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					                               Literature search process for an integrative review
                                                        Joanne Rich*, Amy Harper*, Elizabeth J. Bridges†
                            *Health Sciences Libraries, University of Washington; † School of Nursing, University of Washington

1 – Objective
To describe the literature search process for an
                                                                                                                      Integrative Review                          Systematic Review
integrative review of patient characteristics seen in
modern military/terrorist situations.                                                                          •Outcome answers broad question             •Outcome answers specific
                                                                                                                                                           clinical question
2 – Method                                                                                                     •Multiple research study
                                                                                                                                                           •Fewer research methodologies
                                                                                                               methodologies acceptable,
                                                                                                                                                           acceptable (usually RCTs)
       Grant proposal
                                                                                                               including qualitative
                                                                                                                                                           •Traditional literature sources,
                                                                                                               •Broader range of databases                 often 2-3 databases
                                                                                                               •Broader range of indexing in               •High level of controlled
                                                    bibliography                                               databases                                   vocabulary in databases
      Identify concepts
      for search phrase
                                                                                                               •Usually more recall, less                  •Rigorous guidelines for
                                                                                                               precision                                   searching already established
                                                                                                               •More collaborative                         •Librarian usually subject
     Search databases
      based on search

       Compare search
                                  Refine search    Solicit feedback   Refine search
     results to reference
                                    strategy      from researchers      strategy                                1. Use controlled vocabulary as much as possible, but remember keywords
                                                                                                                2. Use a ‘gold standard’ reference bibliography to draft initial searches
                                                                                                                3. Make use of unique features of each database
                                                                                      Submit search results     4. Use citation software to manage search results
3 – Conclusion
The literature search process for an integrative                                                                5. Start with larger yield databases; will help with formulating strategies in
                                                                                                                   specialty databases
review is apt to be more creative than that of a
systematic review.                                                                                              6. Establish clear communication/expectations/feedback from reviewers
                                                                                                                7. Document thinking as you go
                                      The Literature Search Process for an Integrative Review

Joanne Rich MLIS, Health Sciences Libraries, University of Washington, Seattle WA Contact:
Amy L. Harper MLIS, Library Fellow, Health Sciences Libraries, University of Washington, Seattle WA
Elizabeth J. Bridges PhD, Assistant Professor, Biobehavioral Nursing, School of Nursing, University of Washington, Seattle, WA.

Objective: To describe the process of conducting a literature search for an integrative review (an evidence summary) of the reported
characteristics of patients encountered in the deployed military setting in order to create a list of competencies for nurses throughout
the US military.

Methods:The University of Washington Health Sciences Libraries serve an academic community of six health sciences schools
throughout a five state region. The librarians work as liaisons to specific departments/schools which often involves collaboration on
specific projects. One such project was to conduct a search of unclassified literature as part of a grant-funded integrative review.
Because of the special nature of the topic, we drew upon traditional and non-traditional resources from a variety of sources. We used
the services and resources of two different military libraries and their librarians. We searched bibliographic, report, and research
databases and websites covering biomedical, nursing, psychological, military, and governmental scopes. We used the bibliography of
the grant proposal to identify the main concepts and initial subject heading terms when possible. For bibliographic database searching,
search results were tested against the 'gold standard' of the proposal's bibliography. The literature search process also involved hand
searching, citation tracking, and informal networking.

Results and Conclusions:
The literature search process turned out to be a very creative process. The topic called for use of a broad range of databases, both
general and specialized, offering varying levels of controlled vocabularies and varieties of terms to address the topic. After initial
search results were obtained, better search strategies were created based on breaking sample results into 'useful' and 'not so useful' sets
of citations that could be mined for additional search terms to include or to exclude. Sample useful citations from earlier databases
were identified in subsequent databases to provide another source of search terms for inclusion. Military specific journals, such as
Military Medicine, were hand searched for articles that either described the characteristics or care requirements of the target
population. Validation of the completeness of the dataset was ascertained using citation tracking from seminal articles identified by
the study PI.

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