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evidence-based nursing practice

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https://www.readbyqxmd.com/read/29665775/contact-among-healthcare-workers-in-the-hospital-setting-developing-the-evidence-base-for-innovative-approaches-to-infection-control
#1
Krista M English, Joanne M Langley, Allison McGeer, Nathaniel Hupert, Raymond Tellier, Bonnie Henry, Scott A Halperin, Lynn Johnston, Babak Pourbohloul
BACKGROUND: Nosocomial, or healthcare-associated infections (HAI), exact a high medical and financial toll on patients, healthcare workers, caretakers, and the health system. Interpersonal contact patterns play a large role in infectious disease spread, but little is known about the relationship between health care workers' (HCW) movements and contact patterns within a heath care facility and HAI. Quantitatively capturing these patterns will aid in understanding the dynamics of HAI and may lead to more targeted and effective control strategies in the hospital setting...
April 17, 2018: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29664739/ce-original-research-exploring-clinicians-perceptions-about-sustaining-an-evidence-based-fall-prevention-program
#2
Rebecca B Porter, Laura Cullen, Michele Farrington, Grace Matthews, Sharon Tucker
Findings from this qualitative study may help improve sustainability. ABSTRACT: Purpose: This study aimed to address the knowledge gap between implementing and sustaining evidencebased fall prevention practices for hospitalized patients by exploring perspectives of the interprofessional health care team. DESIGN: A qualitative design was used to capture insights from clinicians across disciplines in a large midwestern academic medical center. METHODS: Four homogenous semistructured focus groups and three individual interviews involving a total of 20 clinicians were conducted between October 2013 and March 2014...
April 16, 2018: American Journal of Nursing
https://www.readbyqxmd.com/read/29661270/systematic-review-of-the-evidence-related-to-mandated-nurse-staffing-ratios-in-acute-hospitals
#3
Richard Olley, Ian Edwards, Mark Avery, Helen Cooper
Objective The purpose of this systematic review was to evaluate and summarise available research on nurse staffing methods and relate these to outcomes under three overarching themes of: (1) management of clinical risk, quality and safety; (2) development of a new or innovative staffing methodology; and (3) equity of nursing workload. Methods The PRISMA method was used. Relevant articles were located by searching via the Griffith University Library electronic catalogue, including articles on PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Medline...
April 17, 2018: Australian Health Review: a Publication of the Australian Hospital Association
https://www.readbyqxmd.com/read/29661247/informing-implementation-of-quality-improvement-in-australian-primary-care
#4
Charlotte Hespe, Lucie Rychetnik, David Peiris, Mark Harris
BACKGROUND: Quality Improvement (QI) initiatives in primary care are effective at improving uptake of evidence based guidelines, but are difficult to implement and sustain. In Australia meso-level health organisations such as Primary health care Organisations (PHCO) offer new opportunities to implement area-wide QI programs. This study sought to identify enablers and barriers to implementation of an existing Australian QI program and to identify strategic directions that PHCOs can use in the ongoing development of QI in this environment...
April 16, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29659468/routine-versus-clinically-indicated-short-peripheral-catheter-replacement-an-evidence-based-practice-project
#5
Catherine Stevens, Kerry A Milner, Jennifer Trudeau
Despite current, high-quality, level 1 evidence that supports clinically indicated short peripheral catheter (SPC) replacement, the current practice in the health care system studied was to change SPCs routinely every 96 hours. A before-and-after design was used to evaluate the impact of SPC replacement when clinically indicated. Following the practice change, there were no SPC-related infections, monthly phlebitis rates ranged from 1.9% to 3.5%, and SPC use decreased by 14.2%, resulting in estimated cost savings of $2100 and 70 hours of nursing time saved...
May 2018: Journal of Infusion Nursing: the Official Publication of the Infusion Nurses Society
https://www.readbyqxmd.com/read/29658852/evidence-based-practice-making-the-research-relevant-to-your-situation-clue-4-apply
#6
Catherine F Yonkaitis, Erin D Maughan
Evidence-based practice (EBP) is often thought to be synonymous with research and literature. This article focuses on the fourth step in the EBP process: Apply. In this step, we fully integrate the EBP Venn diagram, which illustrates that EBP occurs at the intersection of evidence and data, clinical expertise and resources, and population's values and cultures. Only when school nurses include each component into their practice decision will true EBP occur.
May 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29658851/an-eye-on-vision-five-questions-about-vision-screening-and-eye-health
#7
P Kay Nottingham Chaplin, Kira Baldonado, Geoffrey E Bradford, Susan Cotter, Bruce Moore
Current evidence-based and best-practice vision screening and eye health approaches, tools, and procedures are the result of revised national guidelines in the past 3 years and advances in research during the past 18 years. In providing answers to the five questions in this article, the National Center for Children's Vision and Eye Health at Prevent Blindness used published, peer-reviewed research; vision screening and eye health national guidelines; and consensus-based best practices from eye care professionals and public health experts...
May 2018: NASN School Nurse
https://www.readbyqxmd.com/read/29645403/quality-of-author-guidelines-in-nursing-journals
#8
Marilyn H Oermann, Leslie H Nicoll, Peggy L Chinn, Jamie L Conklin, Midori McCarty, Sathya Amarasekara
PURPOSE: The aims of this study were to (a) describe the information provided in author guidelines in nursing journals, (b) assess the completeness of this information, and (c) identify the extent and types of reporting guidelines used in nursing journals. DESIGN: Content analysis of author guidelines for 245 nursing journals included in the Directory of Nursing Journals maintained at the International Academy of Nursing Editors website. METHODS: Using Research Electronic Data Capture, data on 19 criteria for completeness were extracted from published author guidelines...
April 12, 2018: Journal of Nursing Scholarship
https://www.readbyqxmd.com/read/29643742/effects-of-interprofessional-education-for-medical-and-nursing-students-enablers-barriers-and-expectations-for-optimizing-future-interprofessional-collaboration-a-qualitative-study
#9
Sabine Homeyer, Wolfgang Hoffmann, Peter Hingst, Roman F Oppermann, Adina Dreier-Wolfgramm
Background: To ensure high quality patient care an effective interprofessional collaboration between healthcare professionals is required. Interprofessional education (IPE) has a positive impact on team work in daily health care practice. Nevertheless, there are various challenges for sustainable implementation of IPE. To identify enablers and barriers of IPE for medical and nursing students as well as to specify impacts of IPE for both professions, the 'Cooperative academical regional evidence-based Nursing Study in Mecklenburg-Western Pomerania' (Care-N Study M-V) was conducted...
2018: BMC Nursing
https://www.readbyqxmd.com/read/29629933/using-tabletop-exercises-as-an-innovative-and-practical-teaching-strategy-in-response-to-external-disaster-scenarios
#10
Cathleen A Evans, Rose Schwartz
Transferring previous learning to novel and unfamiliar health care situations is a challenge that nurses face daily. As a nursing classroom experience, tabletop exercises provide nursing students with open-ended decision-making opportunities to manage realistic practice problems. This article describes an innovative tabletop exercise with a disaster healthcare context and patient scenarios that senior nursing students used to demonstrate foundational nursing education knowledge, skills, and abilities. Students demonstrated a transfer of knowledge from early medical-surgical coursework to a complex, novel situation using the nursing process and evidence-based clinical judgment...
April 6, 2018: Nursing Education Perspectives
https://www.readbyqxmd.com/read/29629911/national-study-of-nursing-research-characteristics-at-magnet%C3%A2-designated-hospitals
#11
Christine Pintz, Qiuping Pearl Zhou, Maureen Kirkpatrick McLaughlin, Katherine Patterson Kelly, Cathie E Guzzetta
OBJECTIVE: To describe the research infrastructure, culture, and characteristics of building a nursing research program in Magnet®-designated hospitals. BACKGROUND: Magnet recognition requires hospitals to conduct research and implement evidence-based practice (EBP). Yet, the essential characteristics of productive nursing research programs are not well described. METHODS: We surveyed 181 nursing research leaders at Magnet-designated hospitals to assess the characteristics in their hospitals associated with research infrastructure, research culture, and building a nursing research program...
April 6, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29629909/exploring-nurse-manager-support-of-evidence-based-practice-clinical-nurse-perceptions
#12
Laura Caramanica, LeeAnna Spiva
OBJECTIVE: The study identifies what constitutes nurse manager (NM) support and other resources that enable clinical nurses (CNs) to engage in evidence-based practice (EBP). BACKGROUND: Clinical nurses report that NM support enables them to use EBP but what constitutes NM support is still unclear. METHODS: Nurse managers, CNs, and EBP mentors received specialized education and use a team approach for EBP. Data were collected preintervention, mid-intervention, and postintervention from observations, interviews, journaling, and surveys...
April 7, 2018: Journal of Nursing Administration
https://www.readbyqxmd.com/read/29629273/korean-clinical-practice-guidelines-for-preventing-the-transmission-of-infections-in-hemodialysis-facilities
#13
Hayne Cho Park, Young-Ki Lee, Kyung Don Yoo, Hee Jung Jeon, Seung Jun Kim, Ajin Cho, Jacob Lee, Yang-Gyun Kim, Sang-Ho Lee, Sang-Oh Lee
Patients receiving hemodialysis are vulnerable to infectious diseases due to their impaired immunity and high risk of exposure to pathogens. To protect patients, staff, and visitors from potential infections, each hemodialysis unit should establish and follow standard infection control and prevention measures. Therefore, clinical practice guidelines were developed by a working group of nephrologists and infection control specialists to provide evidence-based guidance for dialysis physicians and nurses, with the aim of preventing infection transmission and controlling infection sources in hemodialysis facilities...
March 2018: Kidney Research and Clinical Practice
https://www.readbyqxmd.com/read/29628057/highlights-from-the-u-s-selected-practice-recommendations-for-contraceptive-use
#14
Aimee Chism Holland, Ashton Tureau Strachan, Lisa Pair, Kelly Stallworth, Ashley Hodges
The U.S. Centers for Disease Control and Prevention recently updated the U.S. Selected Practice Recommendations for Contraceptive Use to foster a reduction in unplanned pregnancy rates and to provide clinicians an evidence-based guide for contraception management. Nurses play an important role in helping women and families with reproductive life planning. By bridging knowledge gaps and removing access barriers with regard to contraception, nurses can contribute to reducing rates of unintended pregnancy. Nurses and other clinicians are encouraged to use the U...
April 2018: Nursing for Women's Health
https://www.readbyqxmd.com/read/29627814/a-systematic-review-of-interventions-by-healthcare-professionals-to-improve-management-of-non-communicable-diseases-and-communicable-diseases-requiring-long-term-care-in-adults-who-are-homeless
#15
Peter Hanlon, Lynsey Yeoman, Lauren Gibson, Regina Esiovwa, Andrea E Williamson, Frances S Mair, Richard Lowrie
OBJECTIVE: Identify, describe and appraise trials of interventions delivered by healthcare professionals to manage non-communicable diseases (NCDs) and communicable diseases that require long-term care or treatment (LT-CDs), excluding mental health and substance use disorders, in homeless adults. DESIGN: Systematic review of randomised controlled trials (RCTs), non-RCTs and controlled before-after studies. Interventions characterised using Effective Practice and Organisation of Care (EPOC) taxonomy...
April 7, 2018: BMJ Open
https://www.readbyqxmd.com/read/29627314/understanding-contextual-barriers-and-enablers-to-pressure-injury-prevention-practice-in-an-australian-intensive-care-unit-an-exploratory-study
#16
Fiona Coyer, Jane-Louise Cook, Anna Doubrovsky, Jill Campbell, Amanda Vann, Greg McNamara
BACKGROUND: Skin integrity management is often a low clinical priority in the intensive care environment, possibly resulting in high pressure injury (PI) prevalence. This article reports the results of the first phase of a multiphased project, "Translating evidence-based pressure injury prevention strategies to the intensive care environment (SUSTAIN study)". The SUSTAIN study used a research translation framework to guide the assessment of research uptake, development, and monitoring of translational strategies to reduce PIs...
April 4, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/29626701/barriers-and-facilitators-to-preventing-pressure-ulcers-in-nursing-home-residents-a-qualitative-analysis-informed-by-the-theoretical-domains-framework
#17
Jacqueline F Lavallée, Trish A Gray, Jo Dumville, Nicky Cullum
BACKGROUND: Pressure ulcers are areas of localised damage to the skin and underlying tissue; and can cause pain, immobility, and delay recovery, impacting on health-related quality of life. The individuals who are most at risk of developing a pressure ulcer are those who are seriously ill, elderly, have impaired mobility and/or poor nutrition; thus, many nursing home residents are at risk. OBJECTIVES: To understand the context of pressure ulcer prevention in nursing homes and to explore the potential barriers and facilitators to evidence-informed practices...
January 4, 2018: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/29625599/a-healthy-school-start-plus-for-prevention-of-childhood-overweight-and-obesity-in-disadvantaged-areas-through-parental-support-in-the-school-setting-study-protocol-for-a-parallel-group-cluster-randomised-trial
#18
Liselotte Schäfer Elinder, Emma Patterson, Gisela Nyberg, Åsa Norman
BACKGROUND: Systematic reviews conclude that interventions to prevent overweight and obesity in children obtain stronger effects when parents are involved. Parenting practices and parent-child interactions shape children's health-related behaviours. The Healthy School Start Plus intervention aims to promote healthy dietary habits and physical activity and prevent obesity in children through parental support in disadvantaged areas with increased health needs, delivered by teachers and school nurses...
April 6, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29622020/benefits-barriers-and-opinions-on-multidisciplinary-team-meetings-a-survey-in-swedish-cancer-care
#19
Linn Rosell, Nathalie Alexandersson, Oskar Hagberg, Mef Nilbert
BACKGROUND: Case review and discussion at multidisciplinary team meetings (MDTMs) have evolved into standard practice in cancer care with the aim to provide evidence-based treatment recommendations. As a basis for work to optimize the MDTMs, we investigated participants' views on the meeting function, including perceived benefits and barriers. METHODS: In a cross-sectional study design, 244 health professionals from south Sweden rated MDTM meeting structure and function, benefits from these meetings and barriers to reach a treatment recommendation...
April 5, 2018: BMC Health Services Research
https://www.readbyqxmd.com/read/29621866/elder-abuse
#20
Nola M Ries, Elise Mansfield
BACKGROUND: There are growing calls for elder abuse screening to be conducted by a range of community-based service providers, including general practitioners (GPs), practice nurses, home care workers and lawyers. Improved screening may be a valuable first step towards improving elder abuse detection and response; however, practitioners need evidence-based strategies for screening and follow-up. OBJECTIVE: This article summarises several brief screening tools for various forms of elder abuse...
April 2018: Australian journal of general practice
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