Latest & greatest articles for nursing

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Top results for nursing

801. Effect on hip fractures of increased use of hip protectors in nursing homes: cluster randomised controlled trial. Full Text available with Trip Pro

Effect on hip fractures of increased use of hip protectors in nursing homes: cluster randomised controlled trial. To assess the effects of an intervention programme designed to increase use of hip protectors in elderly people in nursing homes.Cluster randomised controlled trial with 18 months of follow up.Nursing homes in Hamburg (25 clusters in intervention group; 24 in control group).Residents with a high risk of falling (459 in intervention group; 483 in control group).Single education (...) session for nursing staff, who then educated residents; provision of three hip protectors per resident in intervention group. Usual care optimised by brief information to nursing staff about hip protectors and provision of two hip protectors per cluster for demonstration purposes.Incidence of hip fractures.Mean follow up was 15 months for the intervention group and 14 months for the control group. In total 167 residents in the intervention group and 207 in the control group died or moved away

2003 BMJ Controlled trial quality: predicted high

802. Local nurse telephone triage in primary care

Local nurse telephone triage in primary care Local nurse telephone triage in primary care Local nurse telephone triage in primary care Connock M, Taylor R Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Connock M, Taylor R. Local nurse telephone triage in primary care. Birmingham: West Midlands Health Technology Assessment Collaboration (WMHTAC). DPHE Report (...) No. 46. 2003 Authors' objectives This paper addresses the question 'Is the introduction of a local nurse telephone triage (NTT) in primary care likely to deliver health care benefits additional to those of the current (and future) system of NHS Direct?' To do this we reviewed the literature on effectiveness and the cost of local NTT. This paper should be read in conjunction with 'Telephone triage services: systematic review of the literature and survey of Canadian call centre programmes' by Stacey D

2003 Health Technology Assessment (HTA) Database.

803. A randomised controlled trial to evaluate the clinical and cost-effectiveness of Hickman line insertions in adult cancer patients by nurses

A randomised controlled trial to evaluate the clinical and cost-effectiveness of Hickman line insertions in adult cancer patients by nurses A randomised controlled trial to evaluate the clinical and cost-effectiveness of Hickman line insertions in adult cancer patients by nurses A randomised controlled trial to evaluate the clinical and cost-effectiveness of Hickman line insertions in adult cancer patients by nurses Boland A, Haycox A, Bagust A, Fitzsimmons L Record Status (...) This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Boland A, Haycox A, Bagust A, Fitzsimmons L. A randomised controlled trial to evaluate the clinical and cost-effectiveness of Hickman line insertions in adult cancer patients by nurses. Health Technology Assessment 2003; 7(36): 1-112 Authors' objectives To examine the clinical and cost-effectiveness of image-guided Hickman line

2003 Health Technology Assessment (HTA) Database.

804. Physician and nurse staffing in spinal cord injury care: relation to outcomes

Physician and nurse staffing in spinal cord injury care: relation to outcomes Physician and nurse staffing in spinal cord injury care: relation to outcomes Physician and nurse staffing in spinal cord injury care: relation to outcomes Flynn K Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Flynn K. Physician and nurse staffing in spinal (...) cord injury care: relation to outcomes. Boston: VA Technology Assessment Program (VATAP). VA Technology Assessment Program short report number 7. 2003 Authors' objectives The aim of this report was to determine the number of medical staff needed to provide the best medical care for patients with spinal cord injury. In particular, VA was interested in the number of nurses needed in the hospital and the number of nurses and physicians needed in outpatient clinics. The number of staff needed

2003 Health Technology Assessment (HTA) Database.

805. The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review

The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review The effectiveness of current approaches to workplace stress management in the nursing profession: an evidence based literature review Mimura C, Griffiths P CRD summary This review included studies that compared stress management (...) interventions based on environmental or personnel approaches with each other or with 'placebo' or no intervention. The authors concluded that it is impossible to determine which approach is more effective. The review had some methodological limitations, but overall the conclusion that more research is needed appears reliable. Authors' objectives To determine the relative effectiveness of environmental and personnel approaches to workplace stress-management in the nursing profession. Searching The Cochrane

2003 DARE.

806. Nursing interventions for patients with chronic conditions

Nursing interventions for patients with chronic conditions Nursing interventions for patients with chronic conditions Nursing interventions for patients with chronic conditions Frich L M CRD summary The review assessed the effects of home-based nursing interventions for patients with chronic conditions. The author concluded that patients with chronic conditions benefited from multiple, individualised, follow-up visits by nurses. However, the inclusion of studies with diverse interventions (...) and outcomes limits the conclusions of the review. Authors' objectives To describe and assess the efficacy of nursing interventions provided during home-visits for patients with chronic conditions. Searching MEDLINE, EMBASE, PsycINFO, CINAHL and the Cochrane CENTRAL Register were searched from 1993 to 2003; the search terms were reported. The bibliographies of relevant articles were screened for additional references. The author did not state whether any language restrictions were applied as part

2003 DARE.

807. Effectiveness of nursing interventions in people with personality disorders

Effectiveness of nursing interventions in people with personality disorders Effectiveness of nursing interventions in people with personality disorders Effectiveness of nursing interventions in people with personality disorders Woods P, Richards D CRD summary The review assessed interventions provided by nurses for people with personality disorders. The authors found that the evidence was too weak to draw conclusions about the usefulness of nursing interventions. The review cannot support (...) conclusions about whether one type of intervention is better than another. Authors' objectives To assess the effectiveness of nursing interventions for people with personality disorders. Searching MEDLINE, EMBASE, CINAHL, HMIC, PsycINFO, SIGLE, British Nursing Index, the Cochrane Library, the UK National Research Register, DARE, Dissertation Abstracts, WorldCat and COPAC were searched; the search terms were reported but the years covered were unclear. Handsearches of journals (unspecified) and contact

2003 DARE.

808. A systematic review of stress and stress management interventions for mental health nurses

A systematic review of stress and stress management interventions for mental health nurses A systematic review of stress and stress management interventions for mental health nurses A systematic review of stress and stress management interventions for mental health nurses Edwards D, Burnard P CRD summary This review aimed to assess stress management interventions for mental health nurses. The authors concluded that there was a lack of research on the impact of interventions that attempt (...) to moderate, minimise or eliminate stress. The lack of methodological information and population details make the reliability of the results uncertain. Authors' objectives To determine the effectiveness of stress management interventions for those working in mental health nursing. Searching PubMed, EMBASE, the Science Citation Index, Pascal, CINAHL, ASSIA, PsycLIT, ClinPSYC, HealthSTAR, the Cochrane Library, British Nursing Index, SIGLE and the National Research Register were searched up to 2000

2003 DARE.

809. Nursing strategies and quality of life outcomes: a systematic review

Nursing strategies and quality of life outcomes: a systematic review Nursing strategies and quality of life outcomes: a systematic review Nursing strategies and quality of life outcomes: a systematic review Burckhardt C S, Hanestad B R CRD summary This review assessed the impact of nursing interventions on patients' quality of life. The authors concluded that counselling, patient education, cognitive behavioural techniques and exercise do improve quality of life. The conclusions may (...) not be reliable since the review used an inappropriate method to synthesise the results. Authors' objectives To evaluate the impact of nursing interventions on the quality of life (QoL) of patients. Searching MEDLINE, CINAHL and PsycLIT were searched from 1983 to 1998; some search terms were given. In addition, 20 nursing journals and all Scandinavian nursing journals were handsearched (1990 to 1998), and reference lists of review articles were checked. Dissertation Abstracts International was searched from

2003 DARE.

810. A randomized trial of two public health nurse follow-up programs after early obstetrical discharge. An examination of breastfeeding rates, maternal confidence and utilization and costs of health services.

A randomized trial of two public health nurse follow-up programs after early obstetrical discharge. An examination of breastfeeding rates, maternal confidence and utilization and costs of health services. A randomized trial of two public health nurse follow-up programs after early obstetrical discharge. An examination of breastfeeding rates, maternal confidence and utilization and costs of health services. A randomized trial of two public health nurse follow-up programs after early obstetrical (...) technology The health technologies studied were two alternative forms of postpartum follow-up by public health nurses (PHN): Telephone screen follow-up (TSFU), by which mothers were telephoned on the day following hospital discharge. Home visit follow-up (HVFU), consisting of routine provision of two home visits within 10 days of discharge. Under both forms of follow-up, other support services, primary medical care or community services were provided if needs were identified by either the mother

2003 NHS Economic Evaluation Database.

811. Emergency nurse practitioners: a three part study in clinical and cost effectiveness

Emergency nurse practitioners: a three part study in clinical and cost effectiveness Emergency nurse practitioners: a three part study in clinical and cost effectiveness Emergency nurse practitioners: a three part study in clinical and cost effectiveness Sakr M, Kendall R, Angus J, Sanders A, Nicholl J, Wardrope J 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 health intervention examined in the study was a nurse practitioner led minor injury unit (MIU) for the management of patients with minor injuries. Type of intervention Emergency medical services. Economic study type Cost-effectiveness analysis. Study population The study population comprised the general population with minor injuries requiring A&E services

2003 NHS Economic Evaluation Database.

812. Does an exercise and incontinence intervention save healthcare costs in a nursing home population?

Does an exercise and incontinence intervention save healthcare costs in a nursing home population? Does an exercise and incontinence intervention save healthcare costs in a nursing home population? Does an exercise and incontinence intervention save healthcare costs in a nursing home population? Schnelle J F, Kapur K, Alessi C, Osterweil D, Beck J G, Al-Samarrai N R, Ouslander J 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 and the conclusions drawn. Health technology The impact of functional incidental training (FIT) on incontinent, long-stay nursing home (NH) residents was studied. FIT comprised low-intensity, functionally oriented exercise and incontinence care. The programme aimed to reduce the incidence of the following conditions: dermatological

2003 NHS Economic Evaluation Database.

813. Randomised controlled trial of nurse continence advisor therapy compared with standard urogynaecology regimen for conservative incontinence treatment: efficacy, costs and two year follow up

Randomised controlled trial of nurse continence advisor therapy compared with standard urogynaecology regimen for conservative incontinence treatment: efficacy, costs and two year follow up Randomised controlled trial of nurse continence advisor therapy compared with standard urogynaecology regimen for conservative incontinence treatment: efficacy, costs and two year follow up Randomised controlled trial of nurse continence advisor therapy compared with standard urogynaecology regimen (...) for conservative incontinence treatment: efficacy, costs and two year follow up Moore K H, O'Sullivan R J, Simons A, Prashar S, Anderson P, Louey M 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 nurse continence advisors

2003 NHS Economic Evaluation Database.

814. An economic analysis of external hip protector use in ambulatory nursing facility residents

An economic analysis of external hip protector use in ambulatory nursing facility residents An economic analysis of external hip protector use in ambulatory nursing facility residents An economic analysis of external hip protector use in ambulatory nursing facility residents Colon-Emeric C S, Datta S K, Matchar D 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 study examined the use of external hip protectors in nursing homes. Type of intervention Primary prevention. Economic study type Cost-utility analysis. Study population The study population comprised high-risk elderly men and women residing in nursing home facilities. Setting The setting was an institution. The economic study was carried out in Durham, USA

2003 NHS Economic Evaluation Database.

815. Who can best recruit to randomized trials: randomized trial comparing surgeons and nurses recruiting patients to a trial of treatments for localized prostate cancer (the ProtecT study)

Who can best recruit to randomized trials: randomized trial comparing surgeons and nurses recruiting patients to a trial of treatments for localized prostate cancer (the ProtecT study) Who can best recruit to randomized trials: randomized trial comparing surgeons and nurses recruiting patients to a trial of treatments for localized prostate cancer (the ProtecT study) Who can best recruit to randomized trials: randomized trial comparing surgeons and nurses recruiting patients to a trial (...) with nurses, for recruiting patients to randomised trials of treatments for localised prostrate cancer. Type of intervention Other: experimental trials. Economic study type Cost-effectiveness analysis. Study population The study population comprised men aged 50 to 69 years who agreed to undertake prostate-specific antigen (PSA) testing and who were subsequently found to have localised prostate cancer. Setting The setting was primary care. The location of the trial was not explicitly stated

2003 NHS Economic Evaluation Database.

816. Experiences of Oregon nurses and social workers with hospice patients who requested assistance with suicide. (Abstract)

Experiences of Oregon nurses and social workers with hospice patients who requested assistance with suicide. Oregon's 1997 Death with Dignity Act legalizes physician-assisted suicide. To date, information about patients who have requested this option has come from surveys of physicians. Although 78 percent of the 91 Oregonians who have died by assisted suicide were enrolled in hospice programs, there is little information about the experiences of hospice practitioners with these patients.In (...) 2001, we mailed a questionnaire to all hospice nurses and social workers in Oregon.Of 545 eligible hospice nurses and social workers, 397 (73 percent) returned the survey, including 71 percent of nurses and 78 percent of social workers. Since November 1997, 179 of the respondents (45 percent) had cared for a patient who requested assistance with suicide. Hospice nurses reported on 82 patients who had received prescriptions for lethal medication. Ninety-eight percent of the nurses had discussed

2002 NEJM

817. Safety and efficacy of nurse initiated thrombolysis in patients with acute myocardial infarction. Full Text available with Trip Pro

Safety and efficacy of nurse initiated thrombolysis in patients with acute myocardial infarction. Delay in starting thrombolytic treatment in patients arriving at hospital with chest pain who are diagnosed as having acute myocardial infarction.Audit of "door to needle times" for patients presenting with chest pain and an electrocardiogram on admission that confirmed acute myocardial infarction. A one year period in each of three phases of development was studied.The goal of the national service (...) with suspected acute myocardial infarction were transferred directly to a fast track area within the coronary care unit, where nurses assess patients and doctors started treatment. KEY MEASURES IMPROVEMENT: Median door to needle time in phase 1 of 45 minutes (range 5-300 minutes), with 38% of patients treated within 30 minutes. Median door to needle time in phase 2 of 40 minutes (range 5-180 minutes), with 47% treated within 30 minutesIn phase 3 (1997-2001), all patients with suspected acute myocardial

2002 BMJ

818. Nurse-staffing levels and the quality of care in hospitals. (Abstract)

Nurse-staffing levels and the quality of care in hospitals. It is uncertain whether lower levels of staffing by nurses at hospitals are associated with an increased risk that patients will have complications or die.We used administrative data from 1997 for 799 hospitals in 11 states (covering 5,075,969 discharges of medical patients and 1,104,659 discharges of surgical patients) to examine the relation between the amount of care provided by nurses at the hospital and patients' outcomes. We (...) conducted regression analyses in which we controlled for patients' risk of adverse outcomes, differences in the nursing care needed for each hospital's patients, and other variables.The mean number of hours of nursing care per patient-day was 11.4, of which 7.8 hours were provided by registered nurses, 1.2 hours by licensed practical nurses, and 2.4 hours by nurses' aides. Among medical patients, a higher proportion of hours of care per day provided by registered nurses and a greater absolute number

2002 NEJM

819. Patient and caregiver characteristics and nursing home placement in patients with dementia. (Abstract)

Patient and caregiver characteristics and nursing home placement in patients with dementia. The decision to institutionalize a patient with dementia is complex and is based on patient and caregiver characteristics and the sociocultural context of patients and caregivers. Most studies have determined predictors of nursing home placement primarily according to patient or caregiver characteristics alone.To develop and validate a prognostic model to determine the comprehensive predictors (...) of placement among an ethnically diverse population of patients with dementia.The Medicare Alzheimer's Disease Demonstration and Evaluation study, a prospective study at 8 sites in the United States, with enrollment between December 1989 and December 1994 of 5788 community-living persons with advanced dementia.Time to nursing home placement throughout a 36-month follow-up period, assessed by interview and review of Medicare records, and its association with patient and caregiver characteristics, obtained

2002 JAMA

820. Comparison of estimates and calculations of risk of coronary heart disease by doctors and nurses using different calculation tools in general practice: cross sectional study. Full Text available with Trip Pro

Comparison of estimates and calculations of risk of coronary heart disease by doctors and nurses using different calculation tools in general practice: cross sectional study. To assess the effect of using different risk calculation tools on how general practitioners and practice nurses evaluate the risk of coronary heart disease with clinical data routinely available in patients' records.Subjective estimates of the risk of coronary heart disease and results of four different methods (...) of calculation of risk were compared with each other and a reference standard that had been calculated with the Framingham equation; calculations were based on a sample of patients' records, randomly selected from groups at risk of coronary heart disease.General practices in central England.18 general practitioners and 18 practice nurses.Agreement of results of risk estimation and risk calculation with reference calculation; agreement of general practitioners with practice nurses; sensitivity and specificity

2002 BMJ