首页 > 最新文献

Jbi Evidence Implementation最新文献

英文 中文
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 HEALTH CARE SCIENCES & SERVICES 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":" ","pages":""},"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 HEALTH CARE SCIENCES & SERVICES 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":" ","pages":""},"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 HEALTH CARE SCIENCES & SERVICES 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":" ","pages":""},"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 HEALTH CARE SCIENCES & SERVICES 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":"21 S1","pages":"S28-S37"},"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 HEALTH CARE SCIENCES & SERVICES 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":" ","pages":"325-334"},"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 HEALTH CARE SCIENCES & SERVICES 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":" ","pages":"345-354"},"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
Improving the quality of self-management in discharged patients with multiple sclerosis: a best practice implementation project. 提高多发性硬化症出院患者的自我管理质量:最佳实践实施项目。
IF 2.3 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-12-01 DOI: 10.1097/XEB.0000000000000389
Yafang Xu, Lucylynn Lizarondo, Yan Zhao, Chao Quan, Yanpei Cao

Objectives: This project determined current compliance with best practice recommendations for self-management in patients with multiple sclerosis (MS) and used a web-based intervention to implement strategies to improve the quality of self-management in discharged patients with MS.

Methods: Guided by the JBI Evidence-based Model of Health care, this project applied the 7 phases of the JBI Evidence Implementation Framework to improve the quality of self-management in MS patients.

Results: After implementation, compliance significantly improved across all criteria compared with the baseline audit. All patients were assessed to determine their ability to self-manage (Criterion 1). All health care providers were trained to facilitate self-management and behavioral change (Criterion 2). All patients had self-management goals and action plans that were set together by both health care providers and patients (Criteria 3, 5, 6, 7). All patients received education through online patient education courses and were given an education handbook (Criterion 4). The agreed action plan was documented (Criterion 8). All members of the multidisciplinary team coordinated the services required by the patients (Criterion 9) and provided appropriate support to help patients achieve their goals and solve problems through a WeChat group and the communication module on the self-management online platform (Criterion 10).

Conclusion: This implementation project effectively promoted practice change by enhancing patients' knowledge of self-management and staff awareness of delivering self-management support to MS patients.

目的:该项目确定了目前多发性硬化症(MS)患者自我管理最佳实践建议的依从性,并使用基于网络的干预措施来实施策略,以提高MS出院患者的自我管理质量。方法:在JBI循证医疗模型的指导下,该项目应用了JBI证据实施框架的7个阶段,以提高MS患者的自我管理质量。结果:实施后,与基线审计相比,所有标准的合规性都显著提高。对所有患者进行评估,以确定他们的自我管理能力(标准1)。所有医疗保健提供者都接受了促进自我管理和行为改变的培训(标准2)。所有患者都有由医疗保健提供者和患者共同制定的自我管理目标和行动计划(标准3、5、6、7)。所有患者通过在线患者教育课程接受教育,并获得教育手册(标准4)。商定的行动计划已形成文件(标准8)。多学科团队的所有成员协调患者所需的服务(标准9),并通过微信群和自我管理在线平台上的沟通模块(标准10)提供适当的支持,帮助患者实现目标和解决问题。结论:该实施项目通过提高患者的自我管理知识和员工为MS患者提供自我管理支持的意识,有效地促进了实践的转变。
{"title":"Improving the quality of self-management in discharged patients with multiple sclerosis: a best practice implementation project.","authors":"Yafang Xu, Lucylynn Lizarondo, Yan Zhao, Chao Quan, Yanpei Cao","doi":"10.1097/XEB.0000000000000389","DOIUrl":"10.1097/XEB.0000000000000389","url":null,"abstract":"<p><strong>Objectives: </strong>This project determined current compliance with best practice recommendations for self-management in patients with multiple sclerosis (MS) and used a web-based intervention to implement strategies to improve the quality of self-management in discharged patients with MS.</p><p><strong>Methods: </strong>Guided by the JBI Evidence-based Model of Health care, this project applied the 7 phases of the JBI Evidence Implementation Framework to improve the quality of self-management in MS patients.</p><p><strong>Results: </strong>After implementation, compliance significantly improved across all criteria compared with the baseline audit. All patients were assessed to determine their ability to self-manage (Criterion 1). All health care providers were trained to facilitate self-management and behavioral change (Criterion 2). All patients had self-management goals and action plans that were set together by both health care providers and patients (Criteria 3, 5, 6, 7). All patients received education through online patient education courses and were given an education handbook (Criterion 4). The agreed action plan was documented (Criterion 8). All members of the multidisciplinary team coordinated the services required by the patients (Criterion 9) and provided appropriate support to help patients achieve their goals and solve problems through a WeChat group and the communication module on the self-management online platform (Criterion 10).</p><p><strong>Conclusion: </strong>This implementation project effectively promoted practice change by enhancing patients' knowledge of self-management and staff awareness of delivering self-management support to MS patients.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"355-364"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523028","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
Implementation science: a primer. 实现科学:入门。
IF 2.3 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-12-01 DOI: 10.1097/XEB.0000000000000398
Craig S Lockwood, Noah M Ivers
{"title":"Implementation science: a primer.","authors":"Craig S Lockwood, Noah M Ivers","doi":"10.1097/XEB.0000000000000398","DOIUrl":"10.1097/XEB.0000000000000398","url":null,"abstract":"","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":"21 4","pages":"307-309"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463733","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
Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project. 妊娠期糖尿病妇女的产前和产时护理:最佳做法实施项目。
IF 2.3 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-12-01 DOI: 10.1097/XEB.0000000000000392
Daniela Stan, Doina C Mazilu, Mariana Zazu, Viorica Nedelcu, Monica Teodor, Elvira Brătilă, Tereza Vrbová, Miloslav Klugar, Jitka Klugarová

Objectives: This project aimed to improve the quality of antenatal and intrapartum care for women with gestational diabetes (GD) by increasing nursing and midwifery care compliance with best practice recommendations.

Introduction: GD is one of the most common diseases that can lead to several important maternal and fetal complications.

Methods: This project was based on JBI's evidence implementation approach and included a baseline audit, the implementation of strategies, and a follow-up audit. The project was conducted in an obstetrics-gynecology department of a hospital in Bucharest, and the sample included 30 pregnant women with GD from that ward.

Results: Regarding antenatal care, the baseline audit revealed low compliance (63%-87%) for criterion 2 (specific education), criterion 3 (multidisciplinary team), criterion 4 (individualized care plan), criterion 5 (training on self-monitoring), criterion 8 (dietician consultation), and criterion 10 (physical exercise program). Compliance with criterion 9 (physiotherapist consultation) was nil. Higher compliance (90%-100%) was reported for criterion 1 (screening for GD), criterion 6 (self-monitoring), and criterion 7 (maintenance of glycemic values). The intrapartum care audit criteria regarding maintaining blood glucose levels had compliance rates of 97% (criteria 13 and 14), 73% (criterion 11), and 67% (criterion 12). As a result of implementing the most appropriate strategies, maximum improvement was observed for all 12 audit criteria found to be deficient in the baseline audit.

Conclusions: Strategies were identified and applied to successfully implement the best practices (educational programs and improved procedures). However, specific actions, such as regular targeted audits and continuous monitoring, are needed to maintain long-term results.

目的:本项目旨在通过提高护理和助产护理对最佳实践建议的依从性,提高妊娠期糖尿病(GD)妇女的产前和产中护理质量。GD是最常见的疾病之一,可导致几种重要的母体和胎儿并发症。方法:本项目基于JBI的证据实施方法,包括基线审计、策略实施和随访审计。该项目在布加勒斯特一家医院的妇产科进行,样本包括该病房30名患有GD的孕妇。结果:关于产前保健,基线审计显示标准2(特殊教育)、标准3(多学科团队)、标准4(个性化护理计划)、标准5(自我监测培训)、标准8(营养师咨询)和标准10(体育锻炼计划)的依从性较低(63%-87%)。对标准9(物理治疗师咨询)的依从性为零。标准1 (GD筛查)、标准6(自我监测)和标准7(维持血糖值)的依从性较高(90%-100%)。关于维持血糖水平的产时护理审计标准的依从率分别为97%(标准13和14)、73%(标准11)和67%(标准12)。由于执行了最适当的战略,在基线审计中发现的所有12项审计标准都得到了最大程度的改进。结论:确定了策略并应用于成功实施最佳实践(教育计划和改进的程序)。但是,需要采取具体行动,例如定期有目标的审计和持续监测,以保持长期结果。
{"title":"Antenatal and intrapartum care for women with gestational diabetes: a best practice implementation project.","authors":"Daniela Stan, Doina C Mazilu, Mariana Zazu, Viorica Nedelcu, Monica Teodor, Elvira Brătilă, Tereza Vrbová, Miloslav Klugar, Jitka Klugarová","doi":"10.1097/XEB.0000000000000392","DOIUrl":"10.1097/XEB.0000000000000392","url":null,"abstract":"<p><strong>Objectives: </strong>This project aimed to improve the quality of antenatal and intrapartum care for women with gestational diabetes (GD) by increasing nursing and midwifery care compliance with best practice recommendations.</p><p><strong>Introduction: </strong>GD is one of the most common diseases that can lead to several important maternal and fetal complications.</p><p><strong>Methods: </strong>This project was based on JBI's evidence implementation approach and included a baseline audit, the implementation of strategies, and a follow-up audit. The project was conducted in an obstetrics-gynecology department of a hospital in Bucharest, and the sample included 30 pregnant women with GD from that ward.</p><p><strong>Results: </strong>Regarding antenatal care, the baseline audit revealed low compliance (63%-87%) for criterion 2 (specific education), criterion 3 (multidisciplinary team), criterion 4 (individualized care plan), criterion 5 (training on self-monitoring), criterion 8 (dietician consultation), and criterion 10 (physical exercise program). Compliance with criterion 9 (physiotherapist consultation) was nil. Higher compliance (90%-100%) was reported for criterion 1 (screening for GD), criterion 6 (self-monitoring), and criterion 7 (maintenance of glycemic values). The intrapartum care audit criteria regarding maintaining blood glucose levels had compliance rates of 97% (criteria 13 and 14), 73% (criterion 11), and 67% (criterion 12). As a result of implementing the most appropriate strategies, maximum improvement was observed for all 12 audit criteria found to be deficient in the baseline audit.</p><p><strong>Conclusions: </strong>Strategies were identified and applied to successfully implement the best practices (educational programs and improved procedures). However, specific actions, such as regular targeted audits and continuous monitoring, are needed to maintain long-term results.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":"21 S1","pages":"S38-S46"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138463734","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
Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project. 普通病房和急诊科老年患者谵妄风险筛查和评估:最佳实践实施项目。
IF 2.3 4区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Pub Date : 2023-12-01 DOI: 10.1097/XEB.0000000000000393
Laura Lafarga-Molina, Laura Albornos-Muñoz, Esther González-María, Tereza Vrbová, María Teresa Moreno-Casbas, Miloslav Klugar, Jitka Klugarová

Objectives: The aim of this project was to improve compliance with evidence-based criteria regarding risk of delirium and the assessment of delirium among older patients in the general hospitalization wards and the emergency department.

Introduction: More than 50% of older hospitalized patients experience delirium. Some studies have highlighted the need to implement an orientation protocol in the emergency department and to continue this in the general wards, with the aim of decreasing the delirium rate among older patients admitted to hospital.

Methods: The project followed the JBI evidence implementation framework. We conducted a baseline audit, a half-way audit, and final audit of 50 patients at risk of delirium admitted to the emergency department and the general wards, respectively. The audits measured compliance with eight criteria informed by the available evidence.

Results: In the final audit, three of the eight criteria achieved more than 50% compliance in the general wards: pressure injury screening (96%); monitoring changes (74%); and performing interventions (76%). In the emergency department, worse results were reported because of the service conditions. The exception was the criterion on the training of nurses on the topic, with 98%. The integration of a tool to screen for delirium in older patients in the hospital's electronic clinical history records increased the percentage of compliance with audit criteria regarding the use of the scale and delirium detection (rising from 0% to 32% in the final audit in the general wards).

Conclusion: Through the implementation of this project, validated and evidence-based evaluation will ensure that nurses are supported through appropriate measures to reduce patient confusion and aggression resulting from delirium.

目的:该项目的目的是提高对普通住院病房和急诊科老年患者谵妄风险和谵妄评估的循证标准的依从性。导读:超过50%的老年住院患者经历谵妄。一些研究强调,有必要在急诊科实施一项指导协议,并在普通病房继续实施这项协议,目的是降低住院老年患者的谵妄率。方法:项目遵循JBI证据实施框架。我们分别对急诊和普通病房收治的50例有谵妄风险的患者进行了基线审计、中期审计和最终审计。审计根据现有证据衡量了八项标准的遵守情况。结果:在最终审核中,8项标准中有3项在普通病房达到50%以上的符合性:压伤筛查(96%);监测变化(74%);实施干预措施(76%)。在急诊科,由于服务条件,报告的结果更糟。唯一的例外是护士培训标准,为98%。在医院的电子临床病史记录中整合了一种筛查老年患者谵妄的工具,提高了关于使用量表和谵妄检测的审计标准的符合率(在普通病房的最终审计中从0%上升到32%)。结论:通过本项目的实施,经过验证和循证的评估将确保护士通过适当的措施得到支持,减少患者因谵妄而产生的混乱和攻击行为。
{"title":"Delirium risk screening and assessment among older patients in general wards and the emergency department: a best practice implementation project.","authors":"Laura Lafarga-Molina, Laura Albornos-Muñoz, Esther González-María, Tereza Vrbová, María Teresa Moreno-Casbas, Miloslav Klugar, Jitka Klugarová","doi":"10.1097/XEB.0000000000000393","DOIUrl":"10.1097/XEB.0000000000000393","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this project was to improve compliance with evidence-based criteria regarding risk of delirium and the assessment of delirium among older patients in the general hospitalization wards and the emergency department.</p><p><strong>Introduction: </strong>More than 50% of older hospitalized patients experience delirium. Some studies have highlighted the need to implement an orientation protocol in the emergency department and to continue this in the general wards, with the aim of decreasing the delirium rate among older patients admitted to hospital.</p><p><strong>Methods: </strong>The project followed the JBI evidence implementation framework. We conducted a baseline audit, a half-way audit, and final audit of 50 patients at risk of delirium admitted to the emergency department and the general wards, respectively. The audits measured compliance with eight criteria informed by the available evidence.</p><p><strong>Results: </strong>In the final audit, three of the eight criteria achieved more than 50% compliance in the general wards: pressure injury screening (96%); monitoring changes (74%); and performing interventions (76%). In the emergency department, worse results were reported because of the service conditions. The exception was the criterion on the training of nurses on the topic, with 98%. The integration of a tool to screen for delirium in older patients in the hospital's electronic clinical history records increased the percentage of compliance with audit criteria regarding the use of the scale and delirium detection (rising from 0% to 32% in the final audit in the general wards).</p><p><strong>Conclusion: </strong>Through the implementation of this project, validated and evidence-based evaluation will ensure that nurses are supported through appropriate measures to reduce patient confusion and aggression resulting from delirium.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":" ","pages":"S9-S18"},"PeriodicalIF":2.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138048219","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