Post-operative pain management by nurses in an intensive care unit: a best practice implementation project

JBI Evidence Implementation, Год журнала: 2024, Номер 22(1), С. 16 - 25

Опубликована: Янв. 9, 2024

ABSTRACT Introduction: Post-operative pain is the most prevalent type of acute pain. Nurses are health care professionals who frequently assess pain, as well evaluating patient's response to management treatment and monitoring for occurrence adverse events. Thus, improve outcomes quality care, interventions used by nurses should be based on best practices. Objectives: The aim this project was implement practices in post-operative an intensive unit. Methods: This evidence implementation conducted a hospital surgical orthopedic diseases trauma. followed JBI Evidence Implementation Framework. PACES software JBI's Getting Research into Practice (GRiP) audit feedback tools develop eight criteria baseline follow-up audits. Results: showed that Criteria 3 6 had low compliance, with few patients having documented plans goals, receiving multimodal analgesia ICU, respectively. 7 8, which assessed use opioids specialist, revealed compliance 60% 50%, Criterion improved from 0% 20%. 6, 7, 8 also improved, rising 30%, 22.8%, Conclusion: management. Further studies needed ensure project's long-term sustainability.

Язык: Английский

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Improving sleep quality in maternity patients in a Singapore academic hospital: a best practice implementation project

JBI Evidence Implementation, Год журнала: 2025, Номер unknown

Опубликована: Янв. 20, 2025

ABSTRACT Introduction: Prolonged sleep deprivation and poor quality are common complaints among pregnant postpartum women, they have adverse effects on the physiological psychological well-being of mothers antenatally postnatally. Objectives: The aim this project was to improve antenatal postnatal mothers’ night-time during hospitalization in an obstetric ward through multi-faceted interventions. Methods: This followed JBI Model Evidence-based Healthcare applied seven phases Evidence Implementation Framework conduct context analysis, strategy implementation, review practice using evidence-based audit criteria. JBI's Practical Application Clinical System Getting Research into Practice situational analysis tool were used support data collection identify barriers strategies. Mothers’ measured adapted St. Mary's Hospital Sleep Questionnaire. Results: Baseline results (0%) revealed that midwives nurses not implementing interventions promote mothers. follow-up 1 2 achieved compliance 63.3% ( p < 0.000), respectively. Overall, fairly satisfied with their quality, able longer, felt more alert when waking up morning. Conclusions: There increase best practices wards, although these could be further improved. perspectives promotion strategies should explored future projects tailor needs. Sustainability plans include conducting audits engaging continue Spanish abstract: http://links.lww.com/IJEBH/A307

Язык: Английский

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Diagnostic investigations in adults with suspected stroke—improvement of door-to-imaging time: a best practice implementation project

JBI Evidence Implementation, Год журнала: 2025, Номер unknown

Опубликована: Фев. 24, 2025

ABSTRACT Objectives: This evidence implementation project aimed to assess and improve compliance with evidence-based neuroimaging criteria for adult patients suspected stroke. Introduction: Stroke is the second leading cause of mortality severe disability, requiring timely accurate diagnosis. Clinical guidelines recommend brain imaging within 60 minutes hospital arrival stroke patients. involved hospitals in North West Anglia NHS Foundation Trust, UK, serving 850,000 people over 800 admissions annually. Methods: The JBI Evidence Implementation Framework was used guide this project. software, Practical Application System (PACES), as well JBI's Getting Research into Practice (GRiP) approach, were conduct audit phases. followed three stages: (1) planning, (2) baseline assessment implementation, (3) impact evaluation. Three represent best practices diagnosing Results: revealed low first criterion, only 2.9% (1/35) receiving a CT head scan 1 hour admission. In follow-up audit, improved 45.2% (14/31). other two criteria, diagnosis by trained health care professional ECG assessment, had already achieved 100% audit. Conclusions: Compliance after implementing targeted educational strategies training. rate scans conducted increased, although door-to-imaging times remain suboptimal compared achievable benchmarks ≤ 20 minutes. Ongoing education training are crucial sustaining high improving patient outcomes. Spanish abstract: http://links.lww.com/IJEBH/A324

Язык: Английский

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Self-medication practices in Ethiopia: An umbrella review protocol

PLoS ONE, Год журнала: 2025, Номер 20(2), С. e0300131 - e0300131

Опубликована: Фев. 27, 2025

Background Self-medication is the practice of obtaining and using drugs without proper guidance or supervision. It can involve various behaviours that may harm individuals society. cause serious health economic problems for countries healthcare systems. Therefore, current review aimed at examining self-medication practices in Ethiopia. Methods This umbrella will consider all systematic reviews include adult age greater than 18 years Study protocols, papers other reviews, not reporting on practices, published languages English be excluded from review. MEDLINE, Embase, Cochrane Database Systematic Reviews searched. Two reviewers screen titles abstracts against eligibility criteria. Data extraction performed by 2 independent selected inclusion. The characteristics studies like author name, year published, databases searched, number studies/patients included, extracted. quality included reported JBI critical appraisal checklist research syntheses. A summary extracted data presented tabular format a narrative synthesis collected meet inclusion Discussion protocol expected to bring pooled evidence among different population groups pregnant mothers, population, students, general population. Evidence this used tackle global problem related with anti-microbial resistance. our call government non-government interventions reducing challenge issue resistance resource limited country registration PROSPERO CRD42023182552

Язык: Английский

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Nurses’ use of the five rights of medication administration in a comprehensive care unit: a best practice implementation project

JBI Evidence Implementation, Год журнала: 2025, Номер unknown

Опубликована: Фев. 28, 2025

Abstract Introduction: The “five rights” of medication administration are used by nurses daily to prevent patient errors. five rights the right patient, drug, route, dose, and time. In United States alone, between 7,000 9,000 errors occur annually. Internationally, a leading cause injury harm. Objectives: This project aimed improve compliance with in comprehensive care unit among acute hospital setting. Methods: was conducted using an audit feedback strategy, as recommended JBI Evidence Implementation Framework. Included use Practical Application Clinical System (PACES) for pre- post-audit data analysis Getting Research into Practice (GRiP) approach identify barriers, strategies, outcomes. identified eight best practice criteria be nurses, including rights. After baseline audit, barriers were identified, educational interventions implemented adherence practices. A follow-up conducted, results both audits compared. Results: two criteria, checking expiry date verbal identification identifiers, found have lower adherence. Nursing staff education visual reminders implemented. post-implementation showing improved Conclusions: Staff practices administration. Annual competency training reinforce will incidence errors, thereby maintaining quality safety care. Spanish abstract: http://links.lww.com/IJEBH/A321

Язык: Английский

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Oral hygiene of palliative patients in hospice wards: a best practice implementation project

JBI Evidence Implementation, Год журнала: 2025, Номер unknown

Опубликована: Март 11, 2025

Introduction: Oral hygiene is crucial in palliative care, as it directly affects patient comfort and quality of life. Aim: This study aimed to enhance oral practices hospice wards by aligning them with evidence-based guidelines, evaluating current practices, identifying barriers, implementing targeted interventions. Methods: was conducted at Changhua Christian Hospital Taiwan involved 18 nurses 30 unique patients. Using the JBI Evidence Implementation Framework, project followed a structured methodology assess improve compliance conducting baseline follow-up audits. An Assessment Guide (OAG) used track analyze health status. Results: The audit revealed significant deficiencies: 0% for denture 10% twice-daily cleaning natural teeth, 50% assessing mouthwash options patients swallowing difficulties. Post-intervention, that all nine criteria 100%. Notably, OAG scores improved from an average 14.1 11.7, indicating enhanced Conclusions: demonstrated educational interventions adherence best practice guidelines can significantly settings. Achieving full across criteria, including those initially compliance, underscores importance continuous improvement care practices. These findings advocate integration Spanish abstract: http://links.lww.com/IJEBH/A332

Язык: Английский

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Improving post-operative pain management after total hip and knee replacement in a special care unit: a best practice implementation project

JBI Evidence Implementation, Год журнала: 2025, Номер unknown

Опубликована: Март 17, 2025

ABSTRACT Introduction: Post-operative pain is often underestimated (70% of surgical patients experience some degree pain) and insufficiently treated. This increases morbidity mortality, mainly due to respiratory thromboembolic complications, longer hospital stays, deterioration in quality life, occurrence chronic pain. Objectives: study aimed improve post-operative management the first 4 hours after total hip knee replacement by promoting best practices. Methods: project used JBI Evidence Implementation Framework. JBI's Practical Application Clinical System (PACES) Getting Research into Practice (GRiP) audit tools were collect data develop implementation strategies, line with identified barriers. The was conducted a special care unit primary Spain using sample 30 patients. Three phases activity followed: conducting baseline audit, implementing improvement follow-up audits assess intervention outcomes. evaluation criteria derived from evidence summary on management. Results: five barriers: lack nursing staff knowledge appropriate assessment scales; complete record electronic records; confidence evidence-based practice; dedicated training time for staff; low participation consensus process. Strategies formulated address these barriers GRiP method. Following implementation, compliance all significantly improved. Conclusion: strategies developed Framework positively impacted Spanish abstract: http://links.lww.com/IJEBH/A339

Язык: Английский

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Preventing aggression in a pediatric inpatient unit: a best practice implementation project

JBI Evidence Implementation, Год журнала: 2025, Номер unknown

Опубликована: Апрель 1, 2025

ABSTRACT Introduction: In pediatric inpatient settings, there has been an increase in patients with mental health problems who display aggressive behavior toward staff. Aim: The aim of this project was to prevent aggression a unit through the promotion best practices. Methods: guided by JBI Model Evidence-Based Health care and Evidence Implementation Framework. An audit feedback strategy used, baseline follow-up audits conducted. Eight evidence-based practices were used for criteria. Strategies improve compliance implemented following audit. A conducted measure any changes clinical practice. Results: Gaps between evidence practice identified three Barriers included lack policy preventing or managing patients, process identify triggers behavior, inconsistent use prevention plan electronic record. To address these barriers, team created protocol, written guidance, document triggers, developed general Overall increased from 30% 34%. Conclusions: This implementation process, which led small overall improvement potential long-term benefit, staff being better prepared outbursts unit. However, further work is required continue improving Spanish abstract: http://links.lww.com/IJEBH/A358

Язык: Английский

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Pelvic floor muscle training during the childbirth period: a best practice implementation project

JBI Evidence Implementation, Год журнала: 2025, Номер 23(S1), С. S19 - S26

Опубликована: Янв. 1, 2025

In the UK, Royal College of Midwives and Chartered Society for Physiotherapy advocate that women undertake early effective pelvic floor muscle training (PFMT) during childbirth period to reduce incidence urinary incontinence (UI). This project sought assess improve midwives' compliance with best practice recommendations PFMT in a UK NHS maternity service, goal improving women. used JBI Evidence Implementation Framework JBI's PFMT. Following baseline audit practice, results were considered. The Getting Research into Practice (GRiP) approach was identify barriers facilitators recommendations. A follow-up undertaken after development revised continuing professional (CPD) program midwives on showed improved all four criteria. Criterion 1 (midwives' engagement PFMT) increased from 76% 92%; 2 (PFMT antenatal period) rose 50% 3 (postnatal risk assessment UI) 45% 67%; 4 high-risk postnatal 49% 92%. Whilst this study presented some challenges implementing evidence-based initiatives it also demonstrated an can overcome these, thereby practices. case, changes CPD future, when change system, consideration should be given organizational leadership factors. Further audits will need carried out monitor effect change. http://links.lww.com/IJEBH/A322.

Язык: Английский

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Feasibility, Development and Dissemination of a Father Focused Parenting Intervention, DadPlay

Опубликована: Апрель 16, 2025

We report the feasibility of an mHealth intervention for fathers young children, tested in real-world community settings, with a focus on four aspects feasibility: demand, acceptability, implementation and limited efficacy. DadPlay was intended who were raising children challenging behaviours. While programs targeting parenting skills are effective at reducing behavioural problems early childhood, many unintentionally work against father inclusion fail to engage, retain or measure men's participation. evaluated according components Demand, Acceptability, Implementation Limited Efficacy. Participants eligible if they pre-school aged child. A service network established as reference group, which included family child-focused non-government charities organisations preschools located across regional, rural remote localities Australia. Results Demand showed we reached out approximately 340 organisations: 57% agreed disseminate information. 325 parents submitted EOI, 108 completed enrolments, 96 program. For findings indicated that message content program features very acceptable. Implementation, our reach vast, however efficiency appeared low, exceptions. low response rate limits Efficacy findings, however, summary statistics fathers’ confidence relationship quality had increased. demonstrated that acceptable has potential support children. To upscale sustain such initiatives, need better collaborate co-create fathers, professionals organisations.

Язык: Английский

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