Abstract:
BACKGROUND:Pressure ulcers are associated with substantial health burden, but could be preventable. Hospital-acquired pressure ulcers (HAPUs) prevention has become a priority for all healthcare settings, as it is considered a sign of quality of care providing. Intensive care unit (ICU) patients are at higher risk for HAPUs development. Despite the availability of published prevention strategies, there is a little evidence about which strategies can be safely integrated into routine standard care and have an impact on HAPUs prevention. AIMS:The aim was to synthesize the best available evidence regarding the effectiveness of single strategies designed to reduce the incidence and prevalence of HAPUs development in ICUs. METHODS:The search strategy was designed to retrieve studies published in English across CINAHL, Medline, Cochrane Central Register of Controlled Trials, Embase, Scopus, and Mednar between 2000 and 2015. All adult ICU participants were aged 18 years or over. This review included randomized controlled trials, quasi-experimental and comparative studies. The studies that were selected for retrieval were assessed by two independent reviewers for methodological validity prior to inclusion in the review using standardized critical-appraisal instruments. RESULTS:The review included 25 studies, and the meta-analysis revealed a statistically significant effect of a silicon foam dressing strategy in reducing HAPUs incidence (effect size = 4.62; 95% CI: 0.05-0.29; p < .00001, effect size = 4.50; 95% CI: 0.05-0.31; p = .00001, respectively) in critically ill patients. Evidence of the effectiveness of nutrition, skin-care regimen, positioning and repositioning schedule, support surfaces, and the role of education in prevention of HAPUs development in the ICU was limited, which precludes strong conclusions. LINKING EVIDENCE TO ACTION:The review provides an evidence-based guide to future priorities for clinical practice. In particular, a silicone foam dressing has positive impact in reducing sacrum and heel HAPUs incidence in the ICU.
journal_name
Worldviews Evid Based Nursjournal_title
Worldviews on evidence-based nursingauthors
Tayyib N,Coyer Fdoi
10.1111/wvn.12177subject
Has Abstractpub_date
2016-12-01 00:00:00pages
432-444issue
6eissn
1545-102Xissn
1741-6787journal_volume
13pub_type
杂志文章,评审abstract::This column shares the best evidence-based strategies and innovative ideas on how to facilitate the learning and implementation of EBP principles and processes by clinicians as well as nursing and interprofessional students. Guidelines for submission are available at http://onlinelibrary.wiley.com/journal/10.1111/(ISS...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12135
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Few studies link organizational variables and outcomes to quality indicators. This approach would expose operant mechanisms by which work environment characteristics and organizational outcomes affect clinical effectiveness, safety, and quality indicators. QUESTION:What are the predominant psychosocial vari...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2012.00250.x
更新日期:2013-05-01 00:00:00
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 se...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1524-475X.2005.04085.x
更新日期:2005-01-01 00:00:00
abstract:BACKGROUND:Our research team has undertaken implementation of evidence in the form of practice guideline recommendations for populations in hospital, community, and long-term care settings with diverse provider and patient populations (people with chronic wounds, e.g., pressure and leg ulcers, heart failure, stroke, di...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2012.00256.x
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND:The field of knowledge utilization has been hampered by several issues including: the synonymous use of multiple terms with little attempt at definition precision; an overexamination of knowledge utilization as product, rather than a process; and a lack of progress to cross disciplinary boundaries to advance...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2010.00197.x
更新日期:2010-12-01 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:Published clinical practice guidelines on surgical site infection prevention are available; however, adherence to these guidelines remains suboptimal. AIMS:The aim of this study was to evaluate the effectiveness and perceived benefits of intervention and implementation strategies co-created by researchers a...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12436
更新日期:2020-06-01 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: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::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: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: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: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:The purpose of the study was to ascertain the place of knowledge and evidence in the context of Australian general practice nursing. General practice nursing is a rapidly developing area of specialized nursing in Australia. The provision of primary care services in Australia rests largely with medical genera...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2009.00163.x
更新日期:2009-01-01 00:00:00
abstract:BACKGROUND:The capacity for self-care and positive mental health (PMH) has an influence on well-being and on one's approach to chronic illness. PURPOSE:The aim was to determine the level of PMH and self-care agency as well as the relations among sociodemographic variables, PMH, and the level of self-care among patient...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12453
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Moral distress is the psychological response to knowing the appropriate action but not being able to act due to constraints. Previous authors reported moral distress among nurses, especially those that work in critical care units. AIMS:The aims of this study were: (1) to examine the level of moral distress ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12213
更新日期:2017-04-01 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:Globalization of health care demands nursing education programs that equip students with evidence-based patient safety competences in the global context. Nursing students' entrance into clinical placements requires professional readiness. Thus, evidence-based learning activities about patient safety must be ...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12088
更新日期:2015-06-01 00:00:00
abstract:BACKGROUND:Evidence shows that 3-5-year-old children undergo important physical and behavioral changes that include being affected by the amount of food they are served, with larger portions of food served resulting in greater dietary intake. This may be a key finding as researchers continue to identify effective treat...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2012.00257.x
更新日期:2013-05-01 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:Traumatic brain injury (TBI) is an acquired brain injury that occurs when there is sudden trauma that leads to brain damage. This acute complex event can happen when the head is violently or suddenly struck or an object pierces the skull or brain. The current principal treatment of TBI includes various pharm...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/wvn.12167
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Social media (SoMe) use is quickly accelerating in healthcare delivery. Evidence-based SoMe use may improve patient engagement and communication, leading to better outcomes. AIM:To assess patient use of and preferences regarding SoMe in their health care. METHODS:A descriptive survey was conducted using an...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2012.00243.x
更新日期:2012-04-01 00:00:00
abstract:BACKGROUND:An increasing number of nursing practice guidelines (NPGs) of varying methodological and reporting quality have been issued and published in international journals. Currently, the quality of NPGs in mainland China has not been explored. OBJECTIVE:To assess the quality of NPGs in China mainland using the AGR...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12127
更新日期:2016-04-01 00:00:00
abstract:BACKGROUND:Violence in health care has been widely reported and health care workers, particularly nurses in acute care settings, are ill-equipped to manage patients who exhibit aggressive traits. AIM:The aim of this systematic review was to establish best practice in the prevention and management of aggressive behavio...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1741-6787.2010.00206.x
更新日期:2011-06-01 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
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:This paper shows patients' enactment of choice in mixed methods, multidisciplinary study on the use of bedrails as restraints. APPROACH:Under the pressure of the implementation of impending legislation, patients from a Canadian elderly care rehabilitation unit were recruited to be part of this study and ass...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/j.1741-6787.2006.00042.x
更新日期:2006-01-01 00:00:00
abstract:BACKGROUND:Preparation for hospital discharge after birth became a global concern when hospitals in many developing countries began implementing shorter lengths of stay for uncomplicated deliveries. A mother's perceived readiness for hospital discharge may be influenced by many factors that can ultimately shape postdis...
journal_title:Worldviews on evidence-based nursing
pub_type: 杂志文章
doi:10.1111/wvn.12208
更新日期:2017-04-01 00:00:00
abstract:PURPOSE:To conduct a baseline assessment of nurses' perceptions of knowledge, attitude, and skill level related to evidence-based practice (EBP) and research utilisation; determine the level of organisational readiness for implementing EBP and research; and examine the effectiveness of a computer-based educational prog...
journal_title:Worldviews on evidence-based nursing
pub_type: 临床试验,杂志文章,多中心研究
doi:10.1111/j.1741-6787.2008.00123.x
更新日期:2008-01-01 00:00:00