Latest & greatest articles for nursing

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Top results for nursing

841. Nurse-led Primary Care

Nurse-led Primary Care Nurse-led Primary Care | The King's Fund Main navigation Health and care services Leadership, systems and organisations Patients, people and society Policy, finance and performance Search term Apply Nurse-led Primary Care Learning from PMS pilots This content relates to the following topics: Share this content Authors Richard Lewis Publication details ISBN 978 1 85717 447 2 Pages 39 In 1998, the government approved personal medical services (PMS) pilots to offer nurse-led (...) primary care, designed to maximise the use of nursing skills and allow nurses to exercise leadership within primary health care teams. Three years on, this publication describes the experiences of the nine nurse leads as they developed their projects. Nurse-led Primary Care analyses the programme's success in various patient communities and looks at its possible future effects on primary care in the NHS. The issue of professional boundaries is also explored, offering an insider's view of nurse–doctor

2001 The King's Fund

842. Specialist epilepsy nurses for treating epilepsy. (Abstract)

Specialist epilepsy nurses for treating epilepsy. Epilepsy is the most common serious neurological condition after stroke, with a 0.5 per cent prevalence, and a two to three per cent life time risk of being given a diagnosis of epilepsy in the developed world. As a result of the perceived deficiencies and suggestions to improve the quality of care offered to people with epilepsy, two models of service provision have been suggested by researchers: specialist epilepsy out-patient clinics (...) (as opposed to the management of patients in general neurology clinics or general medical clinics) and nurse-based liaison services between primary (GP) and secondary/tertiary (hospital based) care.The aim of this review is to overview the evidence from controlled trials investigating the effectiveness of specialist epilepsy nurses compared to routine care.The following databases were searched: The Cochrane Controlled Trials Register (The Cochrane Library, Issue 4, 1999), MEDLINE, GEARS, BIDS (EMBASE

2001 Cochrane

843. Therapeutic nursing or unblocking beds? A randomised controlled trial of a post-acute intermediate care unit. Full Text available with Trip Pro

Therapeutic nursing or unblocking beds? A randomised controlled trial of a post-acute intermediate care unit. To compare post-acute intermediate care in an inpatient nurse-led unit with conventional post-acute care on general medical wards of an acute hospital and to examine the model of care in a nurse-led unit.Randomised controlled trial with six month follow up.Urban teaching hospital and surrounding area, including nine community hospitals.238 patients accepted for admission to nurse-led (...) unit.Care in nurse-led unit or usual post-acute care.Patients' length of stay, functional status, subsequent move to more dependent living arrangement.Inpatient length of stay was significantly longer in the nurse-led unit than in general medical wards (14.3 days longer (95% confidence interval 7.8 to 20.7)), but this difference became non-significant when transfers to community hospitals were included in the measure of initial length of stay (4.5 days longer (-3.6 to 12.5)). No differences were

2001 BMJ Controlled trial quality: uncertain

844. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial. Full Text available with Trip Pro

Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomised controlled trial. To assess the effectiveness of a trained district nurse individually prescribing a home based exercise programme to reduce falls and injuries in elderly people and to estimate the cost effectiveness of the programme.Randomised controlled trial with one year's follow up.Community health service at a New Zealand hospital.240 women and men aged 75 years and older.121 (...) $NZ1803 (523 pound sterling) (at 1998 prices) per fall prevented for delivering the programme and $NZ155 per fall prevented when hospital costs averted were considered.A home exercise programme, previously shown to be successful when delivered by a physiotherapist, was also effective in reducing falls when delivered by a trained nurse from within a home health service. Serious injuries and hospital admissions due to falls were also reduced. The programme was cost effective in participants aged 80

2001 BMJ Controlled trial quality: uncertain

845. The role of the specialist nurse in multiple sclerosis: a rapid and systematic review

The role of the specialist nurse in multiple sclerosis: a rapid and systematic review The role of the specialist nurse in multiple sclerosis: a rapid and systematic review The role of the specialist nurse in multiple sclerosis: a rapid and systematic review De Broe S, Christopher F, Waugh N 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 (...) De Broe S, Christopher F, Waugh N. The role of the specialist nurse in multiple sclerosis: a rapid and systematic review. Health Technology Assessment 2001; 5(17): 1-47 Authors' objectives The aim of this report is to assess the effectiveness and relative cost-effectiveness of multiple sclerosis (MS) specialist nurses in improving care and outcomes for patients with MS. Authors' conclusions The present evidence does not make it possible to comment with any certainty on the value of specialist

2001 Health Technology Assessment (HTA) Database.

846. Extended scope of nursing practice: a multicentre randomised controlled trial of appropriately trained nurses and pre-registration house officers in pre-operative assessment in elective general surgery

Extended scope of nursing practice: a multicentre randomised controlled trial of appropriately trained nurses and pre-registration house officers in pre-operative assessment in elective general surgery Extended scope of nursing practice: a multicentre randomised controlled trial of appropriately trained nurses and pre-registration house officers in pre-operative assessment in elective general surgery Extended scope of nursing practice: a multicentre randomised controlled trial of appropriately (...) trained nurses and pre-registration house officers in pre-operative assessment in elective general surgery Kinley H, Czoski-Murray C, George S, McCabe C, Primrose J, Reilly C, Wood R, Nicolson P, Healy C, Read S, Norman J, Janke E, Alhameed H, Fernandez N, Thomas E 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 Kinley H, Czoski-Murray C, George

2001 Health Technology Assessment (HTA) Database.

847. Home care nursing

Home care nursing Home care nursing Home care nursing Malaysian Health Technology Assessment Unit 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 Malaysian Health Technology Assessment Unit. Home care nursing. Kuala Lumpur: Malaysian Health Technology Assessment Unit (MHTAU) 2001 Authors' objectives The objective of this assessment is to assess the effectiveness (...) , cost effectiveness and safety of home care nursing for follow-up, chronic and rehabilitative care. The scope of assessment is home care nursing in the community, provided by nurse or home care team and that involving volunteers, non-governmental organisations (NGO), excluding care provided by nursing homes and home nursing by private practitioners as well as home visiting. Authors' conclusions In this assessment there is positive evidence for home care nursing for neonates, elderly, respiratory

2001 Health Technology Assessment (HTA) Database.

848. Randomised controlled trial of specialist nurse intervention in heart failure. Full Text available with Trip Pro

Randomised controlled trial of specialist nurse intervention in heart failure. To determine whether specialist nurse intervention improves outcome in patients with chronic heart failure.Randomised controlled trial.Acute medical admissions unit in a teaching hospital.165 patients admitted with heart failure due to left ventricular systolic dysfunction. The intervention started before discharge and continued thereafter with home visits for up to 1 year.Time to first event analysis of death from (...) days, P=0.0051).Specially trained nurses can improve the outcome of patients admitted to hospital with heart failure.

2001 BMJ Controlled trial quality: predicted high

849. The effectiveness of quality systems in nursing homes: a review

The effectiveness of quality systems in nursing homes: a review The effectiveness of quality systems in nursing homes: a review The effectiveness of quality systems in nursing homes: a review Wagner C, van der Wal G, Groenewegen P P, de Bakker D H Authors' objectives To examine evidence in the literature on whether quality systems in nursing homes have an impact on the care process and the satisfaction and health outcomes of long term-care residents. Searching MEDLINE, CINAHL, the Cochrane (...) Controlled Trials Register, the Cochrane EPOC Register of trials and NIVEL (Netherlands Institute of Health Services Research) were searched from 1985 to the end of 1997, using the search terms 'quality systems', 'quality assurance', 'quality improvement' or 'quality control' and the free text keywords, 'long term care' or 'nursing home'. Additional studies were obtained from handsearches of specialist journals, the references of identified articles, and from colleagues. Study selection Study designs

2001 DARE.

850. The nursing management of fever in children: a systematic review

The nursing management of fever in children: a systematic review The nursing management of fever in children: a systematic review The nursing management of fever in children: a systematic review Watts R, Robertson J, Thomas G Authors' objectives To determine whether the evidence supports the types and timing of the various nursing interventions which are commonly used to reduce fever in non-critically ill children, and whether and to what extent the outcomes are influenced by these nursing (...) interventions. As implications for practice, the review also covers issues raised by incorporating these interventions into the nursing management of fever in non-critically ill children. Searching The search sought studies in the English language, unpublished or published between 1988 and 1998 (although studies prior to 1988 were included in the review). Sixteen electronic databases, including MEDLINE, EMBASE, CINAHL, Expanded Academic ASAP, Current Contents, PsycLIT, DARE and the Cochrane Library, were

2001 DARE.

851. The nursing management of chest drains: a systematic review

The nursing management of chest drains: a systematic review The nursing management of chest drains: a systematic review The nursing management of chest drains: a systematic review Charnock Y Authors' objectives To present the best available evidence related to the nursing management of chest drains. Searching MEDLINE, CINAHL, Current Contents, the Cochrane Library, EMBASE, Expanded Academic ASAP and PsycLIT were searched using the keywords 'chest near tube', 'chest near drain', 'pleural near (...) comfort. No significant difference in pain, measured on a visual analogue scale, was shown between the Quick Relaxation Technique plus analgesia versus analgesia alone. Authors' conclusions There is a need for rigorous research in all areas relating to the nursing management of chest drains. CRD commentary The range of interventions eligible for inclusion in this review was very broad and reflected the imprecise objective. The inclusion criteria for the participants, interventions, outcomes and study

2001 DARE.

852. Outcomes-based trial of an inpatient nurse practitioner service for general medical patients

Outcomes-based trial of an inpatient nurse practitioner service for general medical patients Outcomes-based trial of an inpatient nurse practitioner service for general medical patients Outcomes-based trial of an inpatient nurse practitioner service for general medical patients Pioro M H, Landefeld C S, Brennan P F, Daly B, Fortinsky R H, Kim U, Rosenthal G E 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 practitioner-based care (NPBC) for patients admitted to general medical wards. Nurse practitioners provided initial and ongoing care for both subacute patients with chronic well-circumscribed illnesses and general medical patients with acute medical conditions under the direction of a senior

2001 NHS Economic Evaluation Database.

853. Functionele mobiliteitstests voor het valrisico bij verpleeghuispatienten. Een literatuuronderzoek naar de diagnostische waarde [Functional mobility tests of proclivity for falls in nursing home patients]

Functionele mobiliteitstests voor het valrisico bij verpleeghuispatienten. Een literatuuronderzoek naar de diagnostische waarde [Functional mobility tests of proclivity for falls in nursing home patients] Functionele mobiliteitstests voor het valrisico bij verpleeghuispatienten. Een literatuuronderzoek naar de diagnostische waarde [Functional mobility tests of proclivity for falls in nursing home patients] Functionele mobiliteitstests voor het valrisico bij verpleeghuispatienten. Een (...) literatuuronderzoek naar de diagnostische waarde [Functional mobility tests of proclivity for falls in nursing home patients] de Kinkelder A, Dierkx R I Authors' objectives To evaluate the diagnostic value (sensitivity and specificity) of the available functional mobility tests in the nursing home setting. Searching MEDLINE was searched from 1980 until 1 August 2000, using the search terms 'balance', 'fall', 'gait', 'mobility', 'sensitivity' and 'specificity' within the age group of 65 years and over

2001 DARE.

854. Tai chi for the prevention of fractures in a nursing home population: an economic analysis

Tai chi for the prevention of fractures in a nursing home population: an economic analysis Tai chi for the prevention of fractures in a nursing home population: an economic analysis Tai chi for the prevention of fractures in a nursing home population: an economic analysis Wilson C J, Datta S K 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 (...) . Study population The study population comprised a hypothetical cohort of institutionalised elderly at an average risk for falls. Details of the cohort, such as age and clinical conditions, were not described. Setting The setting was a nursing home. The economic study was conducted in the USA. Dates to which data relate The effectiveness and resource use data were derived from studies published mainly between 1972 and 1996. The price year was 2000. Source of effectiveness data The effectiveness

2001 NHS Economic Evaluation Database.

855. Botulinum toxin for people with dystonia treated by an outreach nurse practitioner: a comparative study between a home and a clinic treatment service

Botulinum toxin for people with dystonia treated by an outreach nurse practitioner: a comparative study between a home and a clinic treatment service 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.

2001 NHS Economic Evaluation Database.

856. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres

Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 2: Controlled trial in multiple centres Robertson M C, Gardner M M, Devlin N, McGee R, Campbell A 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 use of a home-based exercise programme, as delivered by a trained nurse from general practice, for preventing falls and injuries among elderly people. The nurses were supervised by a physiotherapist

2001 NHS Economic Evaluation Database.

857. Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomized controlled trial

Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomized controlled trial Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomized controlled trial Effectiveness and economic evaluation of a nurse delivered home exercise programme to prevent falls. 1: Randomized controlled trial Robertson M C, Devlin N, Gardner M M, Campbell A 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 use of a home-based exercise programme, as delivered by a trained district nurse, for preventing falls and injuries among elderly people. The nurse training lasted one week and was held by a research physiotherapist

2001 NHS Economic Evaluation Database.

858. Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes

Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes Outcomes of a randomized controlled trial of a clinical pharmacy intervention in 52 nursing homes Roberts M S, Stokes J A, King M A, Lynne T A, Purdie D M, Glasziou P P, Wilson D A J, McCarthy S T, Brooks G E, de Looze F J, Del Mar C 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 An intervention designed to improve the quality of medication care in nursing home residents was considered in this study. It was based on a year long clinical pharmacy programme involving the development of professional relationships, nurse education

2001 NHS Economic Evaluation Database.

859. Nurse-driven interventional technology: a cost and benefit perspective

Nurse-driven interventional technology: a cost and benefit perspective Nurse-driven interventional technology: a cost and benefit perspective Nurse-driven interventional technology: a cost and benefit perspective Royer T 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 $9,952 for the 64 patients not sent to there. Therefore, the introduction of the programme led to a saving of $52,640 for the hospital. The author stated that further cost-savings could have been realised by the observed reduction in cases of mechanical phlebitis. Synthesis of costs and benefits Not relevant. Authors' conclusions The introduction of a programme for the placement of peripherally inserted central catheters (PICC) was effective as nurses were able to place catheters. This reduced both

2001 NHS Economic Evaluation Database.

860. The role of specialist nurses in multiple sclerosis: a rapid and systematic review

The role of specialist nurses in multiple sclerosis: a rapid and systematic review The role of specialist nurses in multiple sclerosis: a rapid and systematic review The role of specialist nurses in multiple sclerosis: a rapid and systematic review De Broe S, Christopher F, Waugh N Authors' objectives To assess the effectiveness and cost-effectiveness of specialist nurses in improving the care and outcomes for patients with multiple sclerosis (MS). Searching The following sources were searched (...) during the period 1982 to 1999 (dates for each source were listed in the report): the Cochrane Library, MEDLINE, PREMEDLINE, CINAHL, NHS EED, the National Research Register, PsycLIT, AMED, ASSIA, British Nursing Index, HMIC, NLM, RCN Journals Database, HealthSTAR, the Science Citation Index, the Social Sciences Citation Index and EMBASE. The search was limited to publications in the English language. The MeSH terms used were 'Multiple sclerosis' under the subheading 'Nursing'; free text searching

2001 DARE.