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1. Oncology Nursing Telepractice Standards

Oncology Nursing Telepractice Standards Care Ontario Oncology Nursing Telepractice Standards Oncology Nursing Program August, 2019 Oncology Nursing Telepractice Standards 1 INTRODUCTION In 2017, the Oncology Nursing Program at Cancer Care Ontario completed a current state assessment across the province. The goal of the assessment was to gain a better understanding of the current landscape of oncology nursing in the outpatient setting, including nursing roles and models of nursing care delivery (...) throughout the province. Based on the results of this assessment, it was evident that telephone management makes up a large component of the oncology nurse’s supportive care role, but there was great variation as to how this role component was prioritized, supported, and delivered across organizations. The level of oncology nursing expertise and competency required to deliver telephone care safely, along with training expectations, and use of nursing practice guidelines to guide the encounters across

2019 Cancer Care Ontario

2. Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines

Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines | CADTH.ca Find the information you need Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Last updated: August 8, 2019 Project Number: RB1371-000

2019 Canadian Agency for Drugs and Technologies in Health - Rapid Review

3. Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation

Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation Intentional rounding in hospital wards to improve regular interaction and engagement between nurses and patients: a realist evaluation Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try (...) a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} Evidence for the effectiveness of intentional rounding is weak, with concerns that it oversimplifies nursing, creates a prescriptive approach and prioritises the completion of documentation as evidence of care delivery. {{author}} {{($index , , , , , , , , & . Ruth Harris 1, * , Sarah Sims 1 , Mary Leamy 1 , Ros Levenson 2 , Nigel Davies 3

2019 NIHR HTA programme

4. A nurse-led, preventive, psychological intervention to reduce PTSD symptom severity in critically ill patients: the POPPI feasibility study and cluster RCT

A nurse-led, preventive, psychological intervention to reduce PTSD symptom severity in critically ill patients: the POPPI feasibility study and cluster RCT A nurse-led, preventive, psychological intervention to reduce PTSD symptom severity in critically ill patients: the POPPI feasibility study and cluster RCT Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please (...) choose a page from the navigation or try a website search above to find the information you need. >> >> >> >> Issue {{metadata .Issue }} Toolkit 1)"> 0)"> 1)"> {{metadata.Title}} {{metadata.Headline}} This nurse-led preventive intervention did not reduce post-traumatic stress disorder symptom severity at 6 months in critically ill patients in intensive care units. {{author}} {{($index , , , , , , , , , , , , , , , , & . Paul R Mouncey 1, † , Dorothy Wade 2, † , Alvin Richards-Belle 1 , Zia Sadique 3

2019 NIHR HTA programme

5. Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments

Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments Management Briefs eBrief-no156 -- Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments Enter search terms Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Management Briefs eBrief-no156 -- Risk Factors and Interventions to Prevent or Delay Long-term (...) Nursing Home Placement for Adults with Impairments Health Services Research & Development Management eBrief no. 156 » Issue 156 July 2019 The report is a product of the VA/HSR&D Evidence Synthesis Program. Evidence Review: Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments In fiscal year 2020, VA is projected to spend $9.8 billion on long-term care services for eligible Veterans. Recent legislation also has created and expanded VA programs

2019 Veterans Affairs - R&D

6. A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static air mattress and alternating air pressure mattress to prevent pressure ulcers in nursing home residents

A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static air mattress and alternating air pressure mattress to prevent pressure ulcers in nursing home residents Pressure ulcers are a global issue and substantial concern for healthcare systems. Various types of support surfaces that prevent pressure ulcer are available. Data about the effectiveness and cost of static air support surfaces and alternating air pressure mattresses is lacking.To (...) compare the effectiveness and cost of static air support surfaces versus alternating air pressure support surfaces in a nursing home population at high risk for pressure ulcers.Prospective, multicentre, randomised controlled clinical, non-inferiority trial.Twenty-six nursing homes in Flanders, Belgium.A consecutive sample of 308 participants was selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chair bound

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2019 EvidenceUpdates

7. 2018 update of the EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis

2018 update of the EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis To update the European League Against Rheumatism (EULAR) recommendations for the role of the nurse in the management of chronic inflammatory arthritis (CIA) using the most up to date evidence. The EULAR standardised operating procedures were followed. A task force of rheumatologists, health professionals and patients, representing 17 European countries updated (...) the recommendations, based on a systematic literature review and expert consensus. Higher level of evidence and new insights into nursing care for patients with CIA were added to the recommendation. Level of agreement was obtained by email voting. The search identified 2609 records, of which 51 (41 papers, 10 abstracts), mostly on rheumatoid arthritis, were included. Based on consensus, the task force formulated three overarching principles and eight recommendations. One recommendation remained unchanged, six

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2019 EvidenceUpdates

8. Nurse-Initiated Acute Stroke Care in Emergency Departments

Nurse-Initiated Acute Stroke Care in Emergency Departments Background and Purpose- We aimed to evaluate the effectiveness of an intervention to improve triage, treatment, and transfer for patients with acute stroke admitted to the emergency department (ED). Methods- A pragmatic, blinded, multicenter, parallel group, cluster randomized controlled trial was conducted between July 2013 and September 2016 in 26 Australian EDs with stroke units and tPA (tissue-type plasminogen activator) protocols (...) . Hospitals, stratified by state and tPA volume, were randomized 1:1 to intervention or usual care by an independent statistician. Eligible ED patients had acute stroke <48 hours from symptom onset and were admitted to the stroke unit via ED. Our nurse-initiated T3 intervention targeted (1) Triage to Australasian Triage Scale category 1 or 2; (2) Treatment: tPA eligibility screening and appropriate administration; clinical protocols for managing fever, hyperglycemia, and swallowing; (3) prompt (<4 hours

2019 EvidenceUpdates

9. Nursing interventions to support family caregivers in end-of-life care at home: A systematic narrative review

Nursing interventions to support family caregivers in end-of-life care at home: A systematic narrative review Family caregivers are crucial in end-of-life care. However, family caregiving may involve a significant burden with various negative health consequences. Although nurses are in a unique position to support family caregivers at home, little is known about which nursing interventions are effective in this context. Therefore, this study aims to provide insight into nursing interventions (...) currently available to support family caregivers in end-of-life care at home and to describe their effects.A systematic search was conducted in Embase, Medline Ovid, Web of Science, Cochrane Central, CINAHL and Google Scholar. This review included quantitative studies published from January 2003 until December 2018 reporting on nursing interventions to support adult family caregivers in end-of-life care at home. Data were extracted on intervention modalities, intervention components, and family

2019 EvidenceUpdates

10. Acetaminophen Safety: Risk of Mortality and Cardiovascular Events in Nursing Home Residents, a Prospective Study

Acetaminophen Safety: Risk of Mortality and Cardiovascular Events in Nursing Home Residents, a Prospective Study Acetaminophen is the most widely used analgesic today. A recent systematic review found increased adverse events and mortality at therapeutic dosage. Our aim was to challenge these results in a large sample of older adults living in nursing homes (NHs).Prospective study using data from the Impact of Educational and Professional Supportive Interventions on Nursing Home Quality

2019 EvidenceUpdates

11. Implementation of a multicomponent intervention to prevent physical restraints in nursing homes (IMPRINT): A pragmatic cluster randomized controlled trial

Implementation of a multicomponent intervention to prevent physical restraints in nursing homes (IMPRINT): A pragmatic cluster randomized controlled trial Despite clear evidence for the lack of effectiveness and safety, physical restraints are frequently applied in nursing homes. Multicomponent interventions addressing nurses' attitudes and organizational culture have been effective in reducing physical restraints.To evaluate the effectiveness of two versions of a guideline and theory-based (...) multicomponent intervention to reduce physical restraints in nursing homes.Pragmatic cluster randomized controlled trial.The study was conducted in 120 nursing homes in four regions in Germany.All residents living in the participating nursing home during follow-up, newly admitted residents were also included. A total of 12,245 residents included in the primary analysis (4126 and 3547 residents in intervention group 1 and 2 and 4572 residents in the control group).Intervention group 1 received an updated

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2019 EvidenceUpdates

12. Using Multi-source Feedback and Other Practice Assessments for Quality Assurance in Nursing

Using Multi-source Feedback and Other Practice Assessments for Quality Assurance in Nursing Rapid Synthesis Using Multi-source Feedback and Other Practice Assessments for Quality Assurance in Nursing 25 February 2019McMaster Health Forum 1 Evidence >> Insight >> Action Rapid Synthesis: Using Multi-source Feedback and Other Practice Assessments for Quality Assurance in Nursing 60-day response 25 February 2019 Using Multi-source Feedback and Other Practice Assessments for Quality Assurance (...) in Nursing 2 Evidence >> Insight >> Action McMaster Health Forum The McMaster Health Forum’s goal is to generate action on the pressing health-system issues of our time, based on the best available research evidence and systematically elicited citizen values and stakeholder insights. We aim to strengthen health systems – locally, nationally, and internationally – and get the right programs, services and drugs to the people who need them. Authors Kerry Waddell, M.Sc., Lead Evidence Synthesis, McMaster

2019 McMaster Health Forum

13. Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life: A Randomized Clinical Trial. (PubMed)

Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life: A Randomized Clinical Trial. Intimate partner violence (IPV) is a public health problem with significant adverse consequences for women and children. Past evaluations of a nurse home visitation program for pregnant women and first-time mothers experiencing social and economic disadvantage have not consistently shown reductions in IPV.To determine the effect on maternal (...) quality of life of a nurse home visitation program augmented by an IPV intervention, compared with the nurse home visitation program alone.Cluster-based, single-blind, randomized clinical trial at 15 sites in 8 US states (May 2011-May 2015) enrolling 492 socially disadvantaged pregnant women (≥16 years) participating in a 2.5-year nurse home visitation program.In augmented program sites (n = 229 participants across 7 sites), nurses received intensive IPV education and delivered an IPV intervention

2019 JAMA

14. Hospital nurse-staffing models and patient- and staff-related outcomes. (PubMed)

Hospital nurse-staffing models and patient- and staff-related outcomes. Nurses comprise the largest component of the health workforce worldwide and numerous models of workforce allocation and profile have been implemented. These include changes in skill mix, grade mix or qualification mix, staff-allocation models, staffing levels, nursing shifts, or nurses' work patterns. This is the first update of our review published in 2011.The purpose of this review was to explore the effect of hospital (...) nurse-staffing models on patient and staff-related outcomes in the hospital setting, specifically to identify which staffing model(s) are associated with: 1) better outcomes for patients, 2) better staff-related outcomes, and, 3) the impact of staffing model(s) on cost outcomes.CENTRAL, MEDLINE, Embase, two other databases and two trials registers were searched on 22 March 2018 together with reference checking, citation searching and contact with study authors to identify additional studies.We

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2019 Cochrane

15. Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis. (PubMed)

Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis. Having nurses take on tasks that are typically conducted by doctors (doctor-nurse substitution, a form of 'task-shifting') may help to address doctor shortages and reduce doctors' workload and human resource costs. A Cochrane Review of effectiveness studies suggested that nurse-led care probably leads to similar healthcare outcomes as care delivered (...) by doctors. This finding highlights the need to explore the factors that affect the implementation of strategies to substitute doctors with nurses in primary care. In our qualitative evidence synthesis (QES), we focused on studies of nurses taking on tasks that are typically conducted by doctors working in primary care, including substituting doctors with nurses or expanding nurses' roles.(1) To identify factors influencing implementation of interventions to substitute doctors with nurses in primary care

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2019 Cochrane

16. Specialist nursing support for unpaid carers of people with dementia: a mixed-methods feasibility study

Specialist nursing support for unpaid carers of people with dementia: a mixed-methods feasibility study Specialist nursing support for unpaid carers of people with dementia: a mixed-methods feasibility study Journals Library An error occurred retrieving content to display, please try again. >> >> >> Page Not Found Page not found (404) Sorry - the page you requested could not be found. Please choose a page from the navigation or try a website search above to find the information you need

2019 NIHR HTA programme

17. Effects of Multicomponent Exercise on Frailty in Long-Term Nursing Homes: A Randomized Controlled Trial

Effects of Multicomponent Exercise on Frailty in Long-Term Nursing Homes: A Randomized Controlled Trial To determine the effect of multicomponent exercise on frailty and related adverse outcomes in residents of long-term nursing homes (LTNHs).A single-blind randomized controlled trial.Ten LTNHs in Gipuzkoa, Spain.The study sample comprised 112 men and women aged 70 years or older who scored 50 or higher on the Barthel Index, 20 or higher on the MEC-35 test (an adapted and validated version

2019 EvidenceUpdates

18. Should we provide outreach rehabilitation to very old people living in Nursing Care Facilities after a hip fracture? A randomised controlled trial

Should we provide outreach rehabilitation to very old people living in Nursing Care Facilities after a hip fracture? A randomised controlled trial to determine whether a 4-week postoperative rehabilitation program delivered in Nursing Care Facilities (NCFs) would improve quality of life and mobility compared with receiving usual care.parallel randomised controlled trial with integrated health economic study.NCFs, in Adelaide South Australia.people aged 70 years and older who were recovering (...) from hip fracture surgery and were walking prior to hip fracture.primary outcomes: mobility (Nursing Home Life-Space Diameter (NHLSD)) and quality of life (DEMQOL) at 4 weeks and 12 months.participants were randomised to treatment (n = 121) or control (n = 119) groups. At 4 weeks, the treatment group had better mobility (NHLSD mean difference -1.9; 95% CI: -3.3, -0.57; P = 0.0055) and were more likely to be alive (log rank test P = 0.048) but there were no differences in quality of life. At 12

2019 EvidenceUpdates

19. Effect of person-centred care on antipsychotic drug use in nursing homes (EPCentCare): a cluster-randomised controlled trial

Effect of person-centred care on antipsychotic drug use in nursing homes (EPCentCare): a cluster-randomised controlled trial antipsychotic drugs are regularly prescribed as first-line treatment for neuropsychiatric symptoms in persons with dementia although guidelines clearly prioritise non-pharmacological interventions.we investigated a person-centred care approach, which has been successfully evaluated in nursing homes in the UK, and adapted it to German conditions.a 2-armed 12-month cluster (...) -randomised controlled trial.nursing homes in East, North and West Germany.all prescribing physicians from both study arms received medication reviews for individual patients and were offered access to 2 h of continuing medical education. Nursing homes in the intervention group received educational interventions on person-centred care and a continuous supervision programme. Primary outcome: proportion of residents receiving at least one antipsychotic prescription after 12 months of follow-up. Secondary

2019 EvidenceUpdates

20. The effectiveness of a nurse-led short term life review intervention in enhancing the spiritual and psychological well-being of people receiving palliative care: A mixed method study

The effectiveness of a nurse-led short term life review intervention in enhancing the spiritual and psychological well-being of people receiving palliative care: A mixed method study A life review is a promising intervention to enhance spiritual well-being in older people. Conventional life review interventions are lengthy and often led by psychologists.This is the first randomised controlled trial study to examine the effectiveness and applicability of a nurse-led short term life-review (...) . The process evaluation found that most participants were highly involved (92.6%), interested (77.8%) and participated in the intervention (79.6%). The participants described the intervention process as 'comfortable', 'relaxing' and 'interesting', and felt enlightened, with raised self-awareness, after it.The nurse-led short term life-review intervention demonstrated significant improvement effects in spiritual well-being. Participant feedback on nurses' performance was positive, finding the intervention

2019 EvidenceUpdates