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

What is the most recent evidence on the prevention of CLABSI?

Smith J. It’s Contagious! CLABSI Prevention is Spreading. American Journal Of Infection Control [serial online]. June 2012;40(5):e128-9. Available from: CINAHL, Ipswich, MA. Accessed June 5, 2013.

National Estimates of Central Line–Associated Bloodstream Infections in Critical Care Patients.” Infection control and hospital epidemiology 34.6 (2013):547.

Saffer M. Preventing Central Line Infections In Outpatients. Pediatric Nursing. November 2012;38(6):336. Available from: CINAHL, Ipswich, MA. Accessed June 5, 2013.

Prevention of catheter-related infection: toward zero risk?.” Current opinion in infectious diseases 24.4 (2011):377.

Are there guidelines for use of high frequency oscillatory ventilation in patients with acute lung injury?

DynaMed, a good source for locating the most current guidelines.

Mechanical ventilation: The guidelines seem to be about when to wean, or how to prevent ventilator-associated pneumonia
ARDS:  the only one I saw specifically addressing oxygen therapy was from American Association of Respiratory Care (2001).

Professional organization websites:

Society for Critical Care Medicine
http://www.learnicu.org/pages/guidelines.aspx
Did not locate any guidelines on respiratory failure that mention HFOV

American Association for Respiratory Care
A paper (2007) on the site – http://www.rcjournal.com/contents/09.07/09.07.1224.pdf – indicates that at that time the technique was not included in any AARC guidelines.
Did not locate any other guidelines on the site that address use of HFOV.

AACN Procedure Manual for Critical Care (in EUH Branch Library), 2011.  Indicates that there has not been enough evidence to show superiority of HFOV over conventional modes of ventilation in patients with ARDS (p. 278).

Also see:  What is the latest evidence and nursing implications on the use of high frequency ocsillatory ventilation?