keyword
https://read.qxmd.com/read/38547485/a-narrative-review-of-nicu-implementation-of-evidence-based-early-relational-health-interventions
#1
JOURNAL ARTICLE
Umber Darilek, Erin Finley, Jacqueline McGrath
No abstract text is available yet for this article.
April 1, 2024: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
https://read.qxmd.com/read/38546681/enhanced-recovery-after-surgery-orthopaedics-program-in-a-community-based-health-care-system
#2
JOURNAL ARTICLE
Peter J Schams, Matthew W Tradewell, Charles P Nolte, Christine A Feller, Sandra J Elsen, Jamie L Ludlum, Andrew R Jagim, Micaela M Schollmeier
Enhanced Recovery After Surgery programs are common among healthcare systems and various surgical disciplines. Although evidence supporting the physiological rationale of multiple nutrition, physical activity, and pain control strategies before, during, and after surgical procedures is accumulating, implementing such strategies may pose a substantial challenge. The purpose of this quality improvement initiative was to outline the development, workflow, and implementation of an Enhanced Recovery After Surgery program for same-day total joint replacement procedures in a rural healthcare setting...
March 2024: Orthopaedic Nursing
https://read.qxmd.com/read/38546159/effectiveness-of-acceptance-and-commitment-therapy-in-people-with-type-2-diabetes-mellitus-a-systematic-review-and-meta-analysis
#3
REVIEW
Miaomiao Wang, Qiao Liu, Zhengrong Zhu, Xiaodi Guo, Xiling Hu, Li Cheng
BACKGROUND: Acceptance and commitment therapy (ACT) is a psychotherapy technique, which promotes psychological flexibility and enables patients to change behaviors based on value-directed goals. However, the beneficial effects of ACT on glycemic control, self-care behaviors, acceptance of diabetes, self-efficacy, and psychological burden are still unclear among patients with type 2 diabetes mellitus (T2DM). AIMS: This study aimed to systematically synthesize scientific evidence to determine the effectiveness of ACT among patients with T2DM on glycemic control, self-care behaviors, acceptance of diabetes, self-efficacy, and psychological burden and identify the optimal characteristics of effective interventions...
March 28, 2024: Worldviews on Evidence-based Nursing
https://read.qxmd.com/read/38545744/big-challenges-meet-big-leadership-in-2024
#4
JOURNAL ARTICLE
Ruth Martin-Misener
As we begin the year 2024, we do so with some very big challenges that have spilled over from 2023 and, indeed, many years before that. Every day, we are confronted with concerning experiential and research-based evidence about worsening access to healthcare, pervasive racism and widening disparities. Clearly, there is a great deal of work to be done in our healthcare system to support and improve the health of the diverse populations that we serve. Yet, along with the challenges come opportunities to reflect, collaborate, innovate, evaluate and learn...
January 2024: Nursing Leadership
https://read.qxmd.com/read/38545434/an-evidence-based-medical-review-on-promoting-gastrointestinal-function-recovery-after-colorectal-cancer-surgery
#5
REVIEW
Chun-Yu Zhao, Wan-Hong Shi, Zheng-Qi Wen, Yong-Mei Jin, Yun-Bo Shang, Lei Zheng, Juan Li, Xin-Min Chen
OBJECTIVE: The objective of this study was to search for, evaluate, and summarize data related to a faster postoperative recovery in patients with colorectal cancer (CRC) based on literature from China as well as internationally. This will serve as an evidence-based foundation for the clinical implementation of enhanced postoperative recovery of gastrointestinal function in patients with CRC. METHODS: Based on the hierarchical "6S" evidence model, we conducted a systematic search of computerized decision-support systems, guideline websites, as well as domestic and international databases for evidence, guidelines, expert consensus statements, clinical decision-making, best practices, evidence summaries, and systematic reviews of interventions focusing on accelerating gastrointestinal function rehabilitation after CRC surgery...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38544435/nutritional-and-hydration-interventions-for-people-with-dysphagia
#6
JOURNAL ARTICLE
Vicky Davies, Melanie Taylor
Dysphagia (swallowing difficulties) is particularly common in older people and is associated with various health conditions. Dysphagia affects an individual's ability to eat and drink, and can have a significant effect on their clinical outcomes and quality of life. This article explores ways in which nurses can support people with dysphagia to minimise the effects of the condition and enhance their quality of life. The authors examine the role of commonly used strategies such as dietary texture modification and thickened fluids that aim to optimise nutrition and hydration...
March 28, 2024: Nursing Standard
https://read.qxmd.com/read/38539092/accuracy-of-urgency-allocation-in-patients-with-shortness-of-breath-calling-out-of-hours-primary-care-a-cross-sectional-study
#7
JOURNAL ARTICLE
Michelle Spek, Roderick P Venekamp, Esther de Groot, Geert-Jan Geersing, Daphne C A Erkelens, Maarten van Smeden, Anna S M Dobbe, Mathé Delissen, Frans H Rutten, Dorien L Zwart
BACKGROUND: In out-of-hours primary care (OHS-PC), semi-automatic decision support tools are often used during telephone triage. In the Netherlands, the Netherlands Triage Standard (NTS) is used. The NTS is mainly expert-based and evidence on the diagnostic accuracy of the NTS' urgency allocation against clinically relevant outcomes for patients calling with shortness of breath (SOB) is lacking. METHODS: We included data from adults (≥18 years) who contacted two large Dutch OHS-PC centres for SOB between 1 September 2020 and 31 August 2021 and whose follow-up data about final diagnosis could be retrieved from their own general practitioner (GP)...
March 27, 2024: BMC Prim Care
https://read.qxmd.com/read/38538437/appropriateness-of-behavioural-scales-in-the-monitoring-of-pain-in-the-critically-ill-patient-unable-to-self-report
#8
REVIEW
G Robleda-Font, C López-López, I Latorre-Marco, J Pozas-Peña, D Alonso-Crespo, O Vallés-Fructuoso, A Castanera-Duro
Appropriateness is a dimension of quality that evaluates the effective use of technologies, resources or interventions in specific situations or populations, assessing whether our interventions do more benefit than harm. The evidence regarding pain monitoring in the critically ill patient points to the periodic assessment of pain using appropriate tools, with the aim of improving pain management and more efficient use of analgesics in the intensive care unit. The first step would be to assess the patient's ability to communicate or self-report and, based on this, to select the most appropriate pain assessment tool...
March 26, 2024: Enfermería intensiva
https://read.qxmd.com/read/38538108/asthma-academy-for-family-caregivers-a-quality-improvement-project
#9
JOURNAL ARTICLE
Victoria Horowitz, Cynthia Foronda, Karina A Gattamorta, Ana Bandin, Jennifer Cordo
Background: Asthma affects one in every 12 children in United States with significant prevalence in underserved groups. Family caregiver education is essential to improve childhood asthma control. The literature suggests that family caregivers' lack of knowledge about asthma management affects their children's health outcomes. An evidence-based education program that improves caregivers' asthma knowledge may improve the family's well-being. Objectives: The goal of the Asthma Academy project is to improve the disease management of children with asthma by providing an in-person family caregiver education program...
March 27, 2024: Journal of doctoral nursing practice
https://read.qxmd.com/read/38537565/enhancing-deep-vein-thrombosis-prediction-in-patients-with-coronavirus-disease-2019-using-improved-machine-learning-model
#10
JOURNAL ARTICLE
Lufang Zhang, Renyue Yu, Keya Chen, Ying Zhang, Qiang Li, Yu Chen
BACKGROUND: Deep vein thrombosis (DVT) is a significant complication in coronavirus disease 2019 patients, arising from coagulation issues in the deep venous system. Among 424 scheduled patients, 202 developed DVT (47.64%). DVT increases hospitalization risk, and complications, and impacts prognosis. Accurate prognostication and timely intervention are crucial to prevent DVT progression and improve patient outcomes. METHODS: This study introduces an effective DVT prediction model, named bSES-AC-RUN-FKNN, which integrates fuzzy k-nearest neighbor (FKNN) with enhanced Runge-Kutta optimizer (RUN)...
March 13, 2024: Computers in Biology and Medicine
https://read.qxmd.com/read/38536400/guidelines-in-practice-manual-high-level-disinfection
#11
JOURNAL ARTICLE
Jennifer Speth
There are several steps involved when performing high-level disinfection (HLD) of semicritical devices. The recently updated AORN "Guideline for manual high-level disinfection" provides perioperative nurses with evidence-based best practices for performing safe and effective HLD of reusable semicritical items. The guideline also addresses preventing injury to patients and health care workers associated with the handling of high-level disinfectants. This article provides an overview of the guideline and discusses recommendations for selection of a processing method, sterile processing areas, preparation of items for HLD, preparation of high-level disinfectants, manual HLD, drying and storage of items after HLD, and processing records...
April 2024: AORN Journal
https://read.qxmd.com/read/38535719/exploring-how-evidence-based-practice-communication-and-clinical-simulation-outcomes-interact-in-nursing-education-a-cross-sectional-study
#12
JOURNAL ARTICLE
José Jorge Carrasco-Guirao, César Leal-Costa, María de Los Ángeles Castaño-Molina, Maria Belén Conesa-Ferrer, Alonso Molina-Rodríguez, José Luis Díaz-Agea, Maria Gracia Adánez-Martínez
(1) Background: Clinical simulation is an educational approach that aims to replicate real-life scenarios. Its primary goal is to help nursing students acquire the necessary knowledge and skills to perform effectively in clinical settings. This study focuses on the relationship between communication skills, evidence-based practice (EBP), and clinical simulation. We aimed to assess how communication skills and EBP competencies affect nursing students' performance in simulated clinical scenarios. (2) Methods: We conducted an observational, cross-sectional study with 180 third-year nursing students at the University of Murcia...
March 13, 2024: Nursing Reports
https://read.qxmd.com/read/38533825/the-effect-of-an-electronic-medical-record-based-clinical-decision-support-system-on-adherence-to-clinical-protocols-in-inflammatory-bowel-disease-care-interrupted-time-series-study
#13
JOURNAL ARTICLE
Reed Taylor Sutton, Kaitlyn Delaney Chappell, David Pincock, Daniel Sadowski, Daniel C Baumgart, Karen Ivy Kroeker
BACKGROUND: Clinical decision support systems (CDSSs) embedded in electronic medical records (EMRs), also called electronic health records, have the potential to improve the adoption of clinical guidelines. The University of Alberta Inflammatory Bowel Disease (IBD) Group developed a CDSS for patients with IBD who might be experiencing disease flare and deployed it within a clinical information system in 2 continuous time periods. OBJECTIVE: This study aims to evaluate the impact of the IBD CDSS on the adherence of health care providers (ie, physicians and nurses) to institutionally agreed clinical management protocols...
March 22, 2024: JMIR Medical Informatics
https://read.qxmd.com/read/38533695/factors-influencing-nurses-use-of-sedation-interruptions-in-a-critical-care-unit-a-descriptive-qualitative-study
#14
JOURNAL ARTICLE
Nicole D Graham, Ian D Graham, Brandi Vanderspank-Wright, Letitia Nadalin Penno, Dean A Fergusson, Janet E Squires
INTRODUCTION AND AIMS: This study examined critical care nurses', physicians', and allied health professionals' perceptions of factors that support, inhibit, or limit the use of sedation interruption (SI) to improve the use of this integral component of care for mechanically ventilated patients. METHOD: We conducted a theory-based, descriptive qualitative study using semi-structured interviews with critical care registered nurses, respiratory therapists, a pharmacist, and a physician in a hospital in Ontario, Canada...
March 28, 2024: JBI evidence implementation
https://read.qxmd.com/read/38533549/sarcopenia-among-older-people-in-the-philippines-a-scoping-review
#15
REVIEW
Mark U Gay-As, Shu-Chun Lee, Fu-Chih Lai
Aims: This review aimed to identify and map the evidence about sarcopenia among older Filipinos. Methods: Studies about sarcopenia among Filipinos aged 60 and above were included. All studies regardless of type, setting, language, and timeframe were reviewed. The Cochrane Library, Cumulative Index of Nursing and Allied Health, Embase, PubMed, and Health Research and Development Information Network were searched. The study was conducted per an a priori protocol and utilized the Joanna Briggs Institute guidance for scoping reviews...
March 27, 2024: Creative Nursing
https://read.qxmd.com/read/38533544/examining-suicide-risk-in-sexual-and-gender-minority-youth-a-descriptive-observational-study-on-depressive-symptoms-social-support-and-self-esteem
#16
JOURNAL ARTICLE
Pablo Gómez-Chica, Lola Rueda-Ruzafa, Adrián Aparicio-Mota, Miguel Rodriguez-Arrastia, Carmen Ropero-Padilla, Cristian Rodriguez-Valbuena, Pablo Román
AIM: To understand the factors that contribute to the risk of suicide among lesbian, gay, bisexual, transgender, queer, intersex and asexual (sexual minorities) youth. BACKGROUND: The increase in the likelihood of suicide has made it an urgent issue in public health, particularly among young people, where it now ranks as the fourth leading cause of death. This issue becomes even more significant when focusing on sexual minorities. METHODS: A cross-sectional study was performed in targeted young individuals (15-29 years)...
March 27, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38532676/-application-of-evidence-based-smoking-cessation-nursing-interventions-increase-the-quitting-of-smoking-in-hospitalized-patients
#17
JOURNAL ARTICLE
Lin-Yu Liao, You-Cheng Chang, Fenju Chen, Shunt-Chen Yang
BACKGROUND: The second-generation smoking cessation measures for inpatients in our hospital were provided primarily by physicians. Statistics from January to December 2019 showed a negative trend in the number of inpatient smoking cessation services and health education courses provided. PURPOSE: Purpose: In this study, a comprehensive systematic literature review on the application of smoking cessation interventions was conducted with the goal of helping enhance the inpatient quit rate at the author's hospital...
April 2023: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532673/-establishment-of-administrative-core-competencies-and-evaluation-indicators-for-head-nurses
#18
JOURNAL ARTICLE
Hsueh-Ming Kuo, Fang-Ru Yueh, Pei-Mei Chan, Shih-Hsin Liang, Ying-Ju Chang
BACKGROUND: The increasing complexity of the healthcare environment in recent years highlights the importance of cultivating in head nurses the leadership and management competencies necessary to effectively handle complicated administrative tasks and lead nurses in facing various challenges. Identifying the core administrative management competencies required of head nurses and evaluating competency level using behavioral indicators are fundamental to evaluating related training outcomes...
April 2023: Hu Li za Zhi the Journal of Nursing
https://read.qxmd.com/read/38532646/the-current-state-of-knowledge-on-care-for-co-occurring-chronic-pain-and-opioid-use-disorder-a-scoping-review
#19
REVIEW
Léonie Archambault, Karine Bertrand, Marc O Martel, Mélanie Bérubé, Salima Belhouari, Michel Perreault
BACKGROUND AND AIMS: Opioid use disorder often co-occurs with chronic pain but assessment and treatment of these co-occurring disorders is complex. This review aims to identify current treatments and delivery models for co-occurring chronic pain and opioid use disorder (OUD) documented in the scientific literature. DESIGN: Scoping review. METHODS: The review was conducted in six databases in June 2022 (no time limit): CINAHL, PsycINFO, Web of Science, Cochrane, PubMed and Embase...
March 26, 2024: Journal of Clinical Nursing
https://read.qxmd.com/read/38532375/the-effect-of-typical-case-discussion-and-scenario-simulation-on-the-critical-thinking-of-midwifery-students-evidence-from-china
#20
JOURNAL ARTICLE
Yuji Wang, Yijuan Peng, Yan Huang
BACKGROUND: Assessment ability lies at the core of midwives' capacity to judge and treat clinical problems effectively. Influenced by the traditional teaching method of "teacher-led and content-based", that teachers involve imparting a large amount of knowledge to students and students lack active thinking and active practice, the clinical assessment ability of midwifery students in China is mostly at a medium or low level. Improving clinical assessment ability of midwifery students, especially critical thinking, is highly important in practical midwifery education...
March 26, 2024: BMC Medical Education
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