DNP Toolkit

Find the Evidence

• Clinical Evidence
  Systematic reviews on common clinical conditions. Pat Ed
• DynaMed
  Syntheses of available evidence, updated daily. CE

• American College of Physicians (ACP) Journal Club
  Summary abstracts and comments on select original research articles and systematic reviews.
• Essential Evidence Plus
  InfoPOEMs (synopses on common clinical conditions), guidelines, calculators. PDA downloadable.
• Evidence Based Synopses Ejournals on HealthLinks

• Cochrane Library
  (Wiley) Systematic reviews (CDSR), DARE, controlled trials register.
• PubMed Clinical Queries using Research Methodology Filters
  Use pre-formatted search filters to find evidence-based articles: etiology, diagnosis, therapy, prognosis, clinical prediction guidelines.
• CINAHL Plus Clinical Queries
  Use Clinical Query filter limits.

• PubMed
  From the National Library of Medicine. Includes MEDLINE.
• CINAHL Plus
  (Ebsco) Cumulative Index to Nursing and Allied Health Literature. CE
• HealthLinks Databases

• The Original 4S Model
  Haynes, R. B. (2005). Of studies, summaries, synopses, and systems: The "4S" evolution of services for finding current best evidence. Evidence-Based Nursing, 8(1), 4-6.
• The 5S Model
  Haynes, B. (2006). Of studies, syntheses, synopses, summaries, and systems: The "5S" evolution of information services for evidence-based healthcare decisions. ACP J Club. 2006 Nov-Dec;145(3):A8. (5S Pyramid)

• TRIP Database
  Evidence-based sources meta-search engine.
• SUMSearch
  Meta-search engine from University of Texas Health Science Center San Antonio.

Interpreting the Evidence

• CEBM Critical Appraisal Sheets
  Assess the quality of systematic reviews, diagnostic studies, and RCTs.
• HeLLO Appraisal Checklists
  From Health Libraries in Lincolnshire Online (HeLLO), NHS UK. Includes case control, cohort, qualitative, and economic studies.
• STrengthening the Reporting of OBservational studies in Epidemiology (STROBE)
  Checklists of what to include in articles of observational studies. Includes case control, cohort, and cross-sectional studies.
• Appraisal of Guidelines Research and Evaluation (AGREE) Instrument
  Assess the quality of clinical guidelines.
• Levels of Evidence
  Descriptions of Levels of Evidence by clinical study category, and Grades of Recommendation.
• Asking Focused Clinical Questions
  From the Centre for Evidence Based Medicine. Use the Educational Prescriptions link to help you build a PICO question.

• Pre-Test Probability
• Likelihood Ratios
• Numbers Needed to Treat
• SpPins and SnNouts

Find Guidelines and Reports

• National Guideline Clearinghouse
  Public resource for evidence-based clinical practice guidelines. NGC is sponsored by AHRQ in partnership with the AMA and the American Association of Health Plans
• An Evidence-Based Prevention Resource for Nurse Practitioners
  U.S. Preventive Services Task Force's (USPSTF) recommendations for clinical preventive services.
• Agency for Healthcare Research and Quality (AHRQ) Evidence Reports
  Clinical, health care services, and methodology reports from Evidence-based Practice Centers.

Find Books and Journals

• UpToDate
  Clinical topic summaries.
• Patient Safety and Quality: An Evidence-Based Handbook for Nurses
  Hughes RG (ed.) AHRQ and Robert Wood Johnson Foundation, Apr 2008.
• Electronic Journals: Nursing
  Nursing related electronic journals on HealthLinks.
• Electronic Books: Nursing
  Nursing related electronic books on HealthLinks.
• MD Consult
  Electronic library of textbooks, guidelines, journals. Pat Ed
• STAT!Ref Online Library
  Electronic library of textbooks.
• AccessMedicine
  Electronic library of textbooks, drug information, diagnostic tests, guidelines, case files. Pat Ed
• Clin-eguide
  Electronic library of textbooks, drug information, guidelines, Nursing Advisor. PDA downloads, Pat Ed

Medications

• Lippincott's Nursing Drug Guide
  (Books@Ovid) 2009 ed. We have contacted the publisher. Drug information for nurses; includes Nursing Considerations and Teaching Points.
• Micromedex
  Clinical information on toxicology, drugs, drug interactions, and reproductive risks.
• Drug Facts and Comparisons
  Click on Drug Information link for access. Includes Drug Identifier, IV compatibility, drug interaction checker. Pat Ed
• Natural Medicines Comprehensive Database:
  URL is changing on Monday, November 16th. (In case of problems, here is the old URL: http://www.naturaldatabase.com) Best evidence on herbals and dietary supplements.

Patient Education

• UWMC Health On-Line Requires AMC/IRIS account
  UW authored.
• HMC Patient/Family Education Manual Requires AMC/IRIS account
  HMC-specific.
• Micromedex: Patient Leaflets
  Includes diets.
• Search MEDLINEplus
  Includes drug info, medical encyclopedia encyclopedia, dictionaries, organizations.
• Search MD Consult Patient Handouts

Cross Cultural Issues

• Culture Clues
  Tool to improve communication with cultures served at UWMC.
• EthnoMed
  Information about cultural beliefs in medical care.

Other Resources

• HEAL-WA
  Health information resources for Health Care Practitioners Licensed in Washington State
• Centre for Evidence-Based Medicine, (CEBM)
  Oxford.
• HSL Liaison to UWMC Nurses - Sherry Dodson
  sdodson@u.washington.edu
• HSL Liaison to Harborview Nurses - Amy Harper
  alharper@u.washington.edu
• HSL Liaison to UW School of Nursing: Janet Schnall
  schnall@u.washington.edu
• HSL Liaison to UW School of Nursing: Joanne Rich
  jrich@u.washington.edu