Guidelines for peritoneal dialysis

Posted on February 29, 2012 by John

Searched PubMed and CINAHL for concept of peritoneal dialysis and guidlines

Leung DK. Monitoring clinical standards in a chronic peritoneal dialysis program.Perit Dial Int. 2009 Feb;29 Suppl 2:S72-3.

Rocco MV.Revisions to KDOQI guidelines released at the NKF 2006 Spring Clinical Meetings.Nephrol News Issues. 2006 Jul;20(8):40, 42.

Prowant BF. Clarifying K/DOQI’s guideline targets for peritoneal dialysis adequacy. Nephrol Nurs J. 2001 Aug;28(4):445-6, 450.

Levin NW, Willis K; National Kidney Foundation. Recent K/DOQI guidelines: applications in peritoneal dialysis patients.Contrib Nephrol. 2003;(140):151-62.

Golper TA; National Kidney Foundation. A summary of the 2000 update of the NKF-K/DOQI clinical practice guidelines on peritoneal dialysis adequacy. Perit Dial Int. 2001 Sep-Oct;21(5):438-40.

Blake PG. A review of the DOQI recommendations for peritoneal dialysis. Dialysis Outcome Quality Initiative, National Kidney Foundation. Perit Dial Int. 1998 May-Jun;18(3):247-51.

What are guidelines for best practice with hemodialysis catheters?

Posted on February 24, 2012 by John

These guidelines were found in the National Guideline Clearinghouse. To read relevant sections, search the text for hemodialysis.

Mermel LA, et al. “Clinical practice guidelines for the diagnosis and management of intravascular catheter-related infection: 2009 update by the Infectious Diseases Society of America.” Clinical Infectious Diseases 49.1 (2009):1-45.

O’Grady NP, et al. “Guidelines for the prevention of intravascular catheter-related infections.” 2011.

Searches within PubMed located these CNE articles.

McAfee, Nancy, et al. “A continuous quality improvement project to decrease hemodialysis catheter infections in pediatric patients: use of a closed luer-lock access cap.” Nephrology Nursing Journal 37.5 (2010):541-4.

Dutka, Paula, and HelenBrickel. “A practical review of the kidney dialysis outcomes quality initiative (KDOQI) guidelines for hemodialysis catheters and their potential impact on patient care.” Nephrology Nursing Journal 37.5 (2010):531-5.

Dinwiddie, Lesley C, and CynthiaBhola. “Hemodialysis catheter care: current recommendations for nursing practice in North America.” Nephrology Nursing Journal 37.5 (2010):507-20, 528.

Reviewed and updated 5/6/2014 ldt

Do nurse managed heart failure clinics have an effect on readmission or cost avoidance for hospital systems?

Posted on February 11, 2012 by Amy

Bottom line: Results from some quasi-experimental studies (mostly quality improvement projects) reported reductions in readmissions, cost, or length of stay for patients participating in nurse-directed heart failure clinics.

Details: Search results in CINAHL for search of (MH “Nurse-Managed Centers”) AND heart failure AND (readmission OR readmissions OR cost OR costs)

Display relevant references in PubMed.

Reviewed and updated 5/1/2014 ldt

What is the recent evidence for intentional rounds in the intensive care unit?

Posted on February 9, 2012 by Amy

Searched CINAHL and PubMed for patient rounds AND (“intensive care” OR “critical care”) with a limit of English.

Six quasi-experimental studies in CINAHL measuring nurse satisfaction, ventilator-associated pneumonia, cental-line associated bloodstream infection, nosocomial infections, healthcare outcomes, family presence, and facilitators and barriers to patient care rounds
Adding intensive care or critical care eliminates many studies that may also be relevant.

(MH “Patient Rounds”) AND (hourly OR intentional OR proactive OR comfort)
These results include several experimental and quasi-experimental studies. If you want to look at specific outcomes, see the following searches for particular topics:

Falls – (MH “Patient Rounds”) AND (hourly OR intentional OR proactive OR comfort) AND falls

Patient satisfaction – (MH “Patient Rounds”) AND (hourly OR intentional OR proactive OR comfort) AND patient satisfaction

Patient centered care – (MH “Patient Rounds”) AND (MH “Patient centered care”)

Papers in PubMed search: (rounds OR rounding) AND (intentional OR hourly OR time factors OR proactive) AND (nurses OR nursing) AND (safety OR quality improvement OR infection OR pneumonia OR pressure ulcers OR falls OR patient satisfaction OR patient outcome assessment OR outcomes assessments) AND (“intensive care” OR “critical care”)
This search retrieves papers examining common outcomes in the intensive care unit. Other outcomes can be included in the search.

Reviewed and updated 5/1/2014 ldt

What is the current evidence-based literature on “team nursing” in the acute care setting?

Posted on January 24, 2012 by John

Searching CINAHL and Joanna Briggs for the concept of team nursing and acute care settings located the following for review.

Fairbrother G, Jones A, Rivas K. Changing model of nursing care from individual patient allocation to team nursing in the acute inpatient environment. Contemporary Nurse: A Journal For The Australian Nursing Profession [serial online]. June 2010;35(2):202-220.

Measuring the impact of a team model of nursing practice using work sampling. Australian health review 2007 vol:31 iss:1 pg:98

Nursing practice models for acute and critical care: overview of care delivery models. Critical care nursing clinics of North America 2008 vol:20 iss:4 pg:365

Collegian Redesign of the model of nursing practice in an acute care ward: nurses’ experiences. 2006 vol:13 iss:1 pg:31

Cioffi J, Ferguson Am L. Team nursing in acute care settings: nurses’ experiences. Contemporary Nurse: A Journal For The Australian Nursing Profession [ser. August 2009;33(1):2-12.

Ferguson L, Cioffi J. Team nursing: experiences of nurse managers in acute care settings. Australian Journal Of Advanced Nursing. June 2011;28(4):5-11.

Dr Kylie Porritt BN MNSc PhD
Rapid Response Teams within acute hospitals 22/09/2011

What is the evidence-based research on the type and effectiveness of intentional rounding on inpatient psychiatry units?

Posted on January 24, 2012 by John

The Bottom Line: Intentional rounding can have a positive effect on call light use, patient falls, satisfaction and other criteria.

Searching PsychInfo, CINAHL and PubMed for the concepts of intentional (or hourly) rounding and patient satisfaction produced this sampling of results.

Gardner, Glenn, Measuring the effect of patient comfort rounds on practice environment and patient satisfaction: A pilot study. International Journal of Nursing Practice, Vol 15(4), Aug, 2009. pp. 287-293.

The latest evidence on hourly rounding and rapid response teams in decreasing adverse events in hospitals. Worldviews on evidence-based nursing 2007 vol:4 iss:4 pg:220

Halm, Margo Hourly rounds: what does the evidence indicate? American journal of critical care 2009 vol:18 iss:6 pg:581 -584

Baker, Stephanie. Rounding for outcomes: an evidence-based tool to improve nurse retention, patient safety, and quality of care. Journal of emergency nursing 2010 vol:36 iss:2 pg:162 -164

CHRISTINE M. MEADE, PHD, AMY L. BURSELL, PHD, LYN KETELSEN, MBA, RN Effects of Nursing Rounds on Patients’ Call Light Use, Satisfaction, and Safety

Are there systematic reviews of the evidence about the effect of chlorhexidine on rate of catheter associated urinary tract infections?

Posted on January 24, 2012 by Amy

Joanna Briggs Institute’s JBI+COnNECT, an evidence summary source, has published this evidence summary: Urethral Catheter (Indwelling Short-Term): Urinary Tract Infection Prevention

The Clinical Bottom Line section summarizes evidence on various care regimens, including daily cleaning. Two relevant statements:
“Daily cleansing of the urethral meatus using soap and water or perineal cleanser has been shown to be effective to reduce CAUTI.3 (Level II)”
“The following interventions are not deemed effective for reducing CAUTI incidence: sterile technique for catheter insertion, use of antiseptic solutions or ointment during routine meatal care, 2-chambered urinary drainage bags, antiseptic filters incorporated into the drainage bag, bladder or catheter irrigation, frequent urinary drainage bag changes and placing an antiseptic solution into the urinary drainage bag.3 (Level I)”

References to other systematic reviews are available through this PubMed search: chlorhexidine AND urinary tract infection AND catheter AND (systematic review OR meta-analysis)

Evidence Matters

Evidence-based information for Emory