Author Archives: Lisa

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About Lisa

I have been a Clinical Informationist (aka Medical Librarian) for Emory University since September 2013. Prior to that, I was a Medical Librarian for Lincoln Memorial University (LMU) from March 2007 to August 2013 and served its DeBusk College of Osteopathic Medicine (LMU-DCOM), Caylor School of Nursing, and allied health programs. From January 2002 - March 2007, I served the Medical Assisting (MA), Occupational Therapy Assistant, Physical Therapy Assistant, Radiologic Technologist, and Nursing programs at South College in Knoxville, Tennessee. I graduated from The University of Tennessee School of Information Sciences with a Master of Science degree in December 2000. Received a Educational Specialist (EdS) degree in Educational Administration and Supervision with a higher education focus in August 2010 from LMU.

Measuring blood pressure (BP) on arm; nursing interventions to facilitate BP control

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Measuring blood pressure (BP) on the arm:

1) DynaMed Plus is a evidenced-based medicine tool that provides bulleted summaries on given topics. Take a look at their blood pressure measurement and monitoring pages, in particular the Manual BP Measurement section for evidence based recommendations and links to the referenced studies. There is also a section on Guidelines and Resources which provides links to the  American Heart Association recommendations which are summarized here: Am Fam Physician 2005 Oct 1;72(7):1391

Nursing interventions in ambulatory settings to facilitate patient’s BP control

2) A few articles may be found in PubMed on nurse-led care for controlling blood pressure may be found using searches: a) blood pressure AND intervention AND nurse AND ambulatory and b) “Blood Pressure Monitoring, Ambulatory”[Mesh] and “Nurses”[Mesh]

Please see below for some helpful citations.

Cheng, Mei, et al. “The effect of continuous nursing intervention guided by chronotherapeutics on ambulatory blood pressure of older hypertensive patients in the community.” Journal of clinical nursing 23.15-16 (2014):2247-54.

Bosworth, Hayden B, et al. “Home blood pressure management and improved blood pressure control: results from a randomized controlled trial.” Archives of internal medicine 171.13 (2011):1173-80.

Ulm, Kurt, et al. “Effect of an intensive nurse-managed medical care programme on ambulatory blood pressure in hypertensive patients.” Archives of cardiovascular diseases 103.3 (2010):142-9.

Bosworth, Hayden B, et al. “Hypertension Intervention Nurse Telemedicine Study (HINTS): testing a multifactorial tailored behavioral/educational and a medication management intervention for blood pressure control.” The American heart journal 153.6 (2007):918-24.

 

Effect of early ambulation on length of stay in ICU patients

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When using PubMed, make sure and go to the Woodruff Health Sciences Center Library’s homepage at http://health.library.emory.edu and click PubMed or use this direct link to Emory University’s instance of PubMed: http://www.ncbi.nlm.nih.gov/pubmed?otool=emorylib. When using Emory University’s instance of PubMed, you will be able to click the Find it at Emory button within entries for articles to determine if Emory has full-text access to articles.

Here is the search technique I used:
(early ambulation OR “early mobility”) AND (critical care OR intensive care units OR icu) AND length of stay
Filters I used: meta-analysis, systematic review, English

Please paste the following search into PubMed to see 8 articles that appear to be helpful and are systematic reviews, one of the highest levels of evidence.

24424616[uid] OR 23127305[uid] OR 24222709[uid] OR 22147819[uid] OR 21164413[uid] OR 21169829[uid] OR 20048676[uid] OR 20001881[uid]

Patient ambassadors – evidence of effects on patient care/surveys/etc.

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When using PubMed, a database of 24 million articles, make sure and go to the Woodruff Health Sciences Center Library’s homepage at http://health.library.emory.edu and click PubMed or use this direct link to Emory University’s instance of PubMed: http://www.ncbi.nlm.nih.gov/pubmed?otool=emorylib. When using Emory University’s instance of PubMed, you will be able to click the Find it at Emory button within entries for articles to determine if Emory has full-text access to articles.

Here are the broad search techniques I used:

  1. (data collection OR consumer satisfaction OR outcome and process assessment OR healthcare quality assurance) AND ((marketing of health services AND professional-patient relations) OR (patients AND (ambassador OR ambassadors)) OR (sitter OR sitters) AND ambassador)))

Filter I used: English

  1. (consumer satisfaction OR outcome and process assessment OR healthcare quality assurance) AND (volunteer[tiab] OR volunteers[tiab]) AND patients AND (acute OR hospital OR hospitals)

Filters I used: meta-analysis, review, systematic review, English; note that [tiab] finds articles in which the search term appears in the title or abstract of the article

Please paste the following search into PubMed to see 10 articles that appear to be useful that were found with the aforementioned broad searches:

17057604[uid] OR 12465218[uid] OR 11951690[uid] OR 10169030[uid] OR 7896552[uid] OR 10124795[uid] OR 10124795[uid] OR 12569993[uid] OR 3648555[uid] OR 11129764[uid] OR 20464736[uid]

The only article of the 10 that specifically mentions ambassadors is entitled “Integrating palliative medicine….” Two other articles mention volunteers, and other articles provide ideas on how employees can effectively market services to patients. There are numerous other articles on using employees to market services; a different search technique would need to be created to find all of them. I included the article on negative emotion evaluations because patient ambassadors are responsible for addressing patients’ nonclinical needs (their actions thus primarily affect patients’ emotions).

Peer-reviewed or evidenced-based practice articles regarding education for the reductions of central line associated bloodstream infections (CLABSI)

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PubMed search: “Catheter-Related Infections/prevention and control”[MAJR] AND education AND (nurse OR nursing)

To examine all 40 results, please use this link: http://tinyurl.com/nd94rxq

choltz, Amy K, et al. “Central venous catheter dress rehearsals: translating simulation training to patient care and outcomes.” Simulation in Healthcare 8.5 (2013):341-9.

Frampton, Geoff K, et al. “Educational interventions for preventing vascular catheter bloodstream infections in critical care: evidence map, systematic review and economic evaluation.” Health technology assessment 18.15 (2014):1-365.

Reed, Seth M, Alexandra JBrock, and Tyler JAnderson. “CE: Champions for central line care.” American journal of nursing 114.9 (2014):40-8; test 49.

Raup, Glenn H, JoycePutnam, and KathyCantu. “Can an education program reduce CLABSIs?” Nursing Management 44.5 (2013):20-2.

Fakih, Mohamad G, et al. “Peripheral venous catheter care in the emergency department: education and feedback lead to marked improvements.” American journal of infection control 41.6 (2013):531-6.

Peredo, R, et al. “Reduction in catheter-related bloodstream infections in critically ill patients through a multiple system intervention.” European journal of clinical microbiology & infectious diseases 29.9 (2010):1173-7.

Semelsberger, Carrie F. “Educational interventions to reduce the rate of central catheter-related bloodstream infections in the NICU: a review of the research literature.” Neonatal network 28.6 (2009):391-5.

Vandijck, Dominique M, et al. “The role of nurses working in emergency and critical care environments in the prevention of intravascular catheter-related bloodstream infections.” International emergency nursing 17.1 (2009):60-8.

Gerolemou, Louis, et al. “Simulation-based training for nurses in sterile techniques during central vein catheterization.” American journal of critical care 23.1 (2014):40-8.

Use of eye masks and earplugs to promote sleep and reduce delirium in ICU patients

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The following search will find 9 articles when copied and pasted and run in PubMed. You may start with the Woodruff Health Sciences Center Library homepage at http://health.library.emory.edu/ and then click “PubMed” or you may use this direct link to Emory’s instance of PubMed at http://www.ncbi.nlm.nih.gov/sites/entrez?otool=emorylib.

24172057[uid] OR 23817826[uid] OR 20398302[uid] OR 19531035[uid] OR 17983362[uid] OR 10392220[uid] OR 22897811[uid] OR 22559080[uid] OR 23314584[uid]

 

What evidence dated within the last ten years is there on use of sweet oral substances to alleviate discomfort in infants?

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Twelve systematic reviews and meta-analyses dated within the last 10 years are found with a search in PubMed. Here’s how to conduct this search.

  1. You may start with the Woodruff Health Sciences Center Library homepage at http://health.library.emory.edu/ and then click “PubMed” or you may use this direct link to Emory’s instance of PubMed at http://www.ncbi.nlm.nih.gov/sites/entrez?otool=emorylib
  2. Copy and paste this search into the search box and click “Search.”infant AND (oral administration OR chewing gum) AND (pain management OR (pain AND (male circumcision OR intravenous injection OR blood specimen collections OR punctures))) AND (sucrose OR sweetening agents)
  3. To impose the filter/limit of 10 years, click “10 years” to the left of the search results page (listing of articles found with the search).
  4. To impose the filter/limit of meta-analysis or systematic review, click “More” under the bold heading for “Article types” on the left side of the search results page. Then click the boxes beside “Meta-Analysis” and “Systemic Reviews” and click “Show.” This step made the filters/limits visible for use in the search. Then click “Meta-Analysis” and “Systematic Review” to impose these filters/limits on the current search.

What is the evidence for quality and safety benefits of a bedside shift report?

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1. Go to http://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 and click “Search:”
bedside AND ((shift AND (report OR reports OR reporting)) OR (handoff OR handoffs)) AND (quality OR safety) NOT 22157495[uid] NOT 24264936 [uid] NOT 18989136[uid] NOT 17102266[uid] NOT 19540761[uid] NOT 21041119[uid]

The search will find at least 31 articles.