Latest & greatest articles for nursing

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Top results for nursing

1. Hospital nurse-staffing models and patient- and staff-related outcomes. (PubMed)

Hospital nurse-staffing models and patient- and staff-related outcomes. Nurses comprise the largest component of the health workforce worldwide and numerous models of workforce allocation and profile have been implemented. These include changes in skill mix, grade mix or qualification mix, staff-allocation models, staffing levels, nursing shifts, or nurses' work patterns. This is the first update of our review published in 2011.The purpose of this review was to explore the effect of hospital (...) nurse-staffing models on patient and staff-related outcomes in the hospital setting, specifically to identify which staffing model(s) are associated with: 1) better outcomes for patients, 2) better staff-related outcomes, and, 3) the impact of staffing model(s) on cost outcomes.CENTRAL, MEDLINE, Embase, two other databases and two trials registers were searched on 22 March 2018 together with reference checking, citation searching and contact with study authors to identify additional studies.We

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2019 Cochrane

2. Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life: A Randomized Clinical Trial. (PubMed)

Effect of Addition of an Intimate Partner Violence Intervention to a Nurse Home Visitation Program on Maternal Quality of Life: A Randomized Clinical Trial. Intimate partner violence (IPV) is a public health problem with significant adverse consequences for women and children. Past evaluations of a nurse home visitation program for pregnant women and first-time mothers experiencing social and economic disadvantage have not consistently shown reductions in IPV.To determine the effect on maternal (...) quality of life of a nurse home visitation program augmented by an IPV intervention, compared with the nurse home visitation program alone.Cluster-based, single-blind, randomized clinical trial at 15 sites in 8 US states (May 2011-May 2015) enrolling 492 socially disadvantaged pregnant women (≥16 years) participating in a 2.5-year nurse home visitation program.In augmented program sites (n = 229 participants across 7 sites), nurses received intensive IPV education and delivered an IPV intervention

2019 JAMA

3. Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis. (PubMed)

Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis. Having nurses take on tasks that are typically conducted by doctors (doctor-nurse substitution, a form of 'task-shifting') may help to address doctor shortages and reduce doctors' workload and human resource costs. A Cochrane Review of effectiveness studies suggested that nurse-led care probably leads to similar healthcare outcomes as care delivered (...) by doctors. This finding highlights the need to explore the factors that affect the implementation of strategies to substitute doctors with nurses in primary care. In our qualitative evidence synthesis (QES), we focused on studies of nurses taking on tasks that are typically conducted by doctors working in primary care, including substituting doctors with nurses or expanding nurses' roles.(1) To identify factors influencing implementation of interventions to substitute doctors with nurses in primary care

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2019 Cochrane

4. Effect of a Nurse-Led Preventive Psychological Intervention on Symptoms of Posttraumatic Stress Disorder Among Critically Ill Patients: A Randomized Clinical Trial. (PubMed)

Effect of a Nurse-Led Preventive Psychological Intervention on Symptoms of Posttraumatic Stress Disorder Among Critically Ill Patients: A Randomized Clinical Trial. A meta-analysis of outcomes during the 6 months after intensive care unit (ICU) discharge indicate a prevalence for clinically important posttraumatic stress disorder (PTSD) symptoms of 25%.To determine whether a nurse-led preventive, complex psychological intervention, initiated in the ICU, reduces patient-reported PTSD symptom (...) was completed December 2017.Twenty four ICUs were randomized 1:1 to the intervention or control group. Intervention ICUs (n = 12; 669 participants) delivered usual care during a baseline period followed by an intervention period. The preventive, complex psychological intervention comprised promotion of a therapeutic ICU environment plus 3 stress support sessions and a relaxation and recovery program delivered by trained ICU nurses to high-risk (acutely stressed) patients. Control ICUs (n = 12; 789

2019 JAMA

5. Nurse education models and frameworks

Nurse education models and frameworks Nurse education models and frameworks: A Scoping Review 1 Nurse education models and frameworks Citation Yap G. & Melder A. 2018. Nurse education models and frameworks: A Scoping Review. Centre for Clinical Effectiveness, Monash Health, Melbourne, Australia. Executive Summary Background The Nursing and Midwifery Education and Strategy is reviewing and revising their education framework to support organisational developments and uphold contemporary nursing (...) and midwifery education planning and delivery across Monash Health. The Center for Clinical Effectiveness (CCE) was commissioned to undertake a literature review to inform the development of knowledge and understanding of education frameworks. This includes contemporary planning and delivery of nursing and midwifery education models that may be used as a benchmark to support the development of a revised framework at Monash Health. Objective The literature review will aim to address the following sub-topics

2019 Monash Health Evidence Reviews

6. Cluster-randomised trial of a nurse-led advance care planning session in patients with COPD and their loved ones

Cluster-randomised trial of a nurse-led advance care planning session in patients with COPD and their loved ones Advance care planning (ACP) is uncommon in patients with chronic obstructive pulmonary disease (COPD).To assess whether a nurse-led ACP-intervention can improve quality of patient-physician end-of-life care communication in patients with COPD. Furthermore, the influence of an ACP-intervention on symptoms of anxiety and depression in patients and loved ones was studied. Finally (...) , quality of death and dying was assessed in patients who died during 2-year follow-up.A multicentre cluster randomised-controlled trial in patients with advanced COPD was performed. The intervention group received an 1.5 hours structured nurse-led ACP-session. Outcomes were: quality of patient-physician end-of-life care communication, prevalence of ACP-discussions 6 months after baseline, symptoms of anxiety and depression in patients and loved ones and quality of death and dying.165 patients were

2019 EvidenceUpdates

7. Nurse Home Visiting for Families Experiencing Adversity: A Randomized Trial

Nurse Home Visiting for Families Experiencing Adversity: A Randomized Trial Nurse home visiting (NHV) may redress inequities in children's health and development evident by school entry. We tested the effectiveness of an Australian NHV program (right@home), offered to pregnant women experiencing adversity, hypothesizing improvements in (1) parent care, (2) responsivity, and (3) the home learning environment at child age 2 years.A randomized controlled trial of NHV delivered via universal child (...) and family health services was conducted. Pregnant women experiencing adversity (≥2 of 10 risk factors) with sufficient English proficiency were recruited from antenatal clinics at 10 hospitals across 2 states. The intervention comprised 25 nurse visits to child age 2 years. Researchers blinded to randomization assessed 13 primary outcomes, including Home Observation of the Environment (HOME) Inventory (6 subscales) and 25 secondary outcomes.Of 1427 eligible women, 722 (50.6%) were randomly assigned; 306

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2019 EvidenceUpdates

8. Nurse staffing levels linked to reports of missed care in adult wards

Nurse staffing levels linked to reports of missed care in adult wards Nurse staffing levels linked to reports of missed care in adult wards Discover Portal Discover Portal Nurse staffing levels linked to reports of missed care in adult wards Published on 10 July 2018 doi: Nurses are more likely to report omitting necessary care in acute inpatient wards when registered nurse staffing levels are low, even if there are additional healthcare assistants. Care categorised as planning (...) and communication is reported as missed more often than clinical care. NHS hospitals are responsible for ensuring that the number and skills mix of nursing staff matches patient needs. Previous reviews have shown links between lower registered nurse staffing levels and poor patient outcomes such as higher mortality. This review of 18 observational studies sought to clarify if measuring levels of reported ‘missed nursing care’ might partly explain these relationships. The findings of this international review

2019 NIHR Dissemination Centre

9. Individual support of nurses using electronic medicine monitors can improve HIV treatment

Individual support of nurses using electronic medicine monitors can improve HIV treatment Individual support of nurses using electronic medicine monitors can improve HIV treatment Discover Portal Discover Portal Individual support of nurses using electronic medicine monitors can improve HIV treatment Published on 10 October 2017 doi: Use of electronic pill bottles that record when they are opened and follow-up discussion of the printed readouts with nurses improved HIV outcomes. It is thought (...) of medication usage so that strategies could be discussed to improve adherence. As non-adherence is the main barrier to effective management of HIV, any measures that improve it are welcomed. However, the intervention tested here requires several hours of training for the nurses delivering it and may not be that easy to introduce in practice. Evaluation of the approach in non-trial settings is necessary before wider implementation. Share your views on the research. Why was this study needed? HIV infection

2019 NIHR Dissemination Centre

10. Nurses lack confidence in escalating or identifying children at risk of abuse and neglect

Nurses lack confidence in escalating or identifying children at risk of abuse and neglect Nurses lack confidence in escalating or identifying children at risk of abuse and neglect Discover Portal Discover Portal Nurses lack confidence in escalating or identifying children at risk of abuse and neglect Published on 6 December 2016 doi: On the face of it, nurses are well placed to safeguard children, but asking them about their experiences reveals barriers which hinder that role. The research (...) points towards areas where support could help nurses fulfil their legal and ethical duties better. In a review of published qualitative research, including surveys, interviews and focus groups, nurses say they have insufficient confidence to report child abuse issues. They often feel a need to convince other professionals, viewed as above them in the hierarchy, before taking action. Some see child protection services as unhelpful; lacking faith that they will take appropriate safeguarding action

2019 NIHR Dissemination Centre

11. Nurses and pharmacists can prescribe as effectively as doctors

Nurses and pharmacists can prescribe as effectively as doctors Nurses and pharmacists can prescribe as effectively as doctors Discover Portal Discover Portal Nurses and pharmacists can prescribe as effectively as doctors Published on 21 March 2017 doi: Prescribing by suitably-trained pharmacists and nurses offers similar outcomes to prescribing by doctors, at least in the management of chronic conditions. This Cochrane review pooled clinical outcomes and patient satisfaction across 45 studies (...) of nurse or pharmacist prescribing compared with doctor prescribing. Most studies were of chronic disease management in primary care settings in high income countries (25 from the US and six from the UK). Independent and supplementary prescribers in the NHS include not only the nurses and pharmacists, as covered in this review, but also other professions such as podiatrists, optometrists, and physiotherapists. At a time of high demand for NHS resources, with shortages of doctors in some specialties

2019 NIHR Dissemination Centre

12. How nurses support families of intensive care patients towards the end of life

How nurses support families of intensive care patients towards the end of life How nurses support families of intensive care patients towards the end of life Discover Portal Discover Portal How nurses support families of intensive care patients towards the end of life Published on 22 November 2016 doi: Families of people dying in intensive care need to receive personalised communication and ongoing support, and be involved in the dying process. Researchers gathered evidence on how nurses care (...) , for example by clarifying the gradual change expected when medically focussed life-sustaining treatments are withdrawn and family centred end-of-life care begins. Lastly they described a common focus on making the nursing contribution more visible, such as using techniques to build lasting memories for families. Describing care in this specific setting is a crucial first step to improving palliative care. It may guide training for other healthcare professionals in the quality and consistency of care given

2019 NIHR Dissemination Centre

13. The association between night shift work and risk of breast and gynecological cancers in female nurses: a systematic review and meta-analysis

The association between night shift work and risk of breast and gynecological cancers in female nurses: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content

2019 PROSPERO

14. The effectiveness of interventions to improve medication error reporting by nurses in hospital settings: a systematic review

The effectiveness of interventions to improve medication error reporting by nurses in hospital settings: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2019 PROSPERO

15. The effectiveness of advanced nursing care (ANC) for depression in patients with ovarian cancer (OC): a protocol of systematic reviews of randomized controlled trials

The effectiveness of advanced nursing care (ANC) for depression in patients with ovarian cancer (OC): a protocol of systematic reviews of randomized controlled trials Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability

2019 PROSPERO

16. Decision-making models for nurses in health services: a protocol for qualitative evidence synthesis

Decision-making models for nurses in health services: a protocol for qualitative evidence synthesis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external

2019 PROSPERO

17. Critical care nursing interventions to promote oral hygiene - a literature review

Critical care nursing interventions to promote oral hygiene - a literature review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any associated files or external websites. Email

2019 PROSPERO

18. Effectiveness of stress management programs on occupational stress and coping strategies for nurses: a systematic review

Effectiveness of stress management programs on occupational stress and coping strategies for nurses: a systematic review Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration record, any

2019 PROSPERO

19. Non-pharmacological interventions to improve quality of life, reduce burden of care, prevent hospital and nursing home admission in community-dwelling older people with dementia or mild cognitive impairment: a systematic review and meta-analysis

Non-pharmacological interventions to improve quality of life, reduce burden of care, prevent hospital and nursing home admission in community-dwelling older people with dementia or mild cognitive impairment: a systematic review and meta-analysis Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied

2019 PROSPERO

20. Interventions to improve health outcomes for residents of nursing homes in Australia: a systematic review of randomised controlled trials

Interventions to improve health outcomes for residents of nursing homes in Australia: a systematic review of randomised controlled trials Print | PDF PROSPERO This information has been provided by the named contact for this review. CRD has accepted this information in good faith and registered the review in PROSPERO. The registrant confirms that the information supplied for this submission is accurate and complete. CRD bears no responsibility or liability for the content of this registration

2019 PROSPERO