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NUR 4880 - Critical Reasoning in Complex Health Care Systems: Home

This guide will help you through the process of doing your literature review, with particular emphasis on searching for and selecting appropriate relevant evidence.

Online and/or phone appointments available

Not sure how to begin your search or having trouble narrowing your results?? 

Use the "Schedule Appointment" button on the right beneath my photograph to set up a phone and/or screensharing appointment or email me. I normally reply to email within 24 hours.  If you send me an email and do not get a response within 24 hours, please try again.  It helps if you include the course number in the subject line of your email.

In order to help you effectively and efficiently, please provide the following information in your email:

1) the health problem or issue you have chosen

2) which building block you have chosen as your focus

3) which sector of the healthcare system you have selected (public or private)

More Information Resources for...

More research guides

Browse all research guides (guides for other relevant subjects such as medicine, anatomy, education, and psychology)

Or use these related research guides:

Need help?

Examples of Published Literature Reviews

These are examples of full text literature reviews on other topics that have been published in nursing journals. The parts of these articles are NOT necessarily the same as the sections Dr. Eustace requires in the rubric for your systems paper.  They also do NOT use the WHO Framework for Health Systems Strengthening, so your own review will have major differences. However, some of the sections may give you ideas about how to structure some of the parts of your review.

Links to the Article Databases

Possible PubMed and CINAHL Search Terms for WHO System Building Blocks

Using the exact phrase or keyword for the WHO Systems Framework building block may not be very effective.  You may have better luck using MeSH (Medical Subject Headings) in PubMed or CINAHL Subject Headings in CINAHL (when available) because they will allow you to focus on the building block as a an actual in the article. The subject headings do not usually match the name of the building block exactly, but they are likely to get more relevant results.

I have listed search terms for these building blocks below.  You can copy and paste them into your search on your health topic or issue.

Suggested PubMed search terms for building blocks:

  • leadership or governance
  • "Healthcare Financing"[Mesh]
  • "Health Personnel"[Mesh]   (another way to say health workforce; will get more results)
  • "Biomedical Technology"[Mesh] OR "Equipment and Supplies"[Mesh]  (a way to search medical products and technologies)
  • "Health Information Exchange" [Mesh] OR "Health Information Management"[Mesh]
  • "Delivery of Health Care"[Mesh]  (a way to search for service delivery)
  • "Health Information Systems"[Mesh]

 

Suggested CINAHL search terms for building blocks:

  • (MH "Leadership") OR (MH "Shared Governance") OR (MH "Clinical Governance") OR "governance"
  • health care financ* or healthcare financ* 
  • MH "Health Personnel+"
  • (MH "Technology, Medical+")  OR  (MH "Equipment and Supplies+")
  • (MH "Health Information Management") OR (MH "Health Information")
  • (MH "Health Care Delivery+")
  • (MH "Health Information Systems+")

Other Options for Searching PubMed - Healthy People 2020 Structured Evidence Queries

Steps for Using the Structured Evidence Queries:

  1. Click the “HP 2020 Structured Evidence Queries” link above.
  2. Expand the topic area (click the plus sign) for the category that most likely includes the health issue you have chosen.
  3.  You will see the various objectives.  Scroll down and look for objectives relating to your chosen issue.  If you can't find any, then browse other categories that may be related to your issue and look for objectives that relate to your issue/topic.
  4. Once you have chosen an objective that you think would help you with taking a systems approach to your issue/topic, click the “Search PubMed button’ to the left of the objective.
  5. PubMed opens with the results of a pre-populated search.
  6. Copy the entire contents of the single search blank at the top of the page. Once the search has been copied, you can either minimize or close this tab.
  7. Go back to the NUR 4880 guide: https://guides.libraries.wright.edu/nur4880
  8. Click the PubMed link under “links to article databases”.
  9. Authenticate with your WSU w number and password.
  10. Paste the search strategy you previously copied into the top search blank.  
  11. Since you transferred the search strategy from generic PubMed  to the PubMed link at the library web site, you should now be able to see all the WSU FindIt links in the abstract view of the articles. (You will NOT be able to link to WSU full text if you view the search results from the generic PubMed site that the HP 2020 structured queries link uses).

  12. Consider applying publication date limiters that match Dr. Eustace's requirements for the articles.
  13. Be sure the articles you select for your review are actual research studies (include a methods/results/discussion) section.

 

CINAHL Searches on the Nurse's Role

NURSING ROLE

Use CINAHL to search for articles from nursing journals.

To look for articles about the nurse's role, do NOT type "nursing role" or "nurse's role".  If you do, you may get very few useful results because that search would only find articles where the author used one of those exact phrases.  Instead, you want to try to limit the results on your topic to articles that have been written by, about, or for nurses. 

Search your HP 2020 topic of interest. Then, in the second search blank, type nurs* in your keyword search. 

If searching for nurs* as a keyword isn't useful, another option is to add "SB nursing" to your search.  This will search for articles only in journals that CINAHL classifies as nursing journals so they are more likely to emphasize the nurse's role.

Note: There are several other ways to get nursing-related articles in CINAHL if you don't get enough useful results.  Please contact Ximena if you have trouble finding what you need.

Literature Review - Help with Searching -Limiting Your Retrievals - CINAHL (Inclusion Criteria)

The easiest way to make sure you are NOT overusing the limits is to run your search FIRST and then use the menu to the LEFT of your search results list to apply the limiters you need.  For this assignment, you will definitely want to use the following limiters:

  • Peer-reviewed
  • Research article - This will get research studies, including original research studies and systematic reviews or meta-analyses.
  • Publication date (year slider)
  • Language - English

Note: The limiters mentioned above should display on the left side of the page.  If not, click "Show more" under the year slider to see the full list of limiters.

About the PubMed and CINAHL Videos Below

The videos below were developed by NCBI and EBSCO, respectively, to demonstrate how to browse for subject headings and use them to search PubMed and CINAHL by subjects rather than keywords.  These videos do not use the health system building blocks you are required to use for your assignment, but you can use the same process to browse for the subject headings that correspond to your building block(s).  If you need help with your search, please email ximena.chrisagis@wright.edu .

Video - Use MeSH to Build a Better PubMed Query (Use a Similar Approach to Translate Your Building Blocks to MeSH Search Terms)

Video - CINAHL - MeSH/Subject Heading Searching from EBSCO Support (Use a Similar Approach to Translate Your Building Blocks to CINAHL Subject Headings)

Questions?
Ask your librarian!

Ximena Chrisagis's picture
Ximena Chrisagis
Contact:
Dunbar Library 120
(937) 775-3516

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