Evidence-Based Practice EBP 3602 review, 2 to 3 minutes
Searching the Question You Actually Asked
The idea
The technique: take the PICOT question apart into search terms, run them one at a time across more than one database, and combine them with Boolean connectors until the yield is small enough to read and large enough to trust.
In practice
The question from video 3601 supplies the terms, and the search starts there rather than from a phrase typed whole. Databases are chosen before searching: CINAHL and MEDLINE through PubMed for the clinical literature, and the Cochrane Database of Systematic Reviews first, because a synthesis would answer the question outright. Each concept goes in alone. Pressure injury returns several thousand hits, so the subject heading is checked, because keyword and heading find different things and the heading catches records that never use the searcher's wording. Repositioning goes in alone. Patient positioning as a heading is added with OR, which broadens, since the two terms name one concept. The two concept sets are combined with AND, which narrows. Truncation on reposition catches repositioned and repositioning. Limits come last and cautiously: English language and adult are defensible, and a full-text limit is not, because it silently discards what the library could obtain by interlibrary loan. The yield is fifty-one records. The search history is saved, because the search is dated and will need re-running before anything is published. Knowing when you have found it is not a feeling: the same studies begin recurring across databases, and the reference lists stop offering new names.
Where people slip
A search that returns nothing usually means the search failed rather than that the evidence is absent. The most common causes are a full-text limit applied early, keywords used where subject headings exist, and AND where OR belonged.
Your place on the trail
Every lesson rests on earlier ones and opens later ones. Tap any to jump.
Builds on
- 0012Step Two — Search Systematically
- 0301Searching Is Step Two
- 0302A Systematic Search
- 0304More Than One Source
- 0305The Body of Evidence
- 0324Bibliographic Databases
- 0326CINAHL
- 0327MEDLINE
- 0328PubMed
- 0329The Cochrane Database of Systematic Reviews
- 0337Start From the PICOT Question
- 0338Take Keywords From the Question
- 0342Subject Headings
- 0343MeSH
- 0344Headings and Keywords Together
- 0345Choose the Databases Before Searching
- 0346Search Terms One at a Time
- 0348Boolean Connectors
- 0349AND Narrows
- 0350OR Broadens
- 0351Build Search Statements in Steps
- 0353Truncation
- 0354Limits
- 0357Save the Search History
- 0360Yield
- 0361Knowing You Have Found It
Unlocks
- Nothing yet depends on this.
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