首页 > 最新文献

Jbi Evidence Implementation最新文献

英文 中文
Prevention and management of enteral nutrition-related diarrhea among adult inpatients: a best practice implementation project. 成人住院患者肠内营养相关腹泻的预防和管理:最佳实践实施项目。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2024-03-13 DOI: 10.1097/XEB.0000000000000412
Xinyue Zhang, Meijie Du, Mei He, Mei Wang, Mengyao Jiang, Yue Cai, Mengying Cui, Ying Wang

Introduction: Diarrhea, the most common complication for patients during enteral nutrition, poses a range of risks and care burdens. Medical staff are aware of the importance of proactively preventing and managing enteral nutrition-related diarrhea. However, clinical prevention and management methods are not standardized, and the scientific basis and effectiveness of these methods need to be further verified.

Objectives: This project aimed to promote evidence-based practices for the prevention and management of enteral nutrition-related diarrhea among adult inpatients in a public tertiary hospital in China.

Methods: This project was guided by the JBI Evidence Implementation Framework and used the JBI Practical Application of Clinical Evidence System (PACES) and the JBI Getting Research into Practice (GRiP) tools. Twelve audit criteria were developed to conduct a baseline audit to measure compliance with best practices. A barrier analysis was conducted, and strategies were implemented to overcome the barriers. The project was finalized with a follow-up audit to determine any changes in compliance with best practices.

Results: The overall compliance rate for the audit criteria increased from 27.37% at baseline to 89.62% in the follow-up audit, with six criteria achieving a compliance rate of 100%.

Conclusions: The implementation of evidence-based practices can effectively narrow the gap between current practice and best practice. This project improved the ability of medical staff to prevent and manage enteral nutrition-related diarrhea, as well as promoting evidence-based practice in the hospital.

Spanish abstract: http://links.lww.com/IJEBH/A168.

导言:腹泻是肠内营养期间患者最常见的并发症,会带来一系列风险和护理负担。医务人员意识到积极预防和处理肠内营养相关腹泻的重要性。然而,临床预防和处理方法并不规范,这些方法的科学依据和有效性有待进一步验证:本项目旨在向中国一家公立三甲医院的成年住院患者推广以循证医学为基础的肠内营养相关腹泻预防和管理方法:该项目以JBI循证实施框架为指导,使用了JBI临床证据实际应用系统(PACES)和JBI将研究应用于实践(GRiP)工具。制定了 12 项审核标准,以进行基线审核,衡量最佳实践的合规性。进行了障碍分析,并实施了克服障碍的策略。项目最后进行了一次后续审计,以确定在遵守最佳做法方面是否有任何变化:结果:审计标准的总体合规率从基线的 27.37% 提高到后续审计的 89.62%,其中六项标准的合规率达到 100%:结论:实施循证实践可有效缩小当前实践与最佳实践之间的差距。该项目提高了医务人员预防和处理肠内营养相关腹泻的能力,并在医院内推广了循证实践。西班牙文摘要:http://links.lww.com/IJEBH/A168。
{"title":"Prevention and management of enteral nutrition-related diarrhea among adult inpatients: a best practice implementation project.","authors":"Xinyue Zhang, Meijie Du, Mei He, Mei Wang, Mengyao Jiang, Yue Cai, Mengying Cui, Ying Wang","doi":"10.1097/XEB.0000000000000412","DOIUrl":"10.1097/XEB.0000000000000412","url":null,"abstract":"<p><strong>Introduction: </strong>Diarrhea, the most common complication for patients during enteral nutrition, poses a range of risks and care burdens. Medical staff are aware of the importance of proactively preventing and managing enteral nutrition-related diarrhea. However, clinical prevention and management methods are not standardized, and the scientific basis and effectiveness of these methods need to be further verified.</p><p><strong>Objectives: </strong>This project aimed to promote evidence-based practices for the prevention and management of enteral nutrition-related diarrhea among adult inpatients in a public tertiary hospital in China.</p><p><strong>Methods: </strong>This project was guided by the JBI Evidence Implementation Framework and used the JBI Practical Application of Clinical Evidence System (PACES) and the JBI Getting Research into Practice (GRiP) tools. Twelve audit criteria were developed to conduct a baseline audit to measure compliance with best practices. A barrier analysis was conducted, and strategies were implemented to overcome the barriers. The project was finalized with a follow-up audit to determine any changes in compliance with best practices.</p><p><strong>Results: </strong>The overall compliance rate for the audit criteria increased from 27.37% at baseline to 89.62% in the follow-up audit, with six criteria achieving a compliance rate of 100%.</p><p><strong>Conclusions: </strong>The implementation of evidence-based practices can effectively narrow the gap between current practice and best practice. This project improved the ability of medical staff to prevent and manage enteral nutrition-related diarrhea, as well as promoting evidence-based practice in the hospital.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A168.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140111904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementing evidence-based pre-operative education in hospitalized patients undergoing total knee replacement: a best practice implementation project 对接受全膝关节置换术的住院患者实施循证术前教育:最佳实践实施项目
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2024-01-10 DOI: 10.1097/xeb.0000000000000405
MiaoMiao Yang, Lin Wang, Zheng Yu, Ying-Zhang
Pre-operative education is a key factor influencing post-operative recovery, patient expectations of surgery, and patient satisfaction. Although there are guidelines for the pre-operative education of patients undergoing knee replacement, pre-operative education of patients remains suboptimal. This study aimed to improve the knowledge and skills of health care providers and patients undergoing elective knee replacement. The project used pre-operative education to increase compliance with best practices. This project was conducted from January to October 2022 in the orthopedic department of a tertiary hospital in China. The project was conceptually guided by the JBI Model of Evidence-Based Healthcare, while the JBI Evidence Implementation Framework was used to guide the implementation. Two audit criteria were developed for the baseline and follow-up audits, which assessed 20 patients undergoing elective knee replacement. A comparison of the audit outcomes revealed that for Criterion 1, the percentage of patients receiving pre-operative education in both audits was 100%. For Criterion 2, the compliance rate increased significantly from 0% in the baseline to 90% in the follow-up audit. A clinical audit is an effective approach to improving compliance with recommended best practices. Leadership, team resource management, education, and monitoring were helpful for staff in implementing the best practices. Further audits will need to be conducted to maintain practice changes and ensure that the project is sustainable.
术前教育是影响术后恢复、患者对手术的期望以及患者满意度的关键因素。虽然目前已有膝关节置换术患者术前教育指南,但患者的术前教育仍未达到最佳水平。 这项研究旨在提高医护人员和接受择期膝关节置换术患者的知识和技能。该项目利用术前教育来提高最佳实践的依从性。 该项目于2022年1月至10月在中国一家三甲医院的骨科开展。该项目以JBI循证医疗模式为理念指导,并使用JBI循证实施框架来指导实施。为基线审核和随访审核制定了两个审核标准,对20名接受择期膝关节置换术的患者进行了评估。 审计结果比较显示,就标准 1 而言,两次审计中接受术前教育的患者比例均为 100%。就标准 2 而言,达标率从基线审计的 0% 显著上升到后续审计的 90%。 临床审核是提高推荐最佳实践合规性的有效方法。领导力、团队资源管理、教育和监督对员工实施最佳实践很有帮助。今后还需要进行更多的审核,以保持实践的变化,确保项目的可持续性。
{"title":"Implementing evidence-based pre-operative education in hospitalized patients undergoing total knee replacement: a best practice implementation project","authors":"MiaoMiao Yang, Lin Wang, Zheng Yu, Ying-Zhang","doi":"10.1097/xeb.0000000000000405","DOIUrl":"https://doi.org/10.1097/xeb.0000000000000405","url":null,"abstract":"\u0000 \u0000 \u0000 Pre-operative education is a key factor influencing post-operative recovery, patient expectations of surgery, and patient satisfaction. Although there are guidelines for the pre-operative education of patients undergoing knee replacement, pre-operative education of patients remains suboptimal.\u0000 \u0000 \u0000 \u0000 This study aimed to improve the knowledge and skills of health care providers and patients undergoing elective knee replacement. The project used pre-operative education to increase compliance with best practices.\u0000 \u0000 \u0000 \u0000 This project was conducted from January to October 2022 in the orthopedic department of a tertiary hospital in China. The project was conceptually guided by the JBI Model of Evidence-Based Healthcare, while the JBI Evidence Implementation Framework was used to guide the implementation. Two audit criteria were developed for the baseline and follow-up audits, which assessed 20 patients undergoing elective knee replacement.\u0000 \u0000 \u0000 \u0000 A comparison of the audit outcomes revealed that for Criterion 1, the percentage of patients receiving pre-operative education in both audits was 100%. For Criterion 2, the compliance rate increased significantly from 0% in the baseline to 90% in the follow-up audit.\u0000 \u0000 \u0000 \u0000 A clinical audit is an effective approach to improving compliance with recommended best practices. Leadership, team resource management, education, and monitoring were helpful for staff in implementing the best practices. Further audits will need to be conducted to maintain practice changes and ensure that the project is sustainable.\u0000","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139439954","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-operative pain management by nurses in an intensive care unit: a best practice implementation project. 重症监护室护士的术后疼痛管理:最佳实践实施项目。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2024-01-10 DOI: 10.1097/XEB.0000000000000401
Érica Brandão de Moraes, Juliane de Macedo Antunes, Maria Fernanda Muniz Ferrari, Bárbara Ventura Fontes, Renata Castro da Silva Pereira, Luciana Ogawa, Donizete Vago Daher

Introduction: Post-operative pain is the most prevalent type of acute pain. Nurses are the health care professionals who most frequently assess pain, as well as evaluating the patient's response to pain management treatment and monitoring for the occurrence of adverse events. Thus, to improve outcomes and quality of care, the interventions used by nurses should be based on best practices.

Objectives: The aim of this project was to implement best practices in post-operative pain management in an intensive care unit.

Methods: This evidence implementation project was conducted in a hospital for the surgical treatment of orthopedic diseases and trauma. The project followed the JBI evidence implementation framework. The project used JBI PACES software as well as JBI's Getting Research into Practice (GRiP) audit and feedback tools to develop eight audit criteria for the baseline and follow-up audits.

Results: The baseline audit showed that criteria 3 and 6 had low compliance, with few patients having documented plans and goals, and receiving multimodal analgesia in the ICU, respectively. Criteria 7 and 8, which assessed the use of opioids and follow-up by a pain specialist, revealed compliance of 60% and 50%, respectively. Criterion 3 improved from 0% to 20%. Criteria 6, 7, and 8 also improved, rising to 30%, 22.8%, and 50%, respectively.

Conclusion: The project improved compliance with best practices in post-operative pain management. Further studies are needed to ensure the project's long-term sustainability.

简介:术后疼痛是最常见的急性疼痛类型:术后疼痛是最常见的急性疼痛类型。护士是最常对疼痛进行评估的专业医护人员,她们还负责评估病人对疼痛控制治疗的反应并监测不良事件的发生。因此,为了提高治疗效果和护理质量,护士使用的干预措施应以最佳实践为基础:本项目旨在重症监护病房实施术后疼痛管理的最佳实践:该循证实施项目在一家骨科和创伤外科医院开展。该项目遵循 JBI 证据实施框架。该项目使用了JBI PACES软件以及JBI的 "将研究付诸实践"(GRiP)审计和反馈工具,为基线审计和后续审计制定了八项审计标准:基线审核结果表明,标准 3 和标准 6 的合规性较低,分别只有少数患者有记录在案的计划和目标,以及在重症监护室接受多模式镇痛。评估阿片类药物使用情况和疼痛专家随访情况的标准 7 和标准 8 的达标率分别为 60% 和 50%。标准 3 从 0% 提高到 20%。标准 6、7 和 8 也有所改善,分别提高到 30%、22.8% 和 50%:结论:该项目提高了术后疼痛管理最佳实践的依从性。为确保项目的长期可持续性,还需要进一步研究。
{"title":"Post-operative pain management by nurses in an intensive care unit: a best practice implementation project.","authors":"Érica Brandão de Moraes, Juliane de Macedo Antunes, Maria Fernanda Muniz Ferrari, Bárbara Ventura Fontes, Renata Castro da Silva Pereira, Luciana Ogawa, Donizete Vago Daher","doi":"10.1097/XEB.0000000000000401","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000401","url":null,"abstract":"<p><strong>Introduction: </strong>Post-operative pain is the most prevalent type of acute pain. Nurses are the health care professionals who most frequently assess pain, as well as evaluating the patient's response to pain management treatment and monitoring for the occurrence of adverse events. Thus, to improve outcomes and quality of care, the interventions used by nurses should be based on best practices.</p><p><strong>Objectives: </strong>The aim of this project was to implement best practices in post-operative pain management in an intensive care unit.</p><p><strong>Methods: </strong>This evidence implementation project was conducted in a hospital for the surgical treatment of orthopedic diseases and trauma. The project followed the JBI evidence implementation framework. The project used JBI PACES software as well as JBI's Getting Research into Practice (GRiP) audit and feedback tools to develop eight audit criteria for the baseline and follow-up audits.</p><p><strong>Results: </strong>The baseline audit showed that criteria 3 and 6 had low compliance, with few patients having documented plans and goals, and receiving multimodal analgesia in the ICU, respectively. Criteria 7 and 8, which assessed the use of opioids and follow-up by a pain specialist, revealed compliance of 60% and 50%, respectively. Criterion 3 improved from 0% to 20%. Criteria 6, 7, and 8 also improved, rising to 30%, 22.8%, and 50%, respectively.</p><p><strong>Conclusion: </strong>The project improved compliance with best practices in post-operative pain management. Further studies are needed to ensure the project's long-term sustainability.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139404830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Procedural sedation of adult patients in the emergency department: a best practice implementation project. 急诊科成人患者的手术镇静:最佳实践实施项目。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2024-01-09 DOI: 10.1097/XEB.0000000000000406
Jessica Pickens, Candon Garbo

Introduction: The emergency department is a fast-paced and complex health care setting, where critical care is provided to patients of all ages. However, various environmental factors, such as high patient volumes, overburdened staff, and frequent nurse turnover, can hinder the use of evidence-based practices during procedural sedation. Proper patient monitoring is essential to prevent adverse events during procedural sedation.

Objectives: The goal of this implementation project was to enhance compliance with best practices for patient monitoring during procedural sedation in the emergency department.

Methods: The project used the JBI Model of Evidence-Based Healthcare and JBI's Getting Research into Practice (GRiP) tool for implementing evidence-based monitoring practices for adult patients during procedural sedation in the emergency department. A baseline audit was conducted to assess current practice against evidence-based recommendations, followed by the implementation of strategies to improve compliance with best practices. The project concluded with a follow-up audit to determine any improvement in practice.

Results: The baseline audit revealed 81% overall compliance with evidence-based practice. Three barriers were identified, namely, lack of staff education, increased turnover rate of nurses, and the need for nurses to be mobile during procedural sedation. Strategies were implemented to improve compliance with evidence-based practice. The follow-up audit showed an overall improvement of 95% after project implementation.

Conclusions: The project improved best practices for patient monitoring during procedural sedation in the emergency department. However, more work remains to be done to ensure the sustainability of the best practices, including monitoring of end-tidal capnography and vital sign assessment.

导言:急诊科是一个快节奏和复杂的医疗环境,需要为各个年龄段的患者提供重症护理。然而,病人数量多、工作人员负担过重、护士流动频繁等各种环境因素会阻碍在程序性镇静过程中使用循证实践。适当的患者监测对于防止手术镇静过程中发生不良事件至关重要:本实施项目的目标是提高急诊科在程序性镇静过程中患者监护最佳实践的依从性:方法:该项目采用JBI循证医疗模式和JBI的 "将研究付诸实践"(GRiP)工具,对急诊科成人患者在手术镇静期间实施循证监护。先进行基线审计,根据循证建议评估当前的实践,然后实施策略,以提高最佳实践的合规性。项目结束时还进行了后续审核,以确定实践中是否有任何改进:结果:基线审计显示,对循证实践的总体遵守率为 81%。结果:基线审计显示,循证实践的总体合规率为 81%,其中发现了三个障碍,即缺乏员工教育、护士流动率增加以及程序镇静过程中护士需要移动。为提高循证实践的依从性,实施了相关策略。后续审计显示,项目实施后,总体改善率达到 95%:该项目改进了急诊科程序性镇静过程中患者监护的最佳实践。然而,要确保最佳实践的可持续性,包括潮气末二氧化碳造影监测和生命体征评估,仍有许多工作要做。
{"title":"Procedural sedation of adult patients in the emergency department: a best practice implementation project.","authors":"Jessica Pickens, Candon Garbo","doi":"10.1097/XEB.0000000000000406","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000406","url":null,"abstract":"<p><strong>Introduction: </strong>The emergency department is a fast-paced and complex health care setting, where critical care is provided to patients of all ages. However, various environmental factors, such as high patient volumes, overburdened staff, and frequent nurse turnover, can hinder the use of evidence-based practices during procedural sedation. Proper patient monitoring is essential to prevent adverse events during procedural sedation.</p><p><strong>Objectives: </strong>The goal of this implementation project was to enhance compliance with best practices for patient monitoring during procedural sedation in the emergency department.</p><p><strong>Methods: </strong>The project used the JBI Model of Evidence-Based Healthcare and JBI's Getting Research into Practice (GRiP) tool for implementing evidence-based monitoring practices for adult patients during procedural sedation in the emergency department. A baseline audit was conducted to assess current practice against evidence-based recommendations, followed by the implementation of strategies to improve compliance with best practices. The project concluded with a follow-up audit to determine any improvement in practice.</p><p><strong>Results: </strong>The baseline audit revealed 81% overall compliance with evidence-based practice. Three barriers were identified, namely, lack of staff education, increased turnover rate of nurses, and the need for nurses to be mobile during procedural sedation. Strategies were implemented to improve compliance with evidence-based practice. The follow-up audit showed an overall improvement of 95% after project implementation.</p><p><strong>Conclusions: </strong>The project improved best practices for patient monitoring during procedural sedation in the emergency department. However, more work remains to be done to ensure the sustainability of the best practices, including monitoring of end-tidal capnography and vital sign assessment.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Vaccinations in patients diagnosed with an autoimmune disorder receiving an immunosuppressive agent: a best practice implementation project. 接受免疫抑制剂治疗的自身免疫性疾病患者的疫苗接种:最佳实践实施项目。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2024-01-03 DOI: 10.1097/XEB.0000000000000404
Betty Loflin, Linda Upchurch, Michelle Palokas, Robin Christian

Introduction: Immunosuppressed patients face increased health risks due to infections such as influenza or COVID-19. Scientific evidence supports improved health-related outcomes in this patient population, such as reduced hospitalizations, with up-to-date vaccinations. The project setting, a community-based rheumatology clinic, did not have a vaccination record specific to the needs of immunosuppressed patients, which may lead to a suboptimal immunization status in these patients.

Objective: This project aimed to promote evidence-based practices regarding the use of vaccinations in patients diagnosed with autoimmune disorders receiving immunosuppressive agents.

Methods: This project used the JBI evidence implementation framework to promote best practices regarding vaccination. Two audit criteria were identified using a JBI Evidence Summary. Baseline audits identified gaps between the evidence and current practice. Barriers to best practice were then identified, and strategies implemented. Post-implementation audits measured changes in compliance.

Results: Baseline audits revealed 67% compliance with the two best practices. Barriers included a lack of provider awareness of the current vaccination recommendations for immunosuppressed patients and a lack of customizable vaccine records. Strategies to address these barriers included educating providers about current national vaccination recommendations and implementing a new patient vaccination history intake form. Post-implementation audits revealed 83% compliance, with a 16% increase from baseline.

Conclusions: This evidence-based implementation project enhanced best practices by educating providers and implementing an updated patient vaccination history form. Recommendations include the improved compliance with the use of the new form and to assess the effectiveness and usability of a customizable electronic form that interfaces with the clinic's electronic medical records.

导言:免疫抑制患者因感染流感或 COVID-19 等疾病而面临更大的健康风险。科学证据表明,接种最新疫苗可改善这类患者的健康状况,例如减少住院次数。该项目的实施地点是一家社区风湿病诊所,该诊所没有专门针对免疫抑制患者需求的疫苗接种记录,这可能会导致这些患者的免疫接种状况不理想:本项目旨在推广有关接受免疫抑制剂治疗的自身免疫性疾病患者接种疫苗的循证实践:该项目使用 JBI 证据实施框架来推广有关疫苗接种的最佳实践。使用 JBI 证据摘要确定了两个审核标准。基线审核确定了证据与当前实践之间的差距。然后确定最佳实践的障碍,并实施相关策略。实施后的审核衡量了合规性的变化:结果:基线审计显示,两项最佳实践的合规率为 67%。障碍包括医疗服务提供者对免疫抑制患者的现行疫苗接种建议缺乏了解,以及缺乏可定制的疫苗记录。解决这些障碍的策略包括教育医疗服务提供者了解当前国家的疫苗接种建议,以及实施新患者疫苗接种史接收表。实施后的审计显示,疫苗接种依从性达到 83%,比基线提高了 16%:该循证实施项目通过教育医疗服务提供者和实施更新的患者疫苗接种史表格,加强了最佳实践。建议包括提高使用新表格的依从性,以及评估与诊所电子病历接口的可定制电子表格的有效性和可用性。
{"title":"Vaccinations in patients diagnosed with an autoimmune disorder receiving an immunosuppressive agent: a best practice implementation project.","authors":"Betty Loflin, Linda Upchurch, Michelle Palokas, Robin Christian","doi":"10.1097/XEB.0000000000000404","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000404","url":null,"abstract":"<p><strong>Introduction: </strong>Immunosuppressed patients face increased health risks due to infections such as influenza or COVID-19. Scientific evidence supports improved health-related outcomes in this patient population, such as reduced hospitalizations, with up-to-date vaccinations. The project setting, a community-based rheumatology clinic, did not have a vaccination record specific to the needs of immunosuppressed patients, which may lead to a suboptimal immunization status in these patients.</p><p><strong>Objective: </strong>This project aimed to promote evidence-based practices regarding the use of vaccinations in patients diagnosed with autoimmune disorders receiving immunosuppressive agents.</p><p><strong>Methods: </strong>This project used the JBI evidence implementation framework to promote best practices regarding vaccination. Two audit criteria were identified using a JBI Evidence Summary. Baseline audits identified gaps between the evidence and current practice. Barriers to best practice were then identified, and strategies implemented. Post-implementation audits measured changes in compliance.</p><p><strong>Results: </strong>Baseline audits revealed 67% compliance with the two best practices. Barriers included a lack of provider awareness of the current vaccination recommendations for immunosuppressed patients and a lack of customizable vaccine records. Strategies to address these barriers included educating providers about current national vaccination recommendations and implementing a new patient vaccination history intake form. Post-implementation audits revealed 83% compliance, with a 16% increase from baseline.</p><p><strong>Conclusions: </strong>This evidence-based implementation project enhanced best practices by educating providers and implementing an updated patient vaccination history form. Recommendations include the improved compliance with the use of the new form and to assess the effectiveness and usability of a customizable electronic form that interfaces with the clinic's electronic medical records.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2024-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139075563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
HPV vaccination among eligible HIV-positive adults: a best practice implementation project. 为符合条件的 HIV 阳性成人接种 HPV 疫苗:最佳实践实施项目。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-12-29 DOI: 10.1097/XEB.0000000000000403
Holly Walker, Candon Garbo, Michelle Palokas

Objective: The aim of this best practice implementation project was to promote evidence-based practices (EBPs) for human papilloma virus (HPV) vaccination among eligible HIV-positive patients.

Introduction: HPV-induced cancers are largely preventable by prophylactic vaccination of HPV-naïve individuals. Immunosuppression in HIV-positive patients prevents clearance of HPV, which increases the risk of developing cancer. Health care agencies caring for individuals living with HIV must implement interventions to enhance uptake of HPV vaccination.

Methods: This project was guided by the JBI Model of Evidence-Based Healthcare and JBI's Getting Research into Practice (GRiP) tool. A baseline audit was conducted to assess current practice against EBPs and to identify areas for improvement. A follow-up audit was used post-implementation to determine whether compliance with EBPs improved.

Results: The baseline audit revealed an average compliance rate of 46% with the two EBPs for increasing vaccination uptake. Three barriers to compliance were identified and strategies were implemented to address these barriers. The follow-up audit revealed 71% average compliance with the EBPs, a 25% increase from baseline.

Conclusions: Interventions aimed at promoting HPV vaccination among HIV-positive individuals can reduce the risk of specific cancers. This project revealed an increase in compliance with EBPs for HPV vaccination for eligible HIV-positive patients when a vaccination reminder and recall system was placed in a frequently visited section of the electronic health record. However, a more sustainable solution would be to collaborate with the information technology staff to ensure that the health maintenance section in the electronic health record is configured correctly.

目的: 本最佳实践实施项目旨在向符合条件的 HIV 阳性患者推广人类乳头瘤病毒(HPV)疫苗接种的循证实践(EBPs):本最佳实践实施项目旨在向符合条件的 HIV 阳性患者推广人类乳头瘤病毒 (HPV) 疫苗接种的循证实践 (EBP):导言:HPV 引起的癌症在很大程度上可以通过对未接种 HPV 的个体进行预防性接种来预防。HIV 阳性患者的免疫抑制阻碍了 HPV 的清除,从而增加了罹患癌症的风险。照顾艾滋病病毒感染者的医疗机构必须采取干预措施,提高HPV疫苗接种率:该项目以 JBI 循证医疗模式和 JBI 的 "将研究应用于实践"(GRiP)工具为指导。通过基线审计,对照 EBPs 评估当前实践,并确定需要改进的领域。实施后进行跟踪审计,以确定 EBPs 的合规情况是否有所改善:基线审计显示,提高疫苗接种率的两个 EBPs 的平均达标率为 46%。结果:基线审计显示,两项提高疫苗接种率的 EBPs 的平均达标率为 46%。后续审计显示,EBPs 的平均符合率为 71%,比基线提高了 25%:结论:旨在促进艾滋病毒呈阳性者接种人乳头瘤病毒疫苗的干预措施可以降低罹患特定癌症的风险。该项目显示,在电子健康记录中经常访问的部分放置疫苗接种提醒和召回系统后,符合条件的 HIV 阳性患者接种 HPV 疫苗的 EBPs 依从性有所提高。不过,更可持续的解决方案是与信息技术人员合作,确保电子健康记录中的健康维护部分配置正确。
{"title":"HPV vaccination among eligible HIV-positive adults: a best practice implementation project.","authors":"Holly Walker, Candon Garbo, Michelle Palokas","doi":"10.1097/XEB.0000000000000403","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000403","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this best practice implementation project was to promote evidence-based practices (EBPs) for human papilloma virus (HPV) vaccination among eligible HIV-positive patients.</p><p><strong>Introduction: </strong>HPV-induced cancers are largely preventable by prophylactic vaccination of HPV-naïve individuals. Immunosuppression in HIV-positive patients prevents clearance of HPV, which increases the risk of developing cancer. Health care agencies caring for individuals living with HIV must implement interventions to enhance uptake of HPV vaccination.</p><p><strong>Methods: </strong>This project was guided by the JBI Model of Evidence-Based Healthcare and JBI's Getting Research into Practice (GRiP) tool. A baseline audit was conducted to assess current practice against EBPs and to identify areas for improvement. A follow-up audit was used post-implementation to determine whether compliance with EBPs improved.</p><p><strong>Results: </strong>The baseline audit revealed an average compliance rate of 46% with the two EBPs for increasing vaccination uptake. Three barriers to compliance were identified and strategies were implemented to address these barriers. The follow-up audit revealed 71% average compliance with the EBPs, a 25% increase from baseline.</p><p><strong>Conclusions: </strong>Interventions aimed at promoting HPV vaccination among HIV-positive individuals can reduce the risk of specific cancers. This project revealed an increase in compliance with EBPs for HPV vaccination for eligible HIV-positive patients when a vaccination reminder and recall system was placed in a frequently visited section of the electronic health record. However, a more sustainable solution would be to collaborate with the information technology staff to ensure that the health maintenance section in the electronic health record is configured correctly.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors that influence the implementation of innovation in aged care: a scoping review. 影响老年护理创新实施的因素:范围审查。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-12-29 DOI: 10.1097/XEB.0000000000000407
Alice Windle, Amy Marshall, Lenore de la Perrelle, Stephanie Champion, Paul D S Ross, Gillian Harvey, Carol Davy

Objective: The objective of this scoping review is to identify factors that influence the implementation of innovation in aged care.

Introduction: Aged care is a dynamic sector experiencing rapid change. Implementation of innovations in aged care has received relatively little research attention compared to health care.

Inclusion criteria: This review included studies of any design, that examined the implementation of innovations in aged care settings.

Methods: Searches were conducted in MEDLINE, CINAHL, AgeLine, and ProQuest Social Sciences Premium Collection for studies published between January 1, 2012 and December 31, 2022. The titles and abstracts of retrieved citations were screened by two independent reviewers. Full-text articles were screened by one reviewer to determine inclusion. Data were extracted in NVivo using a tool developed by the research team. Factors that influenced implementation were inductively coded, interpreted, and grouped into categories in a series of workshops.

Results: Of the 2530 studies that were screened, 193 were included. Of the included papers, the majority (74%) related to residential aged care, 28% used an implementation theory or framework, and 15% involved consumers. Five key categories of factors influencing implementation were identified: organizational context including resourcing and culture; people's attitudes and capabilities; relationships between people; the intervention and its appropriateness; and implementation actions such as stakeholder engagement and implementation strategies.

Conclusions: Our findings can be used to develop practical resources to support implementation efforts, and highlight the importance of resourcing for successful implementation. Attention to community-based aged care, and greater engagement with theory and community is needed to promote research rigor, relevance and applicability.

目标:本综述旨在确定影响老年护理创新实施的因素:养老护理是一个充满活力的行业,正经历着快速的变化。与医疗保健领域相比,养老护理领域实施创新的研究相对较少:本综述包括任何设计的研究,这些研究考察了创新在老年护理环境中的实施情况:方法:在 MEDLINE、CINAHL、AgeLine 和 ProQuest Social Sciences Premium Collection 中检索 2012 年 1 月 1 日至 2022 年 12 月 31 日期间发表的研究。检索到的引文的标题和摘要由两名独立审稿人进行筛选。文章全文由一名审稿人筛选,以确定是否纳入。使用研究团队开发的工具在 NVivo 中提取数据。在一系列研讨会上,对影响实施的因素进行了归纳编码、解释和分类:在筛选出的 2530 项研究中,有 193 项被纳入。在收录的论文中,大多数(74%)与养老院护理有关,28%使用了实施理论或框架,15%涉及消费者。研究确定了影响实施的五类关键因素:包括资源配置和文化在内的组织环境;人们的态度和能力;人与人之间的关系;干预措施及其适宜性;以及利益相关者参与和实施策略等实施行动:我们的研究结果可用于开发支持实施工作的实用资源,并强调资源配置对成功实施的重要性。需要关注以社区为基础的老年护理,并更多地参与理论和社区活动,以促进研究的严谨性、相关性和适用性。
{"title":"Factors that influence the implementation of innovation in aged care: a scoping review.","authors":"Alice Windle, Amy Marshall, Lenore de la Perrelle, Stephanie Champion, Paul D S Ross, Gillian Harvey, Carol Davy","doi":"10.1097/XEB.0000000000000407","DOIUrl":"10.1097/XEB.0000000000000407","url":null,"abstract":"<p><strong>Objective: </strong>The objective of this scoping review is to identify factors that influence the implementation of innovation in aged care.</p><p><strong>Introduction: </strong>Aged care is a dynamic sector experiencing rapid change. Implementation of innovations in aged care has received relatively little research attention compared to health care.</p><p><strong>Inclusion criteria: </strong>This review included studies of any design, that examined the implementation of innovations in aged care settings.</p><p><strong>Methods: </strong>Searches were conducted in MEDLINE, CINAHL, AgeLine, and ProQuest Social Sciences Premium Collection for studies published between January 1, 2012 and December 31, 2022. The titles and abstracts of retrieved citations were screened by two independent reviewers. Full-text articles were screened by one reviewer to determine inclusion. Data were extracted in NVivo using a tool developed by the research team. Factors that influenced implementation were inductively coded, interpreted, and grouped into categories in a series of workshops.</p><p><strong>Results: </strong>Of the 2530 studies that were screened, 193 were included. Of the included papers, the majority (74%) related to residential aged care, 28% used an implementation theory or framework, and 15% involved consumers. Five key categories of factors influencing implementation were identified: organizational context including resourcing and culture; people's attitudes and capabilities; relationships between people; the intervention and its appropriateness; and implementation actions such as stakeholder engagement and implementation strategies.</p><p><strong>Conclusions: </strong>Our findings can be used to develop practical resources to support implementation efforts, and highlight the importance of resourcing for successful implementation. Attention to community-based aged care, and greater engagement with theory and community is needed to promote research rigor, relevance and applicability.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11163893/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139049603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-centered health care planning in acute inpatient mental health settings: a best practice implementation project. 以病人为中心的急性住院精神卫生保健规划:最佳实践实施项目。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1097/XEB.0000000000000381
Corina Gagiu, Doina C Mazilu, Mariana Zazu, Viorica Nedelcu, Dorinela A Jitianu, Mirela Manea, Tereza Vrbová, Miloslav Klugar, Jitka Klugarová

Objectives: The current project aimed to improve the quality of health care by promoting evidence-based practice (EBP) regarding mental health care planning (MHCP) for adult inpatients.

Introduction: The implementation of the best evidence in the process of developing and documenting nursing care plans is currently an important legal requirement that contributes to increasing the quality of care.

Methods: This implementation project was based on the JBI evidence implementation approach and included a baseline audit of seven criteria, implementation of strategies, and a follow-up audit. The project was conducted in an acute psychiatric setting at a university hospital in Bucharest, Romania. The sample included 17 nurses and 30 ward patients.

Results: The baseline audit revealed low compliance (33%-37%) for criterion 3 (a comprehensive care plan) and criterion 4 (patient involvement); moderate compliance (55%) for criterion 1 (care plan for all patients); and increased compliance (97%-100%) for criterion 2 (assessment of patient's needs), criterion 5 (education of patients/caregivers), criterion 6 (providing a copy at discharge), and criterion 7 (education of professionals). As a result of implementing the most appropriate strategies, the maximum improvement (100%) was observed across all five audit criteria that were found to be deficient in the baseline audit.

Conclusion: The development and implementation of strategies adapted to specific care need to play a key role in the implementation of EBP. In this case, educating nurses, facilitating nurses' access to EBP for care planning, and improving procedures proved effective in achieving maximum compliance with all the audit criteria.

目的:本项目旨在通过促进成人住院患者精神卫生保健计划(MHCP)的循证实践(EBP)来提高卫生保健质量。导言:在制定和记录护理计划的过程中实施最佳证据是目前一项重要的法律要求,有助于提高护理质量。方法:该实施项目基于JBI证据实施方法,包括七个标准的基线审计、实施策略和后续审计。该项目是在罗马尼亚布加勒斯特一所大学医院的急性精神病环境中进行的。样本包括17名护士和30名病房病人。结果:基线审计显示标准3(综合护理计划)和标准4(患者参与)的依从性较低(33%-37%);标准1(所有患者的护理计划)的中度依从性(55%);标准2(患者需求评估)、标准5(患者/护理人员教育)、标准6(出院时提供复印件)和标准7(专业人员教育)的依从性提高(97%-100%)。由于实施了最适当的策略,在基线审计中发现的所有五个审计标准中都观察到最大的改进(100%)。结论:制定和实施适合特殊护理的策略是实施EBP的关键。在这种情况下,教育护士,促进护士使用EBP进行护理计划,改进程序被证明是有效的,可以最大限度地遵守所有审计标准。
{"title":"Patient-centered health care planning in acute inpatient mental health settings: a best practice implementation project.","authors":"Corina Gagiu, Doina C Mazilu, Mariana Zazu, Viorica Nedelcu, Dorinela A Jitianu, Mirela Manea, Tereza Vrbová, Miloslav Klugar, Jitka Klugarová","doi":"10.1097/XEB.0000000000000381","DOIUrl":"10.1097/XEB.0000000000000381","url":null,"abstract":"<p><strong>Objectives: </strong>The current project aimed to improve the quality of health care by promoting evidence-based practice (EBP) regarding mental health care planning (MHCP) for adult inpatients.</p><p><strong>Introduction: </strong>The implementation of the best evidence in the process of developing and documenting nursing care plans is currently an important legal requirement that contributes to increasing the quality of care.</p><p><strong>Methods: </strong>This implementation project was based on the JBI evidence implementation approach and included a baseline audit of seven criteria, implementation of strategies, and a follow-up audit. The project was conducted in an acute psychiatric setting at a university hospital in Bucharest, Romania. The sample included 17 nurses and 30 ward patients.</p><p><strong>Results: </strong>The baseline audit revealed low compliance (33%-37%) for criterion 3 (a comprehensive care plan) and criterion 4 (patient involvement); moderate compliance (55%) for criterion 1 (care plan for all patients); and increased compliance (97%-100%) for criterion 2 (assessment of patient's needs), criterion 5 (education of patients/caregivers), criterion 6 (providing a copy at discharge), and criterion 7 (education of professionals). As a result of implementing the most appropriate strategies, the maximum improvement (100%) was observed across all five audit criteria that were found to be deficient in the baseline audit.</p><p><strong>Conclusion: </strong>The development and implementation of strategies adapted to specific care need to play a key role in the implementation of EBP. In this case, educating nurses, facilitating nurses' access to EBP for care planning, and improving procedures proved effective in achieving maximum compliance with all the audit criteria.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463739","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Screening, prevention, and management of patients with poststroke depression in a tertiary hospital in China: a best practice implementation project. 中国某三级医院脑卒中后抑郁症患者的筛查、预防和管理:最佳实践实施项目
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1097/XEB.0000000000000377
Jing Tan, Olivia Brancatisano, Dominique A Cadilhac, Bo Deng, Yanni Wu, Yan Li, Ning Liu

Introduction: Poststroke depression (PSD) is common but insufficiently addressed by health professionals, and management is not always evidence-based.

Objectives: This evidence implementation project aimed to improve adherence to evidence-based practice for screening, prevention, and management of patients with PSD in the neurology ward of the Fifth Affiliated Hospital of Zunyi Medical University, China.

Methods: This project was based on the JBI methodological approach and was conducted in three phases, from January to June 2021: a baseline audit, implementation of strategies, and a follow-up audit. We utilized the JBI Practical Application of Clinical Evidence System software and the Getting Research into Practice tools. Fourteen nurses, 162 stroke patients, and their caregivers participated in this study.

Results: The results of the baseline audit showed that compliance with evidence-based practice was poor, with 3/6 criteria showing 0% adherence and the other three audit criteria showing 5.7, 10.3, and 49.4% adherence, respectively. Through feedback to nurses regarding the baseline audit results, the project team identified five barriers and adopted a battery of strategies to overcome these barriers. The follow-up audit revealed significantly enhanced outcomes across all the best practice criteria, and the compliance of each criterion reached at least 80%.

Conclusion: The implementation program designed to screen, prevent, and manage PSD in a tertiary hospital in China improved nurses' knowledge and compliance with evidence-based management of PSD. Further testing of this program in more hospitals is needed.

脑卒中后抑郁(PSD)很常见,但卫生专业人员对其处理不足,而且管理并不总是基于证据。目的:本证据实施项目旨在提高遵义医科大学第五附属医院神经内科病房PSD患者筛查、预防和管理循证实践的依从性。方法:该项目基于JBI方法,从2021年1月至6月分三个阶段进行:基线审计、战略实施和后续审计。我们使用了JBI临床证据系统的实际应用软件和将研究转化为实践的工具。14名护士、162名中风患者及其护理人员参与了这项研究。结果:基线审计的结果显示,对循证实践的依从性较差,3/6标准的依从性为0%,其他三个审计标准的依从性分别为5.7、10.3和49.4%。通过向护士反馈基线审计结果,项目团队确定了五个障碍,并采取了一系列策略来克服这些障碍。后续审核显示,所有最佳实践标准的结果显著增强,每个标准的符合性至少达到80%。结论:某三级医院PSD筛查、预防和管理实施方案提高了护士对PSD循证管理的认识和依从性。需要在更多的医院对这一项目进行进一步的测试。
{"title":"Screening, prevention, and management of patients with poststroke depression in a tertiary hospital in China: a best practice implementation project.","authors":"Jing Tan, Olivia Brancatisano, Dominique A Cadilhac, Bo Deng, Yanni Wu, Yan Li, Ning Liu","doi":"10.1097/XEB.0000000000000377","DOIUrl":"10.1097/XEB.0000000000000377","url":null,"abstract":"<p><strong>Introduction: </strong>Poststroke depression (PSD) is common but insufficiently addressed by health professionals, and management is not always evidence-based.</p><p><strong>Objectives: </strong>This evidence implementation project aimed to improve adherence to evidence-based practice for screening, prevention, and management of patients with PSD in the neurology ward of the Fifth Affiliated Hospital of Zunyi Medical University, China.</p><p><strong>Methods: </strong>This project was based on the JBI methodological approach and was conducted in three phases, from January to June 2021: a baseline audit, implementation of strategies, and a follow-up audit. We utilized the JBI Practical Application of Clinical Evidence System software and the Getting Research into Practice tools. Fourteen nurses, 162 stroke patients, and their caregivers participated in this study.</p><p><strong>Results: </strong>The results of the baseline audit showed that compliance with evidence-based practice was poor, with 3/6 criteria showing 0% adherence and the other three audit criteria showing 5.7, 10.3, and 49.4% adherence, respectively. Through feedback to nurses regarding the baseline audit results, the project team identified five barriers and adopted a battery of strategies to overcome these barriers. The follow-up audit revealed significantly enhanced outcomes across all the best practice criteria, and the compliance of each criterion reached at least 80%.</p><p><strong>Conclusion: </strong>The implementation program designed to screen, prevent, and manage PSD in a tertiary hospital in China improved nurses' knowledge and compliance with evidence-based management of PSD. Further testing of this program in more hospitals is needed.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10715693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9722522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Handwritten prescription practices in a public hospital in Uasin Gishu County, Kenya: a best practice implementation project. 肯尼亚Uasin Gishu县一家公立医院的手写处方实践:最佳实践实施项目。
IF 2.3 4区 医学 Q2 Medicine Pub Date : 2023-12-01 DOI: 10.1097/XEB.0000000000000390
Henry Amdany, Jedidah W Kiprop

Background: Prescription writing error is a common phenomenon in the health sector. Appropriate handwritten prescription practices minimize medical errors during medical drug dispensing.

Objectives: This project aimed to identify the extent to which clinicians adhere to handwritten drug prescription best practices and implement evidence-based strategies to improve compliance with handwritten prescription best practices in an outpatient department.

Methods: The project was conceptually informed by the JBI Model of Evidence-Based Health care and the JBI Evidence Implementation Framework. Baseline and follow-up audit data were collected and analyzed using JBI's Practical Application of Clinical Evidence System (PACES) software. The JBI Getting Research into Practice (GRiP) program was used to identify potential barriers and design intervention strategies. The project was conducted in a public hospital outpatient department in Uasin Gishu County, Kenya.

Results: There was a 100% improvement in compliance with the number of prescribers who had received education on essential features of a handwritten drug prescription. High compliance was observed in prescriptions that indicated the patient name (99%) and date of prescription (98%) in the follow-up audit. Approximately half of the prescriptions included a diagnosis of the disease in both the baseline and the follow-up audit. However, in the follow-up audit, only 21% of the prescriptions had legible handwriting and 27% prescribed drugs using the generic drug name.

Conclusion: Regular audits and dissemination of audit findings through continuous medical education, hospital communication forums, and notices improved compliance with the number of prescriptions that contained the patient identifier and the date of prescription.

背景:处方书写错误是卫生部门的常见现象。适当的手写处方可以最大限度地减少医疗药品配药过程中的医疗错误。目的:该项目旨在确定临床医生在多大程度上遵守手写药物处方最佳实践,并实施循证策略,以提高门诊部对手写处方最佳实践的依从性。方法:该项目在概念上依据循证医疗的JBI模型和JBI证据实施框架。使用JBI的临床证据系统实际应用(PACES)软件收集和分析基线和随访审计数据。JBI将研究付诸实践(GRiP)计划用于识别潜在的障碍并设计干预策略。该项目在肯尼亚乌阿辛吉舒县的一家公立医院门诊部进行。结果:接受过手写药物处方基本特征教育的处方医生的依从性提高了100%。在随访审计中,显示患者姓名(99%)和处方日期(98%)的处方依从性很高。大约一半的处方包括在基线和随访审计中对该疾病的诊断。然而,在后续审计中,只有21%的处方字迹清晰,27%的处方使用仿制药名称。结论:通过持续的医学教育、医院沟通论坛和通知,定期审计和传播审计结果,提高了对包含患者标识符和处方日期的处方数量的遵守率。
{"title":"Handwritten prescription practices in a public hospital in Uasin Gishu County, Kenya: a best practice implementation project.","authors":"Henry Amdany, Jedidah W Kiprop","doi":"10.1097/XEB.0000000000000390","DOIUrl":"10.1097/XEB.0000000000000390","url":null,"abstract":"<p><strong>Background: </strong>Prescription writing error is a common phenomenon in the health sector. Appropriate handwritten prescription practices minimize medical errors during medical drug dispensing.</p><p><strong>Objectives: </strong>This project aimed to identify the extent to which clinicians adhere to handwritten drug prescription best practices and implement evidence-based strategies to improve compliance with handwritten prescription best practices in an outpatient department.</p><p><strong>Methods: </strong>The project was conceptually informed by the JBI Model of Evidence-Based Health care and the JBI Evidence Implementation Framework. Baseline and follow-up audit data were collected and analyzed using JBI's Practical Application of Clinical Evidence System (PACES) software. The JBI Getting Research into Practice (GRiP) program was used to identify potential barriers and design intervention strategies. The project was conducted in a public hospital outpatient department in Uasin Gishu County, Kenya.</p><p><strong>Results: </strong>There was a 100% improvement in compliance with the number of prescribers who had received education on essential features of a handwritten drug prescription. High compliance was observed in prescriptions that indicated the patient name (99%) and date of prescription (98%) in the follow-up audit. Approximately half of the prescriptions included a diagnosis of the disease in both the baseline and the follow-up audit. However, in the follow-up audit, only 21% of the prescriptions had legible handwriting and 27% prescribed drugs using the generic drug name.</p><p><strong>Conclusion: </strong>Regular audits and dissemination of audit findings through continuous medical education, hospital communication forums, and notices improved compliance with the number of prescriptions that contained the patient identifier and the date of prescription.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41216465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Jbi Evidence Implementation
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1