Abstract:
BACKGROUND:Central venous catheters (CVCs) have provided many benefits in modern-day medical practice; however, they also put patients at risk of catheter-related complications. Numerous studies have been carried out in relation to the management of central venous catheters with conflicting results. While there were several systematic reviews of central venous catheter-related issues, it is clear that there was no systematic review of CVC-related studies specific to the paediatric population in the acute care setting. OBJECTIVE:To present the best available evidence for effective management of central venous catheters and catheter sites in the prevention and/or reduction of catheter-related complications in hospitalised paediatric patients. METHODS:A systematic review was undertaken according to the approach of the Centre for Reviews and Dissemination (CRD; http://www.york.ac.uk/inst/crd). DATA SOURCE:Literature was identified by electronic searching of Cochrane Library, MEDLINE, CINAHL, HealthSTAR, and CancerLit; checking references of all review articles; hand searching of key relevant journals and conference proceedings; and contact with expert informants, medical suppliers, and pharmaceutical companies. INCLUSION/EXCLUSION CRITERIA:The review included randomised and non-randomised controlled trials conducted with hospitalised paediatric patients. Studies that included mixed adult and paediatric populations and mixed hospitalised and home care settings were excluded. DATA EXTRACTION:Two independent reviewers extracted data onto a standard data extraction form, with differences resolved by discussion. QUALITY ASSESSMENT:The quality assessment of retrieved studies included: study design, the degree to which systematic bias was avoided or minimised, the degree to which the assessment was "blind," the degree to which follow up was completed. DATA SYNTHESIS:Quantitative pooling of studies was not feasible due to the diversity of interventions and outcome measures between similar studies. A narrative account of the study characteristics and results was therefore undertaken. RESULTS:Thirty-eight randomised and quasi-randomised controlled trials were retrieved for critical appraisal. Of these, 32 were excluded from the review because the studies did not meet the inclusion criteria and some lacked reporting of appropriate data. Six studies met the criteria with interventions such as antibiotic flushes, antiseptic skin preparations, and dressing materials. CONCLUSION:Quality of reporting was generally lacking. Statistical pooling of results was not possible due to diversity in the reporting of outcomes. There was no evidence to make recommendations on the degree of barrier precautions and the type of aseptic technique to be used at the time of catheter insertion in the paediatric population to prevent catheter-related infection. There was insufficient evidence to support the routine use of an antibiotic flushing solution. There was a lack of randomised controlled trial (RCT) evidence on the benefit of heparin flushes, the use of in-line filters, the frequency of fluid administration set changes, or the type of dressing to use and the frequency of dressing changes. There was some evidence to suggest that chlorhexidine lotion is superior to povidone iodine as a cutaneous antiseptic at the catheter insertion site. However, no recommendation can be made for the use of chlorhexidine in neonates less than 2 weeks old or in premature infants. This systematic review concluded that there is an urgent need for well-designed randomised controlled trials with sufficient power to determine the effectiveness of various interventions in relation to management of CVCs.
journal_name
Worldviews Evid Based Nursjournal_title
Worldviews on evidence-based nursingauthors
Lee OK,Johnston Ldoi
10.1111/j.1524-475X.2005.04085.xsubject
Has Abstractpub_date
2005-01-01 00:00:00pages
4-13; discussion 14-5issue
1eissn
1545-102Xissn
1741-6787pii
WVN4085journal_volume
2pub_type
杂志文章,评审abstract:BACKGROUND:Increasingly, health policy decision-makers and professionals are turning to research-based evidence to support decisions about policy and practice. Systematic reviews are useful for gathering, summarizing, and synthesizing published and unpublished research about clearly defined interventions. State-of-the-...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2006.00051.x
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Intimate partner violence (IPV) is a significant public health issue. Healthcare providers (e.g., nurses, advanced practice nurses, physicians, social workers) have a unique opportunity to prevent and reduce IPV through screening and referral. The objective of this project was to determine the impact of educ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12360
更新日期:2019-06-01 00:00:00
abstract:BACKGROUND:One out of three adults is obese, making obesity the most common presenting chronic medical condition in the primary care setting. Obesity is associated with an increased risk of developing secondary illnesses resulting in a higher rate of morbidity. This chronic condition is a constant challenge facing inte...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1524-475X.2004.04038.x
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Addressing patient expectations is necessary to achieve high satisfaction. However, few data are available on nurses' perceptions and performance with respect to patient expectations and satisfaction. OBJECTIVES:This international multicenter study aimed to: (a) evaluate nurses' attitudes and performance wi...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12143
更新日期:2016-06-01 00:00:00
abstract:BACKGROUND:Innovative approaches are required to facilitate the adoption and sustainability of evidence-based care practices. We propose a novel implementation strategy, a peer reminder role, which involves offering a brief formal reminder to peers during structured unit meetings. AIMS:This study aims to (a) identify ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12224
更新日期:2017-06-01 00:00:00
abstract:BACKGROUND:Transitions of care (TOC) from hospitals is a continuing focus for quality improvement to reduce readmissions. Sufficient resources to offer interventions remain an issue for hospitals, leading to efforts to target high-risk patients and identify effective interventions. OBJECTIVES:Describe and measure effe...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12260
更新日期:2017-12-01 00:00:00
abstract:PURPOSE:The purpose of this study was to examine the Oral Health-Related Quality of Life (OHRQOL) and Oral Health Impact Profile (OHIP) of oral and dental health patients in terms of gender, educational status, and the reason for coming to the oral health center. Also, we investigated the relationships between OHRQOL a...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12398
更新日期:2019-10-01 00:00:00
abstract:AIM:To test the psychometric properties of the Context Assessment Index (CAI). BACKGROUND:We used the Promoting Action on Research Implementation in Health Services Framework (PARIHS) as the theoretical framework for the study. The framework shows the successful implementation of evidence in practice as dependent on t...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2008.00130.x
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:Anxiety is the most common mental health problem in children, yet less than one third of children with anxiety disorders seek treatment. Cognitive-behavioral therapy (CBT) is recommended as a first-line treatment for childhood anxiety. However, current practice generally does not include CBT due to issues of...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/wvn.12024
更新日期:2014-02-01 00:00:00
abstract:BACKGROUND:Lavender inhalation aromatherapy is widely believed to impart a hypnotic effect, act as a mood stabilizer, and enhance the positive feelings of mothers toward their infants. However, research into these and other potential therapeutic effects of lavender tea has been limited. AIMS:This study was conducted i...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12122
更新日期:2015-12-01 00:00:00
abstract:BACKGROUND:The gap between what is stated in legislation about written individualized nursing care plans (ICP) and how they are used in practice is still too wide. AIM:To explore attitudes and experiences among nurses and managers in order to capture which factors and conditions impact on the successful implementation...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2010.00195.x
更新日期:2011-06-01 00:00:00
abstract:AIMS:Parenting interventions in this review refer to supportive parenting training provided for parents or primary caregivers of children and adolescents with type 1 diabetes mellitus (T1DM). The review aimed to synthesize evidence about parenting interventions in parents or caregivers of children and adolescents with ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,meta分析
doi:10.1111/wvn.12399
更新日期:2019-12-01 00:00:00
abstract::Immediate skin-to-skin contact (SSC) after birth benefits the health of mothers and newborns by increasing breastfeeding rates, stabilizing the newborn's temperature, and encouraging bonding (Moore, Anderson, Bergman, & Dowswell, 2012). Although immediate SSC after a vaginal birth was common practice at our hospital, ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12057
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Postnatal mental health problems range from transient psychological problems to depression, anxiety, psychosis, and post-traumatic stress disorder (PTSD). Debriefing is a structured psychological intervention to prevent postnatal psychological problems, particularly PTSD and depression. Many UK maternity ser...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2007.00088.x
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND:There is a growing nursing literature that views missed care as an inevitable consequence of work intensification associated with the rationing of nursing and material resources available to deliver care. Global studies recognize that missed care is now ubiquitous, although studies tend to be conducted in on...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12285
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Datum from electronic sources has accumulated and resulted in the establishment of big data and data science. Big data consists of data sets that are larger than traditional data processing applications can manage. Data science is the research method used to analyze big data. Researchers are applying researc...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12460
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:The success of evidence-based practice depends on clearly and effectively communicating often complex data to stakeholders. In our program of research, Translating Research in Elder Care (TREC), we focus on improving the quality and safety of care delivered to nursing home residents in western Canada. More s...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12158
更新日期:2016-08-01 00:00:00
abstract:BACKGROUND:Falls prevention in "real-life" clinical practice is a complex undertaking. Nurses play an active and essential role in falls prevention. AIM:This discussion paper presents a picture of the nurse as a bricoleur in falls prevention, requiring knowledge in many areas and the ability to perform multiple divers...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12026
更新日期:2014-04-01 00:00:00
abstract:AIM:Where do we go from here? This article draws on other articles in this supplement, the dialogue from the meeting that generated it, and other sources to identify steps to advance translation research, and in particular to achieve broader translation and use of evidence. IMPLICATIONS:To move from the growing accumu...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1524-475X.2004.04046.x
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:The Evidence-Based Practice Beliefs (EBP-B) and Evidence-Based Practice Implementation (EBP-I) scales are psychometrically sound instruments that were used, within an educational setting, to systematically study students' beliefs about and their implementation of evidence-based practice (EBP). Czech and Slov...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12128
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Evidence-based guidelines assist clinicians in practice, but how the guidelines are implemented is less established. AIM:To describe the nurses' implementation of activities recommended in evidence-based guidelines for falls prevention and care of older people with cognitive impairment. METHODS:Structured ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12376
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Bridging the research-practice gap is a challenge for health care. Fostering awareness of and interest in research and development (R & D) can serve as a platform to help nurses and others bridge this gap. Strategic communication is an interdisciplinary field that has been used to achieve long-term interest ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12109
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:The Evidence-Based Practice Identification and Change (EPIC) intervention is a complex multifaceted knowledge translation strategy that combines the use of evidence and continuous quality improvement to change health care professional practices. However, there is no measure to evaluate the fidelity (degree t...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2010.00182.x
更新日期:2010-09-01 00:00:00
abstract:BACKGROUND:Mechanical ventilation is a necessary procedure for patients with a range of illnesses and conditions. Mechanical ventilation affects voice production, leaving patients unable to communicate their needs with nurses and family. The communication difficulty causes distress, frustration, and anger if not attend...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/wvn.12146
更新日期:2016-06-01 00:00:00
abstract:PURPOSE:Instruments used to assess evidence-based practice (EBP) competence in nurses have been subjective, unreliable, or invalid. The Fresno test was identified as the only instrument to measure all the steps of EBP with supportive reliability and validity data. However, the items and psychometric properties of the o...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12289
更新日期:2018-06-01 00:00:00
abstract:BACKGROUND:Metacognitive training (MCT) was developed in 2007 and widely used to modify the delusions for patient with schizophrenia. However, its effectiveness remains unclear. AIMS:To investigate the overall effectiveness of MCT for delusion in schizophrenia patients from 2007 to 2016, and to investigate the variabl...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,meta分析,评审
doi:10.1111/wvn.12282
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Pain prevalence in nursing homes remains high, with multiple resident, staff, and physician barriers presenting serious challenges to its improvement. AIMS:The study aims were to (1) develop and test a multifaceted, culturally competent intervention to improve nursing home pain practices; (2) improve staff,...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1524-475X.2004.04045.x
更新日期:2004-01-01 00:00:00
abstract:BACKGROUND:Many agencies over the last few decades have called for the explicit inclusion and application of health promotion in all aspects of nursing practice. This article reviews the body of empirical (research-based) and theoretical (conceptual) literature addressing health promotion in nursing clinical practice, ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2006.00068.x
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:To improve the overall quality and effectiveness of the Canadian health care system through better decisions supported by research-based evidence (RBE), the Canadian Health Services Research Foundation (CHSRF) and partners have created the Executive Training for Research Application (EXTRA) program. OBJECTI...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2011.00218.x
更新日期:2012-08-01 00:00:00
abstract:BACKGROUND:Nurses are increasingly engaged in evidence-based practice (EBP) processes to answer significant questions and guide nursing practice. However, there are no criteria to evaluate the rigor and quality of EBP projects, making the decision about whether to implement a recommended practice change questionable. ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2012.00264.x
更新日期:2013-08-01 00:00:00