Figuring out how to communicate with databases in order to find research articles can be a bit tricky. While you can ask Google a question and get an answer, academic databases are a bit different and you have to use a different strategy if you want to make sure you are finding the best evidence from the published scholarly literature.
Take this research question:
Does noise level in neonatal intensive care unit (NICU) have an effect on brain development?
There are three main concepts in this question:
So for a first search, you can incorporate each of these concepts:
Neonatal Intensive Care Unit AND Noise AND Brain Development
You do not want to simply paste a question into a database search box. Rather, you'll want to only use the most essential parts of the question.
This question also included a directional outcome, "effect." Words like effect, affect, impact, etc. can be more trouble than they are worth. For example, think about an article that says, "the impact of noise on brain development." This article is 100% on topic, but because your search specified "effect" as a required term, you would not see this article in your search results.
The Health Sciences fields use a ton of acronyms. In general, you should spell out the phrase or word rather than using the acronym. For example, use intensive care unit instead of ICU, or Post Traumatic Stress Disorder instead of PTSD.
Once you have your PICOT question built, you can identify the main points; often these will be your primary search terms. But you might want to include synonyms or alternative search terms to broaden your search and get more results. For the most comprehensive search, we recommend using a combination of keywords and subject headings (such as MeSH or CINAHL Subject Headings).
For example, if you are searching for information about older people, you might try the following terms:
One great way to find alternative keywords is to use a medical encyclopedia or Point of Care tool -- not only will you learn more about the concept, but you'll learn common alternative terms.
In addition to keywords, you can also use controlled vocabulary, or subject headings, to find research. Learn more about subject headings on the next page.
Point of Care tools are reference tools that provide quick information to help clinicians at the "point-of-care." When getting started in thinking about a clinical question, utilizing a Point of Care tool can be really helpful in learning more about a topic and in identifying potential search terms, including both lay terms and medical terminology.