Evidence-Based Nursing & Midwifery

See this excellent blog post about using TRIP

2007-08-17T11:20:00.000+09:30

This posting (click here) Top ten search tips for TRIP is really good, not to be missed.
Its on the Liberating the literature blog

It's been a while.. Take a TRIP?

2007-08-17T11:14:00.000+09:30

My role changed when I moved from one job to another , but I have returned. I found this resource today so I have embedded a link on the blog.
The aims of the TRIP Database have remained the same since 1997 - allow health professionals to easily find the highest-quality material available on the web - to help support evidence based practice. The TRIP Database is produced by TRIP Database Ltd (for more information on TRIP Database Ltd see below).

Check out the TRIP web site for the excellent information about coverage or just use the search box

An early evidence-based review or Have you disinfected your books today?

2006-11-08T13:05:00.000+09:30

In cleaning up my office I came across something I have had for a number of years. Its a Western novel, a genre I have never read. Why I bought it is because its got a bookplate from the "Hygienic Lending Library" in St. Peters, Adelaide. It was last borrowed in 1948 (I hope its not overdue!!) I have always assumed that hygienic libraries came about because of such concerns as tuberculosis etc.

I did a bit of research and found this article in the Medical Journal of Australia from 2001
"Books as carriers of disease In the early years of bacteriology, librarians, microbiologists and public health physicians were much exercised by the question of whether books could transmit infectious diseases."which pointed me back to an evidenced-based review that appeared in 1912 in the Bulletin of the Medical Library Association
THE DISINFECTION OF BOOKS

Not Nursing nor Midwifery, but a good link re Evidence based Practice

2006-10-06T09:25:00.000+09:30

Evidence based practice: a survey of physiotherapists' current practice

This link above from a Canadian librarians blog, reporting on the work of a couple of Australian academics work:

"This very recent article by Ross Iles and Megan Davidson from School of Physiotherapy, La Trobe University, Australia, published in the very recent issue of Physiotherapy Research International (PHYSIOTHER RES INT), 2006; 11(2): 93-103, worked to investigate Australian physiotherapists' self-reported practice, skills and knowledge of evidence-based practice and to examine differences between recent and experienced graduates, physiotherapists with low and high levels of training and physiotherapists working in private practice and hospital settings."
Click on the link above to see more

Nursing Research show me the evidence

2006-09-04T19:43:00.000+09:30

This is the title of another blog on this topic from California. To quote:

Nursing Research: Show me the evidence! at http://evidencebasednursing.blogspot.com/

The Saint Joseph Hospital(Orange, California) Nursing Research Blog will communicate the nursing research activities at SJO to staff. Communications may include, but are not restricted to, announcements of Nursing Grand Rounds, Nursing Journal Clubs, Nursing EBN classes, ongoing nursing research and relevant medical library announcements and news. Secondly, this blog will serve as an open discussion forum for nurses and librarians interested in evidenced based nursing.

Western Australian Centre for Evidence Based Nursing and Midwifery (WACEBNM)

2006-08-30T21:35:00.000+09:30

Western Australian Centre for Evidence Based Nursing and Midwifery (WACEBNM)
from the web page at Curtin University of Technology
Located at the School of Nursing and Midwifery, the Western Australian Centre for Evidence Based Nursing and Midwifery (WACEBNM) is associated with Curtin University of Technology, Princess Margaret Hospital for Children and King Edward Memorial Hospitals and is a collaborating centre for the Joanna Briggs Institute.

The WA Centre for Evidence Based Nursing and Midwifery undertakes a range of practice-oriented research activities to improve the effectiveness of nursing practice and health care outcomes, with a particular focus on the health of women and children. To achieve this aim, the Western Australian Centre for Evidence Based Nursing and Midwifery carries out a range of activities that focus on an evidence based approach to women and children's health by:

conducting systematic reviews and analyses of the research literature;
collaborating with expert researchers and clinicians to facilitate the development of Best Practice Information Sheets based on the systematic review of the research;
participating in the dissemination and implementation of Best Practice Information Sheets and evaluating their impact on nursing and midwifery practice;
promoting and delivering short courses in evidence based nursing and midwifery for nursing clinicians, nursing researchers, nursing managers and nursing teachers; and
contributing to cost effective health care through the promotion of evidence based nursing and midwifery practice.
Full details of current research activities can be found on the Centre's website at http://wacebnm.curtin.edu.au/index.html

Meeting in the USA

2006-08-30T20:13:00.000+09:30

I have been asked to post the meeting notice.

Missions and Mountains: Believe and Achieve
October 14-17, 2006, Red Lion Hotel, Seattle, Washington, USA
http://www.pncmla.org/pncmla2006/

Join us for a lively, informative and jam-packed meeting of the Western
Chapters of the Medical Library Association in Seattle, October 14-17,
2006. The meeting will be preceded by two days of continuing education
with seven courses ranging from measuring your impact, and evidence-based
practice to informatics, and licensing.

Patrice O'Donovan, Linfield College, and Dolores Judkins, OHSU will be teaching
Evidence-based Nursing on Sunday, October 15 from 8 a.m-noon

The early registration deadline for the October meeting is September 15th, so
don't delay!

Lisa Oberg and Gail Kouame
Program Co-Chairs

Pamela Corley
Publicity

Western Chapters Planning Committee

Pamela M. Corley
Research Support Librarian
USC Norris Medical Library
2003 Zonal Ave.
Los Angeles, CA 90089-9130
323-442-1125 fax: 323-221-1235
pcorley@usc.edu

Evidence-based medicine:Can you have too much of a good thing?

2006-08-26T16:14:00.000+09:30

The above was a provocative title from an article by Michael Asby,Director of the Centre for Palliative Care, Melbourne University, based at St Vincent’s Hospital Melbourne, that appeared in the July 2006 edition of HLA NEWS the National Newsletter of Health Libraries Australia, a group of the Australian Library and Information Association.
To quote from the summary:

"Professor Ashby contends that in this age of evidence-based medicine with its push for high level evidence, medicine cannot afford to ignore clinician experience. The author also provides some insight into the way in which instant global communication contributes to the advancement of
therapeutic interventions."

"The modern evidence-based medicine movement has tried to imbue the whole of medicine with a scientific evaluative approach to practice based on good quality studies and this is clearly correct. The pinnacle in the hierarchy of evidence for medical treatment is the randomised controlled trial (RCT), with appropriate blinding to remove bias. Manifestly all new drugs require rigorous testing, including RCTs. He cautions though "however, all good ideas have the potential to overshoot and become oppressive. Many questions and therapies will never be subjected to clinical trials, but will rise or fall on personal orlocal experience, and others are not amenable to study by RCT. In fact if we relied solely on RCT and other suitably elevated levels of evidence, then very little would change, and we would be faced with therapeutic paralysis. Whilst it seems without question that good quality trials should be designed, wherever possible and practicable, for important therapeutic questions, it is disastrous if clinical experience is trivialised or downgraded"
see the article at this link

Childbirth Connection

2006-08-23T13:20:00.000+09:30

Childbirth Connection is a USA national not-for-profit organization that uses research, education and advocacy to improve maternity care for all women and their families.This is link to the professional area of the site.

It has a good amount of evidence based material for midwifery including:
Evidence-Based Maternity Care Resource Directory
"Consult this growing compendium of judiciously chosen and regularly updated resources for essential help with understanding and practicing within an evidence-based framework"
Evidence Columns
"Four times a year, we highlight the most recent systematic reviews and evidence reports in the field and provide a brief commentory on evidence-based practice, and all columns from early 2003 onward are collected here."
"Systematic Reviews
This area provides details about and access to the systematic reviews that Childbirth Connection has commissioned, carried out, or collaborated in."
and even this useful resource:
">A Guide to Effective Care in Pregnancy and Childbirth
The online version of this acclaimed manual is available here by courtesy of its authors, and you can download all 50 chapters.

More that I have found but need to annotate

2006-08-20T13:53:00.000+09:30

Links I had located earlier

Evidence-based nursing practice
Academic Center for Evidence-Based Nursing (U Texas San Antonio)
A few years old, created in 2002, last updated in 2004.

Very useful link to SUMSearch:
SUMSearch is an automated method of searching for medical evidence by using the Internet. It searches NLM, DARE, and National Guideline Clearinghouse. SUMSearch combines meta-searching and contingency searching.

Best Practice Guidelines (Registered Nurses Association of Ontario)
Professional looking site, with many useful guidelines available.

Best Practice Information Sheets (Joanna Briggs Institute)
Well known Australian developed site, with a wealth of resources available, some resources only available through subscription

Evidence-Based Nursing (University of Minnesota)
Quite a reasonable site with good bibliography and history

Evidence-Based Nursing Practice Filters in PubMed (from NLinks)

By using some really big built in search strings, one can search Pubmed using these predefined searches, adding your own terms
The Research Center is mainly working on the development of a database called the Evidence Based Nursing (EBN) Matrix. Another purpose is to develop a virtual research center in which other nursing organizations or nurses may conduct online research

Evidence-Based Nursing Syllabi, Worksheets
Part of a bigger ENM site, quite a useful focus here on Evidence based Nursing with examples, samples

Iowa Model of Evidence-Based Nursing Practice

Lots of useful information, plenty of resources, links to annual conference

National Guidelines Clearinghouse
National Guideline Clearinghouse™ (NGC), a USA public resource for evidence-based clinical practice guidelines. NGC is an initiative of the Agency for Healthcare Research and Quality (AHRQ), U.S. Department of Health and Human Services. NGC was originally created by AHRQ in partnership with the American Medical Association and the American Association of Health Plans (now America's Health Insurance Plans [AHIP]).

Oncology Nursing Society Evidence-Based Practice Center
The primary intent of the Evidence-Based Practice Resource Center is to provide nurses a guide to identify, critically appraise and use evidence to solve clinical problems. It also can assist nurses—especially advanced practice nurses—who are helping others in developing evidence-based practice protocols.

Star Model of Evidence-Based Nursing Practice
To quote from the site ,the Star Model of Knowledge Transformation ® is a model for understanding the cycles, nature, and characteristics of knowledge that are utilized in various aspects of evidence-based practice (EBP). The Star Model organizes both old and new concepts of improving care into a whole and provides a framework with which to organize EBP processes and approaches. Known as the ACE Star Model, it is a simple, parsimonious depiction of the relationships between various stages of knowledge transformation, as newly discovered knowledge is moved into practice. It is inclusive of familiar processes and also emphasizes the unique aspects of EBP. The ACE Star Model places nursing's previous scientific work within the context of EBP, serves as an organizer for examining and applying EBP, and mainstreams nursing into the formal network of EBP.

What is Evidence-Based Nursing?
An article with good references, from EBN an BMJ journal
Evidence based Health(University of Hertfordshire)

Somewhat out of date but good collection of articles

CareSearch

A useful site with some material for pallative care

The Agency for Healthcare Research and Quality (AHRQ) is the lead Federal agency charged with improving the quality, safety, efficiency, and effectiveness of health care for all Americans.
This is a direct link to the Evidence based practice part of the site.

A really good site from Liz Bayley

2006-08-19T17:13:00.000+09:30

This is a great site and I will get back to Liz and try to work with her on a midwifery focus as well.

Stephen –
I have been building a site on Evidence-Based Nursing over a number of years: http://hsl.mcmaster.ca/education/nursing/ebn/index.htm I would be delighted to work with you, particularly to resources more specific to midwifery.

Liz

Liz Bayley

Head of Collections,Technical Services and Systems /

Nursing Liaison Librarian Health Sciences Library

Assistant Clinical Professor, School of Nursing

McMaster University

1200 Main Street West

Hamilton, Ontario, Canada L8N 3Z5

From Pam at ACOG Resource Center

2006-08-19T16:35:00.000+09:30

Pam sent this from the librarians at The American College of Obstetricians and Gynecologists

WEBTREATS: Evidence-Based Medicine

This list, prepared by ACOG Resource Center Librarians from other sources, is provided for information only. Referral to these sites does not imply the endorsement of The American College of Obstetricians and Gynecologists. Further, ACOG does not endorse any commercial products that may be advertised or available from these organizations or on these websites. This list is not meant to be comprehensive; the exclusion of a site does not reflect the quality of that site. Please note that sites and URLs are subject to change without warning. Please also refer to the WEBTREAT on Guidelines for related links. pvh rev. 4/5/2005; rev. 4/14/2006

Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice
http://www.ahrq.gov/clinic/epcix.htm
This AHRQ site links to EPC Evidence Reports, technical methodology documents, and Evidence-based Practice Centers program information.

Bandolier
http://www.jr2.ox.ac.uk/Bandolier

Bandolier is a journal produced monthly by Oxford Anglia NHS region in the UK. It contains bullet points of evidence-based medicine, hence its title. Access to Bandolier on the Internet is free of charge, but it may run several months behind the printed version

Bmjupdates+
http://bmjupdates.mcmaster.ca
BMJ Publishing Group and McMaster University HIRU collaborate to provide access to the current best evidence through this website. Citations to more than 100 premier clinical journals are pre-rated for quality and selected for clinical relevance for a searchable database and email alerting system. Registration is required.

Campbell Collaboration
http://www.campbellcollaboration.org
The international Campbell Collaboration (C2) is a non-profit organization that aims to help people make well-informed decisions about the effects of interventions in the social, behavioral, and educational areas.

Centre for Evidence-Based Medicine
http://www.cebm.net
The Centre for Evidence-Based Medicine was established in Oxford as the first of several centres around the country whose aim broadly is to promote evidence-based health care and provide support and resources to anyone who wants to make use of them.

CIRE (Continuous Identification of Research Evidence)
http://www.who.int/reproductive-health/family_planning/evidence.html
CIRE, a collaborative effect of WHO, the CDC, and Johns Hopkins, facilitates the updating of WHO’s evidence-based family planning guidance.

Cochrane Collaboration
http://www.cochrane.org
The Cochrane Collaboration facilitates the creation, review, maintenance and dissemination of systematic overviews of the effects of health care. This home page for this international Collaboration provides access to information on all its activities, to the Handbook, and to password-protected access to the Reviews.

Evidence Based Health Care Practitioners Links
http://hsl.mcmaster.ca/tomflem/all.html
This site provides an excellent collection of links to EBM sites.

Evidence-Based Health Care Resources on the Internet
http://www.mlanet.org/education/telecon/ebhc/resource.html

The Medical Library Association Continuing Education Committee sponsors this excellent set of Internet resources as part of their "Evidence-Based Health Care in Action" initiative.

Evidence-based Medicine Resource Center
http://www.ebmny.org
The EBM Resource Center website, a joint project of the New York Academy of Medicine and the American College of Physicians New York Chapter, offers tools to support critical analysis of medical literature and MEDLINE searching. Extensive links are provided to all areas of EBM, including glossaries, journals, and teaching tools.

Evidence Based Medicine Resources
http://www.ottawahospital.on.ca/library/ebhc-e.asp
This well-organized grouping of links to evidence based medicine sites is recognized by Medicine on the Net (January 1998:29) for its excellence.

Evidence Based Medicine Toolkit
http://www.med.ualberta.ca/ebm/ebm.htm
This collection of tools, adapted from the Users’ Guides series, help users identify, assess, and apply the evidence in practice.

Evidence4u

http://www.evidence4u.man.ac.uk

This site, from the Manchester NHS Agency, provides several evidence-based medicine tools for accessing, appraising, and applying information. User must register or login to use the site.

Health Evidence Network (HEN)
http://www.euro.who.int/HEN
HEN provides answers to specific questions in public health and health care decision-making and easy access to sources of evidence.

National Collaborating Centre for Women’s and Children’s Health
http://www.ncc-wch.org.uk
The aim of NCCWCH is to improve the health of women and children by developing the best evidence-based guidelines for the NHS.

Netting the Evidence: A ScHARR Introduction to Evidence Based Practice on the Internet
http://www.shef.ac.uk/scharr/ir/netting
This is an annotated alphabetic listing of Internet evidence-based medicine resources compiled by Andrew Booth at the University of Sheffield.

NHS Centre for Reviews and Dissemination
http://www.york.ac.uk/inst/crd
The NHS Centre for Reviews and Dissemination (CRD) aims to identify and review the results of good quality health research and to disseminate the findings to key decision makers in the NHS and to consumers of health care services. The reviews cover the effectiveness of care for particular conditions, the effectiveness of health technologies, and evidence on efficient methods of organizing and delivering particular types of healthcare.

PubMed Clinical Queries
http://www.ncbi.nlm.nih.gov/entrez/query/static/clinical.shtml
This NCBI NLM website provides specialized PubMed searches for physicians by clinical study category, limited to systematic reviews, or limited to medical genetics.

Listserv: Evidence-Based-Health
http://www.jiscmail.ac.uk/cgi-bin/webadmin?SUBED1=evidence-based-health&A=1
Join or leave this listserv through this site.

From Jim Henderson

2006-08-19T16:32:00.000+09:30

Stephen,

A hidden gem that contains a good deal of information on reproductive health, and a link to the British Columbia College of Midwifery, where there is some useful information. I don't think either site is developed by a health librarian, unfortunately, but BC Reproductive Care Program content is extensive with some attention to evidence-based appraisal (judge for yourself).

British Columbia Reproductive Care Program http://www.rcp.gov.bc.ca/index.htm
Jim
Jim Henderson
Life Sciences Librarian
Life Sciences Library
& Osler Library of the History of Medicine McGill University

From Irina Ibrarghimova

2006-08-19T16:00:00.000+09:30

Stephen,

Maybe the following list will add to your collection (I compiled it last year for our workshop in Almaty, Kazachstan)

Irina Ibraghimova
Coordinator, Medical Information Resources American International Health Alliance ibra@zadar.net

A really good set of resources as well here
lrc.aiha.com
and here
www.eurasiahealth.org

The file that Irina sent, what a start!!!
Thanks for sending it

Internet Resources on Nursing
Irina Ibraghimova

Contents:

Evidence-based nursing
Journals
Teaching EBN
EBN centers
Practice guidelines
Conferences
Collections of links

Evidence-Based Nursing Journals

Evidence Based Nursing

BMJ Publishing Company and Royal College of Nursing Publishing Company. Free access for developing countries. You can subscribe to receive tables of contents via email, or alternately to be notified when new issues are published online. CiteTrack Alerts service allows you to be alerted when new articles matching a search criteria are published in EBN, or when newarticles in a large set of important journals cite EBN articles in which you are interested.

http://ebn.bmjjournals.com/

Worldviews on Evidence-Based Nursing

This new quarterly, peer-reviewed, journal and information resource from The Honor Society of Nursing, Sigma Theta Tau International and Blackwell Publishing, takes a global approach in its presentation of research, policy and practice, education and management. Worldviews on Evidence-Based Nursing is an important source of information for using evidence-based nursing practice to improve patient care. Journal is seeking to develop and expand its Panel of Reviewers. Minimum requirements are two peer-reviewed journal publications and a higher degree (Master’s or PhD). Tables of contents and a sample issue (December 2004) are available for free.
http://www.blackwellpublishing.com/subs.asp?ref=1545-102X

Online Journal of Clinical Innovations

One of the best EBN resources, which includes integrative reviews with practice recommendations. The Online Journal of Clinical Innovations was developed to provide up-to-date access to research reports and innovation implementation from conferences and communication with investigators and clinicians. New papers are added on an ongoing basis. The topics covered are clinically relevant and each article, with the exception of the knowledge utilization paper and the editorials, is accompanied by a summary.

http://www.cinahl.com/cexpress/ojcionline3/index.html

Teaching EBN

EBM Syllabi - Evidence-Based Nursing
http://www.cebm.utoronto.ca/syllabi/nur/

Health Sciences Library (UNC-Chapel Hill) Evidence Based Nursing

http://www.hsl.unc.edu/services/tutorials/ebn/splash.htm

EBN Centers

Joanna Briggs Institute for Evidence Based Nursing – Australia

The Joanna Briggs Institute works with researchers, clinicians and managers to: identify those areas where health professionals most urgently require summarized evidence on which to base their practice; carry out and facilitate systematic reviews of international research; identify the need for, and promote the conduct of, multi-site research studies in areas where good evidence is not available; prepare easy to read summaries of best practice in the form of Best Practice Information Sheets, based on the results of systematic reviews; promote broad dissemination strategies to ensure that findings are made available to the consumers of health care;design, promote and deliver short courses in evidence based practice for clinicians, researchers, managers, lecturers, teachers and students.

http://www.joannabriggs.edu.au/about/home.php

University of York Center for Evidence-Based Nursing
http://www.york.ac.uk/healthsciences/centres/evidence/cebn.htm

Sara Cole Hirsh Institute for Best Nursing Practices Based on Evidence
http://fpb.cwru.edu/HirshInstitute/index.shtm

Academic Center for Evidence-based Nursing,ACE
AHRQ Nursing Research
http://www.ahrq.gov/about/nursing/

Foundation of Nursing Studies
http://www.fons.org/ns_reports.asp?sub=sub2

Practice guidelines

Association of Women's Health, Obstetric and Neonatal Nurses

AWHONN believes that clinical nursing practice should be based on the best available scientific evidence, and therefore has designed a process for clinical practice guideline development based on the American Nurses Association and the Agency for Healthcare Research and Quality frameworks for evidence - based guideline development. The guidelines could be purchased from online Store. To access the Store, you must be registered on the AWHONN Web-site. In the National Guideline Clearinghouse (http://www.guideline.gov/) you can search "AWHONN" for summaries of the Guidelines.
http://www.awhonn.org/awhonn/?pg=873-5580

National Association of Neonatal Nurses

The Web-site includes: Free Guidelines. Education Standards for Neonatal Nurse Practitioner Programs, and Position Statements developed by the Association
http://www.nann.org/i4a/pages/index.cfm?pageid=788

Oncology Nursing Society

The Oncology Nursing Society is committed to the integration of evidence into oncology nursing practice, education and publication. The Web-site includes the Evidence Based Education Guidelines and the Evidence Based Practice Resource Area. The primary intent of the Evidence-Based Resource
Area is to provide nurses with a guide to identify, critically appraise and use evidence to solve clinical problems. It can also assist nurses – especially advanced practice nurses – who are helping others in developing evidence-based practice protocols. Any healthcare provider, administrator, educator, or student who wants to learn more about the Evidence-Based Practice process or who is involved with implementing such a process may find this resource area informative. The EBP process described at this site is applicable across a variety of healthcare settings. The Oncology Nursing Society's Evidence-Based Practice Resource Area presents current (past 5 years) integrated reviews of research relevant to oncology nursing practice
http://www.ons.org/

Gerontological Nursing Interventions Research Center – GNIRC Research Translation & Dissemination Core- Evidence-Based Protocols

There are currently twenty-six evidence-based nursing practice protocols.These are available for a nominal fee (not-for-profit) to defray copying and postage expense. There are also some quick reference guides and consumer information sheets to accompany some of these protocols. You may request protocols using the Protocols Order Form. Practice Guideline abstracts are available at the National Guideline Clearinghouse http://www.guideline.gov/

http://www.nursing.uiowa.edu/centers/gnirc/rtdcore.htm

Conferences

Evidence-Based Nursing Practice: Needs, Tools, Solutions
Presentations, abstracts, training materials on information needs and tools for EBN practice from the Nursing and Allied Health Resources Section of the Medical Library Association Symposium (May 3, 2003)
http://nahrs.library.kent.edu/resource/symposium/

Evidence-Based Nursing: Strategies for Improving Practice
This conference was organized by Sigma Theta Tau International (July 21, 2004 - Dublin, Ireland)
http://stti.confex.com/stti/preinrc15/techprogram/meeting_preinrc15.htm

The 2d International Conference of Evidence-Based Health Care Teachers and
Developers Book of Abstracts
The Conference was devoted to developing tools and strategies to support teaching and implementing of EBHC and to future research. (Sicily, 2003)
http://www.ebhc.org/2003/EBHC2003.htm

Collections of links

Evidence-Based Practice: Implementation Strategies for Nurses http://www.pegallen.net/presentations.htm

Evidence Based Nursing from University of Minnesota http://evidence.ahc.umn.edu/ebn.htm

McGill University Health Centre - Research Resources for Evidence Based Nursing
http://www.muhc-ebn.mcgill.ca/

Resources for Evidence-Based Nursing from McMaster University
http://www-hsl.mcmaster.ca/ebn/

Evidence-Based Nursing FindIt

FindIts are gateways to resources in your subject area. Each FindIt helps you with - getting started, finding books, journal articles, using databases, relevant Internet resources and specialized information. Further information on how to use some of these resources is found in handy UseIts.Each UseIt contains - a short basic "recipe" to get you started and step-by-step
http://www.library.uq.edu.au/findits/findit.php?title=Evidence-Based+Nursing

The first post!!!

2006-08-19T15:54:00.000+09:30

This blog came out of a discussion with our academic nursing staff, when I suggested I might like to build some resources for their students and colleagues. I undertook some initial online research and then wisely emailed a number of international medical, health and nursing mailing lists. I have had a great deal of co-operation from librarians around the world.
I will post their contributions as individual postings