Latest & greatest articles for nursing

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Top results for nursing

781. Randomised controlled trial assessing the impact of a nurse delivered, flow monitored protocol for optimisation of circulatory status after cardiac surgery. Full Text available with Trip Pro

Randomised controlled trial assessing the impact of a nurse delivered, flow monitored protocol for optimisation of circulatory status after cardiac surgery. To assess whether a nurse led, flow monitored protocol for optimising circulatory status in patients after cardiac surgery reduces complications and shortens stay in intensive care and hospital.Randomised controlled trial.Intensive care unit and cardiothoracic unit of a university teaching hospital.174 patients who underwent cardiac surgery (...) of hospital stay was reduced from 13.9 to 11.4 days, a saving in hospital bed days of 18% (95% confidence interval -12% to 47%). Usage of intensive care beds was reduced by 23% (-8% to 59%).A nurse delivered protocol for optimising circulatory status in the early postoperative period after cardiac surgery may significantly shorten hospital stay.

2004 BMJ Controlled trial quality: predicted high

782. Vitamin E and respiratory tract infections in elderly nursing home residents: a randomized controlled trial. Full Text available with Trip Pro

Vitamin E and respiratory tract infections in elderly nursing home residents: a randomized controlled trial. Respiratory tract infections are prevalent in elderly individuals, resulting in increased morbidity, mortality, and use of health care services. Vitamin E supplementation has been shown to improve immune response in elderly persons. However, the clinical importance of these findings has not been determined.To determine the effect of 1 year of vitamin E supplementation on respiratory (...) tract infections in elderly nursing home residents.A randomized, double-blind, placebo-controlled trial was conducted from April 1998 to August 2001 at 33 long-term care facilities in the Boston, Mass, area. A total of 617 persons aged at least 65 years and who met the study's eligibility criteria were enrolled; 451 (73%) completed the study.Vitamin E (200 IU) or placebo capsule administered daily; all participants received a capsule containing half the recommended daily allowance of essential

2004 JAMA Controlled trial quality: predicted high

783. Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomised controlled trial for high risk asthma (ELECTRA). Full Text available with Trip Pro

Specialist nurse intervention to reduce unscheduled asthma care in a deprived multiethnic area: the east London randomised controlled trial for high risk asthma (ELECTRA). To determine whether asthma specialist nurses, using a liaison model of care, reduce unscheduled care in a deprived multiethnic area.Cluster randomised controlled trial.44 general practices in two boroughs in east London.324 people aged 4-60 years admitted to or attending hospital or the general practitioner out of hours (...) service with acute asthma; 164 (50%) were South Asian patients, 108 (34%) were white patients, and 52 (16%) were from other, largely African and Afro-Caribbean, ethnicities.Patient review in a nurse led clinic and liaison with general practitioners and practice nurses comprising educational outreach, promotion of guidelines for high risk asthma, and ongoing clinical support. Control practices received a visit promoting standard asthma guidelines; control patients were checked for inhaler

2004 BMJ Controlled trial quality: predicted high

784. Impact of nurse practitioners on workload of general practitioners: randomised controlled trial. Full Text available with Trip Pro

Impact of nurse practitioners on workload of general practitioners: randomised controlled trial. To examine the impact on general practitioners' workload of adding nurse practitioners to the general practice team.Randomised controlled trial with measurements before and after the introduction of nurse practitioners.34 general practices in a southern region of the Netherlands.48 general practitioners.Five nurses were randomly allocated to general practitioners to undertake specific elements (...) the intervention.The number of contacts during surgery hours increased in the intervention group compared with the control group (P < 0.06), particularly for patients with chronic obstructive pulmonary disease or asthma (P < 0.01). The number of consultations out of hours declined slightly in the intervention group compared with the control group, but this difference did not reach significance. No significant changes became apparent in subjective workload.Adding nurse practitioners to general practice teams did

2004 BMJ Controlled trial quality: uncertain

785. Nurse home visits to maternal-child clients: a review of intervention research

Nurse home visits to maternal-child clients: a review of intervention research Nurse home visits to maternal-child clients: a review of intervention research Nurse home visits to maternal-child clients: a review of intervention research McNaughton D B CRD summary This review evaluated the effectiveness of nurse-led home-visiting interventions for maternal-child clients. The author concluded that although many issues were addressed using various interventions and outcome measures, an appropriate (...) theoretical understanding should represent the focus of future research. Although the reliability of the findings is unclear due to potential biases in the review, the author's conclusions accurately reflect the evidence presented. Authors' objectives To evaluate the effectiveness of nurse-led home-visiting interventions for mothers and children. Searching MEDLINE, CINAHL, and PsycINFO were searched for papers published from 1980 to 2000; the search terms were reported. Reference lists were also screened

2004 DARE.

786. Cost-benefit analysis of an integrated approach to reduce psychosocial trauma following neurosurgery compared with standard care: two-year prospective comparative study of enhanced specialist liaison nurse service for aneurysmal subarachnoid haemorrhage (

Cost-benefit analysis of an integrated approach to reduce psychosocial trauma following neurosurgery compared with standard care: two-year prospective comparative study of enhanced specialist liaison nurse service for aneurysmal subarachnoid haemorrhage ( Cost-benefit analysis of an integrated approach to reduce psychosocial trauma following neurosurgery compared with standard care: two-year prospective comparative study of enhanced specialist liaison nurse service for aneurysmal subarachnoid (...) haemorrhage (ASAH) patients and carers Cost-benefit analysis of an integrated approach to reduce psychosocial trauma following neurosurgery compared with standard care: two-year prospective comparative study of enhanced specialist liaison nurse service for aneurysmal subarachnoid haemorrhage (ASAH) patients and carers Pritchard C, Foulkes L, Lang D A, Neil-Dwyer G Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains

2004 NHS Economic Evaluation Database.

787. Two-year prospective study of psychosocial outcomes and a cost-analysis of 'treatment-as-usual' versus an 'enhanced' (specialist liaison nurse) service for aneurysmal sub arachnoid haemorrhage (ASAH) patients and families

Two-year prospective study of psychosocial outcomes and a cost-analysis of 'treatment-as-usual' versus an 'enhanced' (specialist liaison nurse) service for aneurysmal sub arachnoid haemorrhage (ASAH) patients and families Two-year prospective study of psychosocial outcomes and a cost-analysis of 'treatment-as-usual' versus an 'enhanced' (specialist liaison nurse) service for aneurysmal sub arachnoid haemorrhage (ASAH) patients and families Two-year prospective study of psychosocial outcomes (...) and a cost-analysis of 'treatment-as-usual' versus an 'enhanced' (specialist liaison nurse) service for aneurysmal sub arachnoid haemorrhage (ASAH) patients and families Pritchard C, Foulkes L, Lang D A, Neil-Dwyer G Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study

2004 NHS Economic Evaluation Database.

788. Fast-tracking (bypassing the PACU) does not reduce nursing workload after ambulatory surgery

Fast-tracking (bypassing the PACU) does not reduce nursing workload after ambulatory surgery Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2004 NHS Economic Evaluation Database.

789. Cost-effectiveness of hip protectors in the prevention of osteoporosis related hip fractures in elderly nursing home residents

Cost-effectiveness of hip protectors in the prevention of osteoporosis related hip fractures in elderly nursing home residents Cost-effectiveness of hip protectors in the prevention of osteoporosis related hip fractures in elderly nursing home residents Cost-effectiveness of hip protectors in the prevention of osteoporosis related hip fractures in elderly nursing home residents Singh S, Sun H Y, Anis A H Record Status This is a critical abstract of an economic evaluation that meets the criteria (...) for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of the Impact hip protector (High Tech Bodywear Ltd.), a hard-shell protector with a soft inner lining, for the prevention of osteoporosis-related hip fractures in a high-risk Canadian nursing home population. Type of intervention Primary prevention. Economic study type Cost

2004 NHS Economic Evaluation Database.

790. Does hospitalization impact survival after lower respiratory infection in nursing home residents

Does hospitalization impact survival after lower respiratory infection in nursing home residents Does hospitalization impact survival after lower respiratory infection in nursing home residents Does hospitalization impact survival after lower respiratory infection in nursing home residents Kruse R L, Mehr D R, Boles K E, Lave J R, Binder E F, Madsen R, D'Agostino R B Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each (...) abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The initial treatment of nursing home residents with a lower respiratory infection (LRI) in hospital versus the nursing home. Initial treatment in hospital was defined as hospitalisation within 24 hours of evaluation, plus no treatment with antibiotics in the nursing home in the 2 days before evaluation

2004 NHS Economic Evaluation Database.

791. An evaluation of a "best practices" musculoskeletal injury prevention program in nursing homes Full Text available with Trip Pro

An evaluation of a "best practices" musculoskeletal injury prevention program in nursing homes An evaluation of a "best practices" musculoskeletal injury prevention program in nursing homes An evaluation of a "best practices" musculoskeletal injury prevention program in nursing homes Collins J W, Wolf L, Bell J, Evanoff B Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods (...) , the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology A "best practices" musculoskeletal injury prevention programme was evaluated in nursing homes. The programme comprised mechanical equipment to lift physically dependent residents, training in the proper use of the lifts, a medical management programme, and a zero lift policy. The medical management programme consisted of a 30-minute section of training

2004 NHS Economic Evaluation Database.

792. Annual review of patients with sleep apnea/hypopnea syndrome: a pragmatic randomised trial of nurse home visit versus consultant clinic review

Annual review of patients with sleep apnea/hypopnea syndrome: a pragmatic randomised trial of nurse home visit versus consultant clinic review Annual review of patients with sleep apnea/hypopnea syndrome: a pragmatic randomised trial of nurse home visit versus consultant clinic review Annual review of patients with sleep apnea/hypopnea syndrome: a pragmatic randomised trial of nurse home visit versus consultant clinic review Palmer S, Selvaraj S, Dunn C, Osman L M, Cairns J, Franklin D, Hulks G (...) pressure (CPAP) during sleep, were assessed. One was an annual review at home by a specialist nurse, while the other was an annual review given in hospital by a consultant. Type of intervention Other: Management care. Economic study type Cost-effectiveness analysis. Study population The study population comprised patients diagnosed with SAHS and who had a CPAP machine. Setting The setting was the community and secondary care in the highlands and Western Isles of Scotland, UK. The economic study

2004 NHS Economic Evaluation Database.

793. Educational levels of hospital nurses and surgical patient mortality. Full Text available with Trip Pro

Educational levels of hospital nurses and surgical patient mortality. Growing evidence suggests that nurse staffing affects the quality of care in hospitals, but little is known about whether the educational composition of registered nurses (RNs) in hospitals is related to patient outcomes.To examine whether the proportion of hospital RNs educated at the baccalaureate level or higher is associated with risk-adjusted mortality and failure to rescue (deaths in surgical patients with serious (...) complications).Cross-sectional analyses of outcomes data for 232 342 general, orthopedic, and vascular surgery patients discharged from 168 nonfederal adult general Pennsylvania hospitals between April 1, 1998, and November 30, 1999, linked to administrative and survey data providing information on educational composition, staffing, and other characteristics.Risk-adjusted patient mortality and failure to rescue within 30 days of admission associated with nurse educational level.The proportion of hospital

2003 JAMA

794. Nurses' experiences with hospice patients who refuse food and fluids to hasten death. Full Text available with Trip Pro

Nurses' experiences with hospice patients who refuse food and fluids to hasten death. Voluntary refusal of food and fluids has been proposed as an alternative to physician-assisted suicide for terminally ill patients who wish to hasten death. There are few reports of patients who have made this choice.We mailed a questionnaire to all nurses employed by hospice programs in Oregon and analyzed the results.Of 429 eligible nurses, 307 (72 percent) returned the questionnaire, and 102 (...) of the respondents (33 percent) reported that in the previous four years they had cared for a patient who deliberately hastened death by voluntary refusal of food and fluids. Nurses reported that patients chose to stop eating and drinking because they were ready to die, saw continued existence as pointless, and considered their quality of life poor. The survey showed that 85 percent of patients died within 15 days after stopping food and fluids. On a scale from 0 (a very bad death) to 9 (a very good death

2003 NEJM

795. Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment. Full Text available with Trip Pro

Clinical and organizational factors associated with feeding tube use among nursing home residents with advanced cognitive impairment. Empiric data and expert opinion suggest that use of feeding tubes is not beneficial for older persons with advanced dementia. Previous research has shown a 10-fold variation in this practice across the United States.To identify the facility and resident characteristics associated with feeding tube use among US nursing homes residents with severe cognitive (...) impairment.Cross-sectional study of all residents with advanced cognitive impairment who had Minimum Data Set assessments within 60 days of April 1, 1999, (N = 186,835) and who resided in Medicare- or Medicaid-certified US nursing homes. Main Outcomes Measures Facility and resident characteristics described in the 1999 On-line Survey Certification of Automated Records and the 1999 Minimum Data Set. Multivariate analysis using generalized estimating equations determined the facility and resident factors

2003 JAMA

796. Reporting of adverse drug reactions by nurses. (Abstract)

Reporting of adverse drug reactions by nurses. Schemes for spontaneous reporting of adverse drug reactions are important to post-marketing safety surveillance worldwide. In the UK, doctors, dentists, coroners, and pharmacists are allowed to report through the yellow card scheme, but nurses were not until October, 2002. We used a similar programme to assess the role of community and hospital nurses in reporting of adverse drug reactions. The proportion and quality of reports received from nurses (...) was similar to that of those received from doctors: we received reports from one in seven nurses eligible to report, compared with one in eight doctors; 137 of 177 nurse reports and 676 of 984 doctor reports were judged to be appropriate according to regulatory authority criteria (95% CI for difference between proportions 1.4-15.0, z=2.3, p=0.02). Our findings suggest that nurses, who form the largest proportion of health-care staff in the UK, can play a valuable part in improvement of pharmacovigilance.

2003 Lancet

797. Nurse specialist care for bronchiectasis. (Abstract)

Nurse specialist care for bronchiectasis. Nurses have expanded and developed their roles to meet the needs of patients. This review evaluates the safety, effectiveness and health outcomes of nurses practising in autonomous roles, using advanced practice skills, within the context of a dedicated bronchiectasis clinic.To determine the effectiveness of nurse-led care in the management of bronchiectasis.The Cochrane Airways Group specialised register was searched on 12/06/02.Randomised controlled (...) trials were eligible for inclusion in the review.Two reviewers extracted and entered data from included studies.One study was included in the review. No statistically significant changes were observed in infective exacerbations, lung function, exercise capacity, quality of life and hospital admissions. More healthcare resources were utilised by nurse-treated participants during the first arm of the study.This review has found one trial that does not demonstrate significant differences in clinical

2003 Cochrane

798. Organisational infrastructures to promote evidence based nursing practice. (Abstract)

Organisational infrastructures to promote evidence based nursing practice. The purpose of this systematic review is to determine to what extent organisational infrastructures are effective in promoting the implementation of high quality research evidence on the effectiveness of nursing interventions.To identify and summarize rigorous evaluations of organisational infrastructure developments aimed at promoting evidence based nursing practice.We searched: The Cochrane Library, MEDLINE, EMBASE (...) , CINAHL, SIGLE, HEALTHLINE, National Research Register, Nuffield Database of Health Outcomes, NIH Databases up to August 2002. We hand searched the Journal of Advanced Nursing, Applied Nursing Research and Journal of Nursing Administration (to 1999), and checked the reference lists of articles obtained. We contacted experts in the field and relevant Internet groups.Randomized controlled trials, controlled clinical trials and interrupted times series studies of an entire or identified component

2003 Cochrane

799. Specialist nurses in diabetes mellitus. (Abstract)

Specialist nurses in diabetes mellitus. The patient with diabetes has many different learning needs relating to diet, monitoring, and treatments. In many health care systems specialist nurses provide much of these needs, usually aiming to empower patients to self-manage their diabetes. The present review aims to assess the effects of the involvement of specialist nurse care on outcomes for people with diabetes, compared to usual care in hospital clinics or primary care with no input from (...) specialist nurses.To assess the effects of diabetes specialist nurses / nurse case manager in diabetes on the metabolic control of patients with type 1 and type 2 diabetes mellitus.We carried out a comprehensive search of databases including the Cochrane Library, MEDLINE and EMBASE to identify trials. Bibliographies of relevant papers were searched, and hand searching of relevant publications was undertaken to identify additional trials (Date of last search November 2002).Randomised controlled trials

2003 Cochrane

800. A nurse led education and direct access service for the management of urinary tract infections in children: prospective controlled trial. Full Text available with Trip Pro

A nurse led education and direct access service for the management of urinary tract infections in children: prospective controlled trial. To determine whether a nurse led education and direct access service improves the care of children with urinary tract infections.Prospective cluster randomised trial.General practitioners in the catchment area of a UK paediatric nephrology department.88 general practices (346 general practitioners, 107 000 children).Rate and quality of diagnosis of urinary (...) . Twelve study infants but no control infants had reflux without scarring.A nurse led intervention improved the management of urinary tract infections in children, was valued by doctors and parents, and may have prevented some renal scarring.

2003 BMJ Controlled trial quality: uncertain