This short essay examines how nurses can efficiently locate high-quality health information online when local written sources are insufficient. Using Ehlers-Danlos Syndrome as a worked example, the paper walks through using Google Advanced Search with exact-phrase and "peer-reviewed" modifiers to rapidly surface scholarly articles and authoritative government resources. It highlights the NIH's Genetic and Rare Diseases Information Center as a model government web resource, noting the value of patient-friendly language, multiple links, and direct question submission. The essay concludes with practical guidance on bookmarking reliable sites for future clinical reference.
The many issues addressed by the nursing profession sometimes mean that a nurse will not immediately know the answer to a patient's question. Constantly seeking to improve the quality of care and patients' participation in their own care, a nurse understands that he or she is a perpetual student who must develop excellent research skills. Those research skills should be developed for internet and electronic communications as well as written sources, in order to draw on the wealth of information provided by all available resources.
Google Advanced Search is an excellent and very fast source of information on a wide range of topics, as long as precise keywords are used. It is preferable to a standard Google search because it allows the researcher to enter exact, precise phrases on dedicated lines alongside other search terms, producing highly relevant results nearly immediately. To locate information on a rare genetic defect, a nurse should type the name of the condition into the "this exact word or phrase" field of Google Advanced Search.
Because Google Advanced Search can return literally more than a million results in under a second, an additional term is needed to raise the quality of the sources appearing at the top of the results. Entering "peer-reviewed" in the "all these words" field serves this purpose. Peer review is defined as "the evaluation of creative work or performance by other people in the same field in order to maintain or enhance the quality of the work or performance in that field" (Linux Information Project, 2005). Using this modifier narrows the search and helps ensure that the sources returned meet a higher standard of scholarly quality.
To illustrate this approach, suppose that Ehlers-Danlos Syndrome is the rare genetic condition in question. Typing "Ehlers-Danlos Syndrome" in the "this exact word or phrase" field and "peer-reviewed" in the "all these words" field, then pressing return, yields approximately 16,200 results in 0.31 seconds. The results include references to peer-reviewed scholarly articles as well as an information page supported by the National Institutes of Health (Google, Inc., 2012).
"Assessing NIH GARD page for patient education use"
When local written sources do not have enough information to answer a patient's question, Google Advanced Search is an excellent and very fast source of information on a wide range of topics. Using its exact-phrase and additional-terms fields, a nurse can locate tens of thousands of information sources in under a second. Requesting peer-reviewed sources through an additional search modifier helps maintain the quality of those results.
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