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Library: Evidence Based Practice

 Evidence Pyramid


EBM Pyramid and EBM Page Generator, copyright 2008 Trustees of Dartmouth College and Yale University. All Rights Reserved.Produced by Jan Glover, David Izzo, Karen Odato and Lei Wang.

 Internet Resources


 CINAHL Complete

 Clinical Trials

 Cochrane Database of Systematic Reviews - Look for open access or free access articles

 Database of Abstracts of Reviews of Effectiveness (DARE)

 Evidence-Based Occupational Therapy

 Infectious Diseases Society of America (IDSA) - Practice Guidelines

 Joanna Briggs Institute

 Evidence-Based Practices Resource Center - Substance Abuse and Mental Health Services Administration

 OT Seeker

 PubMed Clinical Queries

 TRIP Database (Turning Research into Practice)

 Clinical Questions


Clinical questions are sorted into two different types: Background or Foreground

Background questions are concerned with general knowledge.

  • Ask a who, what, where, when, or why.
  • Concerning a disorder, test, treatment, or other aspect of health care. 

Foreground questions are concerned with specific knowledge to make informed clinical decisions.

  • Deal with specific type of patient or population.
  • Are more complex than background questions.
  • Are best suited to the PICO format.

 What is PICO?


P Patient, Population, or Problem
I Intervention, Prognostic Factor, or Exposure
C Comparison
O Outcome
  Type of Question
  Type of Study

 Journals


 World Views on Evidence Based Nursing

 American Journal of Nursing - Evidence-Based Practice, Step by Step