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A systematic overview of the effectiveness of public health nursing interventions: an overview of adolescent suicide prevention programs A systematic overview of the effectiveness of public health nursing interventions: an overview of adolescent suicide prevention programs A systematic overview of the effectiveness of public health nursing interventions: an overview of adolescent suicide prevention programs Ploeg J, Ciliska D, Dobbins M, Hayward S, Thomas H, Underwood J Authors' objectives (...) . The literature suggests that more broadly-based comprehensive school-based health programmes should be evaluated for their effectiveness in addressing the determinants of adolescent risk behaviour. CRD commentary The review uses a sound search strategy, it is clear in its methodology and provides good detail on the primary studies included. Bibliographic details Ploeg J, Ciliska D, Dobbins M, Hayward S, Thomas H, Underwood J. A systematic overview of the effectiveness of public health nursing interventions
A meta-analysis of nurse practitioners and nurse midwives in primary care A meta-analysis of nurse practitioners and nurse midwives in primary care A meta-analysis of nurse practitioners and nurse midwives in primary care Brown S A, Grimes D E Authors' objectives To evaluate the outcomes of nurse practitioners and nurse midwives, compared with physicians in primary care. Searching MEDLINE and Dissertation Abstracts were searched in June 1991 and in May 1992. National League for Nursing (...) accredited master's programmes in nursing and all schools of public health were surveyed to obtain lists of relevant theses. Unpublished data on nurse practitioners' and nurse midwives' care were requested from 30 health care and professional organisations. Bibliographies of retrieved articles, research studies and other relevant documents were examined. Study selection Study designs of evaluations included in the review Studies with an experimental, quasi-experimental or ex-post facto design, which
Impact of patient-controlled analgesia on required nursing time and duration of postoperative recovery Impact of patient-controlled analgesia on required nursing time and duration of postoperative recovery Impact of patient-controlled analgesia on required nursing time and duration of postoperative recovery Chan V W, Chung F, McQuestion M, Gomez 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 (...) living, return to bowel function, return of oral feeding and tolerance of oral analgesia, and hospital discharge time). Within each procedure the two groups (PCA and IM) were shown to be comparable in terms of age, weight, height, sex, surgical time, intraoperative fentanyl consumption and PACU morphine dose. Effectiveness results It was found that pain and satisfaction scores were similar for both groups, with similar morphine consumption, after both types of surgery. However, the delay in nurse
Nursing home-acquired pneumonia: outcomes from a clinical process improvement program Nursing home-acquired pneumonia: outcomes from a clinical process improvement program Nursing home-acquired pneumonia: outcomes from a clinical process improvement program Dempsey C L 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 Clinical process improvement programme for patients with nursing home-acquired pneumonia. Type of intervention Disease management Economic study type Cost-effectiveness analysis. Study population Patients with nursing home-acquired pneumonia. Setting Hospital, Chicago, USA. Dates to which data relate Effectiveness data are still being monitored. Resources related to 1992-93. Price dates were not specified
The effect of a stroke unit: reductions in mortality, discharge rate to nursing home, length of hospital stay, and cost - a community-based study The effect of a stroke unit: reductions in mortality, discharge rate to nursing home, length of hospital stay, and cost - a community-based study The effect of a stroke unit: reductions in mortality, discharge rate to nursing home, length of hospital stay, and cost - a community-based study Jorgensen H S, Nakayama H, Raaschou H O, Larsen K, Hubbe P (...) based on intention to treat. The primary health outcomes were post stroke death rates and length of hospital stay rates, and proportion of discharges to nursing home or home. Although groups were shown to be comparable in terms of demographic and prognostic factors (with the exception of hypertension and diabetes which were more frequent in the stroke unit group) and clinical characteristics, the analysis was further supported by the results of multivariate regression analyses which controlled
The community psychiatric nurse in primary care: an economic analysis The community psychiatric nurse in primary care: an economic analysis The community psychiatric nurse in primary care: an economic analysis Gournay K, Brooking 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 Community mental health nursing. Type of intervention Disease management. Economic study type Cost-utility analysis. Study population Patients affected by non-psychotic problems in need of psychiatric interventions. Setting Primary care. The economic study was carried out in the UK. Dates to which data relate Effectiveness and resource data were collected between 1988 and 1991. Costs data related to 1988. Source of effectiveness data Single study
Clean intermittent catheterization: safe, cost-effective bladder management for male residents of VA nursing homes Clean intermittent catheterization: safe, cost-effective bladder management for male residents of VA nursing homes Clean intermittent catheterization: safe, cost-effective bladder management for male residents of VA nursing homes Duffy L M, Cleary J, Ahern S, Kuskowski M A, West M, Wheeler L, Mortimer A A Record Status This is a critical abstract of an economic evaluation (...) by neurologic disease or increased residual urine resulting from medication side-effects. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population Male nursing home residents (mean age 72) with problems of urinary retention. Setting The practice setting involved long-term nursing homes. The study was carried out in Minnesota, USA. Dates to which data relate The dates for the resources used and the effectiveness data were not provided. 1993 prices were used. Source
Nicotine patch therapy for smoking cessation combined with physician advice and nurse follow-up. One-year outcome and percentage of nicotine replacement. To determine the efficacy of a 22-mg nicotine patch combined with the National Cancer Institute program for physician advice and nurse follow-up in providing withdrawal symptom relief, 1-year smoking cessation outcome, and percentage of nicotine replacement.Randomized, double-blind, placebo-controlled trial.Two-hundred forty healthy volunteers (...) who were smoking at least 20 cigarettes per day.Based on the National Cancer Institute program, subjects received smoking cessation advice from a physician. Follow-up and relapse prevention were provided by a study nurse during individual counseling sessions. Subjects were randomly assigned to 8 weeks of a 22-mg nicotine or placebo patch.Abstinence from smoking was verified by expired air carbon monoxide levels. Withdrawal symptoms were recorded during patch therapy, and the percentage of nicotine
A randomized trial of physical rehabilitation for very frail nursing home residents. Past studies suggest multidisciplinary interventions that include physical therapy (PT) can improve function of nursing home residents. This trial specifically evaluates effects of PT for frail long-stay nursing home residents.Randomized, controlled trial.One academic nursing home and eight community nursing homes.A total of 194 elderly nursing home residents dependent in at least two activities of daily living (...) residing in the nursing home for at least 3 months.Patients were randomized to individually tailored one-on-one PT sessions or friendly visits (FVs) three times a week for 4 months. Physical therapy included range-of-motion, strength, balance, transfer, and mobility exercises.Performance-based physical function assessed by the Physical Disability Index; self-perceived health status assessed with the Sickness Impact Profile; observer-reported activities of daily living; and falls.Eighty-nine percent
Effectiveness of health checks conducted by nurses in primary care: results of the OXCHECK study after one year. Imperial Cancer Research Fund OXCHECK Study Group. To assess the effectiveness of health checks by nurses in reducing risk factors for cardiovascular disease in patients from general practice.Randomised controlled trial.Five urban general practices in Bedfordshire.2136 patients receiving an initial health check in 1989-91 and scheduled to be re-examined one year later in 1990-2 (...) )); and that with body mass index > or = 30 12.4% (264/2125) and 14.0% (559/3984) (difference 1.6% (-0.2 to 3.4)).General health checks by nurses are ineffective in helping smokers to stop smoking, but they help patients to modify their diet and total cholesterol concentration. The public health importance of this dietary change depends on whether it is sustained.
The effectiveness of home visiting as a delivery strategy for public health nursing interventions: a systematic overview The effectiveness of home visiting as a delivery strategy for public health nursing interventions: a systematic overview The effectiveness of home visiting as a delivery strategy for public health nursing interventions: a systematic overview Ciliska D, Hayward S, Thomas H, Mitchell A, Dobbins M, Underwood J, Rafael A, Martin E Authors' objectives To examine the effectiveness (...) of public health nursing (PHN) interventions offered through the strategy of home visiting. Searching MEDLINE and CINAHL were searched from 1979 to 1993 using the keywords 'PHN' or 'CHN' and 'effectiveness', 'comparative', 'control' or 'evaluative' 'study'; the term 'home visiting' was applied for more specific searching back to 1989. Relevant authors were searched on-line from 1986 to 1993, and the following journals were handsearched from 1990 to 1993: Canadian Journal of Public Health, Canadian
A meta-analysis of intervention effectiveness for symptom management in oncology nursing research A meta-analysis of intervention effectiveness for symptom management in oncology nursing research A meta-analysis of intervention effectiveness for symptom management in oncology nursing research Smith M C, Holcombe J K, Stullenbarger E Authors' objectives To assess the effectiveness of symptom management in oncology nursing. Searching Nineteen US nursing journals, Oncology Congress proceedings (...) , five indices and three computer databases were searched from 1981 to 1990 for eligible published and unpublished studies. Study selection Study designs of evaluations included in the review Randomised controlled trials (RCTs) were included. Inclusion criteria were: the article was identifiable as a research investigation; at least one author was a registered nurse; and there were sufficient data to analyse. The studies had to meet at least one of the following criteria: address part of a nursing
A randomized trial of a program to reduce the use of psychoactive drugs in nursing homes. Although psychoactive medications have substantial side effects in the elderly, these drugs are used frequently in nursing homes. Few interventions have succeeded in changing this situation, and little is known about the clinical effects of such interventions.We studied six matched pairs of nursing homes; at one randomly selected nursing home in each pair, physicians, nurses, and aides participated (...) in the nursing homes in which the program was carried out (experimental nursing homes) than in the control nursing homes (decrease, 27 percent vs. 8 percent; P = 0.02). The use of antipsychotic drugs was discontinued in more residents in the experimental nursing homes than in the control nursing homes (32 percent vs. 14 percent); the comparable figures for the discontinuation of long-acting benzodiazepines were 20 percent vs. 9 percent, and for antihistamine hypnotics, 45 percent vs. 21 percent
Urinary incontinence: prevalence, need for treatment, and effectiveness of intervention by nurse. To measure the unmet need of patients with regular urinary incontinence (incontinence twice or more a month) treatable by a nurse.Self completed postal questionnaire and randomised controlled trial of assessment and intervention by a nurse.One urban and one rural general practice in Somerset.7300 adults randomly selected from 10,300 aged 35 and over on the combined practice lists. 515 women and 185 (...) men with regular incontinence were offered assessment and treatment, of whom 134 women and 49 men had no intervention for three months (historical controls). They then joined the assessment and treatment programme.Four sessions of pelvic floor exercises and bladder retraining supervised by non-specialist nurse who had taken a three week course on assessing and treating uncomplicated incontinence.Number of patients desiring treatment; self reported cure, improvement, or deterioration in continence
Using nurses for preventive activities with computer assisted follow up: a randomised controlled trial. To assess whether an organised programme of prevention including the use of a health promotion nurse noticeably improved recording and follow up of cardiovascular risk factors and cervical smears in a general practice that had access to computerised cell and recall.Randomised controlled trial.General practice in inner London.All 3206 men and women aged 30-64 registered with the practice.The (...) intervention group had their risk factors ascertained and followed up by the health promotion nurse and the general practitioner, whereas those in the control group were managed by the general practitioner alone.Recording and follow up of blood pressure and cervical smears after three years. Recording of smoking, family history of ischaemic heart disease, and serum cholesterol concentrations were also examined.When the trial was stopped after two years the measurements of blood pressure in the preceding
A clinical trial of a behavioral therapy to reduce urinary incontinence in nursing homes. Outcome and implications. One hundred thirty-three incontinent women in seven nursing homes were assigned randomly to a 13-week behavior therapy program for urinary incontinence or to a control group that received usual incontinence-related care. The therapy became effective after 6 weeks of training. By the final month of training, the treatment women's wet episodes had been reduced by 0.6 episodes per
Effect of catheter tunnelling and a nutrition nurse on catheter sepsis during parenteral nutrition. A controlled trial. In a three-year controlled trial of subcutaneous catheter tunnelling as a method of reducing total parenteral nutrition (TPN) catheter sepsis 99 silicone catheters (52 tunnelled, 47 untunnelled) were inserted into the subclavian (94%) or jugular (6%) veins under aseptic conditions. The influence of a nutrition nurse, who joined the nutrition team after 18 months, on catheter (...) sepsis rate was also documented. Catheter sepsis was confirmed in 13 of 47 (28%) untunnelled catheters and only 6 of 52 (11.5%) tunnelled catheters (p less than 0.05). A nutrition nurse reduced sepsis rate from 33% (tunnelled 6, untunnelled 11) to 4% (0 tunnelled; 2 untunnelled) (p less than 0.001). There was no significant difference between tunnelled and untunnelled catheters in sepsis rates after the arrival of the nutrition nurse. Although 85% patients had concurrent internal sepsis
Impact on nursing home staff of training about death and dying. The aim of the study was to test an educational program for nursing home personnel concerning working with dying patients. Ten community nursing homes were randomly assigned to experimental (training) or control (no training) conditions. Staff members in all homes were pretested on their anxieties about death, attitudes, knowledge, and skill in working with the dying. After training, experimental staff members (N = 296) had more
Weight gain and movement patterns of very low birthweight babies nursed on lambswool. 34 very low birthweight babies (mean 1143 g) in incubators were randomly assigned to be continuously nursed on lambswool (n = 17) or ordinary cotton sheets (n = 17). The weight gain for the periods when babies were well was significantly larger for the wool group, 22.7 g/day vs 18.6 g/day for cotton control (p less than 0.02). The overall weight gain (which included weight change during periods of illness