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.
The systematic reviews identified below include slightly different findings, so a review of the objective of each review, as well as the patient populations in the included studies, will be important for extrapolating results to a specific setting. Guidelines were identified in DynaMed and in PubMed.
Evidence summary resources
From Mechanical Ventilation entry. In: DynaMed Plus.
Under Adjunctive Therapies > Other Supportive Care
From Joanna Briggs
Oral Hygiene Care: Acute Care Setting. Chu WH. [Evidence Summaries], AN: JBI5215, 2013.
References a systematic review (Cochrane 2013) concluded that use of chlorhexidine was associated with reduction in rate of VAP in adult, but not pediatric, patients.
Oral Care. [Recommended Practices, AN: JBI5264, 2013.
References a systematic review (Am J Crit Care 2007) concluding that toothbrushes can be a source of contamination and should be kept clean.
PubMed
View the results of a search for relevant systematic reviews and meta-analyses:
(“Pneumonia, Ventilator-Associated/prevention and control”[Mesh] OR “Respiration, Artificial/adverse effects”[Mesh]) AND (“Anti-Infective Agents, Local”[nm] OR “oral hygiene”[MeSH Terms]) AND (Meta-Analysis[ptyp] OR systematic[sb])
Additional guideline
A search of DynaMed and Joanna Briggs did not identify RCTs or other documents that referenced RCTs evaluating family presence during resuscitation.
A PubMed search of resuscitation AND family – Filtered by Randomized Controlled Trial only identified one RCT. Removing the filter and adding “randomized OR random” as search terms did not identify additional studies.
Family presence during cardiopulmonary resuscitation.
Jabre P, et al. N Engl J Med. 2013 Mar 14;368(11):1008-18. doi: 10.1056/NEJMoa1203366.
PMID: 23484827
There are also quasi-experimental studies included in these search results.
ELECTROLYTE IMBALANCES
A review of evidence in DynaMed identified the following:
Hyponatremia, Prognosis Section Large cohort study (N=950,000+ patients having major surgery). Patients with preoperative hyponatremia had statistically significantly higher rates of 30-day all-cause mortality,perioperative major coronary events,wound infections, and pneumonia as compared to patients with normal sodium levels. Arch Intern Med 2012 Oct 22;172(19):1474,
Hypokalemia, Complications Section. A large prospective cohort study of patients undergoing elective coronary artery bypass grafting showed that patients with hypokalemia may have increased odds of having a perioperative arrhythmia and need for CPR. JAMA 1999 Jun 16;281(23):2203
A PubMed search (“hypocalcemia”[mesh] OR “hypercalcemia”[mesh] OR “hyperkalemia”[mesh] OR “hypokalemia”[mesh] OR “hypophosphatemia”[mesh] OR “hyperphosphatemia”[mesh]) AND (“Surgical Procedures, Operative”[Mesh]) AND (case-control OR cohort study OR retrospective) identified several additional studies which are available in this MyNCBI Collection.
FLUID RESUSCITATION
Consult the book “Clinical Fluid Therapy in the Perioperative Setting”, 2011. It is available in the EUH Library and cites evidence for fluid therapy in various settings.
In PubMed, this search will include reports of clinical trials that address fluid therapy in perioperative care of cardiac surgery patients:
Relevant articles will be found in PubMed using the search strategy listed below. To execute the search:
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):
(“perioperative care”[Mesh] OR “perioperative care” [all fields] OR postoperative) AND (“music therapy”[Mesh] OR “music therapy”[all fields]) AND pain
Articles dated within the last ten years that are specific to the topic based on skimming the full text:
Sugama, Junko, et al. “Efficacy of an improved absorbent pad on incontinence-associated dermatitis in older women: cluster randomized controlled trial.” BMC Geriatrics 12(2012):22-22.
Shannon, Ronald J, LynneBrown, and DebashishChakravarthy. “Pressure Ulcer Prevention Program Study: a randomized, controlled prospective comparative value evaluation of 2 pressure ulcer prevention strategies in nursing and rehabilitation centers.” Advances in Skin & Wound Care 25.10 (2012):450-464.
Fader, Mandy, et al. “Management of night-time urinary incontinence in residential settings for older people: an investigation into the effects of different pad changing regimes on skin health.” Journal of clinical nursing 12.3 (2003):374-386.
Shigeta, Yoshie, et al. “Factors influencing intact skin in women with incontinence using absorbent products: results of a cross-sectional, comparative study.” Ostomy/Wound Management 56.12 (2010):26-28, 30-33.
Schindler, Christine A, et al. “Protecting fragile skin: nursing interventions to decrease development of pressure ulcers in pediatric intensive care.” American journal of critical care 20.1 (2011):26-34.
Nix, Denise. “Prevention and treatment of perineal skin breakdown due to incontinence.” Ostomy/Wound Management. 52.4 (2006):26-28.
White Williams, Connie, et al. “Use, knowledge, and attitudes toward evidence-based practice among nursing staff.” The Journal of Continuing Education in Nursing 44.6 (2013):246-54.
Levin, Rona F, et al. “Fostering evidence-based practice to improve nurse and cost outcomes in a community health setting: a pilot test of the advancing research and clinical practice through close collaboration model.” Nursing administration quarterly 35.1 (2011):21-33.
Johansson, Birgitta, MarieFogelberg Dahm, and BarbroWadensten. “Evidence-based practice: the importance of education and leadership.” Journal of nursing management 18.1 (2010):70-77.
Kiss, Teri L, MaureenO’Malley, and Thomas JHendrix. “Self-efficacy-based training for research literature appraisal: a competency for evidence-based practice.” Journal for nurses in staff development 26.4 (2010):170-177.
Strickland, Rosemary J, and ColleenO’Leary Kelley. “Clinical nurse educators’ perceptions of research utilization: barriers and facilitators to change.” Journal for nurses in staff development 25.4 (2009):164-71.
Mehrdad, Neda, MahvashSalsali, and AnooshiravanKazemnejad. “The spectrum of barriers to and facilitators of research utilization in Iranian nursing.” Journal of clinical nursing 17.16 (2008):2194-2202.
Morris, Jenny, and VeronicaMaynard. “The value of an evidence based practice module to skill development.” Nurse Education Today 27.6 (2007):534-541.
Caldwell, Kay, et al. “Preparing for professional practice: how well does professional training equip health and social care practitioners to engage in evidence-based practice?.” Nurse Education Today 27.6 (2007):518-528.
Olade, Rosaline A. “Attitudes and factors affecting research utilization.” Nursing forum 38.4 (2003):5-15.
Though this article does not address the question of whether nurses who receive EBP training are more likely to implement EBP projects, this article includes a survey that may be of use in a future study.
McCleary, Lynn, and G T TBrown. “Research utilization among pediatric health professionals.” Nursing and health sciences 4.4 (2002):163-171.
Wyatt, J C, et al. “Randomised trial of educational visits to enhance use of systematic reviews in 25 obstetric units.” BMJ. British medical journal 317.7165 (1998):1041-1046.
Evidence Matters 