I searched PubMed using these search terms: (nurses OR hospital staff nursing) AND (recruitment OR retention) AND (inservice training OR continuing education OR nursing residency OR mentoring). The evidence suggests that many types of educational formats may improve nursing recruitiment/nursing retention.
What are the patient safety concerns for administration of epoprostenol?
Kingman, Martha S.; Chin, Kelly. Safety Recommendations for Administering Intravenous Prostacyclins in the Hospital.
Critical Care Nurse (CRIT CARE NURSE), 2013 Oct; 33 (5): 32-41. (37 ref)
Fuentes, Amaris; Coralic, Aida; Dawson, Kyle L. A new epoprostenol formulation for the treatment of pulmonary arterial hypertension. American Journal of Health-System Pharmacy (AM J HEALTH SYST PHARM AJHP), 2012 Aug 15; 69 (16): 1389-93.
Buckley, Mitchell S, et al. “Clinical utility of treprostinil in the treatment of pulmonary arterial hypertension: an evidence-based review.” Core evidence 9(2014):71-80.
Sitbon, Olivier, et al. “EPITOME-2: An open-label study assessing the transition to a new formulation of intravenous epoprostenol in patients with pulmonary arterial hypertension.” The American heart journal 167.2 (2014):210-7.
Shirai, Yuichiro, et al. “Intravenous epoprostenol treatment of patients with connective tissue disease and pulmonary arterial hypertension at a single center.” Modern rheumatology 23.6 (2013):1211-20.
Fuentes, Amaris, Aida Coralic, and Kyle L. Dawson. “A new epoprostenol formulation for the treatment of pulmonary arterial hypertension.” American journal of health-system pharmacy 69.16 (2012):1389-93.
Oudiz, Ronald J, and Harrison WFarber. “Dosing considerations in the use of intravenous prostanoids in pulmonary arterial hypertension: an experience-based review.” The American heart journal 157.4 (2009):625-35.
DynaMed Entry for ” target=”_blank”>Epoprostenol
On the left look at Dosage and Administration and Cautions and Adverse Effects
Searched PubMed, DynaMed, and CINAHL. Keywords: Epoprostenol, patient safety, administration
What is the effect of music therapy on pain (or stress reduction) during dressing changes?
The majority of search results focused on music therapy reducing pain or stress during dressing changes in burn patients.
Evidence Summaries
Joanna Briggs
Burns Pain (Adults): Non-Pharmacological Management. Miller, Kate [BOccTh PhD]. Kipping, Belinda [BOccTh MPhil]. Gray, Paul [MBBS PhD FANZCA FFPMANZCA]. Schug, Stephan. Munn, Zachary [PhD]. [Recommended Practices] 2014
This study reports that generally there is a lack of high quality evidence for nonpharmacological interventions reducing stress or pain in burn patients.
Literature search in PubMed was more specific to music therapy:
My search strategy was (“Bandages”[Mesh] OR bandages OR biological dressings OR occlusive dressings) AND music therapy AND (pain OR stress)
See addititonal PubMed references by clicking on this link:
http://www.ncbi.nlm.nih.gov/sites/myncbi/collections/public/1PQtun_Aiz3ViSsu-3u3inwQm/
Searching other databases like CINAHL and PsycINFO did not produce any new results.
See also this post in the blog:
Effectiveness of music therapy as an adjunct to pharmacological pain relief in post-op patients
What is the evidence linking disposable ECG cables and lead wire systems to decreased hospital acquired infections (HAIs)? What would the cost savings be?
Studies focus on identifying presence of bacteria on devices, as opposed to devices being associated as the cause of HAI cases. Likewise, no published literature was identified that specifically demonstrated that use of disposable leads reduces the rate of HAIs.
Evidence Summary sources:
Joanna Briggs
Xue, Yifan. Noninvasive Portable Clinical Items: Healthcare Associated Infections. [Evidence Summaries]. JBI11266, 2014.
Cites studies demonstrating the prevalence of low-risk, potentially pathogenic, and multidrug resistant bacteria on non-invasive devices, including ECG lead wires.
Literature databases:
Microbial colonization of electrocardiographic telemetry systems before and after cleaning.
Reshamwala A, McBroom K, Choi YI, LaTour L, Ramos-Embler A, Steele R, Lomugdang V, Newman M, Reid C, Zhao Y, Granger BB.
Am J Crit Care. 2013 Sep;22(5):382-9. doi: 10.4037/ajcc2013365.
PMID: 23996417
contamination after cleaning reusable leads
Disposable vs reusable electrocardiography leads in development of and cross-contamination by resistant bacteria.
Brown DQ.
Crit Care Nurse. 2011 Jun;31(3):62-8. doi: 10.4037/ccn2011874.
PMID: 21632593
Review article
Cleaned, ready-to-use, reusable electrocardiographic lead wires as a source of pathogenic microorganisms.
Albert NM, Hancock K, Murray T, Karafa M, Runner JC, Fowler SB, Nadeau CA, Rice KL, Krajewski S.
Am J Crit Care. 2010 Nov;19(6):e73-80. doi: 10.4037/ajcc2010304.
PMID: 21041188
presence of pathogens on reusable leads
Potential micro-organism transmission from the re-use of 3M Red Dot adhesive electrocardiograph electrodes.
Daley AJ, Hennessy D, Cullinan J, Thorpe S, Alexander R.
J Hosp Infect. 2005 Nov;61(3):264-5. Epub 2005 Jul 5. No abstract available.
PMID: 16002182
CINAHL
A similar search of CINAHL did not identify any unique, relevant articles.
Cost savings
The cost savings of decreasing HAIs can be calculated by multiplying the estimated cost of an HAI by the number of HAIs in a given period of time. Then, subtract the cost of disposable equipment for all procedures occurring during that time period (i.e., the number of disposable cables that would be used with patients).
The CDC provides data on estimated cost of HAIs. Start at http://www.cdc.gov/hai/surveillance/. The Direct Medical costs of Healthcare-Associated Infections in U.S. Hospitals and the Benefits of Prevention, 2009, includes estimates for specific types of infections beginning on p. 5.
Learning style and nursing preceptorship
Do different pairings of teaching styles and learning styles make a difference? Preceptor and resident perceptions.
Teaching and learning in medicine [1040-1334] yr:2008 vol:20 iss:3 pg:239
“Impact of preceptor and orientee learning styles on satisfaction: a pilot study.” Journal for nurses in staff development 23.1 (2007):36.
Preceptorship planning is essential to perioperative nursing retention: matching teaching and learning styles.
Canadian Operating Room Nursing Journal [0712-6778] yr:2010 vol:28 iss:1 pg:8
Learning style theories: matching preceptors, learners, and teaching strategies in the perioperative setting.
Seminars in perioperative nursing [1056-8670] yr:2001 vol:10 iss:4 pg:184
“Orientation with style: matching teaching/learning style.” Journal for nurses in staff development 14.4 (1998):192.
Jasmine, Lee Xin Yu. Registered nurses’ perception of their preceptor role towards pre-registration nursing students during clinical placement: A systematic review.. [Systematic Review Protocols] AN: JBI4677
Joyce . Faculty strategies that influence the student transition from registered nurse to nurse practitioner: a systematic review protocol 2014 vol:12 iss:5 pg:34 -41
Searched CINAHL and Joanna Briggs using keywords: preceptorship, learning style.
What evidence dated within the last ten years is there on use of sweet oral substances to alleviate discomfort in infants?
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.
- 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
- 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)
- 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).
- 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 are examples of policies, protocols, and safety measures for waterbirths in hospitals?
Dahlen, Hannah G Maternal and perinatal outcomes amongst low risk women giving birth in water compared to six birth positions on land. A descriptive cross sectional study in a birth centre over 12 years. Midwifery (MIDWIFERY), 2013; 29 (7): 759-64.
UKCC statement on waterbirth. The current position. Midwives (13558404) (Midwives (13558404)), 1995 Jan; 108 (1284): 12.
US WATERBIRTH STUDY. Midwives (MIDWIVES), 2014; 17 (3): 11.
Chapman B Waterbirth protocols: five North Island hospitals in New Zealand. New Zealand College of Midwives Journal (NZ COLL MIDWIVES J), 2004 Apr; 30: 20-4.
Nutter, Elizabeth; Waterbirth: An Integrative Analysis of Peer-Reviewed Literature. Journal of Midwifery & Women’s Health (J MIDWIFERY WOMENS HEALTH), 2014 May; 59 (3): 286-319.
Benko A Waterbirth: is it a real choice? Midwifery Matters (MIDWIFERY MATTERS), 2009 Autumn (122): 9-12. (32 ref)
Maznin, Nur Liyanna Bt. Creedy, Debra Kay. A comprehensive systematic review of factors influencing women’s birthing preferences. The JBI Library of Systematic Reviews. 10(4):232-306, 2012.