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evidence-based nursing practice

Richard Byrt, Theresa A Spencer-Stiles, Ismail Ismail
METHOD: Literature searches of databases, particularly CINAHL, using key phrases were undertaken. RESULTS: Some authors argue that there is a lack of evidence in forensic mental health (FMH) nursing, with few randomized controlled trials and other methods providing definitive, generalizable evidence. However, literature searches revealed randomized controlled trials of relevance to FMH nursing, many qualitative studies by FMH nurses, and arguments for clinical experience and knowledge of service users, and the latter's views, as sources of evidence...
June 15, 2018: Journal of Forensic Nursing
Alexandra B Columbus, Manuel Castillo-Angeles, William R Berry, Adil H Haider, Ali Salim, Joaquim M Havens
BACKGROUND: Emergency general surgery (EGS) is characterized by high rates of morbidity and mortality. Though checklists and associated communication-based huddle strategies have improved outcomes, these tools have never been specifically examined in EGS. We hypothesized that use of an evidence-based communication tool aimed to trigger intraoperative discussion could improve communication in the EGS operating room (OR). MATERIALS AND METHODS: We designed a set of discussion prompts based on modifiable factors identified from previously published studies aimed to encourage all team members to speak up and to centralize awareness of patient disposition and intraoperative transfusion practices...
August 2018: Journal of Surgical Research
Michelle Cleary, Denis Visentin, Sancia West, Violeta Lopez, Rachel Kornhaber
OBJECTIVE: To synthesize the evidence that explored resilience and emotional intelligence in undergraduate nursing students. BACKGROUND: Nursing is a demanding profession that offers unique challenges. Emotional intelligence and resilience are traits that can allow nursing students to effectively respond to challenges in professional placements and future practice. DESIGN: An integrative review incorporating both quantitative and qualitative research designs...
May 30, 2018: Nurse Education Today
Lori A Spies, Susan Gerding Bader, Jackline G Opollo, Jennifer Gray
BACKGROUND: Hypertension is the leading preventable contributor to cardiovascular morbidity and mortality, affecting 1 billion people globally. Low- and middle-income countries have increasing rates of hypertension, much of it undiagnosed. AIMS: The purpose of the project is to review studies of nurse-led hypertension interventions that have been implemented in East Africa and to inform hypertension interventions in low-resource settings. METHODS: A scoping review was conducted following Arksey and O'Malley's (2005) format...
June 14, 2018: Worldviews on Evidence-based Nursing
Dianne Morrison-Beedy
No abstract text is available yet for this article.
June 14, 2018: Worldviews on Evidence-based Nursing
Ameneh Safari, Yahya Safari
Evidence-based medicine (EBM) is defining proper and wise use of the best evidence in clinical decision for patient׳s care. This study have done with the aim of evaluating health information system for decision-making with EBM approach in educational hospital of Kermanshah city. The statistical population include all the specialist and specialty, and also head nurses of educational hospitals in Kermanshah city. The data collected by researcher made questionnaire. The content validities of the questionnaire were confirmed by experts to complete the questions of the questionnaire...
August 2018: Data in Brief
Karina Sichieri, Luciana Inaba Senyer Iida, Isa Rodrigues da Silveira Cabral de Menezes, Paulo Carlos Garcia, Talita Raquel Santos, Emília Peres, Gilcéria Tochika Shimoda, Flávia de Oliveira Motta Maia, Silvia Regina Secoli, Vilanice Alves de Araújo Püschel
OBJECTIVES: This implementation project aimed to identify the current practice in regards to central venous catheters (CVCs) maintenance to improve knowledge amongst nursing staff and to assess increased compliance with evidence-based best practice. INTRODUCTION: Central venous catheters are considered an important therapeutic resource for the administration of fluids, drugs, blood, collection of blood samples and hemodynamic monitoring. Despite the benefits, catheter use is associated with complications such as primary infection of the catheter-related bloodstream...
June 2018: JBI Database of Systematic Reviews and Implementation Reports
Roger Carpenter, Mary Jane Smith
This article presents an innovative holistic practice application based on evidence from a focus group study on managing diabetes. The purpose of this study addressed the research question: How do persons with type 2 diabetes describe ways of managing the challenge of living with diabetes? A second purpose was to link the findings on ways to manage diabetes to holistic nursing practice through story theory. Nine adults with type 2 diabetes living in rural West Virginia participated in 3 focus groups. Using content analysis, the study findings integrated themes with core qualities, and are as follows: living life as an evolving process is awakening to the present and doing it your way, being on guard is a vigilant ongoing responsibility, attending to bodily experience is awareness of body and facing life stress, and knowing the consequences is awareness of potential problems and taking charge...
July 2018: Holistic Nursing Practice
Jonathan Harris, Paula Mayo
Good leadership is essential to patient-centred care and staff satisfaction in the healthcare environment. All members of the healthcare team can be leaders and evidence-based theory should inform their leadership practice. This article uses a case study approach to critically evaluate leadership as exercised by a charge nurse and a student nurse in a clinical scenario. Ineffective leadership styles are identified and alternatives proposed; considerable attention is given to critiquing both 'heroic' and 'post-heroic' transformational leadership theories...
June 14, 2018: British Journal of Nursing: BJN
Dorika Nhongo, Joyce Hendricks, Julie Bradshaw, Kasia Bail
BACKGROUND: Registered nurses (RNs) working in Residential Aged Care Facilities are required to undertake complex management tasks including leading nursing care teams, supervising non-nursing staff, and allocating workloads according to residents' care needs, staff skills and experience. Registered nurses plan, assess, manage medication, evaluate each resident's care, liaise with doctors and allied health professionals and are responsible for evidence-based practice in accordance with the Nursing Standards for Practice (2016)...
June 12, 2018: Journal of Clinical Nursing
Gerard M Fealy, Mary Casey, Denise F O'Leary, Martin S Mcnamara, Denise O'Brien, Laserina O'Connor, Rita Smith, Diarmuid Stokes
AIMS AND OBJECTIVES: The aim of this discursive paper is to collate, synthesise and discuss published evidence and expert professional opinion on enablers and barriers to the development and sustainability of specialist and advanced practice roles in nursing and midwifery. BACKGROUND: Expanded practice is a response to population health needs, healthcare costs and practitioners' willingness to expand their scope of practice through enhanced responsibility, accountability and professional autonomy...
June 12, 2018: Journal of Clinical Nursing
Lei Cheng, Sheng Feng, Yan Hu, Marion E Broome
Thank you for the opportunity to respond to Hu and Gifford's comments(Hu & Gifford, 2018). We appreciated their acknowledgement of our findings about the factors influencing the successful implementation of evidence-based practice (EBP). The authors described leadership behaviors as having a significant role in implementing evidence-based practice. This article is protected by copyright. All rights reserved.
June 12, 2018: Journal of Clinical Nursing
Robin Digby, Danielle Bolster, Andrew Perta, Tracey K Bucknall
AIM: To explore allied health staff perceptions on the role of nurses in sub-acute care wards. BACKGROUND: A consequence of earlier discharge from acute hospitals is higher acuity of patients in sub-acute care. The impact on nurses' roles and required skill mix remains unknown. Similarly, nurses' integration into the rehabilitation team is ambiguous. DESIGN: Descriptive qualitative inquiry. METHODS: Semi-structured interviews conducted with 14 allied health staff from one sub-acute care facility in Melbourne, Australia...
June 12, 2018: Journal of Clinical Nursing
Leslie A Parker, Jessica H Withers, Elizabeth Talaga
BACKGROUND: Oral-nasogastric feeding tubes (FTs) are often malpositioned, placing infants at risk for complications. Confusion exists regarding the accuracy of methods to determine FT insertion length and verify gastric FT placement, and it is unknown whether evidence-based methods are used by neonatal nurses. PURPOSE: To compare individual and unit-based neonatal nursing practices regarding methods used to determine FT insertion length and verify gastric FT placement...
June 8, 2018: Advances in Neonatal Care: Official Journal of the National Association of Neonatal Nurses
Gina S Briscoe, Lynn G Brown
To be successful in their courses, nursing students must possess and routinely practice a wide range of self-regulated learning skills. Self-monitoring and regulation of cognition, metacognition, and behaviors influence learning for nursing practice. As reading and studying for comprehension, effective note taking, and taking tests successfully are challenging for many students, faculty at a rural community college created five self-regulated e-learning modules to equip prenursing students with evidence-based techniques to facilitate learning...
June 9, 2018: Nursing Education Perspectives
E Jane Blowers
BACKGROUND: Acting with integrity is a central part of nursing practice. However, literature shows that professional integrity can be absent and where this is present it can face challenges. Governmental Inquiries have revealed deficits in the expression of nursing values which underpin professional integrity, in particular caring, compassionate and competent practice that maintains the dignity of patients. Evidence also suggests that it cannot be taken for granted that pre-registration education will have a positive impact on student nurses' ability to practice with integrity...
June 1, 2018: Nurse Education Today
Hülya Kaya, Emine Şenyuva, Gönül Bodur
BACKGROUND: Emotional Intelligence and critical thinking are regarded as important traits that nurses have which may influence the quality of their work including clinical decision-making and reasoning ability and adoption of evidence-based practice and practice-based knowledge. OBJECTIVES: The aim of this study is to investigate nursing students' critical thinking dispositions and emotional intelligence as an essential skill, over the course of the undergraduate nursing program...
June 1, 2018: Nurse Education Today
Cheryl Green
In Modern health care, the creation of cultures of safety for patients is of the upmost importance. Impacting the institutional stabilization of health care facilities safety initiatives, is the preparation of pre-licensure nursing students to safely administer medications to patients. Therefore, preparation of the pre-licensure nursing student must be evidence-based practice focused and incorporate innovative ways to reduce the potential for medication errors.
June 1, 2018: Nurse Education Today
P Kay Nottingham Chaplin, Kira Baldonado, Susan Cotter, Bruce Moore, Geoffrey E Bradford
Current evidence-based and best practice vision screening and eye health approaches, tools, and procedures are the result of revised national guidelines in the last 3 years and advances in research during the past 18 years. To help the busy school nurse, with little time to keep up with changes in children's vision practices and a growing body of literature, the National Center for Children's Vision and Eye Health at Prevent Blindness is providing answers to five questions that are often received from the field...
June 1, 2018: NASN School Nurse
Kat Leung, Lyndal Trevena, Donna Waters
BACKGROUND: The authors designed the evidence-based nursing practice assessment tool (EBNPAT) to measure the competence of nurses in using the five-step evidence-based practice model: ask, acquire, appraise, apply and assess. However, they needed to assess its content validity to show it is a valid tool. Assessing the content validity of a newly developed measurement scale is often challenging. Although the content validity index (CVI) is widely used in nursing research, it is limited to evaluating the chance of variation in agreement and consistency among reviewers of the content...
June 7, 2018: Nurse Researcher
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