Books Easy to access Quickly out of date Scope for greater Quality of indexing depth of coverage varies than journal Time consuming to Overview search/scan Portable Expensive to buy Familiar Storage problems Reduced cost if can Access to libraries borrow from library may be limited Heavy Primary journals More current Not necessarily an May be available overview free on-line Not all titles indexed May be peer Time consuming to reviewed search/scan Easy to access May not have access Portable to all titles electronically Problems with peer review Secondary journals Have structured Summaries only abstract Brief results only Comments from May not have access independent experts to all titles Critically appraised electronically evidence Don’t cover all topic Methodologically areas sound studies Strict inclusion criteria Clinically relevant studies Abstracts and indexes Broad overview of Limited depth literature Abstracts often Generally good written by authors quality -biased? Reference lists & Useful pointers to Subjective selection bibliographies related literature on by another topic Unclear criteria Pulls out good quality articles Supervisors, Personal, specific for Bias colleagues, mentors your needs Variability in Easily accessible willingness and Shared interest in motivation to help quality improvement Priorities may be Team goals different Encourages May be large communication travelling distances amongst teams Time pressure Internet Very up-to-date No central directory; Valuable/unique information and sites information difficult to locate Professional No censorship or networking editing procedures information No quality exchange guarantee/not Full-text validated Access to world-wide Can be slow information depending on 24-hour access network Needs computer and ICT skills Costs of getting addicted-time wasted? E-mail Speed of delivery Attachments can be Documents, difficult to deal with multimedia clips can Electronic junk mail be attached to (‘spam’) can annoy messages Threat of viruses Replies and within attachments forwarding of messages handled by software Private messages can be encrypted Active web-page address links Mailing lists One-to-many Most people ‘lurk’ communication during discussion Subject specific Require care with Free to subscribe ’netiquette’ between lists (etiquette using the Can be set up to net) receive weekly Amount of messages digests only vary Access to wide range Mistakes sent to of opinion everybody Very cheap means of Difficult to sustain dissemination discussion Can be open or closed to public Central archives have search/browse facility Bibliographic Very wide range of Not fully up-to-date databases journals indexed Only some have Regular updating access to full text Time saving Bias (e.g User-friendly? MEDLINE=US, Free-text (textword) Embase=European) searching supported Reflects publication Controlled bias vocabularies Not always Fast/sophisticated accessible search facilities Sometimes hard to use Difficult to acquire foreign articles Medline/Pubmed Universally available US bias International Selective journal coverage coverage Thesaurus-controlled Poor indexing indexing Search by publication type Quality filters available CINAHL Variety of interfaces US bias available Poor indexing Subject orientated Selective journal Thesaurus-controlled coverage indexing International coverage HMIC UK bias Expensive Specific to health Updated quarterly management May be difficult to Variety of access documents indexed Grey literature included Best Evidence Full text database No thesaurus control Inexpensive Summaries only Disk includes Full results absent previous years Equivalent of paper version Cochrane Library High quality Some subject areas research data under-represented Free access in UK Reviews need International updating collaboration Medical and nursing literature Well-structured information Saves time searching and appraising