International Journal of Evidence-Based Healthcare最新文献

Aim: Evidence-based practices (EBPs) seek to promote the implementation of interventions that are effective, appropriate, feasible and meaningful for patients. The current demand for updated EBPs in Finland is shaped by national legislation. This study's aim was to describe nurses', nurse directors' and clinical nurse specialists' (CNSs') perceptions of how well EBPs are being implemented in nursing in Finland.

Methods: In this quantitative descriptive study, the data were collected with an e-questionnaire distributed in Finland in 2017 and analysed using descriptive statistical methods.

Results: A total of 1063 nurses and 340 nurse directors and CNSs participated. The majority of nurses (64%, n = 669) reported that evidence is not clearly used to develop clinical practices. Most nurses (67%, n = 702) and over half of nurse directors and CNSs (57%, n = 184) also observed that knowledge of evidence-based protocols is not widespread within their organizations. However, 39% of nurses (n = 407) and 53% of nurse directors and CNSs (n = 171) stated that they are developing EBPs.

Conclusion: The results indicate that nurses need more support to implement EBPs.

Background: The Spanish Best Practice Guidelines (BPG) Implementation Project is part of the Best Practice Spotlight Organizations international program, coordinated by the Registered Nurses' Association of Ontario (RNAO).

Aims: To influence the uptake of nursing BPG across healthcare organizations, to enable practice excellence and positive client outcomes.

Methods: After translating the RNAO's BPG into Spanish, the Host Organization published a formal call for proposals to select healthcare settings in Spain to implement the RNAO's BPG and evaluate the results. The approach is nursing-led and multidisciplinary; context specific; and involving a wide range of stakeholders. The implementation of BPG Toolkit guides the process: cascade training, selection of recommendations to be implemented, 3 years of planned implementation activities, monitoring of process and outcome results for patients discharged 60 days every year. The Host Organization supports healthcare settings selected.

Results/discussion: The first call was launched in 2012. Eight healthcare settings (11 sites), serving 1.3 million people, were selected (hospitals and primary healthcare centers). They chose 10 BPG, according to their needs. In 2015 and 2018, 16 more healthcare settings have joined the program with a total of 263 sites. And in 2019, three complete regions will join the program as a regional host. Currently, more than 3200 nurses and 40 other healthcare professionals have been trained, evidence-based protocols have been developed or updated, patient education has been promoted, and international Best Practice Spotlight Organizations indicators have been evaluated in an electronic platform.

Conclusion: The results obtained acknowledge that the RNAO implementation method could be replicated with success internationally. The strategies based on local context have worked and we have consolidated a network that shares knowledge and strategies and promotes evidence-based culture among Spanish healthcare settings and evidence-based care to patients.

The internet is becoming a more and more popular source of all kinds of information. The quantity of web pages that offer information and advice about health is increasing, though the quality is often not rising. The aim of the presented work is to describe advantages and difficulties connected with dissemination of evidence-based information in social media. Using Polish Facebook and Twitter profiles over the course of 2 years, we posted about 400 posts and tweets. We analysed types of topics and some strategies to broaden our audience. On basis of our results, we found that probably inconclusive results make review summaries unintelligible and not popular in public media, though the broad reach of posts in public media does not implicate that the message was understood. Even though numerous efforts were put into guidelines on how to write a proper plain language summary of the systematic review, there is still space for improvement.

Background: Several studies pointed out that evidence-based practice (EBP) promotes healthcare quality, reduces healthcare costs and improves the patients' experience. However, the EBP implementation and sustainment in clinical practice remain a challenge mainly due to several gaps between research and practice. Some authors and organizations have highlighted the important role that education could have to reduce those gaps. Therefore, it is mandatory to include EBP content in undergraduate nursing curricula to promote an EBP culture among future nurses.

Aims: To develop an EBP educational intervention designed for undergraduate nursing students. To explore the opinion of students who received the intervention.

Methods: An EBP educational intervention was developed for undergraduate nursing students according to the guideline for reporting EBP educational interventions and teaching checklist by two researchers with experience in science synthesis. The draft of the intervention was sent to experts for an opinion. Their opinions were analyzed and the suggestions were incorporated. Then, the intervention was applied to fourth-year nursing undergraduate students and, afterwards, the feedback of participants was requested through an online questionnaire.

Results/discussion: The program was designed for 17 weeks with a total of 18 h (12 h of classroom lessons and 6 h of mentorship). Eight experts analyzed the draft and provided their opinion. Overall, the experts considered that the program was well designed, but recommended some adjustments regarding the objectives and the target population. After the intervention implementation, 16 participants provided feedback on the program. Their feedback was positive, with an exception made for the duration of the program.

Conclusion: According to the experts' opinion and students' feedback, the EBP educational program seems to be an appropriate educational program to embed EBP in the undergraduate nursing curricula.

Background: Telephone consultations are increasingly used in primary care to deliver healthcare services to patients. However, there has been no review produced which identifies and maps the elements of the components, skills and training required for delivering telephone consultations in primary care. This review maps the evidence and can be used to inform clinical service and staff development.

Method: A scoping review was conducted using Joanna Briggs Institute methodology. Inclusion criteria for this review included: Participants - any study focusing on any qualified healthcare practitioner working within primary care services; Concept - was any initial telephone consultation within primary care; Context - was primary care within developed nations defined as having very high human development. A three-step search strategy was adopted to include published and unpublished literature in English from 2002 to 2017.

Results: The search identified 3378 sources of literature. Two independent reviewers screened titles and abstracts then full text against the inclusion criteria, which resulted in 18 articles included in this scoping review. Data were extracted by two independent reviewers relevant to the review question: components, skills and training in telephone consultations. The 18 articles involved five countries, 144 healthcare professionals and between 55 and 1506 patients. The key attributes for telephone consultations (components, skills and training) were synthesized into tabular display and provide guidance on the main elements required for providing this service in primary care.

Colorectal cancer (CRC) is the third most commonly diagnosed cancer and the fourth most common cause of cancer death worldwide. Crucial in CRC as well as for other effective diagnostics and treatment is the knowledge translation and implementation of the current best available evidence into clinical practice and public health. Clinical practice guidelines are one of the useful tools to be able to improve diagnostics and increase survival rate.The epidemiological analysis was performed based on the data of the Czech National Cancer Registry from 1977 to 2017. We have analysed incidence, prevalence, mortality and primary treatment of CRC in the Czech Republic.The incidence of CRC increased significantly from 1982 to 2002 and is higher in men compared with women based on the data from the National Health Information System in the Czech Republic. The majority of the patients with CRC were diagnosed in early stages. Women were diagnosed at slightly higher age than men. An increase in surgical therapy performed in primary treatment of early CRC was reported from 2006 to 2016. Relative time of survival increased in reported patients with CRC.This analysis reported significant changes in incidence of CRC in the last 40 years as well as in diagnostics and primary therapy in early stages of CRC in the last 12 years. The first ever evidence-based clinical practice guideline on diagnostics and therapy of early CRC in the Czech Republic was developed and disseminated.

Caesarean section is currently the most frequently performed intervention after episiotomy in obstetrics and one of the most common abdominal operations overall. Rates of caesarean section have been rising globally. Given the increasing rate worldwide it is therefore necessary and important to understand how caesarean section affects child development. Attention-deficit/hyperactivity disorder (ADHD) is the most common neurobehavioural disorder in children. ADHD is characterized by a combination of symptoms including inattention, impulsivity and hyperactivity. Caesarean section may affect psychological development through changes in microbiota or stress response, and birth by caesarean section can be associated with a small increased risk of ADHD. In the current literature, there is no systematic review or protocol of the systematic review answering the question of whether the mode of delivery has influence on the risk of ADHD development.The objective of this review is to synthesize the best available evidence regarding the epidemiological association between the mode of delivery (caesarean section versus vaginal delivery) as exposure and ADHD as the outcome.A three-step strategy will be utilized in this review, aiming to find both published and unpublished studies. The initial search will be conducted using the MEDLINE, CINAHL and EMBASE. The second search will involve 21 databases and sources. Following the Preferred Reporting Items for Systematic Review and Meta-analysis statement analysis of title, abstracts and full texts, critical appraisal and data extraction will be carried out on selected studies using standardized instruments developed by Joanna Briggs Institute. All steps will be performed by two independent reviewers. If possible, statistical meta-analysis using Joanna Briggs Institute within the System for the Unified Management, Assessment and Review of Information will be pooled. Statistical heterogeneity will be assessed.The results will be disseminated by publishing in a peer-reviewed journal. Ethical assessment is not needed - we will search/evaluate the existing sources of literature.

Background: The field of study Teaching of Vocational Subjects for Nursing Schools, the completion of which contributes to obtaining a teaching qualification at the master's level, is amongst the most prestigious fields at the Faculty of Education, Palacký University Olomouc. In the academic year of 2018/2019, the students of this field are involved in the pilot project introducing and teaching Evidence-Based Practice (EBP) methods. The concept is based on the experience of The Czech Republic (Central European) Centre for Evidence-Based Healthcare: A Joanna Briggs Institute Centre of Excellence team.

Objectives: The aims of this short communication are, first, to provide information about the pilot project and the implementation of EBP methodology into selected subjects at the Faculty of Education, and second, to provide information regarding the establishment of a working group for the foundation of the Centre for Evidence-Based Education.

Methods: To implement the EBP method into the training of healthcare professionals, four syllabi of the currently taught subjects were updated and improved to include this methodology, and a brand new subject was created with the title 'Evidence-Based Education and Healthcare'. The faculty received approval from the National Accreditation Bureau for Higher Education and in September 2018, teaching of EBP topics was launched for a group of 95 full-time and part-time students. The academic year of 2019/2020 will see the introduction of the new subject 'Evidence-Based Education and Healthcare'.

Results: The outcomes of the project include an adjusted content of the subjects 'Scientific Components in the Health Education Curriculum' and the 'Diploma Thesis Seminar', the new subject titled 'Evidence-Based Education and Healthcare', and the strategic plan for the Conception and establishment of the Joanna Briggs Institute affiliate Evidence-Based Education Centre.

Conclusion: It is appropriate to implement comprehensive EBP modules, with several subjects within the study curriculum. Current activities are the preparatory, motivational phase of potential development.