What is the evidence regarding placement of peripherally inserted catheter (PICC) in patients with pacemaker/AICD?

“Interesting cases. Difficult peripherally inserted central catheter (PICC) insertions.” Journal of the Association for Vascular Access 11.2 (2006):70.

Haglund, Nicholas A, et al. “Are peripherally inserted central catheters associated with increased risk of adverse events in status 1B patients awaiting transplantation on continuous intravenous milrinone?.” Journal of cardiac failure 20.9 (2014):630-7.

Sainathan, Sandeep, MargaretHempstead, and ShahriyourAndaz. “A single institution experience of seven hundred consecutively placed peripherally inserted central venous catheters.” The journal of vascular access (2014)

Duan, Xu, et al. “Efficacy and safety of nitroglycerin for preventing venous spasm during contrast-guided axillary vein puncture for pacemaker or defibrillator leads implantation.” Europace 15.4 (2013):566-9.

Bracke, Frank, and AlbertMeijer. “Lead extraction via the femoral artery of a left ventricular pacing lead inserted in the subclavian artery.” Pacing and clinical electrophysiology 26.7 (2003):1544-7.

Mendenhall, G S. “A straightforward, reliable technique for retaining vascular access during lead replacement.” Heart rhythm 8.11 (2011):1812-4.
See additional references in PubMed.

Does requiring passwords to protect privacy when providing patient information over the telephone increase patient and family satisfaction?

I searched PubMed and CINAHL with these concepts:  (patient information AND (telephone OR caller) AND (privacy OR confidentiality).

To  look at the search results, please go to http://tinyurl.com/mwx94pu

The following three articles were selected for you.

Sokol, D K, and JCar. “Patient confidentiality and telephone consultations: time for a password.” Journal of medical ethics 32.12 (2006):688-9.

Lewis, Kathleen, and ChristineOlah. “Ring! Ring!: safeguarding patient information with password protection for phone calls.” American journal of nursing 109.11 Suppl (2009):33-4.

Pérez Cárceles, M D, et al. “Balancing confidentiality and the information provided to families of patients in primary care.” Journal of medical ethics 31.9 (2005):531-5. 

 

 

 

Trends in stem cell transplantation as an upcoming therapy for diabetes mellitus type 1.

I searched Pubmed using these search terms (stem cell transplantion OR mesenchymal stem cell transplantation)  AND (diabetes mellitus type 1)  with emphasis on children.    See additional Pubmed references

Chhabra, Preeti, and Kenneth LBrayman. “Stem cell therapy to cure type 1 diabetes: from hype to hope.” Stem Cells Translational Medicine 2.5 (2013):328-36.

Hu, Jianxia, et al. “Long term effects of the implantation of Wharton’s jelly-derived mesenchymal stem cells from the umbilical cord for newly-onset type 1 diabetes mellitus.” endocrine journal 60.3 (2013):347-57.

Stanekzai, Jamil, Esma RIsenovic, and Shaker AMousa. “Treatment options for diabetes: potential role of stem cells.” Diabetes research and clinical practice 98.3 (2012):361-8.

D’Addio, Francesca, et al. “Autologous nonmyeloablative hematopoietic stem cell transplantation in new-onset type 1 diabetes: a multicenter analysis.” Diabetes 63.9 (2014):3041-6.

Zhao, Yong, et al. “New type of human blood stem cell: a double-edged sword for the treatment of type 1 diabetes.” Translational Research 155.5 (2010):211-6.

Domínguez Bendala, Juan, et al. “Concise review: mesenchymal stem cells for diabetes.” Stem Cells Translational Medicine 1.1 (2012):59-63.

Does education improve nursing recruitment or nursing retention?

I searched PubMed using these search terms: (nurses OR hospital staff nursing) AND (recruitment OR retention) AND (inservice training OR continuing education OR nursing residency OR mentoring).   The evidence suggests that many types of educational formats may improve nursing recruitiment/nursing retention.

Gutekunst, Marie-Claude, JeanineDelucca, and Beth AKessler. “The use of an advanced medical-surgical course for the retention and professional development of medical-surgical nurses in an acute care hospital.” The Journal of Continuing Education in Nursing 43.7 (2012):309-14. 

Cockerham, Janine, et al. “Supporting newly hired nurses: a program to increase knowledge and confidence while fostering relationships among the team.” Nursing forum 46.4 (2011):231-9.

Halfer, Diana. “Job embeddedness factors and retention of nurses with 1 to 3 years of experience.” The Journal of Continuing Education in Nursing 42.10 (2011):468-76.

Lampe, Kayla, KarenStratton, and Julie RWelsh. “Evaluating orientation preferences of the generation Y new graduate nurse.” Journal for nurses in staff development 27.4 (2011):E6-9.

Schaar, Gina L, et al. “Nursing sabbatical in the acute care hospital setting: a cost-benefit analysis.” The Journal of nursing administration 42.6 (2012):340-4.

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What is the effect of music therapy on pain (or stress reduction) during dressing changes?

The majority of search results focused on music therapy reducing pain or stress during dressing changes in burn patients.

Evidence Summaries

Joanna Briggs

Burns Pain (Adults): Non-Pharmacological Management. Miller, Kate [BOccTh PhD]. Kipping, Belinda [BOccTh MPhil]. Gray, Paul [MBBS PhD FANZCA FFPMANZCA]. Schug, Stephan. Munn, Zachary [PhD]. [Recommended Practices] 2014

This study reports that  generally there is a lack of high quality evidence for nonpharmacological  interventions reducing stress or pain in burn patients.

Literature search in PubMed was more specific to music therapy:

My search strategy was  (Bandages”[Mesh] OR bandages OR biological dressings OR occlusive dressings) AND music therapy AND (pain OR stress)

Tan, Xueli, et al. “The efficacy of music therapy protocols for decreasing pain, anxiety, and muscle tension levels during burn dressing changes: a prospective randomized crossover trial.” Journal of burn care & research 31.4 (2010):590-7.

Nilsson, S, and A-CRenning. “Pain management during wound dressing in children.” Nursing standard 26.32 (2012):50-5.

Protacio, Judith. “Patient-directed music therapy as an adjunct during burn wound care.” Critical care nurse 30.2 (2010):74-6.

Cole, Linda C, and GeriLoBiondo Wood. “Music as an adjuvant therapy in control of pain and symptoms in hospitalized adults: a systematic review.” Pain management nursing 15.1 (2014):406-25.

See addititonal PubMed references by clicking on this link:

 http://www.ncbi.nlm.nih.gov/sites/myncbi/collections/public/1PQtun_Aiz3ViSsu-3u3inwQm/

Searching other databases like CINAHL and PsycINFO did not produce any new results.

See also this post in the blog:

Effectiveness of music therapy as an adjunct to pharmacological pain relief in post-op patients

 

 

What evidence exists regarding femoral nerve block in joint surgery (hip,knee) and length of hospital stay?

Crowley, Conor, et al. “Impact of regional and local anaesthetics on length of stay in knee arthroplasty.” ANZ journal of surgery 82.4 (2012):207-214.

Systematic review: According to Crowley’s systematic review, 23 studies  using CONSORT 2001, (consolidated standards of reporting trials), were identified.  There were deficiencies in these studies as far sample size calculation and randomization concerning under reporting of blinding.  Neither  regional and local anesthesia  nor epidural and femoral nerve block has reduced hospital length of stay.

RCTs published after the review

Ward, James P, et al. “Are femoral nerve blocks effective for early postoperative pain management after hip arthroscopy?.” Arthroscopy 28.8 (2012):1064-1069.
shed after the Crowley article based on a small sample size of 36 subjects, concludes that based on all criteria the femoral nerve block is a good  alternative to routine narcotic pain medication for hip arthroplasty.

Spangehl MJ, et al. The Chitranjan Ranawat Award: Periarticular Injections and Femoral Sciatic Blocks Provide Similar Pain Relief After TKA: A Randomized Clinical Trial. Clin Orthop Relat Res 473.1 (2015 Jan):45-53.
160 patients undergoing knee arthoplasty received either femoral block or periarticular injection (PAI). LOS was 2.44 days for the PAI group and 2.84 days for the femoral block group.

Mahadevan D, et al. Combined femoral and sciatic nerve block vs combined femoral and periarticular infiltration in total knee arthroplasty: a randomized controlled trial. J Arthroplasty. 2012 Dec;27(10):1806-11.
Fifty-two patients undergoing total knee arthroplasty all received femoral nerve block.  They were randomized to also receive either sciatic block or periarticular injection.  LOS was 5.5 v. 6 days.

What are the criteria for career mobility in nursing such as clinical ladders?

I did a search in PubMed with these search terms (career mobility OR clinical ladders) AND (nursing staff hospital) and retrieved these references:

Adeniran RK, Bhattacharya A, Adeniran AA. Professional excellence and career advancement in nursing: a conceptual framework for clinical leadership development. Nurs Adm Q. 2012 Jan-Mar;36(1):41-51. doi:

Beglinger JE, Hauge B, Krause S, Ziebarth L. Shaping future nurse leaders through shared governance. Nurs Clin North Am. 2011 Mar;46(1):129-35. doi: 10.1016/j.cnur.2010.10.003. Epub 2010 Dec. 17.

Adeniran RK1, Bhattacharya A, Adeniran AA. Professional excellence and career advancement in nursing: a conceptual framework for clinical leadership development. Nurs Adm Q. 2012 Jan-Mar;36(1):41-51. doi: 10.1097/NAQ.0b013e31823b0fec.