Evidence-Based Practice (EBP) Resource Guide: Databases for Diabetes Mellitus

Create a 2-4 page resource that will describe databases that are relevant to EBP around one of the diagnoses found in the provided PDF supplement and could be used to help a new hire nurse better engage in EBP.

 

 

To create a resource that will help a new hire nurse engage in Evidence-Based Practice (EBP) around a specific diagnosis, it’s essential to select a common condition relevant to nursing practice, such as *diabetes mellitus*. The resource will provide an overview of relevant databases, how to access them, and how they can be used in EBP. Below is a sample outline for the resource:

# **Evidence-Based Practice (EBP) Resource Guide: Databases for Diabetes Mellitus**

## **Introduction**
Evidence-Based Practice (EBP) is critical in nursing as it ensures patient care is grounded in the best available research, clinical expertise, and patient preferences. For nurses working with patients diagnosed with diabetes mellitus, staying updated with the latest research and guidelines is essential for effective management and improved patient outcomes. This resource provides a comprehensive guide to key databases that are invaluable for accessing high-quality, relevant information on diabetes mellitus.

## **1. PubMed**

### **Overview**
PubMed is a free resource developed by the National Center for Biotechnology Information (NCBI) at the U.S. National Library of Medicine (NLM). It comprises over 30 million citations for biomedical literature, including articles from medical, nursing, and health sciences journals.

### **How to Use PubMed for EBP on Diabetes Mellitus**
– **Search Features**: Use keywords related to diabetes mellitus, such as “type 2 diabetes,” “insulin management,” or “diabetes complications.”
– **Clinical Queries**: Utilize the “Clinical Queries” feature to narrow down your search to clinical studies, systematic reviews, and evidence-based practice guidelines.
– **Filters**: Apply filters like publication date, article type (e.g., clinical trial, review), and access (free full text) to refine your search.

### **Why PubMed?**
– **Broad Coverage**: Access to a vast array of articles covering the latest research and guidelines.
– **Clinical Focus**: Offers tools specifically designed for clinicians, making it easier to find relevant and reliable evidence.

## **2. CINAHL (Cumulative Index to Nursing and Allied Health Literature)**

### **Overview**
CINAHL is a comprehensive database specifically geared towards nursing and allied health professionals. It provides access to nursing journals, healthcare books, nursing dissertations, and conference proceedings.

### **How to Use CINAHL for EBP on Diabetes Mellitus**
– **Subject Headings**: Utilize CINAHL’s specific subject headings for more precise searches, such as “Diabetes Mellitus, Type 2.”
– **Evidence-Based Care Sheets**: Access summaries on various aspects of diabetes care, which are based on evidence and include recommendations.
– **Search Strategies**: Combine terms using Boolean operators (AND, OR, NOT) to refine searches, for example, “diabetes management AND patient education.”

### **Why CINAHL?**
– **Nursing-Specific Content**: Provides access to nursing-focused literature that may not be available in more general databases.
– **Practical Resources**: Includes care sheets and quick lessons tailored to the nursing field, which can be very useful for new hires.

## **3. Cochrane Library**

### **Overview**
The Cochrane Library is a respected source of systematic reviews and meta-analyses, which are critical for evidence-based practice. It focuses on the effects of healthcare interventions and offers comprehensive reviews that summarize the best available evidence.

### **How to Use Cochrane Library for EBP on Diabetes Mellitus**
– **Cochrane Reviews**: Search for systematic reviews on diabetes management, such as the effectiveness of lifestyle interventions in preventing type 2 diabetes.
– **Clinical Answers**: Use the Cochrane Clinical Answers feature to get concise, evidence-based answers to specific clinical questions.
– **Search Tips**: Enter specific queries, like “insulin therapy in type 1 diabetes,” to find systematic reviews that can guide practice.

### **Why Cochrane Library?**
– **High-Quality Evidence**: Renowned for its rigorous methodology, providing highly reliable information.
– **Systematic Reviews**: Focuses on systematic reviews, which are the gold standard in EBP for making clinical decisions.

## **4. UpToDate**

### **Overview**
UpToDate is an evidence-based, physician-authored resource that provides comprehensive information on a wide range of medical conditions, including diabetes mellitus. It is updated regularly and is widely used in clinical practice.

### **How to Use UpToDate for EBP on Diabetes Mellitus**
– **Topic Reviews**: Access detailed topic reviews on diabetes care, such as “Management of type 2 diabetes in adults.”
– **Recommendations**: Use the graded recommendations provided within the articles to guide treatment decisions.
– **Patient Education**: Explore patient education materials that can be used to help educate patients about diabetes management.

### **Why UpToDate?**
– **Clinician-Friendly**: Written in a user-friendly format that is easily accessible at the point of care.
– **Current**: Updated frequently to reflect the latest research and clinical guidelines.

## **5. Scopus**

### **Overview**
Scopus is a comprehensive abstract and citation database covering a wide range of disciplines, including health sciences. It indexes journals, conference proceedings, and patents, making it a valuable resource for finding the latest research.

### **How to Use Scopus for EBP on Diabetes Mellitus**
– **Citation Tracking**: Track citations to see how research on diabetes mellitus has evolved over time.
– **Advanced Search**: Use advanced search features to locate studies on specific aspects of diabetes, such as “glycemic control” or “diabetic foot ulcers.”
– **Journal Metrics**: Assess the impact and relevance of journals in the field of diabetes research through metrics like CiteScore.

### **Why Scopus?**
– **Comprehensive Coverage**: Includes a wide range of sources, making it ideal for an in-depth literature search.
– **Interdisciplinary Approach**: Allows for exploration of related fields that may impact diabetes care, such as pharmacology or public health.

## **Conclusion**
Accessing and utilizing these databases effectively can significantly enhance a nurse’s ability to engage in evidence-based practice, particularly in managing patients with diabetes mellitus. By regularly consulting these resources, new hire nurses can ensure they are providing care that is informed by the latest research and best practices, ultimately improving patient outcomes.

## **References**
– National Center for Biotechnology Information. (n.d.). PubMed. U.S. National Library of Medicine. [https://pubmed.ncbi.nlm.nih.gov/](https://pubmed.ncbi.nlm.nih.gov/)
– Cochrane Library. (n.d.). Cochrane Database of Systematic Reviews. [https://www.cochranelibrary.com/](https://www.cochranelibrary.com/)
– EBSCO Information Services. (n.d.). CINAHL Database. [https://www.ebsco.com/products/research-databases/cinahl-database](https://www.ebsco.com/products/research-databases/cinahl-database)
– Wolters Kluwer. (n.d.). UpToDate. [https://www.uptodate.com/home](https://www.uptodate.com/home)
– Elsevier. (n.d.). Scopus. [https://www.scopus.com/](https://www.scopus.com/)

This resource guide can be customized further based on the specific needs of your nursing team and the diagnoses you are focusing on.

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