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"Evidence Based Practice"

Elizabeth H Connors, Jason Schiffman, Kathleen Stein, Sarah LeDoux, John Landsverk, Sharon Hoover
Community-partnered school behavioral health (CP-SBH) is a model whereby schools partner with local community agencies to deliver services. This mixed-methods study examined 80 CP-SBH clinicians' adoption and implementation of evidence-based practice (EBP) approaches following mandated training. Forty-four clinicians were randomly assigned to one of two training conditions for a modular common elements approach to EBPs; 36 clinicians were preselected for training in a non-modular EBP. EBP knowledge improved for all training conditions at 8-month follow-up and practice element familiarity improved for modular approach training conditions, but the modular condition including ongoing consultation did not yield better results...
September 22, 2018: Administration and Policy in Mental Health
Andrew P Brown, Fiona C Denison
Group B streptococcus (GBS) is the most common cause of early-onset neonatal sepsis in many countries and responsible for significant perinatal morbidity and mortality worldwide. Intrapartum antibiotic prophylaxis has been the mainstay of efforts to prevent early-onset GBS disease in recent decades, however it is unclear if women should be targeted based on the presence of clinical risk factors or by screening for GBS colonisation during pregnancy. Universal bacteriological screening of women in late pregnancy has been widely adopted but questions remain regarding its benefits and potential harms...
September 18, 2018: Early Human Development
Venkata S Akshintala, Ayesha Kamal, Vikesh K Singh
Acute pancreatitis is among the most common gastrointestinal disorders requiring hospitalization worldwide. Establishing the cause of acute pancreatitis ensures appropriate management and proper health care resource utilization. Causes of acute pancreatitis include biliary, alcohol use, hypertriglyceridemia, hypercalcemia, drug-induced, autoimmune, hereditary/genetic, and anatomic abnormalities. Fluid therapy remains the cornerstone of managing acute pancreatitis. This article provides a brief summary of current evidence-based practices in the diagnosis and management of uncomplicated acute pancreatitis...
October 2018: Gastrointestinal Endoscopy Clinics of North America
Natalie Gilmore, Michaela Dwyer, Swathi Kiran
OBJECTIVE: To establish benchmarks of significant change for aphasia rehabilitation outcome measures (i.e., Western Aphasia Battery-Aphasia Quotient [WAB-AQ], Communicative Effectiveness Index [CETI], Boston Naming Test [BNT]) and assess if those benchmarks significantly differed across subgroups (i.e., time post onset, dose frequency, treatment type). DATA SOURCES: A comprehensive literature search of 12 databases, reference lists of previous reviews, and evidence-based practice materials was conducted...
September 18, 2018: Archives of Physical Medicine and Rehabilitation
Lauren Wilson, Suzanne Kapp, Nick Santamaria
Pressure injuries have a negative effect on well-being and the cost of treatment places a significant burden on the health care system. Research has, however, tended to extrapolate or estimate the cost of pressure injuries resulting in uncertainty regarding the true cost of this condition. The aim of this prospective observational study was to quantify the cost of pressure injury treatment in the Australian residential aged care setting. An electronic health care record audit and observation of usual pressure injury treatment was undertaken with a sample of 20 participants who had 23 pressure injuries...
September 21, 2018: International Wound Journal
Christopher D Shank, Jacob R Lepard, Beverly C Walters, Mark N Hadley
Neurological surgery practice is based on the science of balancing probabilities. A variety of clinical guidance documents have influenced how we collectively practice our art since the early 20th century. The quality of the science within these guidelines varies widely, as does their utility in positively shaping our practice.The guidelines development process in neurological surgery has evolved significantly over the last 30 yr. Historically based in expert opinion, as a specialty we have increasingly relied on objective medical evidence to guide our clinical practice...
September 17, 2018: Neurosurgery
Laura J Burke, Christine L Shaw, Cathy Schwartz, John W Nelson, Mike Edwards, Jann Pfaff, Verna Seitz
OBJECTIVES: The aims of this study are (1) to describe the division, organizational strengths, and improvement opportunities of self-reported behaviors indicative of the multidimensional construct of professional practice and (2) to understand demographic characteristics that contributed to these strengths and improvement opportunities. BACKGROUND: Prior to implementing a system-wide interdisciplinary shared governance structure, ProHealth Care measured staff attitudes toward the multidimensional construct of professional practice as proposed within the Clinical Practice Model framework using the Professional Practice Framework Assessment Survey (PPFA-S)...
October 2018: Journal of Nursing Administration
Wioletta Mędrzycka-Dąbrowska, Sebastian Dąbrowski, Aleksandra Gutysz-Wojnicka, Andrzej Basiński, Katarzyna Kwiecień-Jaguś
PURPOSE: The purpose of this study was to identify Polish nurses' experiences and perceptions about the barriers to postoperative pain management in older adults. DESIGN: The study was conducted using a dedicated questionnaire. METHODS: Eleven hospitals participated in this study. The project involved 1,602 nurses working on surgical hospital wards. A descriptive exploratory survey and a qualitative content analysis were used. FINDINGS: Access to journals on evidence-based practice related to pain assessment and management in elderly patients was assessed as less important by the respondents...
October 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Larry L Wheat, Barbara S Turner, Angela Diaz, Christopher V Maani
PURPOSE: Emergence delirium (ED) is a postoperative phenomenon characterized by agitation, confusion, and violent physical or verbal behavior that can occur after general anesthesia. Preoperative identification of patients at risk for ED may allow providers to take steps to minimize the incidence or severity of ED. Because no formal tool currently exists, the purpose of this project was to develop and evaluate a screening tool based on available evidence of ED risk factors. DESIGN: This quality improvement project used a preimplementation and postimplementation design...
October 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Benjamin S Olivari, Matthew Baumgart, Sarah L Lock, C Grace Whiting, Christopher A Taylor, John Iskander, Phoebe Thorpe, Lisa C McGuire
Healthy aging is not merely the absence of disease or disability, but requires physical and mental health and ongoing social engagement (1). As the average U.S. life expectancy increases, recognition that public health can play a vital role in promoting healthy, successful aging even in the face of increased prevalence of chronic diseases, including types of dementia, among older adults (i.e., aged ≥65 years) has grown. Furthermore, actively engaging adults in prevention and wellness along with involving their caregivers (i...
September 21, 2018: MMWR. Morbidity and Mortality Weekly Report
Vaia Florou, Antonio G Nascimento, Ashish Gulia, Gilberto de Lima Lopes
Sarcomas, rare and heterogenous malignancies that comprise less than 1% of all cancers, have poor outcomes in the metastatic and refractory setting. Their management requires a multidisciplinary approach that consists of medical and surgical oncologists, radiation oncologists, and pathologists as well as ancillary support. In addition to systemic treatments, most patients will require surgical resection and radiation therapy, which mandates the use of the latest technologies and specialized expertise. Management guidelines have been developed in high-income countries, but their applicability in low-income countries, where resources may be limited, remains a challenge...
May 23, 2018: American Society of Clinical Oncology Educational Book
Ana Paula R Gonçalves, Marcos B Correa, Flavia P S Nahsan, Carlos J Soares, Rafael R Moraes
This study investigated the use of scientific evidence and the practice of evidence-based dentistry (EBD) among dentists working in Brazil. An online questionnaire was emailed to dentists registered with Brazilian state dental councils. The questionnaire assessed the demographic, educational, and work characteristics of the sample, along with habits in reading scientific articles and other updating resources. Data were analyzed descriptively and by using Bonferroni, Kruskal-Wallis, ANOVA, and T-test statistical methods (α = 0...
2018: PloS One
Verónica Cobo-Sevilla, Italo de Oliveira-Ferreira, Lenin Moposita-Baño, Valeria Paredes-Sánchez, Joshua Ramos-Guevara
OBJECTIVE: The aim of the study was to determine if evidence-based physiotherapy (EBP) was being applied in the public physiotherapy and physical rehabilitation departments in Ecuador, Zone 3. METHODS: A cross-sectional study was developed applying the "Evidence-Based Practice: Beliefs, Attitudes, Knowledge, and Behaviors of Physical Therapists" questionnaire, designed by Jette et al. and validated in Spanish by Guerra et al. to 67 physiotherapists working in the public service in the provinces of Chimborazo, Cotopaxi, Pastaza, and Tungurahua...
September 17, 2018: Physiotherapy Research International: the Journal for Researchers and Clinicians in Physical Therapy
Rachel R Ouellette, Melanie Pellecchia, Rinad S Beidas, Rukiya Wideman, Ming Xie, David S Mandell
This study examined the association between (1) beginning-of-the-year emotional exhaustion and use of three evidence-based practices (EBP) for children with autism spectrum disorder; and (2) use of these EBP and end-of-year emotional exhaustion among 46 kindergarden to 2nd grade autism support teachers participating in a randomized trial. Emotional exhaustion was measured at the end and beginning of the school year using a subscale of the Maslach Burnout Inventory. Fidelity was measured using monthly observations, coded by research assistants trained to reliability...
September 17, 2018: Administration and Policy in Mental Health
Elizabeth J Renaud, Stig Sømme, Saleem Islam, Danielle B Cameron, Robert L Gates, Regan F Williams, Tim Jancelewicz, Tolulope A Oyetunji, Julia Grabowski, Karen A Diefenbach, Robert Baird, Meghan A Arnold, Dave R Lal, Julia Shelton, Yigit S Guner, Ankush Gosain, Akemi L Kawaguchi, Robert L Ricca, Adam B Goldin, Roshni Dasgupta
BACKGROUND: The treatment of ovarian masses in pediatric patients should balance appropriate surgical management with the preservation of future reproductive capability. Preoperative estimation of malignant potential is essential to planning an optimal surgical strategy. METHODS: The American Pediatric Surgical Association Outcomes and Evidence-Based Practice Committee drafted three consensus-based questions regarding the evaluation and treatment of ovarian masses in pediatric patients...
September 6, 2018: Journal of Pediatric Surgery
Antimo Moretti, Francesca Gimigliano, Chiara Arienti, Joel Pollet, Carlotte Kiekens, Stefano Negrini
Systematic reviews are a powerful method for summarizing and synthesizing evidence and create a methodological opportunity for preparing data integration tables to enable review-level synthesis of the evidence. One of the main tasks of Cochrane Rehabilitation is to make it possible to improve the application of evidence-based clinical practice by all rehabilitation professionals, and to facilitate policy-makers in decision-making according to the best evidence. In this context arises the need to diffuse the high-quality information of Cochrane Systematic Reviews (CSR), through synthetic and easy-to-use messages for the different rehabilitation audiences...
October 2018: European Journal of Physical and Rehabilitation Medicine
Carol Klingbeil, Cori Gibson
PURPOSE: Teach-back is an evidence-based strategy identified as a cornerstone intervention for improving communication during healthcare encounters. Evidence supports the use of teach back with patients and families to improve understanding of discharge instructions and supporting self-management. There is significant evidence that staff do not routinely use teach-back while communicating with patients and families. DESIGN AND METHODS: This evidence-based practice project examined the impact of a brief educational intervention for a multidisciplinary staff on knowledge of health literacy and the use of teach-back during patient-education...
September 2018: Journal of Pediatric Nursing
Anne Kristin Snibsøer, Birgitte Graverholt, Monica Wammen Nortvedt, Trond Riise, Birgitte Espehaug
BACKGROUND: Despite the recognition of integrating evidence-based practice (EBP) in educational programs, there is limited research about bachelor students' EBP profiles (EBP knowledge, attitudes and behaviour) in the health disciplines nursing, occupational therapy, physiotherapy and radiography. The aim of this study was to assess EBP profiles among bachelor students in health disciplines, and explore differences between health disciplines, educational institutions, students' assessment of EBP teaching and expectations of EBP performance...
September 14, 2018: BMC Medical Education
Lisa Furlong, Tanya Serry, Shane Erickson, Meg E Morris
BACKGROUND: Children with speech-sound disorders (SSD) constitute a significant proportion of speech-language pathologists' (SLPs) caseloads. Previous research has investigated the clinical practice of SLPs intervening with children with SSD; however, little is known about the clinical decision-making underpinning their practice. AIMS: The clinical decision-making of SLPs working with children with SSD was explored to understand how their clinical decisions were influenced by: (1) beliefs about what works in therapy; (2) prior clinical experience; and (3) client and service-related variables...
September 14, 2018: International Journal of Language & Communication Disorders
Linda Roney, Christine McKenna
Trauma has a greater impact on morbidity and mortality than all other disease processes in the pediatric population; yet, there is a gap in the literature related to the scientific basis for educating and researching future practice. The purpose of this research study was to utilize the Delphi technique to identify the current education and research priorities for pediatric trauma nursing as described by the members of the Society of Trauma Nurses. Consensus on the education and research priorities was derived from a sample (n = 25) of trauma nursing experts...
September 2018: Journal of Trauma Nursing: the Official Journal of the Society of Trauma Nurses
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