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Nursing Research: Medical Subject Headings

What are Medical Subject Headings?

What is a controlled vocabulary or thesaurus?

  • A "Controlled vocabulary" or "thesaurus" feature in search interfaces allow that the same, identical term is added every time the search indexer encounters a particular subject.
  • While authors may use different words to describe a concept (e.g., heart attack OR myocardial infarction), the indexer will always add the term "myocardial infarction."
  • This promotes the organization of an index and a user's ability to find literature.
  • Different indexes/databases use different vocabularies. Sometimes trial and error 

Why use controlled vocabulary terms when searching?

  • Exercise more control over the search.
  • Retrieve more relevant results.
  • Save time and energy!

What is MeSH?

  • Medical Subject Headings (MeSH) are consistent, controlled vocabulary terms used by the National Library of Medicine (including PubMed!) to describe concepts in the medical field. 
  • MeSH headings are arranged in a hierarchy/tree structure starting at the topic with the broadest categories and working its way down the list through narrower topics.
  • The hierarchies are automatically "exploded" in PubMed
    • i.e. when you select a MeSH term, that term and ALL narrower (more specific) terms are also selected at the same time.

CINAHL Subject Headings?

  • CINAHL nursing database has its own hierarchical controlled vocabulary that's very similar to MeSH.
  • CINAHL headings have more specific terms related to nursing concepts.
  • CINAHL headings can be found in the top left corner of CINAHL, above the search fields.
  • CINAHL headings search ONLY the Subject Heading selected (they aren't automatically exploded like MeSH.
    • To explode CINAHL headings, manually select the EXPLODE option.

MeSH Introduction

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