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International Journal of Evidence-based Healthcare

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https://www.readbyqxmd.com/read/28723702/reducing-falls-in-the-inpatient-hospital-setting
#1
Catherine M Melin
AIM: This quality improvement project's objective was to introduce and assess a process change to potentially reduce fall rates on an inpatient medical-surgical unit. METHODS: The Iowa Model of Evidence-Based Practice was used to guide the implementation of this project. This project was piloted over a 3-month period from October to December 2016 on a 38-bed medical-surgical unit at a community-based hospital in the southeastern United States. Prior to the implementation of this quality improvement project, staff received falls education using a modified pre-existing falls prevention protocol, with a focus on increasing the consistency of bed/chair alarm use for patients identified as being at risk for falling...
July 18, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28704279/assessing-healthcare-professionals-experiences-of-integrated-care-do-surveys-tell-the-full-story
#2
Matthew D Stephenson, Jared M Campbell, Karolina Lisy, Edoardo C Aromataris
BACKGROUND: Integrated care is the combination of different healthcare services with the goal to provide comprehensive, seamless, effective and efficient patient care. Assessing the experiences of healthcare professionals (HCPs) is an important aspect when evaluating integrated care strategies. AIMS: The aim of this rapid review was to investigate if quantitative surveys used to assess HCPs' experiences with integrated care capture all the aspects highlighted as being important in qualitative research, with a view to informing future survey development...
July 12, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28692455/relationship-between-the-use-of-intuition-in-clinical-practice-and-the-clinical-competence-of-critical-care-nurses
#3
Parkhide Hassani, Alireza Abdi, Rostam Jalali, Nader Salari
INTRODUCTION: Clinical competency has been the main focus of nurse educational systems. To further it, the concept of intuition was introduced into nursing in the 1970s. Benner's theory proposed that greater use of intuition was linked to higher clinical competence; however, there is still a paucity of data to verify this theory. Therefore, the current study was conducted to assess the relationship between the use of intuition in clinical practice and the clinical competence of critical care nurses...
July 7, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28448328/hospice-or-community-network-choices-in-end-of-life-care-in-jamaica
#4
Roger Lee Mendoza
AIM: Now considered a subspecialty of medicine and nursing, palliative care is a critical aspect of healthcare at the end of life. National and international healthcare agencies typically attribute its slow or haphazard growth in developing countries to various resource constraints. However, this study provides evidence of the substantial and widening gap between policy advocacy and patient choices in end-of-life care. It does so by establishing the incentives and risks that underlie decision-making by patients and providers against the relative scarcity of palliative care and hospices in these countries...
May 25, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28509809/evidence-based-practice-among-health-professionals-in-hospitals-of-northwest-ethiopia-a-cross-sectional-study
#5
Miftah A Beshir, Solomon A Woreta, Mihiretu Kebede
BACKGROUND: Evidence-based practice (EBP) is a problem-solving approach to patient care based on the best available and valid evidence. It is accentuated to increase the quality of care and patient safety. EBP in clinical service is low in developing countries including Ethiopia. This study aimed at assessing EBP and associated factors among health professionals in North Gondar Administrative Zone hospitals, Northwest Ethiopia. METHODS: Institution-based cross-sectional study was carried out from March to May 2015 in three hospitals in North Gondar Zone...
May 15, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28509808/implementing-patient-information-for-gynae-oncology-patients-at-a-tertiary-referral-health-service
#6
Vicki Campbell, Kate Kynoch, Jacinta Tolmie, Carolyn Donges
AIM: To ensure that gynae-oncology surgical patients receive relevant written information, in their preferred format, and at a time that suits them, according to the best available evidence. METHODS: This project utilized an audit and feedback design and was conducted over a 9-month period from August 2015 to May 2016. Twenty-nine patients were audited prior to two strategies being implemented. The first strategy was a standardized e-mail letter to all patients (containing links to surgical information, cancer support websites and a short video introducing hospital staff, and the second was a discharge information sheet detailing wound care, signs of complications, actions to take and follow-up instructions...
May 15, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28509811/implementation-of-a-new-method-to-track-propofol-in-an-endoscopy-unit
#7
Catherine Horvath
AIM: Propofol is a widely used anesthesia induction agent and is easily accessible in most healthcare facilities. Unlike regulated or schedule drugs, propofol is inconsistently tracked, leading to inaccurate inventories, incorrect billing, and unrecognized diversion. The goal of this project was to implement a new method of tracking propofol in a single setting, with the aim of accounting for 100% of the drug. METHODS: For two, 2-week observation periods, data were extracted from an automated medication management system or pharmacy inventory system, anesthesia records, and pharmacy billing sheets for cases in a Gastrointestinal (GI) Endoscopy Unit, and compared pre-implementation and post-implementation of a new tracking and accounting protocol...
April 29, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28520573/efficacy-of-non-invasive-brain-stimulation-for-people-experiencing-chronic-pain
#8
Denise Blanchard, Sharon Bourgeois
No abstract text is available yet for this article.
June 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28509810/the-triple-c-consultation-collaboration-and-consolidation-model-a-way-forward-to-sustainability-of-evidence-into-practice
#9
Hanan Khalil
No abstract text is available yet for this article.
June 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28448327/community-osteoporosis-screening-services-for-the-prevention-of-osteoporotic-fractures-in-population-health-a-literature-review
#10
Vu H Nguyen
AIM: To determine the implications of the reviewed literature in population health improvement. METHOD: A review of the literature was conducted with the search of four databases: PubMed, PsycINFO, ERIC, and Google Scholar. Search terms entered into these databases were 'osteoporosis community'. After a thorough review of all search results, 11 studies were found to be community osteoporosis screening services, and descriptions of each study's participants and location, details and descriptions of each study's community osteoporosis screening service, and effectiveness on outcome measure(s) for each study's objective were reviewed and examined to determine their implications on population health...
June 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28448326/design-of-an-online-medication-safety-module-for-clinicians
#11
Hanan Khalil, Kirsten Schliephake
BACKGROUND: In Australia, there are very few online courses addressing medication safety issues. Educating clinicians about medication safety is paramount given the increased responsibility of clinicians in advanced practice roles including nurses at several key points throughout the medication process that encompass prescribing, dispensing, administering and monitoring medications. METHOD: The model used for the course design is based on adult teaching principles...
June 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28375938/-being-in-the-know-nurses-perspectives-on-the-role-of-end-of-shift-verbal-handover
#12
Antoinette David, Eleanor Holroyd, Mervyn Jackson, Sonja Cleary
AIM: To explore and qualitatively review 'end-of-shift' verbal communication practices and processes; and to further develop a core theoretical construction of nurses' perspectives on handover in contemporary Australian clinical settings. METHOD: The following study will report the results from phase 1 of a two-phase study examining the Australian nurse's perspective of verbal handover. The data were gathered over a 2-month period in 2013 for phase 1 of the study...
June 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28157723/integrated-care-pathway-for-rectal-cancer-treatment-health-care-resource-utilization-costs-and-outcomes
#13
Silvia T Kobayashi, Maria D P E Diz, Alessandro G Campolina, Patricia C De Soárez, Ulysses Ribeiro, Sergio C Nahas, Karina G M C Vasconcelos, Fernanda Capareli, Ivan Cecconello, Paulo M Hoff
AIM: Managed Flow C20 (MFC20) is an integrated care pathway (ICP) for rectal cancer implemented at a public teaching hospital. This study aims to quantify resource utilization and estimate direct costs and outcomes associated with the use of this ICP. METHODS: We evaluated consecutive rectal cancer patients treated with neoadjuvant chemoradiotherapy (nCRT) followed by surgery, comparing the period before the ICP implementation (Pre-MFC20 group) and after (MFC20 group)...
June 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28448329/effect-of-educational-program-on-self-care-behaviors-and-health-outcome-among-patients-with-heart-failure-an-experimental-study
#14
Manal M Al-Sutari, Muayyad M Ahmad
OBJECTIVES: To implement an educational program for patients with heart failure and to assess its effectiveness on self-care behaviors and health outcomes (frequency of hospitalizations, emergency department visits, and deaths). METHODS: A comparative-experimental design was used. A total of 144 participants were randomized into the intervention group (who received individualized education session, self-care manual, and weekly phone calls) and the control group (who received usual care)...
April 26, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28399014/physiotherapists-behaviour-attitudes-awareness-knowledge-and-barriers-in-relation-to-evidence-based-practice-implementation-in-saudi-arabia-a-cross-sectional-study
#15
Mansour A Alshehri, Ahmed Alalawi, Hammad Alhasan, Emma Stokes
AIM: The implementation of evidence-based practice (EBP) is extremely important and plays a vital role in healthcare practice. There have been few studies concerning the level of healthcare provided to patients in Saudi Arabia, using EBP as an indicator. This study is aimed at investigating physiotherapists' behaviour, attitudes, awareness and knowledge about EBP, along with barriers that curb the implementation of EBP. METHODS: A sample of convenience was used and an online survey consisting of 14 closed-ended questions was given to both clinical and academic physiotherapists in Saudi Arabia from May to October 2016...
April 10, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28263246/why-syrian-refugees-living-in-informal-settlements-need-the-same-research-protections-as-us-prisoners
#16
Michael Clinton
No abstract text is available yet for this article.
March 3, 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/28267076/antimalarial-prescription-in-a-public-hospital-outpatient-setting-in-kenya-a-best-practice-implementation-project
#17
Henry K Amdany, Mark McMillan, Peninah Kiptoo
BACKGROUND: Important gaps still exist in malaria case management despite implementation of the World Health Organization parasitological diagnosis before treatment recommendation. This calls for evidence-based strategies to improve health providers' adherence to these guidelines. OBJECTIVE: The goal of this project was to improve adherence of confirmed parasitological diagnosis prior to antimalarial prescription in the outpatient department. METHODS: The Joanna Briggs Institute Practical Application of Clinical Evidence System program was used to facilitate collection of baseline and post-audit data...
March 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/27875344/patient-centred-hand-hygiene-information-in-orthopaedics-units-an-evidence-based-implementation-project
#18
Arielle Yi Jia Ong, Joanne Tan, Hui Ling Yeo, Mien Li Goh
AIM: This project aimed to improve patients' knowledge on the importance of hand hygiene. It involved providing patients with a patient and family education on the importance of hand hygiene using a patient information leaflet that introduces the rationale of hand hygiene, possible consequences of poor hand hygiene, and the seven steps of hand hygiene. METHODS: This projected used a preimplementation and postimplementation audit strategy using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research Into Practice programs...
March 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/27465926/implementation-of-an-education-package-on-breast-engorgement-aimed-at-lactation-consultants-and-midwives-to-prevent-conflicting-information-for-postnatal-mothers
#19
Loretta Anderson, Kathryn Kynoch
AIM: The aim of this evidence-based practice project was to improve local practice in the treatment of breast engorgement in postnatal mothers and to ensure the treatment of engorgement in postnatal mothers is performed according to the best available evidence. METHODS: This evidence-based practice project took place in a 28-bed postnatal ward in a large metropolitan tertiary hospital. Twenty midwives and 20 in-patients were recruited for the project. The project utilized an audit and feedback design...
March 2017: International Journal of Evidence-based Healthcare
https://www.readbyqxmd.com/read/27164317/securement-of-the-indwelling-urinary-catheter-for-adult-patients-a-best-practice-implementation
#20
Angela Shum, Kai Sim Wong, Kalarani Sankaran, Mien Li Goh
AIM: The evidence-based project sought to improve knowledge and practice in the care and securement of indwelling urinary catheters. METHODS: The project utilized a pre and post-implementation audit strategy, with the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs. The best practice recommendations on the care and securement of indwelling urinary catheters were retrieved from the Joanna Briggs Institute Clinical Online Network of Evidence for Care and Therapeutics database...
March 2017: International Journal of Evidence-based Healthcare
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