Medical Librarian Literature Search Form

Your Literature Request Information

This Form is designed to assist you in your meeting with your Medical Librarian. So that our meeting will be most productive, please take a few minutes to answer the following 25 questions for all Medical Literature Search Requests. You may notice that this following the PICO(T) format.

Your Medical Librarian will contact you for an appointment to assist you in obtaining the research you seek.

If you have any questions, please feel free to contact your Medical Librarian.

Cynthia F. Johnson, MS

Medical Librarian

Email: Library@SalinasValleyHealth.com

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* 1. Your Contact Information

Name

Department

Your Email Address

Your Phone Number

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* 2. Have you attended the Medical Library session during Nursing Orientation?

Yes

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* 3. Have you searched STARsmart for articles in support of your project?

Yes

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* 4. Deadline for completion of search

Select Search Completion Due Date and move to next question

Date

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* 5. Purpose of Literature Search (choose one)

Class Assignment - SVH

Direct patient care

Professional Practice

Publication/Presentation

EBP Project for my Department

Quality Improvement Project

Class Assignment - Other than SVH

Research

Other (please specify)

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* 6. Approved by Clinical Inquiry Council (formerly REBP) (choose one)

Yes

Not Yet

Not Applicable

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* 7. What is your PICO Question or Hypothesis? (submit one (1) only)

PICO(T) Question:

Hypothesis:

If none, please place an X in the box

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* 8. In your own words, please state the information you are seeking from this literature search request.

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* 9. Which MeSH or Search Terms should be considered when conducting this Literature Search Request?

Following the PICO(T) format, please provide the following information.