See PubMed results:
What is the possible impact of an aging population on the healthcare delivery system?
Reply
What are the criteria for career mobility in nursing such as clinical ladders?
I did a search in PubMed with these search terms (career mobility OR clinical ladders) AND (nursing staff hospital) and retrieved these references:
Adeniran RK, Bhattacharya A, Adeniran AA. Professional excellence and career advancement in nursing: a conceptual framework for clinical leadership development. Nurs Adm Q. 2012 Jan-Mar;36(1):41-51. doi:
Beglinger JE, Hauge B, Krause S, Ziebarth L. Shaping future nurse leaders through shared governance. Nurs Clin North Am. 2011 Mar;46(1):129-35. doi: 10.1016/j.cnur.2010.10.003. Epub 2010 Dec. 17.
Adeniran RK1, Bhattacharya A, Adeniran AA. Professional excellence and career advancement in nursing: a conceptual framework for clinical leadership development. Nurs Adm Q. 2012 Jan-Mar;36(1):41-51. doi: 10.1097/NAQ.0b013e31823b0fec.
What is current research (2006-present) on pin site care?
What are the rates of catheter associated urinary tract infections (CAUTI) in hospitals and by unit type?
What is the evidence for interventions to prevent catheter associated urinary tract infections?
Bottom line: Best available evidence suggests that tap water can be used to effectively clean genitalia; daily cleaning of the meatal area and early removal of catheters are associated with reduction in CAUTIs. Some evidence suggests silver-impregnated catheters associated with decreased incidence of bacteriuria. Evidence does not support use of sealed drainage systems (as a single strategy), adding antibacterial solutions to drainage bags, or routinely changing drainage bags (as opposed to changing only when clinically necessary.)
Moola S, Konno R. A systematic review of the management of shot-term indwelling urethral catheters to prevent urinary tract infections. JBI Library of Systematic Reviews. 2010;8(17): 695-729.
Review of studies retrieved from Medline and CINAHL and that included adult patients using urinary catheters 1 to 14 days. Methodologies included first RCTs. If no RCTs available, then non-randomized studies and before and after studies were included. Results section describes findings for various types of intervention strategies.
What interventions are effective at reducing readmission rate for patients with heart failure recently discharged from the hospital?
DynaMed
Heart Failure Structured Management and Education topic
Evidence regarding interventions to reduce readmission include
Systematic review of 8 RCTs compared multidisciplinary education and post-discharge follow-up intervention to usual care by physician after discharge and found that readmission rates were significantly reduced (38.4% v. 49.2%) but did not significantly reduce mortality.
Arch Intern Med 2004 Nov 22;164(21):2315
Systematic review of 18 RCTs compared programs of comprehensive discharge planning v. standard; pooled data over average of 8 months showed readmission in 34.9% of study group v. 43.2% of controls.
JAMA 2004 Mar 17;291(11):1358
Systematic review of studies of varying quality on self-management interventions
BMC Cardiovasc Disord 2006 Nov 2;6:43
Small (n=206) trial of heart failure patients randomized to nurse-run post-discharge follow-up plan versus standard post-discharge care showed reduction in readmission rate for the study group (39% v 54%) – other randomized trials showed no significant difference in readmission between control groups and nurse-management groups
Another systematic review of 21 randomized trials concluded that structured, multidisciplinary post-discharge interventions do affect readmission rate.
Other interventions covered in this DynaMed topic include telephone case management and home visits by nurses and pharmacists. See DynaMed topic above for full summary.
JBI+ COnNECT
(searched heart failure and readmission)
Systematic review of 16 RCTs evaluating effect of care transition interventions on readmission rate
Systematic review of 3 RCTs and 2 quasi-experimental studies evaluating effect of telephone interventions
Systematic review of 10 RCTs evaluating effect of specifically telephone post-discharge nursing care
For studies published since these reviews
PubMed: (“Heart Failure”[Majr]) AND “Patient Readmission”[Majr] AND prevention
Native Americans and sexual assualt/intimate partner violence
Bryant Davis, Thema, et al. “From the margins to the center: ethnic minority women and the mental health effects of sexual assault.” Trauma, violence & abuse 10.4 (2009):330-357.
Oetzel, John, and BonnieDuran. “Intimate partner violence in American Indian and/or Alaska Native communities: a social ecological framework of determinants and interventions.” American Indian and Alaska native mental health research 11.3 (2004):49-68.
Wahab, Stephanie, and Lenora Olson. “Intimate partner violence and sexual assault in Native American communities.” Trauma, violence & abuse 5.4 (2004):353-366.
Chester, B, et al. “Grandmother dishonored: violence against women by male partners in American Indian communities.” Violence and victims 9.3 (1994):249-258.
Evidence Matters 