Jasmine A Berry, Joan Cranford, Rachel Powell
The Stress of Advancement: A Nurse Practitioner's Exploration in Providing Culturally Competent Obesity Prevention Counseling in Black Women
Health promotion practice
supporting 21st century health care practice evidencebased medicine ebm requires ubiquitous access clinical information knowledgebased resources answer clinical questions many questions go unanswered however due lack skills formulating questions crafting effective search strategies accessing databases identify best levels evidencethis randomized trial designed pilot study measure relevancy search results using three different interfaces pubmed search system two search interfaces utilized specific framework called pico designed focus clinical questions prompt publication type type question asked third interface standard pubmed interface readily available web study subjects recruited interns residents inpatient general medicine rotation academic medical center us thirtyone subjects randomized one three interfaces given 3 clinical questions asked search pubmed set relevant articles would provide answer question success search results determined precision score compared number relevant gold standard articles retrieved result set total number articles retrieved setparticipants using pico templates protocol protocol b higher precision scores question participants used protocol c standard pubmed web interface question 1 35 b 28 c 20 question 2 5 b 6 c 4 question 3 1 b 0 c 0 95 confidence intervals calculated precision question using lower boundary zero however 95 confidence limits overlapping suggesting statistical difference groupsdue small number searches arm pilot study could demonstrate statistically significant difference search protocols however trend towards higher precision needs investigated larger study determine pico improve relevancy search results