Evidence (Literature) Search Request Form

*Date:

*Literature Search or Orientation/Training Request

*please note - The turnaround time for a literature search is 2-3 weeks (depending on the question and librarian capacity). Urgent patient care requests are prioritized and can be expedited.

What is your question or topic?

How do you plan to use this information?

*Name:

*Email:

*Agency:

*Program:

*Job Role and/or Discipline: (eg. Nurse Educator, NICU)

*Purpose of Literature Search:

(select all that apply)

	Patient Care
	Management/Administration
	Education
	Conference/Seminar/Grand Rounds
	Publication
	Research
	Other:

Please provide any background information you think is important, along with relevant keywords.
If possible, use PICO:

Patient/Population
Intervention
Comparison (if applicable)
Outcome