panduan penelitian nhs 2013.rtf
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The Literature Search Process:
Guidance for NHS ResearchersDeveloped by Thames Valley & Wessex Healthcare Librarians*
Version: 5.0 Issue date: August 2013 Review date: January 2015
Introduction
This document was deveo!ed in !artnershi! with the Thames Vaey Research "#eveo!ment $etwor% and is maintained &y heathcare i&rarians in Thames Vaey "'essse(. Its aim is to su!!ort $)* researchers in carrying out e+ective iterature searches.This wi he! ensure that research is not du!icated and that iterature searches retrieve the&est avaia&e evidence.
This document !rovides guidance ,or the ,oowing %ey ste!s:
1 !anning a iterature search
2 identi,ying %ey sources o, in,ormation
3 guidance in carrying out an e+ective iterature search
4 documenting the search !rocess
*tructured guidance and a chec%ist coumn are !rovided ,or each section so that
researchers can -uic%y identi,y and tic% o+ the necessary eements. ou are strongyencouraged to contact your oca heathcare i&rarian at the start o, your research !ro/ectthey wi &e a&e to o+er !ro,essiona advice and su!!ort. To nd your oca i&rary !easevisit htt!:www.hisd.org
This wor% &uids on !revious internationa wor% in this area which is credited in the&i&iogra!hy.
This is a wor%ing document that wi evove to meet the needs o, the oca $)* researchcommunity there,ore your ,eed&ac% is o, the utmost im!ortance. 4ease contact us withcomments and suggestions.
*arah ewis 6inica 7utreach i&rarian 8uc%inghamshire )eathcare $)* TrustTe: 0129 ;10;2 emai: *arah.ewisiham 8everey )i(on ?ran amusse Ae( 6oey @arena *ce!ans%a Jo ?a&ing 6ive @is%in 8ar&ara@oye Ji 8uc%and Jo aing i 6aow. Than%s aso to Rosaind @c$ay ,rom @anchester )eath and *ocia6are Trust.
With grateful acknowledgements to: Carol Lefvebre (UK Cochrane Centre), Claire CheongLeen, teve !airman,
!unmi !a"emisin, #eo$ !leet, %nnette &ackett, 'essica homas, al rinder and delegates of the *nd
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CONTENTS
8age
SearchPlanning Form 3
Guidance Notes for Use with Search Planning Form: USING PICOAS AN EA!P"E B
Guidance Notes for Use with Search Planning Form: OT#E$F$A!E%O$&S 5
"iterature Search Protocols
*ection 1. Resource chec%ist
eve 1: 6ore resources
aC @inimum core resources
&C 7ther core resources
eve 2: Recommended resources D
eve 3: Additiona resources D
*ection 2. *earch strategy chec%ist
aC Range o, search terms ;
&C #ata&ase su&/ect headings ;
cC *earch techni-ues 9
*ection 3. *earch documentation chec%ist 10
A''endices ( see se'arate document
1. >uide to sources o, in,ormation i
2. Additiona su&/ect s!ecic data&ases (vi
3. 8i&iogra!hy (viii
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Search Planning Form
Ese this ,orm to identi,ycari,y the %ey conce!ts and the sco!e o, your researchto!ic.
ee the guidance notes for a worked e2am0le
#ate search started: FFFFFFFFFFFFFFFFF #ate search com!eted:FFFFFFFFFFFFFFFFFFFFF
1.)our $esearch To'ic
2. *rea+ down ,our to'ic into +e, conce'ts or categories to formulate a clear clinical-uestion
(f +our to0ic does not easil+ ;t into these categories, see the guidance notes on 0age 4)
Patient.Po'ulationand.or
Inter/ention/E0'osure
Com'arison.Control Outcome
Pro1lem
Alternati/e %ords ( ist &eow in the a!!ro!riate coumn
3.)our $esearch 2uestion
4. Search limits*tudy ty!e: 4u&ication date:
Age range: anguage:
7ther:
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Guidance notes for use with Search Planning Form: USING PICO ASAN EA!P"E
1.)our $esearch To'ic ( &rieGy descri&e in your own words the %ey as!ects o, your researchto!ic
2.*rea+ down ,our to'ic into +e, conce'ts or categories to formulate a clear clinical-uestion
The 4I67 mode HRichardson 1995C is an evidence&ased mode ,or ,ormuating a cinica-uestion using the headings Patient!o!uation andor !ro&emIntervention3 Com!arison andOutcome. 8y dividing your to!ic into these orsimiar categories you wi aso &e doing thegroundwor% ,or deveo!ing a search strategy. f the 8C1 headings do noteasil+ ;t +our researchto0ic, 0lease see 0age 4 for alternatives7
1 Patient.Po'ulation.Pro1lem any characteristics that dene your !atient or!o!uation e.g. target cinicacondition coe(isting condition ethnicity age grou!
2 Inter/ention.E0'osure what you want to do with the !atient!o!uation!ro&eme.g. ,orm o, treatmentdiagnostic test education !rogramme ty!e o, service deivery.This can aso incude any e(!osures He.g. as&estosC or ,actors inGuencing !rognosis
3 Com'arison.Control Hi, a!!ica&eC( aternativeHsC to main intervention e.g. !ace&o
4 Outcomes any outcomes or e+ects reating to the intervention e.g. !reventionside e+ects mor&idity-uaity o, i,e coste+ectiveness
The 4I67 headings shown in the e(am!e do not have to &e a!!ied rigidy and there are anum&er o, variations e.g.
1 PICOT 4 Patient Intervention Com!arison Outcome Time ?rame H?ineout7verhotand Johnson 2005C
2 PICOCs Po!uation Interventions Com!arators Outcomes Conte(t Studydesign H4etticrew andRo&erts 2005C
'hen ing in each category consider any synonyms aternative %eywords di+erents!eings acronyms etc. to incude in your search strategy see guidance notes on 0age uideines sitese.g. $)* Lvidence
$I6L
! 'e&sites o, reevant associations &odies5
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earched />% Unable to
8 $esource Chec+list !continued" "E9E" 6: $ECO!!EN5E5 $ESOU$CES access
"e/el 6: $ecommended resources
Case re'orts*ome o, these resources may he! to ocateun!u&ished
iterature incuding theses " con,erence!roceedings. ! 6ases#ata&ase
They are use,u i, you need a greater eve o,condence
Conference 'roceedings
! PeT76=that you are not du!icating other research.)owever
access to some o, these sources may &e
imited. 5issertations and ThesesThere may aso &e other su&/ect s!ecicdata&ases o,
! #ART Luro!e LThesis 4orta
!interest. #issertation and Theses #ata&ase =
= Resources mar%ed with a = are not avaiaðrough
! LTh7*
! Inde( to Theses=$)* Athens or ,ree on the Internet. Access isthrough
su&scri!tion ony &ut may &e accessi&e at youroca ! $etwor%ed #igita i&rary o, Theses and #issertationsheath or academic i&rary.
5rug Information
! #rug and Thera!eutics 8uetin =
! @icromede( =
! @edicines In,ormation
! 4harmaceutica and device manu,acturers
Gre, "iterature
! 7!en >rey
"i1rar, catalogues
Other resources
! $I)R Journas i&rary
! QI44 HQuaity Innovation 4roductivity and 4reventionC
! EO #uets H#ata&ase o, Encertainties a&out the L+ectso,
TreatmentsC
Su1;ect S'eci
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! 8ioogica A&stracts=
! LRI6 HLducation Resources In,ormation 6enterC
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$ECO!!EN5E5 $ESOU$CES CONTINUE5 earched />%Unableto
! >o&a )eath =
! )eath 8usiness Lite
! @aternity and In,ant 6are=
! *ciVerse *co!us=
! *ocia 4oicy and 4ractice=
! *cience 6itation Inde( L(!anded=
! *ocia *ciences 6itation Inde( =
! T7$LT HTo(icoogyC
! 'ord )eath 7rganisation Regiona #ata&ases
$esearch in 'rogress . s'ecialist health researchresources
! 6inicaTrias.gov
! metaRegister o, 6ontroed Trias HmR6TC
! $I)R 6inica Research $etwor% 4ort,oio #ata&ase
!
4ros!ero HInternationa 4ros!ective Register o,*ystematicReviewsC
%e1 search engines e.g. >ooge >ooge *choar
"e/el =: Additional resources "E9E" = : A55ITIONA" SEA$C# !ET#O5SThese resources wi ,urther increase the
!
6ontacting centres o, e(ceence and e(!erts in theedcom!rehensiveness o, your search. $.8. you may
want to
! Lmai onine discussion grou!sweigh u! the i%eihood o, ocating signicantynewin,ormation &e,ore investing the time needed toe(!ore ! )and searching o, %ey /ournasthese methods.
! 6itation trac%ing re,erence ist chec%ing
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6 Search Strateg, Chec+list
8e,ore carrying out your search you wi need to identi,y your research -uestion and !an your search strategy. ou wi areadyhave identied your research -uestion and &ro%en it down into di+erent conce!ts when com!eting the *earch 4anning ?orm.
This section wi he! you identi,y a range o, %eywords reevant to your research -uestion. It incudes essentia searchtechni-ues that shoud &e used wherever !ossi&e to carry out an e+ective search o, your chosen sources. 6ontact youroca heathcare i&rarian ,or ,urther advice training
Used .Identi
=mergenc+ oomeach data&ase and review your search termsHand i,
! #i+erences in s!eings e.g.anaemia > anemianecessary your research -uestion and itssco!eC
! 7d and new terminoogy e.g.mongolism > down s+ndrome&e,ore carrying out your na searches.
! 8rand and generic names e.g.coumadin > warfarin
! ay and medica terminoogy e.g.stroke > cerebrovascular accident
*u&/ect headings are used to inde( thecontent o, 1 5ata1ase su1;ect headingsmost &i&iogra!hic data&ases H@L#I$LL@8A*Letc.C L(am!e: heart attac% is inde(edunder
! Identi,y a!!ro!riate su&/ect headings ,or each data&ase used@76AR#IA I$?AR6TI7$The su&/ect headings ist used in @L#I$Lis caed
@e*) H@edica *u&/ect )eadingsC. ! 6hec% coverage sco!e and denition o, each su&/ect headingoo% ,or the @e*) or Thesaurus o!tions toidenti,y
$8: *ometimes su&/ect headings are not dened as you might e(!ect e.g.the @e*) heading
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the most a!!ro!riate su&/ect heading ,orthe
S*ER>LR is used to inde( materia on the disci!ine o, surgery not surgica!rocedures Hthis
%eyword you have entered. is inde(ed under *ER>I6A 4R76L#ERL* 74LRATIVLC.6orrect use o, su&/ect headings im!rovestheaccuracy o, your resuts and is essentia toan
e+ective search. H*ee section 2cC
See ne0t 'age for continued guidancenotes.
$
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6 SearchStrateg,Chec+list
!continued"
GuidanceNotes@ost o,
these searchtechni-uesare ,or usewith&i&iogra!hicdata&asese.g.@L#I$L. I,a !articuarsearchtechni-ue isnota!!ica&etic% the &o(in the $Acoumn.
Truncation
Truncation
sym&osHaso %nownas widcardsCare used tore!ace anynum&er o,charactersat the end o,the worde7g7behavio@ willalso ;ndbehaviors,behaviourbehavioural
etc7Theactuasym&osused varyde!endingon thedata&aseservice!rovider.As adata&asecan &emadeavaiaðrough
more thanoneservice!rovideryou wineed tochec% thedata&asehe!section tond outwhichsym&o touse. Themostcommonsym&o = isused &y4u&medand the$)*Lvidence)eathcare#ata&ases. 7therdata&asesor service!rovidersmay use Uor M
Com1iningsearch
results
Ese AN5to com&inetwo di+erent conce!tse.g. dia&etes A$#insuin
HA$# wi narrow yoursearch yourresuts must incudeA your statedconce!tsC
Ese O$to search ,orsimiar conce!ts e.g.retina 7R eye
H7R wi widen yoursearch yourresuts wi incudea @I$I@E@ 7? 7$Lo, your namedconce!tsC
U'dating searches:this !rocess can havemany !it,as. I, youhave a !re!re!aredsearch that you wish tou!date or rerun at aater date !easecontact your ocaheathcare i&rarian.
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c Search techni-ues! 6arry out se!arate searches ,or each individua conce!t and thencom&ine at a
ater stage
=2am0le search
1. dia&etic 7R dia&etes
2. retina 7R eye3. 1 A$# 2
! Ese a com&ination o, te(t words H,ree te(tC and su&/ect headingsearches
! Ese a!!ro!riate truncation ,or te(t word searches where a!!ica&e
e.g. nurs= tond nurse, nurses, nursing
!
L(!odeW Hi.e. e(!andC data&ase su&/ect headings where a!!ro!riateto incudenarrower terms
! Avoid restricting data&ase su&/ect heading searches using the descri0torsA
or subheadingreevant materiaC
! Ese A$# 7R a!!ro!riatey to com&ine resuts o, se!arate searches
! Avoid imiting your search to Lngish anguage Hto he! !revent &iasC
! 'hen searching we&sites or other eectronic sources use thAdvancedW search
o!tion where avaia&e! I, a!!ro!riate use search ters H!re!re!ared search strateidenti,y
!articuar ty!es o, research studies e.g. randomised contr*ources o,
search ters incude:
14
u&@ed
Ws6inicaQu
eries
2 6ochrane i&rary)and&oo%
3 InterTA*6In,ormation*!eciaistsX*u&>rou!*earch?iterResource
4 6ontactyour ocaheathcarei&rarian ,or
advice.
2 Ese the 4u&@edreated articesW,unction and istso, re,erences in6I$A)
3 6hec% there,erences citedin any research other reevantmateriaretrieved
%
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= Search 5ocumentation Chec+list
Guidance Notes
This chec%ist outines the minimum re-uired to document thesearch !rocess carried out in su!!ort o, any research !ro!osa.
A eements must &e ceary documented ,or eachresource searched.
*ee the Guide to Sources of Informationin the A!!endices,or detais o, each resource isted in the chec%ist.
Please ensure ,our research 'ro'osal includes:
a Clearl, statedresearch -uestion
1 E0'lanation ofthe sco'e of theresearch -uestion
c For data1asesearches3s'eci
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NOTES