For diabetic inpatients on insulin, how does tight control of diet compare with more liberal patient control of the diet in affecting patient satisfaction?

A search of PubMed:  (diabetes OR diabetic) AND inpatients AND (diet OR food service) AND patient satisfaction

retrieved the following study comparing use of the two diet plans for diabetic inpatients
Curll M, et al. Menu selection, glycaemic control and satisfaction with standard and patient-controlled consistent carbohydrate meal plans in hospitalised patients with diabetes. Qual Saf Health Care. 2010 Aug;19(4):355-9.
This is a comparative study; the abstract does not indicate whether or not patients are randomized.  Compares levels of patient satisfaction, rates of hypoglycemia, and level of clinician oversight.

Using the related articles feature in PubMed retrieved these additional papers:

Bhattacharyya A, et al. In-patient management of diabetes mellitus and patient satisfaction. Diabet Med. 2002 May;19(5):412-6. Erratum in: Diabet Med. 2002 Sep;19(9):797.

Gosmanov AR, Umpierrez GE.  Medical nutrition therapy in hospitalized patients with diabetes.  Curr Diab Rep. 2012 Feb;12(1):93-100. doi: 10.1007/s11892-011-0236-5.  Review

Swift CS, Boucher JL. Nutrition therapy for the hospitalized patient with diabetes.
Endocr Pract. 2006 Jul-Aug;12 Suppl 3:61-7.

Curll M, et al. Menu selection, glycaemic control and satisfaction with standard and patient-controlled consistent carbohydrate meal plans in hospitalised patients with diabetes. Qual Saf Health Care. 2010 Aug;19(4):355-9. doi: 10.1136/qshc.2008.027441.

How do postsurgical outcomes compare for general v. local anesthesia for implantation and testing of implantable cardioverter defibrillators (ICD)?

A search of PubMed for “Defibrillators, Implantable”[MAJR] AND (local anesthesia OR sedation) AND (outcome OR complications OR safety OR satisfaction) identified several studies.

Studies comparing local anesthesia/sedation v. general anesthesia

Can we implant cardioverter defibrillator under minimal sedation?
Marquié C, Duchemin A, Klug D, Lamblin N, Mizon F, Cordova H, Boulo M, Lacroix D, Pol A, Kacet S.
Europace. 2007 Jul;9(7):545-50.
Measured patient-reported level of pain.

Electrophysiologist-implanted transvenous cardioverter defibrillators using local versus general anesthesia.
Manolis AS, Maounis T, Vassilikos V, Chiladakis J, Cokkinos DV.
Pacing Clin Electrophysiol. 2000 Jan;23(1):96-105.
Measured rate of post-surgical complications

Local anaesthesia versus general anaesthesia for cardioverter-defibrillator implantation.
Stix G, Anvari A, Podesser B, Pernerstorfer T, Mayer C, Laufer G, Schmidinger H.
Wien Klin Wochenschr. 1999 May 21;111(10):406-9.
Measured rate of post-surgical complications

Intravenous sedation for placement of automatic implantable cardioverter-defibrillators.
Pinosky ML, Reeves ST, Fishman RL, Alpert CC, Dorman BH, Kratz JM.
J Cardiothorac Vasc Anesth. 1996 Oct;10(6):764-6.
Measured length of stay and rate of post-surgical complications

Studies describing outcomes for procedures performed under locatl anesthetic/sedation

Safety and acceptability of implantation of internal cardioverter-defibrillators under local anesthetic and conscious sedation.
Fox DJ, Davidson NC, Royle M, Bennett DH, Clarke B, Garratt CJ, Hall MC, Zaidi AM, Patterson K, Fitzpatrick AP.
Pacing Clin Electrophysiol. 2007 Aug;30(8):992-7. Erratum in: Pacing Clin Electrophysiol. 2007 Nov;30(11):1423

Additional descriptive studies

Reviewed JKN 4/14

For patients with coronary artery disease, does patient education affect lifestyle/behavior or patient satisfaction?

Many of the papers describe multi-faceted interventions that include patient education as one component.

Cardiac Rehabilitation: Interventions. In: Joanna Briggs JBI+Connect. Updated September 2, 2014.

Arch Gerontol Geriatr. 2008; 46 (2): 227-44
In this trial of 173 patients age ≥ 65 years and post CABG randomized to a multi-faceted intervention by a multidisciplinary team of professionals and which included education or usual care, the intervention group was more likely to engage in physical activity

Schadewaldt V, et al. Nurse-led clinics as an effective service for cardiac patients: results from a systematic review.  Int J Evid Based Healthc. 2011 Sep;9(3):199-214.
Review of seven randomized studies on nurse-led clinics, but the major intervention was patient education and behavior counseling.   Clinics were associated with limited effects on behaviors, such as smoking cessation and diet adherence.

PubMed search:  (“coronary artery disease” OR coronary artery bypass) AND (rehabilitation OR “secondary prevention”) AND patient education AND (behavior OR lifestyle OR satisfaction) AND (clinical trial OR randomized)
Other clinical trials on patient education interventions. To see quasi-experimental studies, change modify the search above replacing the terms for study type with these terms:  (comparative study OR before and after study OR pilot) or remove all terms for the study methodology from the search.

CINAHL search:  (cornoary artery disease OR corornary artery bypass) AND patient education AND (rehabilitation OR “secondary prevention”) AND (satisfaction OR lifestyle OR behavior)
Identified papers, such as Barnason S, et al. A comparison of patient teaching outcomes among postoperative coronary artery bypass graft (CABG) patients. Prog Cardiovasc Nurs. 1995; 10(4): 11-20.
While this is an older study, it does reference a tool for measuring patient satisfaction that might be useful.

Reviewed by John Nemeth 4/14

What is the best practice regarding effects of patient location, specifically patient grouping, on patient and nursing satisfaction?

A search of CINAHL on the concepts of patient and nursing satisfaction and grouping assignment produced these results on care assignments and satisfaction of nurses and patients.

Duffield, Christine. Staffing, skill mix and the model of care. Journal of clinical nursing 2010 vol:19 iss:15-16 pg:2242 -2251

Hurst, Keith. UK ward design: patient dependency, nursing workload, staffing and quality-an observational study. International journal of nursing studies 2008 vol:45 iss:3 pg:370 -381

Adams, Ann, Staffing in acute hospital wards: part 1. The relationship between number of nurses and ward organizational environment. Journal of nursing management 2003 vol:11 iss:5 pg:287 -292

Mohamed, A H, Using the job characteristics model to compare patient care assignment methods of nurses. Eastern Mediterranean health journal 2004 vol:10 iss:3 pg:389 -405

What is the evidence regarding use of yoga or aromatherapy with post-operative patients?

Bottom line:  There are a number of experimental studies, mostly about use of aromatherapy to relieve pain.  Results from 2 RCTs indicate that aromatherapy is associated with improvement in postoperative pain and nausea.  However, other studies provide conflicting data.

Here are references from a PubMed search of the question concepts:
postoperative patients
aromatherapy
yoga
postoperative complications, postoperative pain

(postoperative care OR postoperative complications OR postoperative pain) AND (aromatherapy OR yoga) Limit: English

Here are references to the randomized trials on aromatherapy

How does nursing staffing affect patient satisfaction?

Searched CINAHL & PubMed for the concepts of Patient satisfaction, Nursing satisfaction and Grouping assignment.

Duffield C, Roche M, Diers D, Catling-Paull C, Blay N. Staffing, skill mix and the model of care.J Clin Nurs. 2010 Aug;19(15-16):2242-51.

Hurst K. UK ward design: patient dependency, nursing workload, staffing and quality-an observational study. Int J Nurs Stud. 2008 Mar;45(3):370-81. Epub 2006 Nov 13.

Adams A, Bond S. Staffing in acute hospital wards: part 1. The relationship between number of nurses and ward organizational environment. J Nurs Manag. 2003 Sep;11(5):287-92.

Mohamed AH. Using the job characteristics model to compare patient care assignment methods of nurses.East Mediterr Health J. 2004 May;10(3):389-405.

What are guidelines for best practice with hemodialysis catheters?

These guidelines were found in the National Guideline Clearinghouse. To read relevant sections, search the text for hemodialysis.

Mermel LA, et al. “Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America.” Clinical Infectious Diseases 49.1 (2009):1-45.

O’Grady NP, et al. “Guidelines for the prevention of intravascular catheter-related infections.” 2011.

Searches within PubMed located these CNE articles.

McAfee, Nancy, et al. “A continuous quality improvement project to decrease hemodialysis catheter infections in pediatric patients: use of a closed luer-lock access cap.” Nephrology Nursing Journal 37.5 (2010):541-4.

Dutka, Paula, and HelenBrickel. “A practical review of the kidney dialysis outcomes quality initiative (KDOQI) guidelines for hemodialysis catheters and their potential impact on patient care.” Nephrology Nursing Journal 37.5 (2010):531-5.

Dinwiddie, Lesley C, and CynthiaBhola. “Hemodialysis catheter care: current recommendations for nursing practice in North America.” Nephrology Nursing Journal 37.5 (2010):507-20, 528.

Reviewed and updated 5/6/2014 ldt