What evidence exists that compares skin creams for treating/managing pressure ulcers in hospitalized patients?

Searched Dynamed, PubMed and Joanna Briggs  using search terms  skin cream AND pressure ulcer.

DynaMed Plus, an EBM  resource compares several topicals in regard to the healing of pressure ulcers based on randomized and non-randomized controlled trials – Search for pressure ulcers and go to that entry. Then click on  “Treatment” and scroll down to find “topical treatments”. The entry also contains links to the studies it references.

Joann Briggs Institute:  Pressure Area Care. [Recommended Practices] 2016.

PubMed search results for your review:

Noda, Yasuhiro, et al. Physicochemical properties of macrogol ointment and emulsion ointment blend developed for regulation of water absorption. International journal of pharmaceutics 419.1-2 (2011):131-136.

Saleh, Mohammad, DenisAnthony, and SamParboteeah. The impact of pressure ulcer risk assessment on patient outcomes among hospitalised patients. Journal of clinical nursing 18.13 (2009):1923-1929. 

Shahin, Eman S M, TheoDassen, and Ruud J GHalfens. Pressure ulcer prevention in intensive care patients: guidelines and practice. Journal of evaluation in clinical practice 15.2 (2009):370-374.

More PubMed search results

Reviewed 4/20/14  AA

Updated link for entry in Joanna Briggs, 10/16/2017

Do interventions to orient new nurses to a unit/hospital affect staff retention?

The results below include several case studies and evaluations of programs to orient/train/acclimate new hospital nursing staff, including effects on turnover/retention, including:

  • NURSING U: a new concept for nursing orientation.Detail Only Available Cullevy, Thomas; Babbie, Andrea; Clancey, Jeanne; Clouse, Kathy; Hines, Rosemerry; Kraynek, Monica; Tutro, Josephine; Wittman, Susanne; Nursing, 2011 Nov; 41 (11): 59-61
  • Structured orientation for new graduates: a retention strategy.  Marcum EH; West RD; Journal for Nurses in Staff Development, 2004 May-Jun; 20 (3): 118-26.
  • Designing an outcome-focused model for orienting new graduate nurses.Detail Only Available Journal for Nurses in Staff Development, 2011 Nov-Dec; 27 (6): E6-7.
  • Strategies for easing the role transformation of graduate nurses.Detail Only Available (includes abstract) Young ME; Stuenkel DL; Bawel-Brinkley K; Journal for Nurses in Staff Development, 2008 May-Jun; 24 (3): 105-12.
  • Tool kit for the staff mentor: strategies for improving retention. Butler MR; Felts J; Journal of Continuing Education in Nursing, 2006 Sep-Oct; 37 (5): 210-3.

Results of the CINAHL search
((MH “Personnel Turnover”) OR (MH “Personnel Turnover”)) AND ( (orientation OR mentorship OR (MH “Work Environment” AND attitude*) OR MH “Support, Psychosocial”) AND nurses AND (new N3 (hire* OR employee* OR staff OR graduate*)) AND hospital* )

A search of CINAHL using these concepts:
Personnel turnover, personnel retention
Orientation, mentorship, (subject heading for work environment combined with the term attitude), subject heading for psychosocial support
Nurses
New staff, new employees, new hires, new graduates
Hospitals

What are the evidence-based recommendations for orientation time for new graduate nurses in terms of safety and readiness to practice?

Search was done in PubMed and Joanna Briggs using these search terms: new graduate nurses AND (transition OR residency OR internship).

Bottom Line: Literature search revealed very broad time line in nurse residency from 6 weeks to one year  and time by (department or area not discussed).
Park, Mihyun, and Cheryl B Jones. A retention strategy for newly graduated nurses: an integrative review of orientation programs. Journal for nurses in staff development 26.4 (2010):142-149.  See TABLE 1 The Summary of Program Outcomes

Holland, Cindra, and Gail RModdeman. Transforming the journey for newly licensed registered nurses. The Journal of Continuing Education in Nursing 43.7 (2012):330-336.

Kramer, Marlene, et al. The organizational transformative power of nurse residency programs. Nursing administration quarterly 36.2 (2012):155-168.

Purling, Amy, and LindyKing. A literature review: Graduate nurses’ preparedness for recognising and responding to the deteriorating patient. Journal of clinical nursing 21.23-24 (2012):3451-3465.

The effectiveness of strategies and interventions that aim to assist the transition from student to newly qualified nurse. (Systematic Review). The JBI Library of Systematic Reviews & Implementation Reports. 9(53):2215-2323, 2011.

More references from PubMed

The role of palliative care and its affect on the prognosis and quality of life of the oncologic patient

The following were located through CINAHL

A Nurse Practitioner Directed Intervention Improves the Quality of Life of Patients with Metastatic Cancer: Results of a Randomized Pilot Study.” Journal of palliative medicine 15.8 (2012):890.

Brandstätter M ; Baumann U ; Borasio GD ; Fegg MJ Systematic review of meaning in life assessment instruments. Psycho-Oncology, 2012 Oct; 21 (10): 1034-52.

Joanna Briggs:
Click here to access Joanna Briggs resources

When Joanna Briggs opens cut & paste the following into the search box:
palliative care and oncology and (quality of life or prognosis)

Keywords to use for searching CINAHL & Joanna Briggs: palliative, oncology, quality of life, prognosis

Are unit based turn teams likely to reduce pressure ulcers in hospital stays?

A number of related articles can be found in PubMed using the search strategies listed below. To execute the searches:
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):
(“Pressure Ulcer/prevention and control”[MAJR] AND “Patient Positioning”[MeSH]) AND English[lang]
3. For a broader search, copy/paste this: pressure ulcer AND (turning OR patient position) AND (English[lang])

When results appear, click on title to view abstract, then use the “Find It@Emory” button to link to full text, if available.

One article of note:

Still, Mary D, et al. “The turn team: a novel strategy for reducing pressure ulcers in the surgical intensive care unit.” Journal of the American College of Surgeons 216.3 (2013):373-379.

“At baseline, when frequent turning was encouraged but not required, a total of 42 pressure ulcers were identified in 278 patients. After implementation of the turn team, a total of 12 pressure ulcers were identified in 229 patients (p < 0.0001). The preintervention group included 34 stage I and II ulcers and 8 higher stage ulcers. After implementation of the turn team, there were 7 stage I and II ulcers and 5 higher stage ulcers. The average Braden score was 16.5 in the preintervention group and 13.4 in the postintervention group (p = 0.04), suggesting that pressure ulcers were occurring in higher risk patients after implementation of the turn team.”

Overview of peripherally inserted central catheters and central venous catheters

Abeloff: Abeloff’s Clinical Oncology, 4th ed. Copyright © 2008 Churchill Livingstone, An Imprint of Elsevier
CHOOSING THE RIGHT DEVICE

Go to Joanna Briggs and cut and paste the following phrases into the search box:
peripherally inserted central catheter
central venous catheter

Egan GM ; Siskin GP ; Weinmann R 4th ; Galloway MM. A Prospective Postmarket Study to Evaluate the Safety and Efficacy of a New Peripherally Inserted Central Catheter Stabilization System. Journal of Infusion Nursing, 2013 May-Jun; 36 (3): 181-8

Beghetto MG ; Victorino J ; Teixeira L ; de Azevedo MJ Parenteral nutrition as a risk factor for central venous catheter-related infection.
JPEN Journal of Parenteral & Enteral Nutrition, 2005 Sep-Oct; 29 (5): 367-73.

Baiocco, Graziella Gasparotto ; da Silva, Jefferson Luis Braga The Use of the Peripherally Inserted Central Catheter (Pice) in the Hospital Environment. Revista Latino-Americana de Enfermagem (RLAE) (REV LAT AM ENFERMAGEM), 2010 Nov-Dec; 18 (6): 1131-7.

Databases searched: Joanna Briggs, CINAHL, MDConsult. Keywords: peripherally inserted central catheter, central venous catheter, indications

What is the evidence on isolation gowns preventing the spread of infection?

Kressel, Amy B, et al. “Hospitals learn their collective power: an isolation gown success story.” American journal of infection control 39.1 (2011):76-78.

Srinivasan A ; Song X ; Ross T ; Merz W ; Brower R ; Perl TM A prospective study to determine whether cover gowns in addition to gloves decrease nosocomial transmission of vancomycin-resistant enterococci in an intensive care unit. Infection Control & Hospital Epidemiology, 2002 Aug; 23 (8): 424-8.

Community-acquired MRSA boosts need for awareness: hand hygiene, knowledge block cross-contamination. Same-Day Surgery, 2008 Feb; 32 (2): 17-9.

Kressel AB ; McVey JL ; Miller JM ; Fish LL Hospitals learn their collective power: an isolation gown success story. Department of Medicine, Division of Infectious Diseases, Indiana University School of Medicine, Indianapolis, IN

Lovitt SA ; Nichols RL ; Smith JW ; Muzik AC ; Pearce PF Isolation gowns: a false sense of security? Dept Surg, Tulane Univ School Med, 1430 Tulane Ave, New Orleans, LA 70112-2669 American Journal of Infection Control, 1992 Aug; 20 (4): 185-91.

McLane C Commentary on Isolation gowns: a false sense of security? AACN Nursing Scan In Critical Care, 1993 Jul-Aug; 3 (4): 23.

Databases searched: PubMed & CINAHL. Keywords: isolation (gown or gowns) and infection