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Worldviews on Evidence-based Nursing

Emily Allen, Anne Williams, David Jennings, Norman Stomski, Roger Goucke, Christine Toye, Susan Slatyer, Trish Clarke, Kylie McCullough
BACKGROUND: Effective pain management is unlikely to occur without consistent and timely assessments. To improve assessment and management of pain, ward-based pain resource nurses were introduced in 2007 to facilitate hospital-wide evidence-based practice changes using three key targets. One-year post implementation of this quality improvement project, promising results were revealed. AIMS: The purpose of this study, 8 years post implementation, was to (a) evaluate sustained practice improvements in pain assessment and management, (b) assess current pain resource nurse knowledge and attitudes to pain, (c) explore characteristics of the pain resource nurse role, as well as (d) any perceived contextual changes regarding study findings...
August 29, 2018: Worldviews on Evidence-based Nursing
Janet Diffin, Gail Ewing, Gill Harvey, Gunn Grande
BACKGROUND: The Carer Support Needs Assessment Tool (CSNAT) intervention is an evidence-based, person-centered approach to carer assessment and support within palliative care. As such, it requires a change in practice from a practitioner- to a carer-led assessment and support process. A paucity of research has investigated factors affecting implementation of evidence-based interventions within palliative care. OBJECTIVE: To examine differences between high and low adopters of the CSNAT intervention in terms of practitioner attitudes to the intervention and organizational context...
August 27, 2018: Worldviews on Evidence-based Nursing
Linda Connor
No abstract text is available yet for this article.
August 23, 2018: Worldviews on Evidence-based Nursing
Iman Al Kouatly, Nada Nassar, Maya Nizam, Lina Kurdahi Badr
BACKGROUND: Conclusive evidence on the effect of nurse staffing ratios on nurse-sensitive outcomes (NSOs) has not yet been achieved worldwide. AIMS: To describe the relationship between nurse staffing and NSOs at a Magnet designated, university hospital a low-income country. METHODS: A 48-month prospective study assessed the relationship between nurse staffing and six patient outcomes or NSOs in medical-surgical units and critical care units (CCUs)...
August 20, 2018: Worldviews on Evidence-based Nursing
David A Richards, Tove Aminda Hanssen, Gunilla Borglin
BACKGROUND: European research in nursing has been criticized as overwhelmingly descriptive, wasteful and with little relevance to clinical practice. This second triennial review follows our previous review of articles published in 2010, to determine whether the situation has changed. OBJECTIVE: To identify, appraise, and synthesize reports of European nursing research published during 2013 in the top 20 nursing research journals. METHODS: Systematic review with descriptive results synthesis...
August 20, 2018: Worldviews on Evidence-based Nursing
Ana L Solano López
BACKGROUND: In spite of the advances in hypertension prevention and treatment, there is a high percentage of people with elevated or uncontrolled blood pressure. New patient-centered strategies are needed to support people managing their condition. A complementary behavioral treatment, the mindfulness-based stress reduction (MBSR) program, needs to be evaluated for its potential to reduce blood pressure. AIMS: To examine the literature on MBSR program effectiveness for blood pressure in adults with hypertension or elevated blood pressure...
August 19, 2018: Worldviews on Evidence-based Nursing
Janet H Davis, Taryn T Eastland
No abstract text is available yet for this article.
August 19, 2018: Worldviews on Evidence-based Nursing
Jin-Hua Liao, Rong-Fang Hu, Li-Jing Su, Shuo Wang, Qin Xu, Xiao-Fang Qian, Hong-Gu He
BACKGROUND: Nonpharmacological interventions are often used to promote sleep among preterm infants in the neonatal intensive care unit (NICU). However, there is a lack of synthesis in the evidence of their effectiveness. AIM: To synthesize the evidence on the effectiveness of nonpharmacological interventions on NICU preterm infants' sleep during hospital stay. METHODS: Seven databases were searched, including MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, Wan-fang database, China National Knowledge Infrastructure, China Biological Medicine Database, and VIP Journal Integration Platform from their inceptions to August 2017...
August 11, 2018: Worldviews on Evidence-based Nursing
Cindy Stern, Zac Munn, Kylie Porritt, Craig Lockwood, Micah D J Peters, Susan Bellman, Matthew Stephenson, Zoe Jordan
BACKGROUND: The cornerstone of evidence-based health care is the systematic review of international evidence. Systematic reviews follow a rigorous, standardized approach in their conduct and reporting, and as such, education and training are essential prior to commencement. AIMS: This study reports on the evolution of the Joanna Briggs Institute Comprehensive Systematic Review Training Program (JBICSRTP) as an exemplar approach for teaching systematic review methods...
July 26, 2018: Worldviews on Evidence-based Nursing
Anita Yuk-Ling Li, Winnie Kwok-Wei So, Doris Yin-Ping Leung
BACKGROUND: Type 1 diabetes (T1D) is one of the most common chronic diseases in childhood. Daily diabetes management poses a major challenge for parents. Intensive insulin therapy using continuous subcutaneous insulin infusion (CSII) or multiple daily injections (MDI) are recommended for patients with T1D, but evidence for their effectiveness on parental quality of life (QOL) and glycemic control among children with T1D is inconclusive. OBJECTIVES: A systematic review was conducted to determine the best available evidence regarding the effectiveness of CSII compared to MDI on parental QOL and glycemic control among children with T1D...
July 22, 2018: Worldviews on Evidence-based Nursing
Nancy C Edwards, Kathryn Smith Higuchi
BACKGROUND: Evidence-based improvements in long-term care (LTC) are challenging due to human resource constraints. AIMS: To evaluate implementation of a multimodal, participatory intervention aimed at improving evidence-based care. METHODS: Using a qualitative descriptive design, we conducted and inductively analyzed individual interviews with staff at midpoint and end-point to identify action plan implementation processes and challenges. The 9-month intervention engaged professional and unregulated staff in an on-site workshop and provided support for their development and implementation of site-specific action plans...
July 18, 2018: Worldviews on Evidence-based Nursing
Yi-Ling Chiou, Chich-Hsiu Hung, Hsiu-Yun Liao
BACKGROUND: Gestational diabetes mellitus (GDM), an obstetric disease that affects the health of pregnant women, is one of the key factors associated with perinatal mortality or disease. AIMS: To explore the impact of prepregnancy body mass index (BMI) and gestational weight gain (GWG) on perinatal outcomes for women with GDM. METHODS: With a retrospective study design, women were recruited who received prenatal checkups, gave birth at two teaching hospitals in southern Taiwan from 1995 to 2011, and received a diagnosis of GDM by an obstetrician...
August 2018: Worldviews on Evidence-based Nursing
Christine E Bader, Nicholas A Giordano, Catherine C McDonald, Salimah H Meghani, Rosemary C Polomano
BACKGROUND: Since 2001, the U.S. Armed Forces' training and deployment have greatly increased, escalating the risk of injury and pain-related issues both at home station and deployment environments. AIMS: This integrative review examines the incidence, prevalence, and risk factors for musculoskeletal pain (MSP) and headaches in active duty (AD) military populations. METHODS: Peer-reviewed research published between 2001 and 2016 was identified relevant to MSP and headache in AD military personnel using MeSH terms in key biomedical databases...
August 2018: Worldviews on Evidence-based Nursing
Hanna Leena Melender, Virpi Maijala
No abstract text is available yet for this article.
August 2018: Worldviews on Evidence-based Nursing
Lori A Spies, Susan Gerding Bader, Jackline G Opollo, Jennifer Gray
BACKGROUND: Hypertension is the leading preventable contributor to cardiovascular morbidity and mortality, affecting 1 billion people globally. Low- and middle-income countries have increasing rates of hypertension, much of it undiagnosed. AIMS: The purpose of the project is to review studies of nurse-led hypertension interventions that have been implemented in East Africa and to inform hypertension interventions in low-resource settings. METHODS: A scoping review was conducted following Arksey and O'Malley's (2005) format...
August 2018: Worldviews on Evidence-based Nursing
Dianne Morrison-Beedy
No abstract text is available yet for this article.
August 2018: Worldviews on Evidence-based Nursing
Nadine Zeeni, Rita Doumit, Joelle Abi Kharma, Maria-Jose Sanchez-Ruiz
BACKGROUND: Previous research has shown that the use of technology and media, in their different available forms, may have detrimental effects on the physical and mental well-being of adolescents and young adults. AIMS: The present study aimed to investigate the use of different types of technology and media, attitudes toward them, and how they relate to physical and mental well-being in Lebanese university students. METHODS: A descriptive, correlational, cross-sectional design was used...
August 2018: Worldviews on Evidence-based Nursing
Lanell M Bellury, Karen Mullinax, Judi Mozingo, Berta Dantzler, Nancy McGee
BACKGROUND: Outpatient surgeries are common and most patients experience pain postoperatively requiring nursing attention to pain management. Scripting, recommended for consistent, targeted communication to improve patient satisfaction, has limited evidence to support its use. AIMS: To explore the effect of scripted messages on self-reported pain control and patient satisfaction with care in outpatient surgical patients. METHODS: A retrospective medical record review pre- and postintervention evaluated a pain management scripted message delivered at two time points (preoperatively and postoperatively)...
August 2018: Worldviews on Evidence-based Nursing
Sibel Serap Ceylan, Bahire Bolւşւk
AIMS: To determine the effects of sponge baths and swaddled bathing on premature infants' vital signs, oxygen saturation levels, crying times, pain, and stress levels. METHODS: This study was a clinical trial with a crossover design. Data were conducted in the neonatal intensive care unit of a public hospital in Denizli, Turkey. A total of 35 premature infants, who were born at 33-37 weeks gestation with a birth weight <1,500 g, were enrolled in the study. Two bathing methods were applied at 3-day intervals...
August 2018: Worldviews on Evidence-based Nursing
Margo A Halm
BACKGROUND: Proficiency in evidence-based practice (EBP) is essential for relevant research findings to be integrated into clinical care when congruent with patient preferences. Few valid and reliable tools are available to evaluate the effectiveness of educational programs in advancing EBP attitudes, knowledge, skills, or behaviors, and ongoing competency. The Fresno test is one objective method to evaluate EBP knowledge and skills; however, the original and modified versions were validated with family physicians, physical therapists, and speech and language therapists...
August 2018: Worldviews on Evidence-based Nursing
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