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Safe nurse staffing levels in acute hospitals 2019 www.kce.fgov.be KCE REPORT 325 SAFE NURSE STAFFING LEVELS IN ACUTE HOSPITALS 2019 www.kce.fgov.be KCE REPORT 325 HEALTH SERVICES RESEARCH SAFE NURSE STAFFING LEVELS IN ACUTE HOSPITALS KOEN VAN DEN HEEDE, LUK BRUYNEEL, DORIEN BEECKMANS, NIELS BOON, NICOLAS BOUCKAERT, JUSTIEN CORNELIS, DORIEN DOSSCHE, CARINE VAN DE VOORDE, WALTER SERMEUS COLOPHON Title: Safe nurse staffing levels in acute hospitals Authors: Koen Van den Heede (KCE), Luk Bruyneel (...) , Germany), Matthew McHugh (University of Pennsylvania School of Nursing, United States) Stakeholders: Geoffroy Berckmans (Union Générale des Infirmiers de Belgique (UGIB)), Bernard Ceriez (Association Belge des Directeurs d'Hôpitaux (ABDH)), Margot Cloet (Zorgnet-Icuro), Alexander Deschuymere (Gezondheidsinstellingen Brussel Bruxelles Institutions de Santé (GIBBIS)), Ellen De Wandeler (Algemene Unie van Verpleegkundigen van België (AUVB)), Arabella D'Havé (FOD Volksgezondheid – SPF Santé Publique
Complementary Therapy for Cancer Survivors: Integrative Nursing Care. The number of cancer patients who survive more than 5 years after the completion of their initial treatment is increasing. Oncology nurses must consider the needs of long-term cancer survivors in addition to those of cancer patients undergoing treatment because cancer survivors experience anxiety over several issues, including the risk of recurrence and progression of cancer status and symptom management.We tried to examine
[Nurse-led educational intervention in patients with atrial fibrillation discharged from the emergency department reduces complications and shortterm admissions]. To assess whether a nurse-led patient educational intervention for patients with atrial fibrillation (AF) discharged from the emergency department (ED) can improve the patients' understanding of arrhythmia and its treatment and reduce the number of complications and arrhythmia-related admissions.Prospective study of an intervention (...) %) than in the control group (24.2%) (P=.040). Fewer intervention patients had been admitted with heart failure at 30 days (0.8% vs 6.4% in the control group; P=.023); there were also fewer all-cause admissions at 90 days (11.2% vs 20.9%; P=.041).A nurse-led educational intervention on discharge from the ED improved patients' understanding of AF and decreased the number of complications, short-term admissions for heart failure, and mid-term all-cause admissions.
Effect of Nursing Intervention on Mothers' Knowledge of Cervical Cancer and Acceptance of Human Papillomavirus Vaccination for their Adolescent Daughters in Abuja - Nigeria. The aim of this study is to evaluate the effect of nursing intervention on mothers' knowledge of cervical cancer and acceptance of human papillomavirus (HPV) vaccination for their adolescent daughters in Abuja, Nigeria.This was a quasi-experimental study that utilized two groups pre and post-test design. The study (...) was 35 years ± 6.6 in the EG and 41 years ± 8.2 in the CG. The mean knowledge score of cervical cancer was low at baseline in both EG (9.58 ± 7.1) and CG (11.61 ± 6.5). However, there was a significant increase to 21.45 ± 6.2 after the intervention in EG (P < 0.0001). The baseline acceptance of HPV vaccination was high in EG after intervention from 74% to 99%. Exposure to nursing intervention and acceptance of HPV vaccination was statistically significant after intervention (P < 0.0001).The nursing
The Effect of Complementary Therapy for Hospital Nurses with High Stress. This study was to examine the effect of complementary therapy (CT) for nurses with high stress levels. It was taken before we employ this technique for cancer survivors because cancer patients are a heterogeneous group that requires substantial resources to investigate.A quasi-experimental design with five groups was employed for this study. The groups were examined whether there were effects for reducing the stress (...) and the differences in effectiveness among four intervention groups and a nonintervention group. Stress relief was measured using pulse rate and blood pressure measurements and the short form of the profile of mood states (POMS-SF). The participants practiced the therapy for 20 min twice per week for 3 weeks. A two-way factorial analysis of variance was used to analyze the data.The study enrolled 98 nurses (92 female and 6 male) with a mean age of 37.3 ± 10.5 years (range: 22-60 years). Fifty-nine nurses had 10
Evaluation of a Palliative Care Program for Nursing Homes in 7 Countries: The PACE Cluster-Randomized Clinical Trial High-quality evidence on how to improve palliative care in nursing homes is lacking.To investigate the effect of the Palliative Care for Older People (PACE) Steps to Success Program on resident and staff outcomes.A cluster-randomized clinical trial (2015-2017) in 78 nursing homes in 7 countries comparing PACE Steps to Success Program (intervention) with usual care (control (...) ). Randomization was stratified by country and median number of beds in each country in a 1:1 ratio.The PACE Steps to Success Program is a multicomponent intervention to integrate basic nonspecialist palliative care in nursing homes. Using a train-the-trainer approach, an external trainer supports staff in nursing homes to introduce a palliative care approach over the course of 1 year following a 6-steps program. The steps are (1) advance care planning with residents and family, (2) assessment, care planning
The role of community-based nursing interventions in improving outcomes for individuals with cardiovascular disease: A systematic review To examine the role of community-based nursing interventions in improving outcomes for community-dwelling individuals with cardiovascular disease.A systematic review and narrative synthesis.Seven electronic databases (MEDLINE, CINAHL, Global Health, LILACS, Africa-Wide Information, IMEMR and WPRIM) were searched from inception to 16 March 2018 without language (...) restrictions.We included studies evaluating the outcomes of interventions led by, or primarily delivered by, nurses for individuals with cardiovascular disease in community settings. Study selection, data extraction and risk of bias assessments were performed by at least two independent reviewers.Twenty-eight studies met the inclusion criteria and were included in this review. Community-based nursing interventions improved outcomes in four key areas: (1) self-care, (2) health, (3) healthcare utilisation
Comparison between multicomponent and simultaneous dual-task exercise interventions in long-term nursing home residents: the Ageing-ONDUAL-TASK randomized controlled study the potential benefits of dual-task interventions on older adults living in long-term nursing homes (LTNHs) from a multidimensional perspective are unknown. We sought to determine whether the addition of simultaneous cognitive training to a multicomponent exercise program offers further benefits to dual-task, physical
Outcomes of nurse practitioner-led care in patients with cardiovascular disease: A systematic review and meta-analysis To assess randomized controlled trials evaluating the impact of nurse practitioner-led cardiovascular care.Systematic review of nurse practitioner-led care in patients with cardiovascular disease has not been completed.Systematic review and meta-analysis.The Cochrane Central Register of Controlled Trials (CENTRAL), Medline, Embase, CINAHL, Web of Science, Scopus and ProQuest (...) were systematically searched for studies published between January 2007 - June 2017.Cochrane methodology was used for risk of bias, data extraction and meta-analysis. The quality of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation approach.Out of 605 articles, five articles met the inclusion criteria. There was no statistical difference between nurse practitioner-led care and usual care for 30-day readmissions, health-related quality of life and length
Nurse-led vs. usual-care for atrial fibrillation Nurse-led integrated care is expected to improve outcome of patients with atrial fibrillation compared with usual-care provided by a medical specialist.We randomized 1375 patients with atrial fibrillation (64 ± 10 years, 44% women, 57% had CHA2DS2-VASc ≥ 2) to receive nurse-led care or usual-care. Nurse-led care was provided by specialized nurses using a decision-support tool, in consultation with the cardiologist. The primary endpoint (...) was a composite of cardiovascular death and cardiovascular hospital admissions. Of 671 nurse-led care patients, 543 (81%) received anticoagulation in full accordance with the guidelines against 559 of 683 (82%) usual-care patients. The cumulative adherence to guidelines-based recommendations was 61% under nurse-led care and 26% under usual-care. Over 37 months of follow-up, the primary endpoint occurred in 164 of 671 patients (9.7% per year) under nurse-led care and in 192 of 683 patients (11.6% per year
A systematic review of community nursing interventions focusing on improving outcomes for individuals exhibiting risk factors of cardiovascular disease To examine the role of community-based nursing interventions in improving outcomes for community-dwelling individuals exhibiting risk factors of cardiovascular disease (CVD).A systematic review and narrative synthesis.Seven electronic databases (MEDLINE, CINAHL, Global Health, LILACS, Africa-Wide Information, IMEMR, and WPRIM) were searched from (...) inception to 16 March 2018.This review included outcomes from studies that were led by or delivered primarily by nurses for individuals exhibiting risk factors of CVD in community settings. At least two independent reviewers performed study selection, data extraction and risk of bias.46 studies met the eligibility criteria. Community nursing interventions were found to be effective in improving clinical outcomes of symptom control, symptom awareness, symptom management, and social outcomes. Effective
Calculating Unit Cot numbers and Nurse Staffing Establishment and Determining Cot Capacity Calculating Unit Cot numbers and Nurse Staffing Establishment and Determining Cot Capacity | British Association of Perinatal Medicine Allow cookies for anonymous usage tracking with Google Analytics Calculating Unit Cot numbers and Nurse Staffing Establishment and Determining Cot Capacity A BAPM Framework for Practice - Supplementary Guidance 12 November 2019 Categories The document aims to help (...) professionals determine optimal cot numbers and neonatal nurse staffing for individual units within a network and to facilitate decisions about admission when a unit is close to capacity. It provides supplementary guidance to BAPM Framework for Practice - . It should be used in conjunction with , the recommendations of the Neonatal Review in England, and the recommendations of the , as well as existing standards in each of the UK nations. Categories: BAPM Frameworks for Practice Related resources 25 Jun
Oncology Nursing Telepractice Standards Care Ontario Oncology Nursing Telepractice Standards Oncology Nursing Program August, 2019 Oncology Nursing Telepractice Standards 1 INTRODUCTION In 2017, the Oncology Nursing Program at Cancer Care Ontario completed a current state assessment across the province. The goal of the assessment was to gain a better understanding of the current landscape of oncology nursing in the outpatient setting, including nursing roles and models of nursing care delivery (...) throughout the province. Based on the results of this assessment, it was evident that telephone management makes up a large component of the oncology nurse’s supportive care role, but there was great variation as to how this role component was prioritized, supported, and delivered across organizations. The level of oncology nursing expertise and competency required to deliver telephone care safely, along with training expectations, and use of nursing practice guidelines to guide the encounters across
Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines | CADTH.ca Find the information you need Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Live Virus Vaccination in Hospital, Hospice, Nursing Home, and Long-Term Care Settings: Guidelines Last updated: August 8, 2019 Project Number: RB1371-000
2018 update of the EULAR recommendations for the role of the nurse in the management of chronic inflammatory arthritis To update the European League Against Rheumatism (EULAR) recommendations for the role of the nurse in the management of chronic inflammatory arthritis (CIA) using the most up to date evidence. The EULAR standardised operating procedures were followed. A task force of rheumatologists, health professionals and patients, representing 17 European countries updated (...) the recommendations, based on a systematic literature review and expert consensus. Higher level of evidence and new insights into nursing care for patients with CIA were added to the recommendation. Level of agreement was obtained by email voting. The search identified 2609 records, of which 51 (41 papers, 10 abstracts), mostly on rheumatoid arthritis, were included. Based on consensus, the task force formulated three overarching principles and eight recommendations. One recommendation remained unchanged, six
A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static air mattress and alternating air pressure mattress to prevent pressure ulcers in nursing home residents Pressure ulcers are a global issue and substantial concern for healthcare systems. Various types of support surfaces that prevent pressure ulcer are available. Data about the effectiveness and cost of static air support surfaces and alternating air pressure mattresses is lacking.To (...) compare the effectiveness and cost of static air support surfaces versus alternating air pressure support surfaces in a nursing home population at high risk for pressure ulcers.Prospective, multicentre, randomised controlled clinical, non-inferiority trial.Twenty-six nursing homes in Flanders, Belgium.A consecutive sample of 308 participants was selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chair bound
Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments Management Briefs eBrief-no156 -- Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments Enter search terms Button to search HSRD ® Inside VA Budget and Performance Inside the News Room National Observances Special Events » » » » » Management Briefs eBrief-no156 -- Risk Factors and Interventions to Prevent or Delay Long-term (...) Nursing Home Placement for Adults with Impairments Health Services Research & Development Management eBrief no. 156 » Issue 156 July 2019 The report is a product of the VA/HSR&D Evidence Synthesis Program. Evidence Review: Risk Factors and Interventions to Prevent or Delay Long-term Nursing Home Placement for Adults with Impairments In fiscal year 2020, VA is projected to spend $9.8 billion on long-term care services for eligible Veterans. Recent legislation also has created and expanded VA programs
Nurse-Initiated Acute Stroke Care in Emergency Departments Background and Purpose- We aimed to evaluate the effectiveness of an intervention to improve triage, treatment, and transfer for patients with acute stroke admitted to the emergency department (ED). Methods- A pragmatic, blinded, multicenter, parallel group, cluster randomized controlled trial was conducted between July 2013 and September 2016 in 26 Australian EDs with stroke units and tPA (tissue-type plasminogen activator) protocols (...) . Hospitals, stratified by state and tPA volume, were randomized 1:1 to intervention or usual care by an independent statistician. Eligible ED patients had acute stroke <48 hours from symptom onset and were admitted to the stroke unit via ED. Our nurse-initiated T3 intervention targeted (1) Triage to Australasian Triage Scale category 1 or 2; (2) Treatment: tPA eligibility screening and appropriate administration; clinical protocols for managing fever, hyperglycemia, and swallowing; (3) prompt (<4 hours