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"Evidence Based Practice"

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https://www.readbyqxmd.com/read/28715289/survey-of-methods-used-to-determine-if-a-patient-has-a-deep-vein-thrombosis-an-exploratory-research-report
#1
John D Heick, James W Farris
BACKGROUND: The use of evidence-based practice (EBP) is encouraged in the physical therapy profession, but integrating evidence into practice can be difficult for clinicians because of lack of time and other constraints. OBJECTIVE: To survey physical therapy clinical instructors and determine the methods they use for screening for deep vein thrombosis (DVT), a type of venous thromboembolism (VTE) in the lower extremities. DESIGN: Exploratory survey...
July 17, 2017: Physiotherapy Theory and Practice
https://www.readbyqxmd.com/read/28714835/interventions-to-support-and-develop-clinician-researcher-leadership-in-one-health-district
#2
Margaret Fry, Anthony Dombkins
Purpose Clinical leadership, researcher capacity and a culture of clinical inquiry are needed in the clinical workforce. The purpose of this paper is to report on a program which was used to develop and support clinicians to explore practice, implement innovation, translate evidence and build researcher capacity. Design/methodology/approach This pragmatic paper presents a case study of a nursing and midwifery clinician-researcher development program. The multi-site, multi-modal program focused on education, mentoring and support, communication networks, and clinician-university partnerships strategies to build workforce capacity and leadership...
July 10, 2017: International Journal of Health Care Quality Assurance
https://www.readbyqxmd.com/read/28714111/room-for-improvement-in-breast-milk-feeding-after-very-preterm-birth-in-europe-results-from-the-epice-cohort
#3
Emilija Wilson, Anna-Karin Edstedt Bonamy, Mercedes Bonet, Liis Toome, Carina Rodrigues, Elizabeth A Howell, Marina Cuttini, Jennifer Zeitlin
Breast milk feeding (BMF) is associated with lower neonatal morbidity in the very preterm infant (<32 weeks gestation) and breastfeeding is beneficial for maternal health. Previous studies show large variations in BMF after very preterm birth and recognize the need for targeted breastfeeding support in the neonatal intensive care units (NICU). In a European collaboration project about evidence-based practices after very preterm birth, we examined the association between maternal, obstetric, and infant clinical factors; neonatal and maternal care unit policies; and BMF at discharge from the NICU...
July 17, 2017: Maternal & Child Nutrition
https://www.readbyqxmd.com/read/28713807/the-development-of-a-postgraduate-orthopaedic-manual-therapy-residency-program-in-nairobi-kenya
#4
Shala Cunningham, Richard Jackson, Daniel Kangutu Muli, Joni McFelea
INTRODUCTION: There are very few opportunities for long-term, comprehensive postgraduate education in developing countries because of fiscal and human resource constraints. Therefore, physiotherapists have little opportunity following graduation to advance their skills through the improvement of clinical reasoning and treatment planning and application. BACKGROUND: To address the need for sustainable advanced instruction in physiotherapy within the country, a postgraduate Residency program was initiated in Nairobi, Kenya in 2012...
2017: Frontiers in Public Health
https://www.readbyqxmd.com/read/28710843/new-directions-in-health-sciences-libraries-in-canada-research-and-evidence-based-practice-are-key
#5
Heather Ganshorn, Dean Giustini
This article is the second in a new series in this regular feature. The intention of the series is to look at important global developments in health science libraries. These articles will serve as a road map, describing the key changes in the field and exploring factors driving these changes. The present article by two Canadian librarians identifies important national developments which are shaping the profession such as the centralisation of health care services, the challenge of providing consumer health information in the absence of a national strategy, government recognition of the need to recognise and respond to the health needs of indigenous peoples and the growing emphasis on managing research data...
July 15, 2017: Health Information and Libraries Journal
https://www.readbyqxmd.com/read/28708632/innovating-with-rehabilitation-technology-in-the-real-world-promises-potentials-and-perspectives
#6
Karen Sui Geok Chua, Christopher Wee Keong Kuah
In this article, we discuss robotic-assisted therapy as an emerging and significant field of clinical rehabilitation and its value proposition for innovating rehabilitation clinical practice. Attempts to achieve integration among clinicians' practices and bioengineers' machines often generate new challenges and controversies. To date, the literature is indicative of a sizeable number and variety of robotic devices in the field of clinical rehabilitation, some are commercially available; however, large-scale clinical outcomes are less positive than expected...
July 13, 2017: American Journal of Physical Medicine & Rehabilitation
https://www.readbyqxmd.com/read/28705011/the-experiences-and-beliefs-of-patients-with-complex-regional-pain-syndrome-an-exploratory-survey-study
#7
Adriaan Louw, Kory Zimney, Terry Cox, Christine O'Hotto, Craig A Wassinger
Objectives To determine the beliefs and describe the health care experiences of patients with complex regional pain syndrome. Methods A survey tool for patients with complex regional pain syndrome was designed for this study. The survey tool collected self-reported measures associated with pain, disability, health care experiences, education, beliefs, and treatments. Results Thirty-one patients attending physical therapy for complex regional pain syndrome (mean age 40.48; female n = 20) completed the survey...
January 1, 2017: Chronic Illness
https://www.readbyqxmd.com/read/28704901/the-gaps-between-knowing-and-doing-in-hearing-aid-fitting-management
#8
Soo Hee Oh, Kyoungwon Lee, Junghak Lee
Evidence based practice has become an important aspect in many healthcare provisions to improve patient outcomes. Investigating the gaps between knowing and doing in audiology practice will provide future directions for successful service delivery. The purpose of this study was to explore "know-do" gaps related to professional awareness and attitude in hearing aid fitting management (HAFM) by analyzing data of a questionnaire. It consisted of 22 questions focusing on 11 HAFM components. Each component had two sub-questions involving levels of the importance and practice for HAFM...
July 2017: Journal of Audiology & Otology
https://www.readbyqxmd.com/read/28704088/the-development-of-lymphoedema-network-wales-to-improve-care
#9
Melanie J Thomas, Karen Morgan
Lymphoedema Network Wales was developed in 2011, after receiving a £1 million recurring investment from the Welsh Government to implement its Lymphoedema Strategy. This article describes the creation of the network and the importance of capturing performance data. It will also provide information on the three programmes of work, covering service development, education and research, and innovations and technology. Within Wales, the focus of lymphoedema service delivery is on 'prudent health care', working with patients for patients and only doing what is necessary to gain a good result...
July 13, 2017: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/28702076/the-management-of-intra-abdominal-infections-from-a-global-perspective-2017-wses-guidelines-for-management-of-intra-abdominal-infections
#10
REVIEW
Massimo Sartelli, Alain Chichom-Mefire, Francesco M Labricciosa, Timothy Hardcastle, Fikri M Abu-Zidan, Abdulrashid K Adesunkanmi, Luca Ansaloni, Miklosh Bala, Zsolt J Balogh, Marcelo A Beltrán, Offir Ben-Ishay, Walter L Biffl, Arianna Birindelli, Miguel A Cainzos, Gianbattista Catalini, Marco Ceresoli, Asri Che Jusoh, Osvaldo Chiara, Federico Coccolini, Raul Coimbra, Francesco Cortese, Zaza Demetrashvili, Salomone Di Saverio, Jose J Diaz, Valery N Egiev, Paula Ferrada, Gustavo P Fraga, Wagih M Ghnnam, Jae Gil Lee, Carlos A Gomes, Andreas Hecker, Torsten Herzog, Jae Il Kim, Kenji Inaba, Arda Isik, Aleksandar Karamarkovic, Jeffry Kashuk, Vladimir Khokha, Andrew W Kirkpatrick, Yoram Kluger, Kaoru Koike, Victor Y Kong, Ari Leppaniemi, Gustavo M Machain, Ronald V Maier, Sanjay Marwah, Michael E McFarlane, Giulia Montori, Ernest E Moore, Ionut Negoi, Iyiade Olaoye, Abdelkarim H Omari, Carlos A Ordonez, Bruno M Pereira, Gerson A Pereira Júnior, Guntars Pupelis, Tarcisio Reis, Boris Sakakhushev, Norio Sato, Helmut A Segovia Lohse, Vishal G Shelat, Kjetil Søreide, Waldemar Uhl, Jan Ulrych, Harry Van Goor, George C Velmahos, Kuo-Ching Yuan, Imtiaz Wani, Dieter G Weber, Sanoop K Zachariah, Fausto Catena
Intra-abdominal infections (IAIs) are common surgical emergencies and have been reported as major contributors to non-trauma deaths in the emergency departments worldwide. The cornerstones of effective treatment of IAIs are early recognition, adequate source control, and appropriate antimicrobial therapy. Prompt resuscitation of patients with ongoing sepsis is of utmost important. In hospitals worldwide, non-acceptance of, or lack of access to, accessible evidence-based practices and guidelines result in overall poorer outcome of patients suffering IAIs...
2017: World Journal of Emergency Surgery: WJES
https://www.readbyqxmd.com/read/28701024/management-of-axillary-web-syndrome-after-breast-cancer-evidence-based-practice
#11
Clarissa Medeiros da Luz, Julia Deitos, Thais Cristina Siqueira, Marina Palú, Ailime Perito Feiber Heck
Axillary web syndrome is characterized as a physical-functional complication that impacts the quality of life of women who have undergone treatment for breast cancer. The present study aims to verify the physiotherapy treatment available for axillary web syndrome after surgery for breast cancer in the context of evidence-based practice. The selection criteria included papers discussing treatment protocols used for axillary web syndrome after treatment for breast cancer. The search was performed in the MEDLINE, Scopus, PEDro and LILACS databases using the terms axillary web syndrome, lymphadenectomy and breast cancer, focusing on women with a previous diagnosis of breast cancer who underwent surgery with lymphadenectomy as part of their treatment...
July 12, 2017: Revista Brasileira de Ginecologia e Obstetrícia
https://www.readbyqxmd.com/read/28697266/less-is-more-evidence-based-management-of-bronchiolitis
#12
Elisa Hampton, Erika Abramson
Bronchiolitis is a common cause of outpatient visits and hospitalization in children younger than age 2 years. Despite the frequency with which pediatricians manage this diagnosis, there is significant variability in care in both the inpatient and outpatient setting. This may be due in part to changing guidelines set forth by leading pediatric organizations such as the American Academy of Pediatrics, as increasing evidence emerges that traditional therapies are not effective. This article reviews current evidence-based practices for diagnosis and treatment of bronchiolitis, and provides an overview of inpatient management...
July 1, 2017: Pediatric Annals
https://www.readbyqxmd.com/read/28696986/fueling-the-triathlete-evidence-based-practical-advice-for-athletes-of-all-levels
#13
Andrew R Getzin, Cynthia Milner, Marie Harkins
Triathletes need to effectively fuel during training and racing to maximize their potential for success. While most research on fueling has focused on elite male triathletes, triathlon participation encompasses a broader demographic of racers ranging from those with aspirations of winning to those whose goals are completion. Carbohydrate is the primary macronutrient for fueling endurance activities. Athletes can usually tolerate 60 to 90 mg·h in the form of multiple different carbohydrate sources. Athletes should drink as thirst dictates and consider sodium replacement of sweat loss especially in individuals with a history of exercise-associated muscle cramps...
July 2017: Current Sports Medicine Reports
https://www.readbyqxmd.com/read/28684651/secular-trends-in-caesarean-section-rates-over-20-years-in-a-regional-obstetric-unit-in-hong-kong
#14
W H Chung, C W Kong, W Wk To
INTRODUCTION: Although caesarean section rates have been increasing over the years in both public and private sectors in Hong Kong, there has been a paucity of formal surveys on local trends in such rates. This study aimed to examine the trends in caesarean section rates over a 20-year period at a public regional obstetric unit in Hong Kong using the Robson's Ten-group Classification System. METHODS: All deliveries in a single obstetric unit during a 20-year period (1995-2014) were classified into 10 subgroups according to the Robson's classification...
July 7, 2017: Hong Kong Medical Journal, Xianggang Yi Xue za Zhi
https://www.readbyqxmd.com/read/28684282/platelets-redox-balance-assessment-current-evidence-and-methodological-considerations
#15
REVIEW
Anna Komosa, Piotr Rzymski, Bartłomiej Perek, Mariola Ropacka-Lesiak, Maciej Lesiak, Jolanta M Siller-Matula, Barbara Poniedziałek
Altered function of platelets can lead to cardiovascular complications in numerous disorders. Various studies aimed to investigate mechanisms triggering platelets activation cascade show a significant role of reactive oxygen species (ROS) in this matter. Moreover, ROS are known causal factor of oxidative stress that can result in DNA, lipid and protein damage. This review aims to comprehensively present the variety of methods that are potentially useful in assessment of platelets redox balance, such as intracellular concentration of particular ROS, activity of antioxidant enzymes, reduced/oxidized glutathione ratio, level of lipid peroxidation, Cu/Zn ratio, and molecular oxygen consumption...
July 3, 2017: Vascular Pharmacology
https://www.readbyqxmd.com/read/28684128/methodologic-considerations-of-household-level-methicillin-resistant-staphylococcus-aureus-decolonization-among-persons-living-with-hiv
#16
Jason E Farley, Laura E Starbird, Jill Anderson, Nancy A Perrin, Kelly Lowensen, Tracy Ross, Karen C Carroll
BACKGROUND: People living with HIV (PLWH) have a higher prevalence of methicillin-resistant Staphylococcus aureus (MRSA) colonization and likelihood of recurrent infection than the general population. Simultaneously treating MRSA-colonized household members may improve success with MRSA decolonization strategies. This article describes a pilot trial testing household-level MRSA decolonization and documents methodologic and pragmatic challenges of this approach. METHODS: We conducted a randomized controlled trial of individual versus individual-plus-household MRSA decolonization to reduce recurrent MRSA...
July 3, 2017: American Journal of Infection Control
https://www.readbyqxmd.com/read/28683042/evidence-based-practice-and-u-s-healthcare-outcomes-findings-from-a-national-survey-with-nursing-professional-development-practitioners
#17
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28683041/peer-education-versus-computer-based-education-improve-utilization-of-library-databases-among-direct-care-nurses
#18
Roxana Gonzalez, Patricia O'Brien-Barry, Reginaldo Ancheta, Rennuel Razal, Mary Ellen Clyne
A quasiexperimental study was conducted to demonstrate which teaching modality, peer education or computer-based education, improves the utilization of the library electronic databases and thereby evidence-based knowledge at the point of care. No significant differences were found between the teaching modalities. However, the study identified the need to explore professional development teaching modalities outside the traditional classroom to support an evidence-based practice healthcare environment.
July 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28683030/testing-for-quality-and-safety-education-for-nurses-qsen-reflections-from-using-qsen-as-a-framework-for-rn-orientation
#19
David H James, Patricia A Patrician, Rebecca S Miltner
The use of the Quality and Safety Education for Nurses (QSEN) competencies for nursing professional development is in its infancy. QSEN content was incorporated into nursing orientation and tested knowledge gain for three QSEN competencies. Results showed an increase in patient safety knowledge. A difference was noted in knowledge between ADN and BSN nurses for evidence-based practice and quality improvement. The results indicate a need for stronger interventions to build practicing nurses' QSEN competencies...
July 2017: Journal for Nurses in Professional Development
https://www.readbyqxmd.com/read/28683029/evaluating-the-implementation-of-an-interdisciplinary-evidence-based-practice-educational-program-in-a-large-academic-medical-center
#20
Barbara L Wilson, Melissa Banner, Mary Jean Austria, Andrew Wilson
The purpose of this study was to create a system-wide education program in a large academic medical center to increase exposure and understanding of the evidence-based practice (EBP) process with multidisciplinary healthcare professionals. We also hoped to increase their confidence in utilizing and implementing EBP at the bedside. Although our approach to educating professional staff on EBP provided initial benefits, holding the gains over a 1-year period proved to be difficult.
July 2017: Journal for Nurses in Professional Development
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