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For the COIL assignment, students worked in international teams of four to identify an existing problem in both the U.S. and Japanese health care systems, develop a PICOT (Population of concern, Intervention or interest, Comparison, Outcome, and Timeframe) question, and formulate an evidence-based solution to address the existing health care challenge. A mobile cancer screening van to screen populations with high risk factors for breast cancer, skin cancer, hypertension, diabetes, and child immunizations. 6. Each university used different learning management systems but agreed to use free online resources, such as Padlet, Translate, and Google Drive/Microsoft One Drive to enhance collaboration and communication.
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AIM: This systematic review evaluated the quality of evidence for the prevention and management of facial pressure injuries in medical staff. DESIGN: This review was presented in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. METHODS: We retrieved the relevant studies from 19 databases. Using the literature evaluation standards and evidence grading system of the Australian Joanna Briggs Institute Evidence-Based Health Care Center, we evaluated the quality of the literature encompassing different types of research and assessed their levels of evidence. RESULTS: A total of 13 studies were included, including seven expert consensuses, two recommended practices, one clinical decision, one best practice information booklet, one systematic review and one randomized controlled trial. In the end, 31 best evidence were summarized, including skin cleaning and care, PPE placement and movement, reasonable use of dressings, treatment measures and education and training.
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Pressure Ulcer , Humans , Australia , Medical Staff , Randomized Controlled Trials as TopicABSTRACT
In response to the COVID-19 pandemic, an interprofessional team from the Department of Veterans Affairs, Office of Nursing Informatics and Office of Nursing Service was established to create standardized nursing documentation notes reflective of electronic health record modernization efforts. This foundational work established an enterprise methodology to electronically define and measure essential nursing documentation discrete data within an integrated complex health care system.
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The nursing and medical literature clearly demonstrates that clinical documentation with the EHR has had a negative impact on healthcare professionals prior to the COVID-19 pandemic (McBride et al., 2018;Moy et al., 2021). Nursing cognitive overload and electronic documentation burden: A literature review. Measurement of clinical documentation burden among physicians and nurses using electronic health records: A scoping review.
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Introduction: The nursing workforce across stroke services is integral to the delivery of specialist stroke care Despite this, nursing interventions and patient contact time are not captured via the SSNAP audit as other disciplines are, resulting in the stroke nursing workforce being influenced by local priorities with poor provision largely unrecognised. Furthermore, staffing constraints caused by covid 19 has resulted in the redeployment of specialist nurses, directly impacting the immediate provision of stroke care and depriving stroke units of clinical expertise. Method(s): Quantitative and qualitative methods were applied. This included data relating to nursing establishments, vacancies, bed configurations, electronic rostering systems and the safer nursing care tool. This information was supported by written evidence from senior stroke nursing leads. Analysis of fifteen acute stroke services was completed. Result(s): A detailed regional report was compiled and shared system wide. Each provider was presented with an individual analysis. Over 60 key findings and 19 recommendations covering four main themes were established including: Establishments against national guidance unrealised. HASUs staffed against Safecare sitting below RCP recommendations HASU beds are not recognised on electronic rosters leading to general ward theories being applied. Significant movement of band 5 nurses affecting retention. HASU beds poorly aligned with significant variations of admissions per bed. Specialist nursing team management influencing SSNAP attainment. Conclusion(s): Poor understanding of stroke nursing requirements is evident regionwide. The use of healthroster and safecare tools in stroke units is inappropriately utilised and poorly understood. There is a direct correlation between specialist nurse organisation and SSNAP achievement.
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The worsening nursing shortage in the United States, coupled with staffing challenges related to the COVID-19 pandemic, has inspired nursing leaders at a 100-bed urban cancer center to develop a Safety Huddle. This patient safety strategy, aimed at improving change of shift communication practices of an 8-bed intensive care unit (ICU) within the cancer center, was implemented at the onset of the COVID-19 pandemic. The Safety Huddle yielded a positive impact on patient care outcomes related to fall prevention. All ICU staff were informed of the priority organizational and unit patient safety goals and collaborated with an all-in mindset and a laser focus on keeping our patients safe. In September 2022, this ICU celebrated two consecutive years of being fall-free. The initial intervention was implemented in April 2020. It began as a checklist of pertinent information that each staff needed to know prior to delivering care for their shift. The Safety Huddle process was reviewed by the lead nurse on the unit and shared with staff nurses, nursing assistants, and unit secretaries at the nurses' station at every change of shift. Each week, the Safety Huddle was updated with the latest information. In January 2021, the Safety Huddle was disseminated to all ICU staff via email in order to facilitate timely communication. During this time, the cancer center transitioned from a hybrid system consisting of paper and minimal electronic charting to an electronic medical record (EMR) effective as of May 2021. The next quarter, starting in September 2021, the ICU recognized 365 days without a fall and posted a celebratory banner at the entrance of the unit to showcase the commendable efforts of the team. The organization's Evidence-Based Practice & Research Council conducted a review of the fall risk assessment tools within the cancer center and at the calendar year close of 2021, adopted the Johns Hopkins Fall Risk Assessment Tool (JHFRAT) that was embedded into the EMR. The Safety Huddle was recently restructured with an addition of a Zero Harm Dashboard, that highlights the number of days since the unit's last significant quality indicator event. To date, the ICU has maintained 730 days without a patient fall. Distributing effective communication and utilizing technology, through a continuous quality improvement framework, has been paramount to our team's success in exceeding such a critical patient safety goal.
Subject(s)
COVID-19 , Maternal Health Services , Obstetrics , Female , Humans , Pregnancy , Male , Pandemics , FathersABSTRACT
The need for mechanical ventilation increased rapidly, in line with the surge in COVID-19 cases. Giving the prone position is one form of Evidence-Based Nursing practice and has proven beneficial for patients with respiratory distress due to COVID-19 infection. This study aims to present that pronation is an effort to prevent COVID-19 patients with mild to moderate symptoms from falling into severe conditions. We report two cases of COVID-19 patients with moderate symptoms who are not intubated. Pronation is carried out in 9 to 15 days, either using Non-Invasive Ventilation or High Flow Nasal Cannula. By implementing the pronation, the need for oxygen fraction can be weaned, and hemodynamic parameters stabilize. The provision of pronation in COVID-19 cases is considered to reduce the high number of needs for mechanical ventilation in the COVID-19 pandemic. © 2022 UPM Press. All rights reserved.
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[...]new OR caregivers moved from an observation to an immersion in SPD, allowing them to truly gain an understanding of the importance of the processes and the SPD technician's role. Given this scenario, the implementation of guidelines throughout the perioperative period is of fundamental importance, as they are essential to assist decisions about the most appropriate health care in specific circumstances, guiding and qualifying the practice. The oldest guideline is the Protocol for the Surveillance of Surgical Site Infection, version 6, by Public Health England, which dates to 2013, and the most recent is the Surgical Site Infection Event (SSI), published in 2020 by the Centers for Disease Control and Prevention. Implementing an Ultraviolet Germicidal Irradiation (UVGI) System in Surgical Services, NMRTC, Camp Pendleton, During the COVID-19 Pandemic Annissa Cromer, Regina Leassear, Angela Spruill Within Surgical Services at Navy Medicine Readiness and Training Command, Camp Pendleton, an adjunct method to regular cleaning protocols was implemented to ensure complete disinfection of harmful pathogens.
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Introduction: During the second wave of the COVID-19 pandemic, regional modelling predicted an acute surge in the demand for level 2 respiratory beds. Locally, these patients were cared for on the ICU.Capacity expanded from20 to 42 beds in response to the pandemic, but the anticipated demand could not be met in the existing critical care footprint. Early evidence suggested that CPAP and high-flow oxygen could reduce the requirement for mechanical ventilation by up to 50% for patients with Covid-19.1-2 Objectives and Methods: • An enhanced respiratory care a rea was created for a cohort of level 2 respiratory patients to provide CPAP and High-Flow oxygen on a 1:4 practitioner to patient ratio with the aim of relieving staffing and bed pressures on ICU whilst providing equitable care and outcomes to that given to patients on the main unit • Admission criteria stipulated patients should have either single organ failure, independence with self-care, capacity and/or pre-established escalation status • The area was staffed by an acute care team, a team of practitioners from a variety of professional backgrounds including nursing and AHP's who normally provided the Trust's citical care outreach and acute care support through advanced cinical practitioners, non-medical prescribers, practitioners, and specialist HCAs. Physiotherapists and junior doctors were assigned to the unit and supported with their typical professional roles and bedside care. • A service review was undertaken including analysis of admission data, length of stay and unit mortality. A retrospective clinical audit measuring care delivered against the area's initial standard operating procedure and objectives was also undertaken against 15% of patient notes. Results: •67 patients admitted over 40 days •247 critical care bed days saved •Median length of stay 3.68 days •50.7% patients stepped down to wards;34.3% escalated to critical care;14.9% died. •Median age 63, 2:1 male: female ratio Conclusion: The enhanced respiratory care area provided an innovative response to the local critical care COVID-19 bed crisis by cohorting level 2 respiratory patients and transformational workforce planning and care modelling. This enabled a rapid and targeted response to the crisis which provided quality care that was at least equivalent to the length of stay and mortality outcomes of the local ICU, whilst significantly reducing ICU bed and workforce pressures.
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Background: The Coronavirus pandemic has resulted in an extreme challenge for humanity in recent times, like the challenges faced during World War II. Its origin has been pointed out, and the speculation made on its source directly points towards Wuhan in China. Since then, it has spread across the globe. The pandemic has resulted in more than one million deaths, which is a considerable challenge for humanity. Objective: With the pandemic of COVID-19, prevention of patient infection is crucial. This research focused on the orthopedic operating room nursing model effect based on evidence-based nursing and PDCA (Plan-Do-Check-act) cycle during the COVID-19 outbreak. Materials and Methods: From February 2020 to May 2020, 146 patients were admitted and received orthopedic surgery at Xuanwu Chunshu Hospital, Beijing, China, these admissions were grouped into control and intervention groups, which was based on the treatment provided. Satisfaction, time to bed and hospitalization, postoperative incision infection, and the occurrence of deep venous thrombosis of lower extremities, pain degree score, surgical treatment effect, anxiety, and depression scores were compared for all the admissions between the control and intervention groups. Results: In the control group, nursing satisfaction was less than in the intervention group. The time of getting out of bed and hospitalization was less in the intervention group;The total incidence of postoperative incision infection and lower limb deep vein thrombosis in the intervention group decreased. In the first postoperative day, the pain level in the intervention group was less than the control group. The effectiveness rate in the observation group is higher than that of the control group. Anxiety and depression scores of both groups tended to decrease with time and there was an interactive effect between grouping and time, where these differences were found to be statistically significant (P-value<0.05). Conclusion: The clinical application of the orthopedics operating room nursing model based on evidence-based nursing and PDCA cycle is remarkable and worth implementing during the COVID-19 outbreak.
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[...]counseling on how severe bleeding manifests, such as the symptoms of gastrointestinal bleeding, head bleeding, and musculoskeletal, I think, has been extremely helpful in ensuring these symptoms get recognized and treated quickly. [...]most patients need a lower dose inpatient than they would outpatient. [...]I think knowing what to do regarding subtherapeutic or supratherapeutic values should be identified.
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Background: The Coronavirus pandemic has resulted in an extreme challenge for humanity in recent times, like the challenges faced during World War II. Its origin has been pointed out, and the speculation made on its source directly points towards Wuhan in China. Since then, it has spread across the globe. The pandemic has resulted in more than one million deaths, which is a considerable challenge for humanity. Objective: With the pandemic of COVID-19, prevention of patient infection is crucial. This research focused on the orthopedic operating room nursing model effect based on evidence-based nursing and PDCA (Plan-Do-Check-act) cycle during the COVID-19 outbreak. Materials and Methods: From February 2020 to May 2020, 146 patients were admitted and received orthopedic surgery at Xuanwu Chunshu Hospital, Beijing, China, these admissions were grouped into control and intervention groups, which was based on the treatment provided. Satisfaction, time to bed and hospitalization, postoperative incision infection, and the occurrence of deep venous thrombosis of lower extremities, pain degree score, surgical treatment effect, anxiety, and depression scores were compared for all the admissions between the control and intervention groups. Results: In the control group, nursing satisfaction was less than in the intervention group. The time of getting out of bed and hospitalization was less in the intervention group;The total incidence of postoperative incision infection and lower limb deep vein thrombosis in the intervention group decreased. In the first postoperative day, the pain level in the intervention group was less than the control group. The effectiveness rate in the observation group is higher than that of the control group. Anxiety and depression scores of both groups tended to decrease with time and there was an interactive effect between grouping and time, where these differences were found to be statistically significant (P-value<0.05). Conclusion: The clinical application of the orthopedics operating room nursing model based on evidence-based nursing and PDCA cycle is remarkable and worth implementing during the COVID-19 outbreak.
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This descriptive essay highlights the roles and competencies of the nursing professional in the surveillance, prevention, and infection control systems in a Covid-19 pandemic situation;and a perspective from university teaching is proposed for the training of professionals committed to public health. Infectious contagious events with pandemic potential alter the life dynamics of the groups, generating problems of the following type: social, political, economic, cultural and health;Consequently, the nursing professional has a responsibility of great social value, which implies a praxis based on scientific evidence, leadership, commitment, creativity, proactivity, and assertive and empathetic communication with the needs of the groups. in a pandemic situation.
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Removal of used flammable skin antisepsis materials Key words: flammable liquid antiseptics, National Fire Protection Association (NFPA), fire prevention, fire risk, patient care vicinity. According to the Food and Drug Administration, a surgical smoke precipitator device "is a prescription device intended for clearance of the visual field by precipitation of surgical smoke and other aerosolized particulate matter created during laparoscopic surgery. "1 Surgical smoke precipitators use electrostatic precipitation (ESP) technology to negatively charge surgical smoke particles inside the patient's peritoneal space, allowing the smoke particulate matter to precipitate (ie, deposit) on the inner surface of the abdominal wall.2'3 In addition to the application of ESP during laparoscopic surgery, ESP technology has various other air-cleaning applications, such as pollution control for industrial sites (eg, coal-burning plants, incineration facilities)4 and in-duct air filtration in buildings.5 When the surgeon uses a surgical smoke precipitator during laparoscopic surgery, he or she introduces a specialized electrode wand into the abdomen under direct visualization and according to the manufacturer's instructions for use (IFU).2,3 The activated wand emits anions (ie, negatively charged ions) that are attracted to the grounded patient (ie, the patient with a dispersive electrode in place) when connected to the device's powered electrical generator. Medical device event-reporting may include both an internal reporting process at the facility11 and an external reporting process to the Food and Drug Administration using the Manufacturer and User Facility Device Experience database.12 Emily Jones, MSN, RN, CNOR, NPD-BC, is a perioperative practice specialist in the Nursing Department at AORN, Inc, Denver, CO.
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Following are the s from the top three research posters. 1st Place: The Effect of the Built Environment on OR Personnel and Their Perception of Patients' Surgical Experiences: A Phenomenological Comparative Study Rosemary B. Field, MS, APRN-AOCNS;Charika Burns, MSN, RN, CNOR;Linda M. Soos, BSN, RN, CNOR;MaryBeth Houlahan, BSN, RN, CNOR;Christian N. Burchill, PhD, MSN, RN, CEN The increased interest in understanding all aspects of the patient experience has led researchers to study the effect of healthcare facilities' aesthetic environment on patient outcome and experience. Future studies should more directly explore the impact of the built OR environment on staff productivity and teamwork. 2nd Place: A Single-Site Research Study on the Impact of Meditation on the Stress of Operating Room Personnel During COVID-19 Rachel Miller Abanilla, MSN, RN, CNOR, NPD-BC;Stephenie Wright, BSN, RN, CNOR;Selena Banda, CST The COVID-19 pandemic has caused increased stress for healthcare providers. Analysis was performed to see a change in the participants' scores in the SOS-S, heart rate, and blood pressure pre- and post- to test the impact of meditation to stress. The study provided information on the stress level of OR staff during the COVID-19 pandemic and contributed to the evidence of the impact of meditation to stress. 3rd Place: A Non-Pharmaceutical Approach to Preoperative Anxiety Kerri-Lynn Wallace, DNP, FNP-C;Carrie Lee Gardner, PhD, DNP, FNP-BC;Shellye Vardaman, PhD, RN-BC, NEA-BC, CNE Purpose: The purpose of this project was to evaluate the impact of lavender aromatherapy and music therapy (MT) on preoperative anxiety in adult surgical patients.
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The proceedings contain 121 papers. The topics discussed include: the assessment of the severity of illness to the emergency department for psychiatric assessment;promoting nurse-led behavior change to prevent cardiovascular disease in disadvantaged communities: a scoping review;GP perspectives on enhancing integrated care at the GP-hospital interface: a pilot Delphi consensus study;an investigation into the influence of eating habits, social dynamics and stress on helminth infection status in horses;online reflective practice groups for interdisciplinary trainees in pediatric hospitals during COVID-19 pandemic: what's the evidence?;child and carer perspectives on mental health care in a pediatric hospital: young person and parental questionnaire completion;impact of toxoplasma gondii seropositivity on natural behavior of wild fallow deer (DAMA DAMA) in phoenix park;and changes in patterns of emergency department referrals to a liaison mental health team during COVID-19.
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The article focuses on the annually-updated GOLD report on the management of chronic obstructive lung disease (COPD) offers new insights into the disease, treatment and the increased incidence of lung cancer in COPD patients. It mention that the aim of the Global initiative for Chronic Obstructive Lung Disease (GOLD) Report is to provide a non-biased review of the current evidence for the assessment, diagnosis and treatment of patients with COPD.