Are unit based turn teams likely to reduce pressure ulcers in hospital stays?

A number of related articles can be found in PubMed using the search strategies listed below. To execute the searches:
1. Go to www.health.library.emory.edu and then click on the PubMed link on right side of page.
2. When PubMed opens, copy/paste this search strategy in the search box (articles):
(“Pressure Ulcer/prevention and control”[MAJR] AND “Patient Positioning”[MeSH]) AND English[lang]
3. For a broader search, copy/paste this: pressure ulcer AND (turning OR patient position) AND (English[lang])

When results appear, click on title to view abstract, then use the “Find It@Emory” button to link to full text, if available.

One article of note:

Still, Mary D, et al. “The turn team: a novel strategy for reducing pressure ulcers in the surgical intensive care unit.” Journal of the American College of Surgeons 216.3 (2013):373-379.

“At baseline, when frequent turning was encouraged but not required, a total of 42 pressure ulcers were identified in 278 patients. After implementation of the turn team, a total of 12 pressure ulcers were identified in 229 patients (p < 0.0001). The preintervention group included 34 stage I and II ulcers and 8 higher stage ulcers. After implementation of the turn team, there were 7 stage I and II ulcers and 5 higher stage ulcers. The average Braden score was 16.5 in the preintervention group and 13.4 in the postintervention group (p = 0.04), suggesting that pressure ulcers were occurring in higher risk patients after implementation of the turn team.”

Overview of peripherally inserted central catheters and central venous catheters

Abeloff: Abeloff’s Clinical Oncology, 4th ed. Copyright © 2008 Churchill Livingstone, An Imprint of Elsevier
CHOOSING THE RIGHT DEVICE

Go to Joanna Briggs and cut and paste the following phrases into the search box:
peripherally inserted central catheter
central venous catheter

Egan GM ; Siskin GP ; Weinmann R 4th ; Galloway MM. A Prospective Postmarket Study to Evaluate the Safety and Efficacy of a New Peripherally Inserted Central Catheter Stabilization System. Journal of Infusion Nursing, 2013 May-Jun; 36 (3): 181-8

Beghetto MG ; Victorino J ; Teixeira L ; de Azevedo MJ Parenteral nutrition as a risk factor for central venous catheter-related infection.
JPEN Journal of Parenteral & Enteral Nutrition, 2005 Sep-Oct; 29 (5): 367-73.

Baiocco, Graziella Gasparotto ; da Silva, Jefferson Luis Braga The Use of the Peripherally Inserted Central Catheter (Pice) in the Hospital Environment. Revista Latino-Americana de Enfermagem (RLAE) (REV LAT AM ENFERMAGEM), 2010 Nov-Dec; 18 (6): 1131-7.

Databases searched: Joanna Briggs, CINAHL, MDConsult. Keywords: peripherally inserted central catheter, central venous catheter, indications

What is the evidence on isolation gowns preventing the spread of infection?

Kressel, Amy B, et al. “Hospitals learn their collective power: an isolation gown success story.” American journal of infection control 39.1 (2011):76-78.

Srinivasan A ; Song X ; Ross T ; Merz W ; Brower R ; Perl TM A prospective study to determine whether cover gowns in addition to gloves decrease nosocomial transmission of vancomycin-resistant enterococci in an intensive care unit. Infection Control & Hospital Epidemiology, 2002 Aug; 23 (8): 424-8.

Community-acquired MRSA boosts need for awareness: hand hygiene, knowledge block cross-contamination. Same-Day Surgery, 2008 Feb; 32 (2): 17-9.

Kressel AB ; McVey JL ; Miller JM ; Fish LL Hospitals learn their collective power: an isolation gown success story. Department of Medicine, Division of Infectious Diseases, Indiana University School of Medicine, Indianapolis, IN

Lovitt SA ; Nichols RL ; Smith JW ; Muzik AC ; Pearce PF Isolation gowns: a false sense of security? Dept Surg, Tulane Univ School Med, 1430 Tulane Ave, New Orleans, LA 70112-2669 American Journal of Infection Control, 1992 Aug; 20 (4): 185-91.

McLane C Commentary on Isolation gowns: a false sense of security? AACN Nursing Scan In Critical Care, 1993 Jul-Aug; 3 (4): 23.

Databases searched: PubMed & CINAHL. Keywords: isolation (gown or gowns) and infection

What is the most recent evidence on the prevention of CLABSI?

Smith J. It’s Contagious! CLABSI Prevention is Spreading. American Journal Of Infection Control [serial online]. June 2012;40(5):e128-9. Available from: CINAHL, Ipswich, MA. Accessed June 5, 2013.

National Estimates of Central Line–Associated Bloodstream Infections in Critical Care Patients.” Infection control and hospital epidemiology 34.6 (2013):547.

Saffer M. Preventing Central Line Infections In Outpatients. Pediatric Nursing. November 2012;38(6):336. Available from: CINAHL, Ipswich, MA. Accessed June 5, 2013.

Prevention of catheter-related infection: toward zero risk?.” Current opinion in infectious diseases 24.4 (2011):377.

What is the latest evidence and nursing implications on the use of high frequency ocsillatory ventilation?

Mechanical Ventilation.  In:  DynaMed. 
See a summary of current evidence in the “Ventilator Settings (Evidence)” section>High Frequency Oscillatory Ventilation (HFOV).

A systematic review ( Cochrane Database Syst Rev 2013 Feb 28;(2):CD004085) of studies (N=419) with methodological limitations concluded that may reduce mortality and treatment failure.  However it did not include results of two recent RCTs:

1.  HFOV does not reduce mortality compared to conventional ventilation (N Engl J Med 2013 Feb 28;368(9):806)  RCT (N=795 adults with ARDS).  RESULTS:  All-cause mortality rate 41.7% for HFOV group v. 41.1% for conventional ventilation group (not significant).

2. HFOV may increase risk of mortality compared to conventional ventilation protocol.  RCT (N=548 adults with moderate to severe ARDS).  RESULTS:   12% of patients in control group received HFOV for refractory hypoxemia.  In-hospital mortality 47% for HFOV group vs. 35% for control group.

What information is available on patients with central venous catheters ambulating off the nursing unit/ward floor?

Standardizing central venous catheter care: hospital to home. The Nebraska Medical Center. Standardizing central venous catheter care: hospital to home. Omaha (NE): The Nebraska Medical Center; 2012. 8 p.

Chopra, Vineet, et al. “Hospitalist experiences, practice, opinions, and knowledge regarding peripherally inserted central catheters: A Michigan survey.” Journal of hospital medicine (2013)

Zhao, Vivian M, et al. “Characterization of post-hospital infections in adults requiring home parenteral nutrition.” Nutrition 29.1 (2013):52-59.

Ouanes, Islem, et al. “A model to predict short-term death or readmission after intensive care unit discharge.” Journal of critical care 27.4 (2012):422.e1-422.e9.

Jaffer, Amir K. “Update in hospital medicine: studies likely to affect inpatient practice in 2011.” Cleveland Clinic journal of medicine 78.7 (2011):430-434.

Simcock, L. “Central venous catheters: some common clinical questions.” Nursing times 97.19 (2001):34-36.

What are the effects of medroxyprogesterone on breastfeeding?

Forinash, Alicia B, et al. “The use of galactogogues in the breastfeeding mother.” The Annals of pharmacotherapy 46.10 (2012):1392-1404.

Roy, Geneviève. “Injectable contraception.” Seminars in reproductive medicine 28.2 (2010):126-132.

Zuppa, Antonio A, et al. “Safety and efficacy of galactogogues: substances that induce, maintain and increase breast milk production.” Journal of pharmacy & pharmaceutical sciences 13.2 (2010):162-174.
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Curtis, Kathryn M, Camaryn EChrisman, and Herbert BPeterson. “Contraception for women in selected circumstances.” Obstetrics and gynecology 99.6 (2002):1100-1112.

Kelsey, J J. “Hormonal contraception and lactation.” Journal of human lactation 12.4 (1996):315-318.

World Health Organization

CDC

Search CINAHL and PubMed on concepts of breastfeeding, medroxyprogesterone and Depo Provera. Also, searched WHO and CDC websites.