how much time you have to complete this discussion post, I would recommend going to the National Guideline Clearinghouse first, and then if you’re not having luck there, try the other resources.

Visual: Critically-Appraised Articles databases.

Narration: And now, let me finish up by talking about critically appraised individual articles.  As I mentioned before, these are reviews of individual articles, so they’re very short.  It’s an expert going in and reviewing an article, saying it’s relevant for this topic or population.  And we do have a few options for this, as you see here, the ACP Journal Club, EvidenceUpdates, and so on.  I recommend EvidenceUpdate the most.  It’s a great place to find these individual articles.  I’m going to switch over to that tab.

Visual: Evidence Updates

Narration: Now the thing with EvidenceUpdates is that you do have to register with them, it’s up here in the corner.  Just register with them and then you can get in to do your searching.  It’s fun, because once you register they’ll send you updates so you can keep up-to-date on topics of interest.  So I’ll log in, and show you what the search looks like.  Again, I’ll do handwashing AND infection, and click on the search option.  Now I see that I got 15 records, so a few more than systematic reviews.  I’ll see which look most interesting and click on them.  As you see, these are short.  It gives the background and objectives, basically the abstract.  And then it gives some reviews of the article.  This is a quick way to find information.

And as I mentioned, there are other ones to go too.  ACP Journal Club looks slightly different; the editors of this journal read the articles and write about it, review it.  So when you do come into the Journal club, it’s a journal.  You have options where you can browse through and see what they’re writing about.  You can select a year, and an issue.  You can also search within the publication.  If I wanted to find articles on handwashing and infection, I click on that, and you’ll see the journal information is entered in the first box, so then in the second box I enter handwashing, and in the third box infection, and then I click on the search button.  Oh no! There are no results, which I’m sure will happen to everyone.  So I’ll take out infection and just look at handwashing.  So at this point, you’ll see down here “Did you mean __?”   So I’ll try it as two words.  Or you could try handwashing OR infection, and that will expand your search.  And as you see now I have a lot more results.  These are tricks you can try when you get that dreaded no results found. So when that happens, don’t panic, just try exploring your terms a little bit.  Use the keyword suggestions that Kerry made at the beginning, and try or rather than and.

Are there any questions, Kerry?

[Kerry:  Not at this time, so we can keep moving and address them as we move on with the unfiltered resources]

Ok, let me show you how I got to this page with these databases.  Scroll back up to the Library homepage, and then course readings, scrolled down and clicked on N for nursing, then NURS tab, and then NURS 6052.  Then I came over to Week 2.  Here’s the link right here.  There’s more help over here on the left for other weeks too.

Ok, I’m going to turn it over to Kerry.

 

Kerry speaks:

Visual: Unfiltered Resources, slide 10

Narration: Alright, thanks Emily for going through all those filtered resources that help us find what we need really quickly.  And I’m left with the bag of M&M’s.  So I’m going to talk about how to find things in the unfiltered resources, in the bottom part of the pyramid.  I’m mostly going to show CINAHL;it’s the unfiltered database of choice for research in nursing literature.  As you get into clinical topics you might have more success going into Medline.  I’ll show you both of them, and there’s no reason you can’t go back and forth between them. The biggest thing is understanding how to limit to various types of studies within these databases.  We’ll talk about randomized controlled trials, which a lot of people already understand, and what an RCT is.  They are studies that all come together to make systematic reviews.  There are also cohort studies, or prospective studies.  Then we have case-controlled studies. The databases throw together case-controlled studies and case series reports and case studies all into one publication type.  The pyramid does one thing, and the database does another thing, and I’m going to show you that so that we can sort it all out.

So let me share my screen, and I am going to select the Library.

Visual:  Library website

Narration: I’m going to show you how to get to the Pyramid without going through the 6052 page.  That’s going to become important, when you want to go to this without having to go through the course guide.  You’ll want to go to the Articles by Topic area, which you’ve likely been going to, and go to the Nursing subject area.

Visual:  Nursing Research home page

Narration: You may be going straight into CINAHL to get your articles, but notice all of these buttons over on the left side;  there’s Health Statistics, Nursing theory, and a link to our Evidence Based Practice guide and the pyramid.  Keep in mind that you can always go to the Nursing Research home to get to this guide as well.

Looking at this area of the pyramid, we’re going to search for unfiltered information.  So we’ll start with the easiest first, randomized controlled trials.  We’ll go to randomized controlled trials, and the first one linked is CINAHL

Visual:  CINAHL database search page

Narration: This should be pretty familiar; you’ve been searching CINAHL for your weekly assignments and discussion posts.  Now we’re going to make it work a little more complex for us, using all these buttons and limits, so they make sense for you and filter for you so that you get your levels of evidence.

So I will search on neonatal OR NICU  and then I’ll add infection so that we get some good results.  Now in CINAHL one of the nice things that occurs with randomized controlled trials is that there’s a checkbox.  You’ve probably seen the full-text checkbox, peer-reviewed checkbox, and right here there’s a checkbox that says randomized controlled trials.  All you have to do to limit to that study type is check that box.  Come back up and click the search button and it’s only going to retrieve those trials.   In the record for the article, it says it’s a randomized controlled trial.  So you can see I’m not being very specific, I didn’t put in handwashing, I’m just keeping the search general and seeing what sort of results I get.  Here’s 29 results, a pretty good set.  Some are showing up as PDF inFull Text.  Some may have the Find at Walden button. It’s always worth checking to see if you can get the full textusing the Find at Walden button; we subscribe to a lot of journals outside of this database, so for instance Emily was just in the OVID database.  This one is coming out of ScienceDirect (database).  So never fear, as a nursing student there’s always a very good chance you’re going to find the full text.

I can do that same search in Medline, so over here I have Medline open,

Visual:  Medline search page

Narration:  I’ll do that same search on neonatal OR NICU  and infection  I’m letting the Boolean AND work for me, and OR in the box.  We recommend that you leave that AND in between the boxes. So now I want to find my publication type. Unfortunately there’s no checkbox in Medline for randomized controlled trials, so we’ll go look for Publication Type.  There are also clinical trials here, so let me just point that out; these are also high levels of evidence, so tuck that back in your brain.  But we are looking specifically for randomized controlled trial, so there it is.  These are alphabetical, so I’ll scroll down to it, and highlight it. And then go back and run a search on it and see if I get some trials in Medline.  As you can see I’m getting quite a bit more. I had 29 in CINAHL, and I have 365 in Medline.  Like I said, a lot more of that high level clinical research is going on in the literature in Medline, rather than in the nursing literature in CINAHL.

Alright, so I’ll flip back to my pyramid.

Visual:  Evidence Pyramid

Narration: The next level we need to find is a cohort study.  This can also be known as a perspective study;  you can learn that by using the CINAHL headings.

Visual:  CINAHL search page

Narration: Up here at the top of CINAHL is the Headings; this is really just the thesaurus built into the database.

Visual:  CINAHL Headings search

Narration: So if I go to CINAHL and I don’t see cohort study, I can go here and put in cohort study and it will suggest perspective study.  And then I can look at my perspective studies and look at the scope, and it will tell me the definition of it.  You can do that with any type of study; look it up and see how it’s indexed in the database.  Use the subject headings or the thesaurus to look that up.  So now I know I can use perspective study or cohort, so I’m going to go back and add that to my search.

Visual:  CINAHL search page

Narration: I am going to remove randomized controlled trial, because I don’t want to limit to RCTs, so I’ll X that out.  And I’ll add cohort OR perspective  and see if we can pull some of those study types using those as keywords.  And in fact we do;  a lot of times it will show up in the title of the article, you’ll see it right there in the first one.  Sometimes it will appear in the abstract.  Keep in mind that when we’re searching with these keywords, we’re searching in indexed fields.

Visual:  article record

Narration:  I’ll pull the record up, and you’re searching all these fields, the author information and abstract, and if the keyword you put in doesn’t appear in the title it may appear in the abstract, and that’s where you’d see it.

Visual:  Medline search page

Narration: So in Medline, you could do the same thing.  In Medline, the thesaurus is the MeSH headings, and I could go here and search cohort studies,

Visual:  MeSH search

Narration: and look at the scope note to see more about it.  I could probably find that in the study type.  If I can find it here, then I hope I can find it in the publication type.  Let me see.

Visual:  Medline search page

Narration:  Anytime you come back to the page where you’re looking to set your limits and you don’t find it, then do what I did in CINAHL, and run it as a keyword search.  So I’ll do neonatal OR NICU  and infection  and then I’ll add cohort study.  And then search.  And I bet it brings back quite a few cohort studies, and you see it occurs over and over in the title of the articles.

Visual:  Evidence Pyramid

Narration:  So we have one left, don’t we?  If I go back to the bottom of the pyramid, we have case controlled studies or a case study or case series.  They throw those in together, as one level.  This is the lowest level of evidence.  A case report is where someone says “I saw this patient and this is what happened.”   And we know that one person’s experience isn’t as great as many; so if you find a case series, that will be better.  There is a bit of leveling there inside that one level of the pyramid, but when we do our searches, unfortunately they throw them all together in the databases.

So I’ll see how this works in CINAHL, and then I’ll show in Medline as well.

Visual:  CINAHL search page

Narration:  Ok, it ran my search, because I accidentally hit it.  Now I scroll down and look for Publication Type, and look to see if they have Case Study.  And they do.  So now I can search that, and I get 196 results.  This would be an opportunity to add an additional keyword.  When Emily was showing you a search where she got no results, she was taking things away to make it broader.  I have a lot of results, so I can add back in handwashing and still get results.  I have 2 results.

Visual:  Medline search page

Narration: Going back over to Medline, I’ll search on my terms, and I’ll come down and look in Publication Type and choose Case Reports in Medline.   I’m not going to run this search so that I can show you something else while I’m here.  In Medline, if you want to find systematic reviews, you can do that in the unfiltered database.  Emily showed you how to find systematic reviews in Cochrane and Joanna Briggs, and they’re filtered.  But you can still find those in an unfiltered database as well.  There may be a time when there are systematic reviews that aren’t published in those databases and you need to be able to find them in the unfiltered database.  So here in the subject subset, there is a limit for systematic reviews.  It’ll search, and see if there are other systematic reviews out there.  It may turn up a Cochrane review, and it’ll say in the record if it is.  But as you can see here there are a lot more systematic reviews here.  Just understand that Cochrane are the gold standard, the highest level of systematic reviews, but there are others out there that this is finding, and meta analysis.

Visual:  CINAHL search page

Narration: And the same thing over in CINAHL, when you go to Publication Type, go all the way down and find systematic reviews there, and you can limit to Systematic Reviews in CINAHL.

Ok, did I have any questions Emily?

[Emily: Not really.  I think you covered it well.  There were a few questions about that Find at Walden button, but I think we’re good]

Alright, good.  Yes, definitely use that Find at Walden button to look for full text, it’s worth it.  Don’t always check the full text because it will limit what you retrieve.  I didn’t do it in any of my searches here, and everything we’re getting is coming in peer-reviewed, and we can get it in full text.

[Emily:  Thanks.  Just to wrap up, can you show how people can ask questions using Ask a Librarian?]

Sure.

Visual:  Library website and Ask a Librarian page

Narration: So, I just went to the Library homepage, and using the Ask a Librarian button takes you to the page that has all of our contact information.  It has our telephone number and the hours that we’re available, so you can call us late at night or early in the morning if you need to, and we’re available over the weekend.  Down here is a form you can fill out; please do tell us as much as possible (especially if you are in 6052 and searching and not having much success, telling us that and what you’re looking for can be extremely helpful for us in answering the question, and you’ll get more specific help.

[Emily:  Yes – thanks for pointing that out.  Can you also point out the 6052 week-specific helps again?]

Visual:  Library Homepage, then Course Readings page, then NURS 6052 guide

Narration: Alright, going back to the Library front page, and then choosing Course Readings and choosing N, and then NURS, and choosing 6052, and then the Week 2 on the left side.  That’s where you can find this recording and help.

Emily speaks:

Thank you.  So hopefully we’ve covered everything.  It’s a lot to go through, we do realize, so that’s why we wanted to point out the Ask a Librarian feature.  If you do hit a roadblock we’re always happy to help suggest different keywords or databases.  Never hesitate to reach out to librarians if you do have troubles with this assignment.  We do have a lot of resources for this class, because it’s hard;they do require you to get into the Library.  We understand it can be overwhelming.

I don’t see other questions coming in, so I think we can wrap it up. Thank you all for coming!