What is the effectiveness of sitters for preventing patient falls?

Adams, Jewel, and RobertaKaplow. “A sitter-reduction program in an acute health care system.” Nursing economic$ 31.2 (2013):83-89.

Spiva, LeeAnna, et al. “An evaluation of a sitter reduction program intervention.” Journal of nursing care quality 27.4 (2012):341-345.

Tzeng, Huey-Ming, Chang-YiYin, and JulieGrunawalt. “Effective assessment of use of sitters by nurses in inpatient care settings.” Journal of advanced nursing 64.2 (2008):176-183.

Harding, Andrew D. “Observation assistants: sitter effectiveness and industry measures.” Nursing economic$ 28.5 (2010):330-336.

Falls/ambulation: Reducing sitter use: Decision outcomes.” Nursing Management 42.12 (2011):37.

Searched CINAHL and PubMed. Keywords: sitter and (fall or falls)

Reviewed by John Nemeth 4/14

What is the standard of care for the post-operative patient who received spinal anesthesia?

Searches of PubMed, The Joanna Briggs Institute EBP Database, and the National Guideline Clearinghouse yielded the following practice guideline.

Whitaker Chair, D K, et al. “Immediate post-anaesthesia recovery 2013: Association of Anaesthetists of Great Britain and Ireland.” Anaesthesia 68.3 (2013):288-297.

The abstract states, “The standard of nursing and medical care should be equal to that in the hospital’s critical care units.”

Reviewed 4/8/2014 ldt

Are there studies on training programs for clinical care coordinators/patient technicians in communication skills?

Searches of PubMed and CINAHL for your concepts of nurses aides, communication, and education found the following articles.

Fukaya, Yasuko, et al. “Education to promote verbal communication by caregivers in geriatric care facilities.” Japan journal of nursing science 6.2 (2009):91-103.

McGilton, Katherine S, et al. “A systematic review of the effectiveness of communication interventions for health care providers caring for patients in residential care settings.” Worldviews on evidence-based nursing 6.3 (2009):149-159.

Levy Storms, Lené. “Therapeutic communication training in long-term care institutions: recommendations for future research.” Patient education and counseling 73.1 (2008):8-21.

Williams, Kristine N, Teresa BIlten, and HelenBower. “Meeting communication needs: topics of talk in the nursing home.” Journal of psychosocial nursing and mental health services 43.7 (2005):38-45.

Cunningham, Adrian. “Developing a communications course for health care assistants.” Nursing times 100.47 (2004):36-38.

Williams, Kristine Enhancing communication with older adults: overcoming elderspeak. Journal of Gerontological Nursing 2004 vol:30 iss:10 pg:17 -25

Stevens Roseman, Ellen S, and PatrickLeung. “Enhancing attitudes, knowledge and skills of paraprofessional service providers in elder care settings.” Gerontology & geriatrics education 25.1 (2004):73-88.

Counsell, Colleen M, and RoseRivers. “Inspiring support staff employees.” The Journal of nursing administration 32.3 (2002):120-121.

Burgio, L D, et al. “Come talk with me: improving communication between nursing assistants and nursing home residents during care routines.” Gerontologist, The 41.4 (2001):449-460.

McCallion, P, et al. “Educating nursing assistants to communicate more effectively with nursing home residents with dementia.” Gerontologist, The 39.5 (1999):546-558.

Thomas, L H. “A comparison of the verbal interactions of qualified nurses and nursing auxiliaries in primary, team and functional nursing wards.” International journal of nursing studies 31.3 (1994):231-244.

Nursing care for a patient with externalized shunt

Hill, Michelle A multidisciplinary approach to end external ventricular drain infections in the neurocritical care unit. Journal of Neuroscience Nursing, 2012 Aug; 44 (4): 188-93.

Henman, Lita Checklists and Bundles-Not Just for Central Lines Anymore: Using a Standardized Insertion and Maintenance Approach to Eliminate External Ventricular Drain Infections. American Journal of Infection Control, 2011 Jun; 39 (5): E195.

Orsi GB Hospital-acquired infection surveillance in a neurosurgical intensive care unit. Journal of Hospital Infection, 2006 Sep; 64 (1): 23-9.

Cummings R Understanding external ventricular drainage. Journal of Neuroscience Nursing (J NEUROSCI NURS), 1992 Apr; 24 (2): 84-7.

Lwin, Sein, et al. “External ventricular drain infections: successful implementation of strategies to reduce infection rate.” Singapore medical journal 53.4 (2012):255-259.

Littlejohns, Linda R, and BrettTrimble. “Our policy on external ventricular drainage systems includes the procedure for priming the system. Does it really have to be primed?.” Critical care nurse 25.3 (2005):57-59.

Criddle, Laura M. “Is it an expected practice for critical care nurses to irrigate an external ventriculostomy drainage (EVD) system with tissue plasminogen activator (tPA) to break up blood clots in the tubing to facilitate drainage, thereby preventing increased intracranial pressure?.” Critical care nurse 27.3 (2007):78-78, 81.

Searched PubMed & CINAHL. Keywords: external shunt, externalized shunt, (nursing or nurse)

The role of palliative care and its affect on the prognosis and quality of life of the oncologic patient

The following were located through CINAHL

A Nurse Practitioner Directed Intervention Improves the Quality of Life of Patients with Metastatic Cancer: Results of a Randomized Pilot Study.” Journal of palliative medicine 15.8 (2012):890.

Brandstätter M ; Baumann U ; Borasio GD ; Fegg MJ Systematic review of meaning in life assessment instruments. Psycho-Oncology, 2012 Oct; 21 (10): 1034-52.

Joanna Briggs:
Click here to access Joanna Briggs resources

When Joanna Briggs opens cut & paste the following into the search box:
palliative care and oncology and (quality of life or prognosis)

Keywords to use for searching CINAHL & Joanna Briggs: palliative, oncology, quality of life, prognosis

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