Your browser doesn't support javascript.
Show: 20 | 50 | 100
Results 1 - 20 de 135
Filter
1.
Child Adolesc Psychiatr Clin N Am ; 31(2): 223-236, 2022 04.
Article in English | MEDLINE | ID: covidwho-2060526

ABSTRACT

Minoritized youth have lower prevalence rates of substance use disorders (SUD) compared with White peers, but proportionally those that are diagnosed are less likely to engage in specialized care and there are few culturally responsive treatments or programs available. We examine social determinants of SUD, with emphasis on the impact of trauma, including racial trauma, and include an intersectional approach incorporating race, ethnicity, and gender. This review of the literature highlights evidence-based effective clinical practice as examples for the field in developing therapeutic approaches to SUD for this population.


Subject(s)
Substance-Related Disorders , Adolescent , Evidence-Based Practice , Humans , Peer Group , Prevalence , Substance-Related Disorders/diagnosis , Substance-Related Disorders/epidemiology , Substance-Related Disorders/therapy
2.
Rev. latinoam. enferm. (Online) ; 29: e3431, 2021. tab
Article in English | WHO COVID, LILACS (Americas) | ID: covidwho-2054534

ABSTRACT

Objective: to examine the usage and content of the Global Alliance for Nursing and Midwifery (GANM) discussion forum in relation to nursing and midwifery education and practice. Method: a qualitative conventional content analysis was performed. Subject lines from 1689 discussion board threads were extracted and used as the unit of analysis. A-priori codes were developed based on topical relevance (e.g. maternal health) and typical discussion board usage (e.g. announcing educational opportunities). Emerging codes were further identified while coding the data (e.g. infectious diseases). Results: the GANM discussion forum was used most frequently for information exchange (43.8%), such as dissemination of new information on evidence-based practice, and to announce educational opportunities (24.8%). The most frequently discussed topics were nursing (14.2%; e.g. the role of nurses in primary care, nursing education, etc.) and maternal health (13.8%; e.g. postpartum care, maternal mortality, etc.). Infectious diseases were discussed in 9% of threads, 40% of which concerned the current coronavirus pandemic. Conclusion: findings reinforce the utility of the GANM as a platform for professional development and continuing education. As a platform for disseminating empirical research, the GANM can be leveraged to have an influence on real-world, evidence-based practice.


Objetivo: examinar o uso e o conteúdo do fórum de discussão da Aliança Global para Enfermagem e Obstetrícia (Global Alliance for Nursing and Midwifery, GANM) em relação à educação e prática de enfermagem e obstetrícia. Método: análise de conteúdo convencional qualitativa. Foram extraídas e usadas como unidade de análise linhas de assunto de 1.689 tópicos do fórum de discussão. A priori, os códigos foram desenvolvidos com base na relevância do tópico (por exemplo, saúde materna) e no uso típico de um fórum de discussão (por exemplo, anúncio de oportunidades educacionais). Códigos emergentes foram identificados posteriormente durante a codificação dos dados (por exemplo, doenças infecciosas). Resultados: o fórum de discussão da GANM foi utilizado com maior frequência para troca de informações (43,8%), como divulgação de novas informações sobre a prática baseada em evidências e para anunciar oportunidades educacionais (24,8%). Os tópicos mais discutidos foram Enfermagem (14,2%; por exemplo, o papel do enfermeiro na atenção primária, educação em enfermagem, etc.) e saúde materna (13,8%; por exemplo, cuidados pósparto, mortalidade materna, etc.). Doenças infecciosas foram discutidas em 9% dos tópicos, sendo que 40% estavam relacionados à atual pandemia de coronavírus. Conclusão: os achados reforçam a utilidade da GANM como plataforma de desenvolvimento profissional e educação continuada. Como plataforma para disseminar a pesquisa empírica, a GANM pode ser aproveitada para ter uma influência na prática do mundo real baseada em evidências.


Objetivo: examinar el uso y contenido del foro de discusión de la Alianza Global para Enfermería y Obstetricia (Global Alliance for Nursing and Midwifery, GANM) en relación con la educación y práctica de Enfermería y Obstetricia. Método: se realizó un análisis de contenido convencional cualitativo. Se extrajeron líneas de 1689 hilos de conversación en foros de discusión y se utilizaron como unidad de análisis. A priori, los códigos se desarrollaron sobre la base de la relevancia del tema (por ejemplo, salud materna) y el uso típico de los foros de discusión (por ejemplo, anunciar oportunidades educativas). Los códigos emergentes se identificaron con mayor precisión al codificar los datos (por ejemplo, enfermedades infecciosas). Resultados: el foro de discusión de la GANM se utilizó con mayor frecuencia para el intercambio de información (43,8%), como la difusión de nueva información sobre la práctica basada en la evidencia, y para anunciar oportunidades educativas (24,8%). Los temas más discutidos fueron la Enfermería (14,2%; por ejemplo, el rol de los enfermeros en la atención primaria, educación en Enfermería, etc.) y la salud materna (13,8%; por ejemplo, atención postparto, mortalidad materna, etc.). Las enfermedades infecciosas se discutieron en 9% de los hilos de conversación, de los cuales, el 40% refirieron a la actual pandemia de coronavirus. Conclusión: los hallazgos refuerzan la utilidad de la GANM como plataforma para el desarrollo profesional y la educación continua. Como plataforma para difundir investigación empírica, la GANM se puede aprovechar para influir en la práctica basada en la evidencia del mundo real.


Subject(s)
Humans , Female , Pregnancy , Education, Continuing , Education, Nursing , Evidence-Based Practice , Maternal Health , Midwifery
3.
JBI Evid Implement ; 20(S1): S41-S48, 2022 Aug 01.
Article in English | MEDLINE | ID: covidwho-2051813

ABSTRACT

OBJECTIVES: This project aimed to improve communication skills of medical laboratory staff and the quality of health services. INTRODUCTION: Communication is the basis of all interpersonal actions; optimal and efficient communication needs permanent awareness and training in order to learn these skills. The healthcare industry is a constantly changing field, so communication becomes a very important tool that contributes to change. METHODS: This project has been conducted following the JBI framework to improve the communication process in a medical laboratory. A baseline audit involved 30 multidisciplinary healthcare providers (HCP). Using audit criteria provided by JBI, data for clinical audits were collected using a completed audit questionnaire based on direct observation and interview of participants, and checking the records. Once the information had been gathered, the team involved in the project implemented a three sessions workshop focused on communication to solve/improve identified barriers. A follow-up audit was conducted to assess the outcomes of the intervention. RESULTS: The implementation of the project resulted in the evolution of the participants and the cohesion of the healthcare team. The baseline compliance with best practice for audit criteria shows that only a part of those involved in the study benefited from training communication. Lack of time for team briefings and interactions led to different points of view. In the pandemic context, the implementation of the communication improvement strategy was conducted online, with all 30 HCP participating in training sessions. After the follow-up audit, the evolution was demonstrated by the improvement of the HCP compliance compared with the two audit criteria identified with the insufficient compliance in the basic audit. CONCLUSION: Effective communication is a necessity to meet patient needs and to provide high-quality services. The healthcare team received training for communication focused on interpersonal communication.


Subject(s)
Evidence-Based Practice , Health Personnel , Humans , Communication , Patient Care Team
4.
JBI Evid Implement ; 20(3): 209-217, 2022 Sep 01.
Article in English | MEDLINE | ID: covidwho-2018411

ABSTRACT

INTRODUCTION: The first case of the novel coronavirus disease (COVID-19) in Iran was officially announced on February 19, 2020, in Qom city. The prevalence of COVID-19 is higher among frontline healthcare workers (HCWs) due to their occupational exposure. OBJECTIVE: The aim of this evidence implementation project was to improve the protection of nurses against COVID-19 in the emergency department of a teaching hospital in Tabriz, Iran. METHODS: A clinical audit was undertaken using the JBI Practical Application of Clinical Evidence System (JBI PACES) tool. Ten audit criteria, representing the best practice recommendations for the protection of HCWs in the emergency department were used. A baseline audit was conducted, followed by the implementation of multiple strategies. The project was finalized with a follow-up audit to evaluate changes in practice. RESULTS: The baseline audit results showed that the compliances for four (out of ten) audit criteria (criteria 4, 7, 8 and 9), were under 75%, which indicated poor and moderate compliance with the current evidence. After implementing plans such as running educational programs and meetings, major improvement was observed in 3 criteria, criterion 4 was improved from low to excellent (41-81%), criterion 7 was promoted from low to moderate (30-62%), criterion 8 was not promoted considerably (22-27%) and criterion 9 was improved from moderate to excellent (70-84%). CONCLUSION: The results of the audit process increased COVID-19 protection measures for nurses in the emergency department. It can be concluded that educational programs and tools, such as face-to-face training, educational pamphlets, workshops and meetings can facilitate the implementation of evidence into practice.


Subject(s)
COVID-19 , Humans , COVID-19/epidemiology , COVID-19/prevention & control , Evidence-Based Practice , Iran/epidemiology , Emergency Service, Hospital , Health Personnel , Hospitals, Teaching
5.
Prim Health Care Res Dev ; 23: e51, 2022 08 31.
Article in English | MEDLINE | ID: covidwho-2016470

ABSTRACT

AIM: To identify implementation strategies for collaborative care (CC) that are successful in the context of perinatal care. BACKGROUND: Perinatal depression is one of the most common complications of pregnancy and is associated with adverse maternal, obstetric, and neonatal outcomes. Although treating depressive symptoms reduces risks to mom and baby, barriers to accessing psychiatric treatment remain. CC has demonstrated benefit in primary care, expanding access, yet few studies have examined the implementation of CC in perinatal care which presents unique characteristics and challenges. METHODS: We conducted qualitative interviews with 20 patients and 10 stakeholders from Collaborative Care Model for Perinatal Depression Support Services (COMPASS), a perinatal collaborative care (pCC) program implemented since 2017. We analyzed interview data by employing the Exploration, Preparation, Implementation, Sustainment (EPIS) framework to organize empirically selected implementation strategies from Expert Recommendations for Implementing Change (ERIC) to create a guide for the development of pCC programs. FINDINGS: We identified 14 implementation strategies used in the implementation of COMPASS. Strategies were varied, cutting across ERIC domains (eg, plan, educate, finance) and across EPIS contexts (eg, inner context - characteristics of the pCC program). The majority of strategies were identified by patients and staff as facilitators of pCC implementation. In addition, findings show opportunities for improving the implementation strategies used, such as optimal dissemination of educational materials for obstetric clinicians. The implementation of COMPASS can serve as a model for the process of building a pCC program. The identified strategies can support the implementation of this evidence-based practice for addressing postpartum depression.


Subject(s)
Depression, Postpartum , Perinatal Care , Child , Depression, Postpartum/therapy , Evidence-Based Practice , Female , Humans , Infant, Newborn , Pregnancy
6.
Worldviews Evid Based Nurs ; 19(5): 380-387, 2022 Oct.
Article in English | MEDLINE | ID: covidwho-2005288

ABSTRACT

BACKGROUND: Patient safety metrics declined due to COVID-19-related strains placed on hospitals and hospital systems. Because evidence-based practice (EBP) can improve patient outcomes and quality of care and empower clinicians, a renewed focus on organizational EBP culture is needed. The Advancing Research and Clinical practice through close Collaboration (ARCC©) Model describes how to use a system-wide approach to advance and sustain EBP in hospital systems to improve outcomes. EBP culture is a key variable that directly impacts EBP knowledge, beliefs, competency, and implementation. The ARCC© Model uses the Organizational Culture and Readiness Scale for System-Wide Integration of Evidence-Based Practice (OCRSIEP) to identify organizational characteristics that influence clinician and patient outcomes. Although the scale has been reported to have excellent reliability, a comprehensive psychometric analysis has yet to be performed that confirms its construct validity. AIMS: The aim of this study was to describe the OCRSIEP's construct validity and reliability via an in-depth psychometric analysis. METHODS: OCRSIEP assessment data were obtained from a prior national study with 2344 nurses from 19 hospitals and healthcare systems. Descriptive statistics summarized the sample and distributions of the 25 scale items. Construct validity was assessed via exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Cronbach's alpha assessed reliability. RESULTS: A one-factor model was supported by EFA with item Q17b excluded (i.e., to what extent are decisions generated from upper administration). Model fit indices for CFA indicated a good fit (CFI = 0.978, TLI = 0.973, RMSEA = 0.077, SRMR = 0.027). Cronbach's alpha was 0.96 for all items and 0.97 with item Q17b excluded, both indicating outstanding internal consistency. LINKING EVIDENCE TO ACTION: The OCRSIEP is valid and reliable and can be used to assess EBP culture and readiness in hospitals and healthcare systems at the organizational level.


Subject(s)
COVID-19 , Organizational Culture , Evidence-Based Practice , Humans , Psychometrics , Reproducibility of Results , Surveys and Questionnaires
7.
PLoS One ; 17(6): e0268697, 2022.
Article in English | MEDLINE | ID: covidwho-1933286

ABSTRACT

INTRODUCTION: Health workers involvement in research had an impact on studies and whole system. They influence the clinical practice and help to implement evidences. Although International Confederation of Midwives (ICM) put research as one of the midwifery competencies and professional development activity, clinical midwives are poorly involved in research. Therefore, this study is aimed to assess clinical midwives engagement in research and bridge the gap through applicable strategies. METHOD: Institution-based cross-sectional study was conducted among clinical midwives working at public health facilities of Central and North Gondar Zone, Ethiopia from September to October, 2020 G.C. A structured and pre-tested self-administered questionnaire was used to collect data and entered into Epi-info version 7. Descriptive statistics was used to describe study population. Bi-variable and multi-variable logistic regression analysis was performed using STATA Version 14 and significance level declared at 95% confidence interval, p-value ≤ 0.05 and respective odds ratios. RESULT: Out of 335 clinical midwives, 314 were participated making the response rate 93.7%. Among the midwives, one hundred seventy two (54.8%) (95% CI: 49.08%, 60.37) have good skill on conducting a research. Clinical midwives with mothers with formal education [AOR: 1.90, 95% CI: (1.03, 3.51), currently work on referral hospitals [AOR: 2.33, 95% CI: (1.19, 4.53)] and having good level of knowledge on research [AOR: 2.19, 95% CI: (1.25, 3.82)] have significant association with having good research skill. Forty eight (15.2%) (95% CI: 11.5%, 19.7%) ever participated in research during their clinical practice. Clinical midwives who have good knowledge on research [AOR: 0.31, 95% CI: (0.14, 0.70)] are about 0.3 times less likely to participate on research than who have poor knowledge [AOR: 0.31, 95% CI: (0.14, 0.70)]. CONCLUSION AND RECOMMENDATION: Although more than half have good research skill, only a small proportion of midwives were involved in research. Capacity building activities are crucial to strengthen midwives skill on research and ensure their involvement.


Subject(s)
Midwifery , Cross-Sectional Studies , Ethiopia/epidemiology , Evidence-Based Practice , Female , Health Facilities , Health Knowledge, Attitudes, Practice , Humans , Pregnancy , Surveys and Questionnaires
9.
Trials ; 23(1): 243, 2022 Mar 30.
Article in English | MEDLINE | ID: covidwho-1822205

ABSTRACT

BACKGROUND: Posttraumatic stress disorder occurs in as many as one in five combat veterans and is associated with a host of negative, long-term consequences to the individual, their families, and society at large. Trauma-focused treatments, such as Prolonged Exposure, result in clinically significant symptom relief for many. Adherence to these treatments (i.e., session attendance and homework compliance) is vital to ensuring recovery but can be challenging for patients. Engaging families in veterans' treatment could prove to be an effective strategy for promoting treatment adherence while also addressing long-standing calls for better family inclusion in treatment for posttraumatic stress disorder. This paper describes the methods of a pragmatic randomized controlled trial designed to evaluate if family inclusion in Prolonged Exposure can improve treatment adherence. METHODS: One hundred fifty-six veterans, with clinically significant symptoms of posttraumatic stress disorder, will be randomized to receive either standard Prolonged Exposure or Prolonged Exposure enhanced through family inclusion (Family-Supported Prolonged Exposure) across three different VA facilities. Our primary outcomes are session attendance and homework compliance. Secondary outcomes include posttraumatic stress disorder symptom severity, depression, quality of life, and relationship functioning. The study includes a concurrent process evaluation to identify potential implementation facilitators and barriers to family involvement in Prolonged Exposure within VA. DISCUSSION: While the importance of family involvement in posttraumatic stress disorder treatment is non-controversial, there is no evidence base supporting best practices on how to integrate families into PE or any other individually focused trauma-focused treatments for posttraumatic stress disorder. This study is an important step in addressing this gap, contributing to the literature for both retention and family involvement in trauma-focused treatments. TRIAL REGISTRATION: ClinicalTrials.gov NCT03256227 . Registered on August 21, 2017.


Subject(s)
Implosive Therapy , Stress Disorders, Post-Traumatic , Veterans , Evidence-Based Practice , Humans , Implosive Therapy/methods , Quality of Life , Stress Disorders, Post-Traumatic/diagnosis , Stress Disorders, Post-Traumatic/therapy
10.
Violence Against Women ; 28(8): 1736-1749, 2022 06.
Article in English | MEDLINE | ID: covidwho-1808095

ABSTRACT

As gender-based violence (GBV) surged during the COVID-19 pandemic, the 65th session of the Commission on the Status of Women (CSW65) called for member states, civil, and other stakeholders to consider the specific needs of women and girls in COVID-19 response and recovery efforts. Psychology provides scientific knowledge to help answer this call. Despite existing global guidance and psychological research to mitigate GBV, COVID-19 presents new challenges for consideration. This article summarizes existing GBV guidance/research and COVID-19 considerations, uses an illustrative case study to describe Puerto Rico's application of GBV guidance/research during COVID-19, and provides preliminary policy and practice recommendations.


Subject(s)
COVID-19 , Gender-Based Violence , Evidence-Based Practice , Female , Humans , Pandemics , Puerto Rico
11.
Community Ment Health J ; 58(8): 1563-1570, 2022 Nov.
Article in English | MEDLINE | ID: covidwho-1802944

ABSTRACT

Intermediary and purveyor organizations (IPOs) play a key role in disseminating and implementing behavioral health evidence-based practices. The COVID-19 pandemic created a time of crisis and disruption to behavioral health care delivery. Using the conceptual framework of basic, targeted, and intensive technical assistance (TA) from the Training and Technology Transfer Centers, case studies are used to describe how programs at The Center for Practice Innovations a state funded-intermediary organization, adapted its training and technical assistance to be delivered entirely remotely, to include content related to COVID-19 and to provide guidance on telehealth-based behavioral health care.


Subject(s)
COVID-19 , Telemedicine , Humans , Health Workforce , Pandemics , Evidence-Based Practice
12.
Reprod Sci ; 29(4): 1188-1196, 2022 04.
Article in English | MEDLINE | ID: covidwho-1756997

ABSTRACT

Uterine fibroids are common benign tumors that occur in up to 80% of women. Approximately half of the women affected experience considerable physical, psychological, and economic burdens and impact on quality of life due to symptoms such as heavy menstrual bleeding, pelvic pain, and infertility. Several medical and surgical options are available to treat uterine fibroids; however, healthcare providers may benefit from practical guidance in the development of individualized treatment plans based on a personalized approach. Medical treatments and minimally invasive procedures are generally preferred by most patients before considering more invasive, higher risk surgical interventions. In general, patient-centered, uterine-preserving procedures may be prioritized based on the patient's goals and the clinical scenario. Occasionally, hysterectomy may be the preferred treatment option for some patients who require definitive treatment. This call-to-action highlights recent challenges to patient care, including radical shifts in physician-patient interactions due to the COVID-19 pandemic and recent changes to evidence-based, clinically approved therapies. This report also reviews contemporary recommendations for women's health providers in the diagnosis and medical and surgical management of uterine fibroids. This call-to-action aims to empower healthcare providers to optimize the quality of care for women with uterine fibroids utilizing the best available evidence and best practices.


Subject(s)
Disease Management , Evidence-Based Practice , Leiomyoma/therapy , Uterine Neoplasms/therapy , Female , Humans , Patient-Centered Care , Practice Guidelines as Topic , Quality of Health Care , Quality of Life
13.
J Contin Educ Nurs ; 53(3): 109-114, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1732314

ABSTRACT

Background With an increasingly complex health care system, there are greater demands for nurses to have a strong foundation in evidence-based practice (EBP) competencies because of their relationship to improved patient and organizational outcomes. Attributes such as knowledge, skills, and attitudes contribute to the development of EBP competencies. Method A quasi-experimental study with a pretest/posttest design was conducted to evaluate the outcomes for 30 RNs in an acute care setting who attended a 3-hour EBP educational intervention using the Healthcare EBP Assessment Tool questionnaire. Results The nurses demonstrated a significant improvement in their perceived understanding of EBP after the intervention (p = .005). Statistically significant improvements were also noted on the subscales of frequency, ability, desire, and barriers. Conclusion Advances in the perception of EBP competencies made by the participants of this intervention may enhance their feeling of contributing to the organization and result in improved patient outcomes and work environment. Further research is needed to investigate the effectiveness of other interventions, including opportunities to be involved in quality improvement projects and research studies. [J Contin Educ Nurs. 2022;53(3):109-114.].


Subject(s)
Delivery of Health Care , Evidence-Based Practice , Evidence-Based Nursing , Health Knowledge, Attitudes, Practice , Humans , Surveys and Questionnaires
14.
Nature ; 603(7899): 7-8, 2022 Mar.
Article in English | MEDLINE | ID: covidwho-1730270
15.
Clin Nutr ; 41(3): 661-672, 2022 03.
Article in English | MEDLINE | ID: covidwho-1683011

ABSTRACT

BACKGROUND & AIMS: The Remote Malnutrition Application (R-MAPP) was developed during the COVID-19 pandemic to provide support for health care professionals (HCPs) working in the community to complete remote nutritional assessments, and provide practical guidance for nutritional care. The aim of this study was to modify the R-MAPP into a version suitable for children, Pediatric Remote Malnutrition Application (Pedi-R-MAPP), and provide a structured approach to completing a nutrition focused assessment as part of a technology enabled care service (TECS) consultation. METHODS: A ten-step process was completed: 1) permission to modify adult R-MAPP, 2) literature search to inform the Pedi-R-MAPP content, 3) Pedi-R-MAPP draft, 4) international survey of HCP practice using TECS, 5) nutrition experts invited to participate in a modified Delphi process, 6) first stakeholder meeting to agree purpose/draft of the tool, 7) round-one online survey, 8) statements with consensus removed from survey, 9) round-two online survey for statements with no consensus and 10) second stakeholder meeting with finalisation of the Pedi-R-MAPP nutrition awareness tool. RESULTS: The international survey completed by 463 HCPs, 55% paediatricians, 38% dietitians, 7% nurses/others. When HCPs were asked to look back over the last 12 months, dietitians (n = 110) reported that 5.7 ± 10.6 out of every 10 appointments were completed in person; compared to paediatricians (n = 182) who reported 7.5 ± 7.0 out of every 10 appointments to be in person (p < 0.0001), with the remainder completed as TECS consultations. Overall, 74 articles were identified and used to develop the Pedi-R-MAPP which included colour-coded advice using a traffic light system; green, amber, red and purple. Eighteen participants agreed to participate in the Delphi consensus and completed both rounds of the modified Delphi survey. Agreement was reached at the first meeting on the purpose and draft sections of the proposed tool. In round-one of the online survey, 86% (n = 89/104) of statements reached consensus, whereas in round-two 12.5% (n = 13/104) of statements reached no consensus. At the second expert meeting, contested statements were discussed until agreement was reached and the Pedi-R-MAPP could be finalised. CONCLUSION: The Pedi-R-MAPP nutrition awareness tool was developed using a modified Delphi consensus. This tool aims to support the technological transformation fast-tracked by the COVID-19 pandemic by providing a structured approach to completing a remote nutrition focused assessment, as well as identifying the frequency of follow up along with those children who may require in-person assessment.


Subject(s)
Child Health , Consensus , Delphi Technique , Nutrition Assessment , Remote Consultation/instrumentation , Remote Consultation/methods , Adult , COVID-19 , Child , Dietetics/instrumentation , Dietetics/methods , Evidence-Based Practice , Female , Humans , Male , Nutritional Status , Pediatrics/instrumentation , Pediatrics/methods , SARS-CoV-2
16.
Syst Rev ; 10(1): 317, 2021 12 22.
Article in English | MEDLINE | ID: covidwho-1631694

ABSTRACT

BACKGROUND: In December 2019, a novel coronavirus, severe acute respiratory syndrome coronavirus 2 was identified as the cause of an acute respiratory disease, coronavirus disease 2019 (COVID-19). Given the lack of validated treatments, there is an urgent need for a high-quality management of COVID-19. Clinical practice guidelines (CPGs) are one tool that healthcare providers may use to enhance patient care. As such, it is necessary that they have access to high-quality evidence-based CPGs upon which they may base decisions regarding the management and use of therapeutic interventions (TI) for COVID-19. The purpose of the proposed study is to assess the quality of CPGs that make management or TI recommendations for COVID-19 using the AGREE II instrument. METHODS: The proposed systematic review will identify CPGs for TI use and/or the management of COVID-19. The MEDLINE, EMBASE, CINAHL, and Web of Science databases, as well as the Guidelines International Network, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, and the World Health Organization websites, will be searched from December 2019 onwards. The primary outcome of this study is the assessed quality of the CPGs. The quality of eligible CPGs will be assessed using the Appraisal of Guidelines, Research and Evaluation II (AGREE II) instrument. Descriptive statistics will be used to quantify the quality of the CPGs. The secondary outcomes of this study are the types of management and/or TI recommendations made. Inconsistent and duplicate TI and/or management recommendations made between CPGs will be compared across guidelines. To summarize and explain the findings related to the included CPGs, a narrative synthesis will also be provided. DISCUSSION: The results of this study will be of utmost importance to enhancing clinical decision-making among healthcare providers caring for patients with COVID-19. Moreover, the results of this study will be relevant to guideline developers in the creation of CPGs or improvement of existing ones, researchers who want to identify gaps in knowledge, and policy-makers looking to encourage and endorse the adoption of CPGs into clinical practice. The results of this review will be published in a peer-reviewed journal and presented at conferences. SYSTEMATIC REVIEW REGISTRATION: International Prospective Register for Systematic Reviews (PROSPERO)- CRD42020219944.


Subject(s)
COVID-19 , Databases, Factual , Evidence-Based Practice , Humans , Review Literature as Topic , SARS-CoV-2 , Systematic Reviews as Topic
18.
J Contin Educ Nurs ; 53(1): 10-12, 2022 Jan.
Article in English | MEDLINE | ID: covidwho-1598751

ABSTRACT

Health care studies that use Q methodology have increased dramatically in recent years, but most nurses have not learned about this mixed methods approach in their research classes. This teaching column will help readers understand some of the unique terms and characteristics of Q methodology. Understanding this method can help nurses performing evidence-based practice and education. [J Contin Educ Nurs. 2022;53(1):10-12.].


Subject(s)
Education, Nursing, Continuing , Reading , Evidence-Based Practice , Humans , Learning
19.
PLoS One ; 16(11): e0260238, 2021.
Article in English | MEDLINE | ID: covidwho-1526698

ABSTRACT

Simulation may be an effective educational strategy for undergraduate nursing students to experience evidence-based practice. The aim of this scoping review is to explore such simulations to discover the design characteristics that best achieve this goal. In this review, we will consider studies in which the focus was on evidence-based practice-related simulation programs for undergraduate students in academic, clinical, or virtual settings. We will also focus on the active learning strategies applied in such simulation programs. This scoping review will be conducted in accordance with the Joanna Briggs Institute methodology. Studies will be searched in Medical Literature Analysis and Retrieval System Online (MEDLINE; PubMed), the Cumulative Index to Nursing and Allied Health Literature (CINAHL), the Education Resources Information Center (ERIC), and the Excerpta Medica database (EMBASE). Sources of unpublished studies/gray literature will not be included in this scoping review. Data extraction will be undertaken by using a data-extraction tool developed by the reviewers, based on the National League for Nursing Jeffries Simulation Theory. Via a narrative summary and tabulated results, we will describe how the simulation programs were designed or implemented in an undergraduate curriculum.


Subject(s)
Education, Nursing, Baccalaureate/methods , Evidence-Based Practice/methods , Students, Nursing/statistics & numerical data , Curriculum/statistics & numerical data , Educational Status , Humans , Narration
20.
Worldviews Evid Based Nurs ; 18(6): 389-391, 2021 Dec.
Article in English | MEDLINE | ID: covidwho-1526440

ABSTRACT

BACKGROUND: The Centers for Medicare & Medicaid Services requires hospitals to meet rigorous patient satisfaction requirements for reimbursement. One metric used for patient satisfaction is call light responsiveness within a unit. AIMS: To meet target call light responsiveness benchmarks at a 45-bed telemetry, medical-surgical nursing unit within a Magnet® designated hospital. METHODS: An evidence-based practice (EBP) project model was utilized. The chief nursing officer worked with an EBP nurse mentor. A PICOT (Population, Intervention, Comparison, Outcome, and Time) question was developed to guide the literature search. Literature was critically appraised, and a resulting intervention was established. Nurse educators taught the unit nurses how to perform the intervention, and intervention integration was assessed via direct observation. Call light responsiveness data were collected to assess whether targets were met. RESULTS: Five articles were deemed as applicable to the PICOT question, and the best evidence determined that using the 4Ps (pain, presence, "potty," and positioning) during structured registered nurse (RN) care rounding every 2 h improved patient outcomes. After RN education and implementation, hospital call light responsiveness began to improve. LINKING EVIDENCE TO ACTION: Rounding without intention increases RN workload and does not result in improved patient outcomes or a satisfied patient. RN rounding every 2 h is effective and efficient when done with intention (i.e., adhering to the 4Ps). RN patient rounds done every 2 h with intention improved patient satisfaction and other patient outcomes such as a decrease in call light usage.


Subject(s)
COVID-19 , Patient Satisfaction , Aged , Evidence-Based Practice , Humans , Medicare , Pandemics , SARS-CoV-2 , United States
SELECTION OF CITATIONS
SEARCH DETAIL