HVOR OG HVORDAN FINNE SYSTEMATISKE OVERSIKTER

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1 HVOR OG HVORDAN FINNE SYSTEMATISKE OVERSIKTER Marit Johansen - Forskningsbibliotekar Kunnskapssenteret 2015 February 27,

2 KUNNSKAPSPYRAMIDEN o A, 2009) System Publikasjonstyper: sekundær og primær Mengde Oppslagsverk Lage SR: fra bunnen og opp Finne SR: fra toppen og ned Sammendrag av systematiske oversikter Systematiske oversikter Sammendrag av enkeltstudier Enkeltstudier

3 1. Cochrane Library 2. Health Evidence 3. PDQ-Evidence

4 COCHRANE LIBRARY February 27,

5 Effekt av tiltak rettet mot pasienter, helsepersonell, og helsetjenesten Snart 9000 Cochraneoversikter i Cochrane Library 52 Review Groups February 27,

6 COCHRANE PUBLIC HEALTH GROUP

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8 ETT BIBLIOTEK FLERE DATABASER 1. CDSR: Cochrane Database of Systematic Reviews (Reviews - Protocols) 2. DARE: Database of Abstracts of Reviews of Effects (Other Reviews) 3. CENTRAL: Cochrane Central Register of Controlled Trials (Trials) 4. CMR: Cochrane Methodology Register (Methods Studies) 5. HTA: Health Technology Assessment Database (Technology Assessments) 6. NHSEED: Economic Evaluation Database (Economic Evaluations)

9 CDSR INNEHOLDER Protocols (pågående) Reviews (ferdige) Overviews (av reviews) Om effekt av tiltak Om diagnostiske tester Omhandler metode Svarer på kvalitative spørsmål

10 EKSEMPLER FRA CDSR 1. Preventing occupational stress in healthcare workers (intervensjon/effekt) 2. Screening for prostate cancer (intervensjon/effekt) 3. Interventions to reduce corruption in the health sector (intervensjon/effekt) 4. Flexible working conditions and their effects on employee health and wellbeing (intervensjon/effekt) 5. Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases (intervensjon/effekt)

11 EKSEMPLER FRA CDSR 5. Lay health workers in primary and community health care for maternal and child health and the management of infectious diseases (intervensjon/effekt) 6. Barriers and facilitators to the implementation of lay health worker programmes to improve access to maternal and child health: qualitative evidence synthesis (kvalitativ) 7. Computed tomography (CT) angiography for confirmation of the clinical diagnosis of brain death (diagnostiske tester) 8. When and how to update systematic reviews (metode)

12 CDSR - LANGE OG LEVENDE DOKUMENTER February 27,

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15 PLANE LANGUAGE SUMMARY Flexible working conditions and their effects on employee health and wellbeing Flexible working arrangements, such as flexitime and teleworking, are becoming more common in industrialised countries but the impacts of such flexibility on employee health and wellbeing are largely unknown. This review examined the health and wellbeing effects of flexible working arrangements which favour the worker as well as those dictated by the employer (for example, fixed-term contracts or mandatory overtime). Ten controlled before and after studies were found which evaluated the effects of six different types of flexible working arrangement on employee health and wellbeing: self-scheduling (n = 4); flextime (n = 1); overtime (n = 1); gradual retirement (n = 2); involuntary part-time (n = 1) and fixed-term contract (n = 1). Self-scheduling of shift interventions and employee controlled partial/early retirement were found to improve health (including systolic blood pressure and heart rate; tiredness; mental health, sleep duration, sleep quality and alertness; and self-rated health status) and/or wellbeing (co-workers' social support and sense of community) and no ill health effects were observed. The studies of overtime working, flexitime and fixed-term contracts found no significant effects on physical, mental or general health or on any of the wellbeing outcomes examined. Importantly, however, the study on overtime failed to provide detailed information on either the amount or duration of overtime worked, so it is therefore difficult to draw any conclusions regarding the effects of overtime on workers' health and wellbeing. Overall, these findings seem to indicate that flexibility in working patterns which gives the worker more choice or control is likely to have positive effects on health and wellbeing. However, given the small number of studies included in the review and their methodological limitations, caution should be applied to this conclusion. Well-designed studies are therefore needed to further explain the relationship between flexible working and health and wellbeing. February 27,

16 CDSR OG DATOER Preventing occupational stress in healthcare workers I Cochrane Library Issue 2, 2015 Published Online: 8 DEC 2014 Assessed as up-to-date: 20 NOV 2013 How to Cite: Ruotsalainen JH, Verbeek JH, Mariné A, Serra C. Preventing occupational stress in healthcare workers. Cochrane Database of Systematic Reviews 2014, Issue 12. February 27,

17 CDSR OG HISTORIEN Preventing occupational stress in healthcare workers History - Protocol first published Issue 2, Review first published Issue 4, 2006 February 27,

18 DARE INNEHOLDER Strukturerte sammendrag av SR (intervensjon/effekt), med eller uten en kritisk vurdering fra Centre for Reviews and Dissemination (CRD) From January 2015 no new records/commentaries will be added to DARE. From 1 April 2015 the NIHR s Dissemination Centre will make available summaries of new research

19 DARE HENTER SR FRA CINAHL Embase MEDLINE PsycINFO PubMed February 27,

20 STRUKTURERT SAMMENDRAG MED EVALUERING FRA DARE "A hard day's night?" The effects of Compressed Working Week interventions on the health and work life balance of shift workers: a systematic review (Structured abstract) Original article: Bambra C, Whitehead M, Sowden A, Akers J, Petticrew M. "A hard day's night?" The effects of Compressed Working Week interventions on the health and work life balance of shift workers: a systematic review. Journal of Epidemiology and Community Health.2008;62(9): CRD commentary This review addressed a clear question with defined inclusion criteria. Several relevant sources were searched, efforts were made to identify unpublished studies and no language restrictions were applied, which reduced the likelihood of publication and language biases. Appropriate methods were used to minimise reviewer error and bias for study selection, validity assessment and data extraction. Validity was assessed using established criteria and the results of the assessment were reported and used to inform the synthesis. A narrative synthesis was appropriate given the between study differences of design, intervention, outcomes and participants. The authors appropriately stated a number of limitations of the evidence, which included: a number of studies included homogenous populations (police officer, nurses, fire fighters), so the results of the review may not be generalisable to other occupations; all included studies were from the public domain and may not be generalisable to commercial settings; small sample sizes for a number of studies; and outcomes were self reported measures. The authors' conclusion is an accurate reflection of the evidence presented, but it should be borne in mind that it is based on studies of poor methodological quality.

21 HTA INNEHOLDER Strukturerte sammendrag av ferdige og pågående Health Technology Assessments, men uten en kritisk vurdering fra Centre for Reviews and Dissemination (CRD)

22 HTA HENTER RAPPORTER/SR FRA 52 medlemsorganisasjoner til the International Network of Agencies for Health Technology Assessment (INAHTA) 20 andre internasjonale HTA organisasjoner February 27,

23 NHSEED INNEHOLDER Strukturerte sammendrag av økonomiske evalueringer, med eller uten en kritisk vurdering fra Centre for Reviews and Dissemination (CRD) From January 2015 no new records/commentaries will be added to NHSEED. From 1 April 2015 the NIHR s Dissemination Centre will make available summaries of new research

24 NHSEED HENTER ØKONOMISKE EVALUERINGER FRA CINAHL Embase MEDLINE PsycINFO PubMed February 27,

25 CENTRAL INNEHOLDER Primærstudier: Randomized Controlled Trials (RCT) Controlled Clinical Trials (CCT) Controlled Before After Studies (CBA) Interrupted Time Series (ITS)

26 CMR INNEHOLDER Artikler fra MEDLINE, Embase, og håndsøk Om å randomisere Om å utføre en RCT Om å utføre en systematisk oversikt Om å lage meta-analyser Om å søke etter litteratur

27 OPPDATERING CDSR CENTRAL Daglig Månedlig HTA Hvert kvartal DARE og NHSEED? CMR Sist oppdatert i 2012

28 GJENFINNING Brows by Topic (CDSR) Brows by Cochrane Review Group (CDSR) Search (hele biblioteket)

29 SØK i COCHRANE LIBRARY Indkstermer - MeSH CDSR: Ord i tittel, sammendrag og keywords Alle andre databaser: søk i hele teksten Sett fraser i "anførselstegn" Husk synonymer! Utelat ord som beskriver studiedesign Bruk stjerne * som trunkeringstegn Kombiner ord med AND OR NEXT - NEAR Unngå bruk av NOT Bruk parenteser for å skille søkekonsepter (PICO) February 27,

30 SØKETIPS 1 KOMBINERE ORD obesity AND exercise obesity OR exercise obesity NOT exercise February 27,

31 SØKETIPS 2 KOMBINERE ORD Søk på: "community health workers" Gir: community health workers Søk på: community NEAR health NEAR worker* Gir: community health worker community health workers community based Norwegian health care medical worker community based Norwegian health care medical workers

32 SØKETIPS 3 - TRUNKERING nurs* nurse nurses nursery nursing nurse* nurse nurses nursery nursing

33 SØKETIPS 4 - SYNONYMER obese OR obesity OR overweight OR over NEXT weight

34 SEARCH

35 SEARCH MANAGER

36 MEDICAL TERMS (MESH) Ordliste over ord som beskriver innholdet i en artikkel

37 ET SØK STARTER ALDRI MED ET SØK PROBLEM SPØRSMÅL PICO SØKESTRATEGI SØK February 27,

38 1. PROBLEM Flere og flere blir stadig større og større 2. SPØRSMÅL Bør vi trene mer eller spise mindre for å gå ned i vekt? 3. PICO 4. SØKESTRATEGI Population Intervention Comparison Outcome obesity exercise diet weight loss OR overweight physical activity caloric restriction weight reduction jogging AND

39 SØK February 27,

40 ETT SØK TREFF I ALLE BASER February 27,

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42 OMTALE AV COCHRANE-OVERSIKT February 27,

43 HEALTH EVIDENCE February 27,

44 Referanser til ca 4000 kvalitetsvurderte SR innen Public Health February 27,

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46 HEALTH EVIDENCE HENTRE SR FRA February 27,

47 TEMA OG PUBLIKASJONSTYPER Public Health Systematiske oversikter February 27,

48 SØK I HEALTH EVIDENCE Ord hvor som helst i teksten (tittel og sammendrag) Sett fraser i "anførselstegn" Husk synonymer! Utelat ord som beskriver studiedesign Bruk stjerne * som trunkeringstegn Kombiner ord med AND eller OR (STORE BOKSTAVER!) Unngå bruk av NOT Bruk parenteser for å skille søkekonsepter (PICO) February 27,

49 SEARCH February 27,

50 ADVANCED SEARCH February 27,

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52 ADVANCED SEARCH TOPIC AREA - WORKPLACE HEALTH February 27,

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55 PDQ-EVIDENCE February 27,

56 Del av databasen Epistemonikos: Referanser til ca 3500 kvalitetsvurderte SR innen Health Systems inkludert Public Health February 27,

57 PDQ-EVIDENCE HENTER SR FRA February 27,

58 TEMA Delivery arrangements (who receives care and when, who provides care, the working conditions of those who provide care, coordination of care amongst different providers, where care is provided, the use of information and communication technology to deliver care, and quality and safety systems) Financial arrangements (collection or acquisition of funds, pooling of prepaid funds in ways that allow risks to be shared (insurance schemes), and allocation of resources (purchasing or paying) for services) Governance arrangements (rules or processes that affect the way in which powers are exercised, particularly with regard to authority, accountability, openness, participation, and coherence) Implementation strategies (approaches to bring about changes in healthcare organizations or the behavior of healthcare professionals or recipients) Public health (the protection and improvement of community health by organized community effort) February 27,

59 PUBLIKASJONSTYPER Overviews of Reviews Systematic Reviews Primary Studies (included in SR) February 27,

60 KOBLINGER Systematic reviews are linked to Overviews that include the systematic review Other systematic reviews that include one or more of the same included primary studies All the included primary studies February 27,

61 SØK I PDQ-EVIDENCE Ord i tittel, sammendrag, eller forfatter Sett fraser i "anførselstegn" Husk synonymer! Utelat ord som beskriver studiedesign Bruk stjerne * som trunkeringstegn Kombiner ord med AND eller OR (STORE BOKSTAVER!) Unngå bruk av NOT Bruk parenteser for å skille søkekonsepter (PICO) February 27,

62 SEARCH

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67 PROSPERO PÅGÅENDE SR February 27,

68 POP - PÅGÅENDE SR February 27,