“Hospital adherence to car seat tolerance screening (CSTS) recommendations was high, and failed screens were relatively common. Routine CSTS was not associated with reduced health care utilization and may prolong hospital LOS, particularly in the NICU/floor. Prospective trials are needed to evaluate this routine practice for otherwise low-risk infants.” (Harrison)
“Propofol and dexmedetomidine are sedative agents used in the intensive care unit (ICU) for patients requiring mechanical ventilation along with fentanyl that has both analgesic and
sedative properties. It has also been shown decreasing overall sedation by implementing
daily interruption of sedative infusions decreased duration of MV and ICU length of stay (LOS). However, there is a lack of data regarding patient’s weight that may play an impact on dosing of sedation.”
Yeary, J.,et al (2020). Adjusted vs Total Body Weight-Based Dosing of Sedation and Analgesia Used in the Intensive Care Unit. Hospital Pharmacy, 55(6), 400–404.
Continue reading“Intra-hospital handover requires clear processes, to promote high-quality information sharing. Ensuring these processes are broad and acceptable across units may ensure nurses’ needs are met. Relational continuity between nurses is an important consideration when improving intra-hospital handover.”
“Improvement in intra-hospital handover is challenging because multiple hospital units are involved. A meso-level leader could liaise across units and standardise handover processes using SOPs. Within SOPs, checklists could support standardisation consisting of broad content that is acceptable to end-users across varying units, which could be incorporated into EMR. Acknowledging handover as a high-risk task and giving nurses permission to spend time preparing for handover may also facilitate high-quality handover.”
Tobiano, G., et al. (2020). Front‐line nurses’ perceptions of intra‐hospital handover. Journal of Clinical Nursing (John Wiley & Sons, Inc.), 29(13/14), 2231–2238.
Continue reading“Intentional rounding has positive outcomes on patient satisfaction and safety. Nurses perceive benefits related to intentional rounding; however, some nurses perceive it as an additional, unnecessary task. The effectiveness of intentional rounding is influenced by external factors including leadership and formal rounding education, workload, ward layout, staffing and experience level.” (Ryan)
Ryan, L., et al (2019). Intentional rounding – An integrative literature review. Journal of Advanced Nursing (John Wiley & Sons, Inc.), 75(6), 1151–1161.
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Assessing the utility of the Healthy Start Screen to predict an elevated Edinburgh Postnatal Depression Scale score.(includes abstract) Padilla, Mikela M.; Roussos-Ross, Dikea; Goodin, Amie J. Journal of Perinatal Medicine, Jun2020; 48(5): 483-487. 5p. (Article – research, tables/charts) ISSN: 0300-5577
“The creation of the new supportive nonclinical role shows promise in improving patient experiences. The pandemic resulted in lower scores in patient experience across many care settings. This pilot study provides promising information that should be further explored regarding the impact of the Experience Coordinator and the benefit of this role from the
perspective of the nurse.”
Fon, K., et al (2021). An Interprofessional Length of Stay Reduction: A Process Improvement Project. Nursing Economic$, 39(1), 5–22. Full Text for Emory Users
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Evidence Matters 