International Journal of Evidence-based Healthcare

Planning and implementing surge capacity in healthcare services is challenging. The evolving nature of viral transmission makes it difficult to predict the potential impact on the health system and the readiness of healthcare managers and professional staff in responding to system transformation and consequential impacts. This is compounded by sudden increased demands in the types of work required. Guidance for implementing targeted strategies for health systems and services should include evidence that considers the feasibility, appropriateness, meaningfulness and effectiveness of healthcare practices at both the system and organization level...

INTRODUCTION: Counting of accountable items used during surgery, frequently called 'the count', is a fundamental practice to ensure that items such as surgical instruments, sponges and sharps are not forgotten within patients. Although inadvertently leaving behind a sponge or instrument at the end of an operation is a rare event, it is an error that may have serious implications. OBJECTIVES: The aim of this evidence implementation project was to contribute to promoting evidence-based practice in surgical counts in open abdominal and pelvic surgeries and thereby improving the outcomes of the surgical patients at a surgical centre of a university hospital...

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OBJECTIVES: The aim of this project was to initiate and promote formal and individualized evidence-based education on healthy lifestyle choices during pregnancy for pregnant women. INTRODUCTION: Evidence suggests that lifestyle choices during pregnancy can have a profound influence on many pregnancy complications and chronic diseases such as preterm birth, diabetes, obesity, fetal growth restriction, breast cancer and hypertensive diseases in both pregnant women and their babies...

BACKGROUND: Enteral nutrition is commonly used in patients with gastric cancer after a partial or full gastrectomy since it is safe to use and nutrient delivery is in line with human physiological characteristics. However, enteral feeding often leads to deficiency, when the actual intake of the patient is lower than the target demand, which seriously affects the recovery of patients. OBJECTIVE: To implement the best practice for preventing and managing underfeeding during enteral nutrition, and to improve the nutritional status of patients with gastric cancer...

BACKGROUND: One major complication of the insertion of a peripheral venous catheter (PVC) is phlebitis, often resulting in delay of treatment, increased healthcare costs and prolonged hospitalization. AIMS: The current study sought to evaluate the effectiveness of a standardized PVC care bundle in increasing the compliance of PVC care and assessment and reduce the occurrences of phlebitis rates. METHODS: A pre and postimplementation audit approach was used in this study and adopted the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice program...

INTRODUCTION: Despite evidence from studies on nonpharmacological pain management among newborns, many health professionals still don't apply evidence from scientific knowledge in their clinical practice. OBJECTIVES: To promote evidence-based practice for nonpharmacological analgesic interventions among newborns in the Maternity Ward of the University Hospital of the University of Sao Paulo, improving pain management and promoting healthy newborn growth and development, and better use of resources...

INTRODUCTION: In 2012 in Australia, stroke was the cause of 11 791 deaths and affected the lives of over 420 000 survivors. Survivors experience significant physical and cognitive deficits; and accumulate a 43% risk of subsequent stroke. Effective evidence-based management of stroke is essential. The Stroke Foundation released Clinical Guidelines for Stroke Management in 2017. Within these guidelines, nutrition and hydration are recognized as important aspects of poststroke management...

AIM: In a world of data overload, clinical practice recommendations are needed to help practitioners and patients to take evidence-based decisions. However, in the field of type 2 diabetes mellitus (T2DM) recommendations on glycemic goals and treatment choice are controversial in spite of being supported by a common body of evidence. We hypothesize that internal and external validity of this body of evidence might not be as sound as expected. The aim of the current study is to appraise the studies supporting recommendations developed by influential medical societies dealing with glycemic goals and the choice of pharmacological treatment in adults with T2DM...

INTRODUCTION: Subcutaneous delivery of anticoagulant therapy is a common treatment modality across multiple medical disciplines. However, postinjection complications of bruising and pain continues to be a problem that has the propensity to affect patients physically and psychologically. A review of literature revealed a set of recommended injection techniques that have shown to improve these clinical outcomes. OBJECTIVES: The project aims to utilize an evidence implementation framework to introduce evidence-based injection technique, for the reduction of postinjection complications...

AIM: The aim of this evidence implementation project is to make a contribution to promoting evidence-based practice in the assessment and management of women with heavy menstrual bleeding (HMB) attending the gynaecology outpatient clinic at Kenyatta National Hospital (KNH) and thereby improve patient outcomes and resource utilization. METHODS: The evidence implementation project was carried out at the gynaecology outpatient clinic of the largest referral facility in Kenya...

INTRODUCTION: Oral mucositis refers to mucosal damage and occurs in the oral, pharyngeal, and laryngeal cavities. When patients with cancer get oral mucositis, the painful condition can cause difficulties in eating, drinking, and swallowing and may compromise the patient's nutritional status. It also may be drastically associated with infections, resulting in longer hospitalizations. OBJECTIVES: The aim of this project was to promote best practices related to oral mucositis prevention and treatment for patients in the hematology-oncology setting...

OBJECTIVES: The current project aimed to conduct an audit of nursing medication administration practices, to implement evidence-based best practice recommendations and assess the effectiveness of these changes in maximizing medication administration safety and reducing the risks of adverse incidents across 10 wards/units in a large tertiary hospital. INTRODUCTION: Medications are the most common treatment used in healthcare. Because they are so commonly used, medications are associated with a higher incidence of errors and adverse events than other healthcare interventions...

AIM: To assess sustainability of an intervention used to implement pressure ulcer prevention. BACKGROUND: The Promoting Action on Research Implementation in Health Service, framework was used to develop an intervention aimed to implement evidence-based pressure ulcer prevention in a hospital setting. A short-term follow-up showed that significantly more patients received pressure ulcer prevention. A qualitative process evaluation gave support that the intervention and the implementation process changed the understanding and approach to working with pressure ulcer prevention from treating to preventing...

BACKGROUND: The WHO has a series of comprehensive care instructions to improve the health of newborns from prior to conception, throughout pregnancy, soon after birth and in the postnatal period. OBJECTIVE: The objective of this best practice implementation project was to promote evidence-based best practice of immediate newborn care practice among midwives working in the maternity ward. METHODS: Baseline and postimplementation audits were conducted using the Joanna Briggs Institute Practical Application of Evidence System using nine audit criteria for immediate newborn care...

OBJECTIVE: The current project generally aims to assess compliance with evidence-based criteria regarding postnatal care among women in a national hospital in Kazakhstan. INTRODUCTION: Improvements in reducing maternal and infant mortality in Kazakhstan have been noted over the past 2 decades. However, recent studies have indicated that care given to women during the perinatal period, which includes the postnatal period, is unsatisfactory. In addition, service delivery remains unstandardized, while outdated and inconsistent application of practice guidelines are observed in the clinical setting...

OBJECTIVE: The current implementation project aimed to promote evidence-based practice with prechemotherapy nursing assessment among adult cancer patients in a large university cancer center in Shanghai, China, over a 6-month timeframe. INTRODUCTION: Prechemotherapy nursing assessment is an essential element of cancer patient care, aiming to prevent or minimize potential problems from chemotherapy treatment. Regular comprehensive prechemotherapy assessment is not part of routine care currently in many clinical settings within China...

AIM: Through this qualitative research of clinicians' perspectives and experiences, we seek to inform rehabilitation clinicians about the various aspects of adopting and integrating robotic stroke therapy into clinical settings. METHODS: Semistructured interviews were conducted with individual clinical therapists to seek their perspectives on robotic stroke rehabilitation. From the data collected, qualitative descriptive analysis was used to inductively identify codes, categories and central themes...

AIM: The aim of this project was to assess compliance with evidence-based criteria that set out effective techniques for ensuring correct positioning and attachment in breastfeeding infants delivered by cesarean section in the La Fe University and Polytechnical Hospital of Valencia, Spain. METHODS: The current clinical pre/post audit was conducted in a convenience sample with no control group. First, five audit criteria from the Joanna Briggs Institute framework and Practical Application of Clinical Evidence System program were selected to assess correct positioning and attachment during breastfeeding...

BACKGROUND AND AIMS: Clinician engagement in research has the potential to improve healthcare processes and facilitate evidence-based practice. As a means to encourage clinician research engagement and links between speech-language pathology (SLP) clinicians in practice and researchers in higher education institutions, a national SLP clinician-academic research community of practice was established. The first steps for this newly formed research community was to determine stakeholder aims, to prioritize those aims and specify actions which would help respond to the stated priorities...