Jbi Evidence Implementation最新文献

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Improving midwives' management of occiput-posterior fetal positions: a best practice implementation project. 改善助产士对枕后位胎位的管理:最佳实践实施项目。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-25 DOI: 10.1097/XEB.0000000000000473
Maria Jesus Gutierrez-Martin, Yolanda Del Campo-Sanz, Almudena Conde-Sanz, Maria Montserrat Fernadez-Gamazo, Virginia Garcimartin-Galica, Maria Eugenia Gomez De Enterria-Cuesta, Maria Gonzalez-Hernandez, Ernesto Lobo-Perez, Maria Inmaculada Sanchez-Peña
{"title":"Improving midwives' management of occiput-posterior fetal positions: a best practice implementation project.","authors":"Maria Jesus Gutierrez-Martin, Yolanda Del Campo-Sanz, Almudena Conde-Sanz, Maria Montserrat Fernadez-Gamazo, Virginia Garcimartin-Galica, Maria Eugenia Gomez De Enterria-Cuesta, Maria Gonzalez-Hernandez, Ernesto Lobo-Perez, Maria Inmaculada Sanchez-Peña","doi":"10.1097/XEB.0000000000000473","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000473","url":null,"abstract":"<p><strong>Introduction: </strong>The occiput-posterior (OP) fetal position is the most frequent form of labor dystocia. This position has been associated with delaying the second stage of labor and adverse outcomes.</p><p><strong>Objectives: </strong>This project aimed to improve the quality of intrapartum care provided by midwives for OP fetal positions during the second stage of labor.</p><p><strong>Methods: </strong>This best practice implementation project was conducted at the Río Hortega University Hospital in Valladolid, Spain. The project followed the JBI Evidence Implementation Framework, which is based on an audit, feedback, and re-audit process. Current practices were compared against best practices in a baseline audit using 13 audit criteria. Barriers to compliance with best practices were identified and improvement strategies were implemented. An initial follow-up audit was carried out after 4 months to avoid secondary bias. After another 4 months, a second follow-up audit was conducted. Data were collected and compared using the JBI Practical Application of Clinical Evidence System (JBI PACES).</p><p><strong>Results: </strong>The results revealed an improvement in all structure criteria (1-3), five of the process criteria (4-6, 8, 10), and all results criteria (11-13). One process criterion (8) reached maximum compliance in all audits. A key finding was the inadequate recording of upright positions (criterion 7) and the interpretation of cardiotocography (criterion 9).</p><p><strong>Conclusions: </strong>Evidence-based interventions for managing OP labor improved the quality of care and underlined the importance of ongoing training for midwives. Additional studies are required on positions and fetal monitoring during labor.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A279.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510600","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 uptake of virtual care solutions in Australian primary care practice: a systematic scoping review. 影响澳大利亚初级保健实践中采用虚拟保健解决方案的因素:系统性范围界定综述。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-22 DOI: 10.1097/XEB.0000000000000475
Alana Delaforce, Emma Maddock, Pamela Wheeler, Rajiv Jayasena, Joy Parkinson
{"title":"Factors that influence the uptake of virtual care solutions in Australian primary care practice: a systematic scoping review.","authors":"Alana Delaforce, Emma Maddock, Pamela Wheeler, Rajiv Jayasena, Joy Parkinson","doi":"10.1097/XEB.0000000000000475","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000475","url":null,"abstract":"<p><strong>Introduction: </strong>Uptake of virtual care solutions in primary care settings has increased exponentially, and current evidence suggests high patient satisfaction but mixed clinician views.</p><p><strong>Aims: </strong>This paper aimed to identify factors influencing its' implementation to support delivery to the right patient, in the right clinical context, at the right time. Further, this paper evaluates how the updated Consolidated Framework for Implementation Research (CFIR) can be used to assess these factors that contribute to the uptake of virtual care innovations.</p><p><strong>Methods: </strong>This systematic scoping review identified empirical research on factors influencing the uptake of virtual care solutions in the Australian primary care setting. Searches were undertaken in Embase, PubMed, Scopus, and Web of Science. The CFIR was used to code factors influencing the implementation of virtual care solutions. Inductive coding was used to generate new constructs where no appropriate CFIR construct could be identified.</p><p><strong>Results: </strong>Fourteen eligible studies were identified as eligible for inclusion. Five common influencing factors were identified. Three are from the existing CFIR framework, and two are newly developed constructs. CFIR constructs included innovation relative advantage, capability, and IT infrastructure. New constructs included accessibility and suitability. A further six new constructs were identified (trust, privacy, governance, unintended consequences, preference, and choice) but these were not prominently mentioned.</p><p><strong>Conclusions: </strong>Common factors influence virtual care uptake in Australian primary care. The CFIR assisted in conceptualizing these but was not sufficient for capturing factors unique to virtual care. Newly developed constructs are noted to be of importance in the literature, but further research is needed to understand whether they are applicable in multiple contexts.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A286.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478042","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 nursing quality of non-pharmacological interventions for elderly constipation patients in the hospital: a best practice implementation project. 提高医院对老年便秘患者进行非药物干预的护理质量:最佳实践实施项目。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-22 DOI: 10.1097/XEB.0000000000000478
Jingjing Li, Dahua Zhang, Yaqian Zhang, Chunyang Li, Xueyan Fan, Qiushuang Yu, Ming Yang, Jian Du, Xuejing Li, Yufang Hao, Liu Han
{"title":"Improving the nursing quality of non-pharmacological interventions for elderly constipation patients in the hospital: a best practice implementation project.","authors":"Jingjing Li, Dahua Zhang, Yaqian Zhang, Chunyang Li, Xueyan Fan, Qiushuang Yu, Ming Yang, Jian Du, Xuejing Li, Yufang Hao, Liu Han","doi":"10.1097/XEB.0000000000000478","DOIUrl":"10.1097/XEB.0000000000000478","url":null,"abstract":"<p><strong>Introduction: </strong>Non-pharmacological interventions are the preferred treatment for constipation; however, health care professionals in clinical settings tend to focus more on pharmacological treatments.</p><p><strong>Objectives: </strong>This best practice implementation project aimed to integrate the best evidence on non-pharmacological interventions for elderly patients with constipation in clinical care practice and to promote the use of non-pharmacological interventions for such patients in the hospital setting.</p><p><strong>Methods: </strong>This project is based on the JBI Evidence Implementation Framework, which follows three stages. The first stage involved a baseline audit using two audit criteria derived from the best available evidence. This audit evaluated current clinical scenarios, guided by the i-PARIHS framework. The second stage involved analyzing the results of the baseline audit, identifying barriers to compliance, and developing and implementing strategies to overcome those barriers. Strategies included nursing education, development of constipation information booklets for nurses and patients, establishment of a nursing workflow, and modification of the department environment. In the third stage, a follow-up audit was conducted to evaluate the implementation, using the same data collection indicators and methods as in the baseline audit. Sixty patients participated in the project.</p><p><strong>Results: </strong>Compliance for Criterion 1 (patient education) increased from 0% to 60% ( p  < 0.001), while compliance for Criterion 2 (monitoring patients' bowel health) increased from 0% to 100% ( p  < 0.001).</p><p><strong>Conclusions: </strong>The results indicate that this evidence-based implementation project facilitated the application of non-pharmacological interventions for elderly patients with constipation. Nurses played a significant role in developing regular defecation habits in patients and monitoring their defecation.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A284.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478044","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
Fall prevention among adult surgical patients in Tabriz, Iran: a best practice implementation project. 伊朗大不里士成人手术患者的跌倒预防:最佳实践实施项目。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-18 DOI: 10.1097/XEB.0000000000000477
Mehdi Nouri, Amin Talebpour, Sakineh Hajebrahimi, Zohreh Rezaei, Fatemeh Rahmati, Robab Mehdipour
{"title":"Fall prevention among adult surgical patients in Tabriz, Iran: a best practice implementation project.","authors":"Mehdi Nouri, Amin Talebpour, Sakineh Hajebrahimi, Zohreh Rezaei, Fatemeh Rahmati, Robab Mehdipour","doi":"10.1097/XEB.0000000000000477","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000477","url":null,"abstract":"<p><strong>Introduction: </strong>Falling out of bed is the most common unintentional cause of injury among patients and is a major safety problem in health care facilities. Current practices for fall prevention may not always be aligned with established best practices, leading to variability in patient outcomes. This uncertainty underscores the need to assess and improve compliance with best practice guidelines for fall prevention.</p><p><strong>Objectives: </strong>This project aimed to improve fall prevention in the surgical ward of a general hospital in Tabriz, Iran.</p><p><strong>Methods: </strong>This study was guided by the JBI Evidence Implementation Framework. A baseline audit was conducted using eleven audit criteria representing best practices for fall prevention. After the implementation of improvement strategies, a follow-up audit was conducted to evaluate changes in practice.</p><p><strong>Results: </strong>The results revealed significant improvements, notably, fall risk assessment upon admission (87% to 92%), fall risk assessment upon ward transfer (39% to 79%), patient participation in fall risk assessment (26% to 68%), reassessment upon change in condition (53% to 74%), communicating fall prevention information to at-risk patients and their families/caregivers (42% to 63%), engagement of patients (100% to 100%), implementation of targeted strategies (89% to 92%), post-fall assessment and interventions (82% to 87%), revising patient fall risk status and reviewing care management plan (41% to 74%), fall prevention information to patients and their families/caregivers upon discharge (44% to 66%), and person-centered education of health care professionals (77% to 81%).</p><p><strong>Conclusion: </strong>The use of standard clinical audit tools in hospitals can improve the quality of patient care and increase the effectiveness of interventions by identifying weaknesses in the patient care process.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A283.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Post-operative pain management in a surgical unit in a tertiary hospital in Spain: a best practice implementation project. 西班牙一家三甲医院外科的术后疼痛管理:最佳实践实施项目。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-17 DOI: 10.1097/XEB.0000000000000462
Laura Collada-Fernández, Gemma Tapiador-Gómez, Leonor García-Tomé, M Consuelo Pardo-Mora, M Rosario Díaz-Rodríguez, Montserrat Prado-Rodríguez Barbero, Marcelina Cañizares-Rabadán, Laura Albornos-Muñoz
{"title":"Post-operative pain management in a surgical unit in a tertiary hospital in Spain: a best practice implementation project.","authors":"Laura Collada-Fernández, Gemma Tapiador-Gómez, Leonor García-Tomé, M Consuelo Pardo-Mora, M Rosario Díaz-Rodríguez, Montserrat Prado-Rodríguez Barbero, Marcelina Cañizares-Rabadán, Laura Albornos-Muñoz","doi":"10.1097/XEB.0000000000000462","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000462","url":null,"abstract":"<p><strong>Introduction: </strong>More than 80% of patients experience post-surgical pain. Poor pain control decreases patients' quality of life; increases associated comorbidity, hospital length of stay and hospital costs; and delays functional recovery. Implementing evidence-based recommendations improves these negative factors as well as the patient's quality of life.</p><p><strong>Objectives: </strong>This evidence implementation project aimed to improve post-operative pain management by implementing best practice recommendations.</p><p><strong>Methods: </strong>This project used the JBI Evidence Implementation Framework, which is grounded in an audit and feedback process. The project was conducted in the surgical unit of a tertiary hospital in Ciudad Real, Spain. We performed a baseline audit and two follow-up audits to measure audit criteria derived from a JBI evidence summary on pain management. A total of 30 surgical patients took part. We assessed the results of the baseline audit, identified the barriers to best practice, and implemented strategies to improve post-operative pain management.</p><p><strong>Results: </strong>The first follow-up audit revealed an improvement in practice; however, these results worsened due to the delay in protocol approval and subsequent lack of staff motivation. The second follow-up audit showed greater compliance with best practices, although considerable room for improvement remains.</p><p><strong>Conclusions: </strong>Implementing evidence-based practices in health care improved nurses' clinical practice. The health care staff complied with the recommendations more readily since they associated the best practices with a clear benefit for the patient.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A276.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478053","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
Fall prevention among psychiatric patients in an Iranian hospital: a best practice implementation project. 伊朗一家医院精神病患者的跌倒预防:最佳实践实施项目。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-15 DOI: 10.1097/XEB.0000000000000467
Neda Kabiri, Mahasti Alizadeh, Fatemeh Ranjbar, Sakineh Hajebrahimi, Hassan Soleimanpour, Khatereh Oladbaniadam, Karim Marjani, Behrouz Amini, Maryam Soleimanpour
{"title":"Fall prevention among psychiatric patients in an Iranian hospital: a best practice implementation project.","authors":"Neda Kabiri, Mahasti Alizadeh, Fatemeh Ranjbar, Sakineh Hajebrahimi, Hassan Soleimanpour, Khatereh Oladbaniadam, Karim Marjani, Behrouz Amini, Maryam Soleimanpour","doi":"10.1097/XEB.0000000000000467","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000467","url":null,"abstract":"<p><strong>Introduction: </strong>Falls are the main cause of disability among psychiatric patients, as well as being the most common adverse event in hospitals.</p><p><strong>Aim: </strong>The aim of this evidence implementation project was to improve fall prevention and management among psychiatric patients in a neurology ward in an Iranian tertiary psychiatric hospital.</p><p><strong>Methods: </strong>This project used the JBI Evidence Implementation Framework, which recommends an audit, feedback, and re-audit strategy. A baseline audit was conducted to evaluate current fall prevention practices among 50 psychiatric patients and 20 health care professionals. The baseline audit was used to identify gaps in compliance. After the implementation of improvement strategies, a follow-up audit was conducted to measure any changes in practice.</p><p><strong>Results: </strong>The baseline and follow-up audits revealed that compliance with best practices improved in ward transfer fall risk assessment (Criterion 2: 87% to 90%), patient participation in fall risk assessment (Criterion 3: 95% to 96%), revising patient fall risk status (Criterion 9: 50% to 86%), and person-centered education of health care providers (Criterion 11: 78% to 96%). Other audit criteria remained unchanged. However, for Criterion 6 on patient engagement in goal-setting and treatment planning, compliance dropped from 100% at baseline to 94% at follow-up.</p><p><strong>Conclusions: </strong>This project successfully increased evidence-based practices regarding fall prevention and management, as well as providing mechanisms for sustaining the practice changes. Future audits are required to further improve outcomes.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A267.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478043","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
Prevention of radial artery occlusion after transradial angiography and intervention: a best practice implementation project. 经桡动脉造影和介入治疗后桡动脉闭塞的预防:最佳实践实施项目。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-10 DOI: 10.1097/XEB.0000000000000463
Biyun Xia, Pinfang Song, Alexa McArthur, Jiaojiao Bai
{"title":"Prevention of radial artery occlusion after transradial angiography and intervention: a best practice implementation project.","authors":"Biyun Xia, Pinfang Song, Alexa McArthur, Jiaojiao Bai","doi":"10.1097/XEB.0000000000000463","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000463","url":null,"abstract":"<p><strong>Introduction: </strong>Among the complications associated with transradial artery access, radial artery occlusion (RAO) is the most frequent and serious, limiting the reuse of the same radial artery for subsequent procedures and as a graft for coronary artery bypass grafting.</p><p><strong>Objective: </strong>The objective of this project was to implement best practices to reduce the incidence of RAO, thereby enhancing the quality of patient care after transradial coronary angiography or intervention.</p><p><strong>Methods: </strong>The project was conducted in cardiology department of the Huadong Hospital, Shanghai, China. The seven-phase JBI Evidence Implementation Framework was used to guide the project. Eight audit criteria were developed and a baseline audit was conducted to compare current practice with best practices for RAO prevention. Following the implementation of improvement strategies, a follow-up audit was conducted to evaluate the success of the strategies.</p><p><strong>Results: </strong>The implementation of best practices led to significant improvements in reducing the sheath/catheter size and systematically assessing radial artery patency before discharge, with both criteria reaching 100% compliance. The use of prophylactic ulnar compression increased from 0% to 90%, and the adoption of a minimal pressure strategy improved from 0% to 70%. The use of pre-puncture and post-procedural pre-hemostasis nitrates also increased from 23% to 93%. Barriers to implementation included the lack of dedicated devices for prophylactic ulnar artery compression, the possibility of bleeding after removal of the compression device, absence of an evidence-based care workflow, and absence of nursing assessment record forms for RAO prevention.</p><p><strong>Conclusions: </strong>This project promoted evidence-based practices among nurses for the care of RAO patients following transradial angiography and intervention. Efforts should be made to sustain the best practices in the future.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A261.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394343","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
DIABEZE: Diabetes self-management among the elderly in a Belgian home for the aged: a best practice implementation project. DIABEZE:比利时养老院中老年人的糖尿病自我管理:最佳实践实施项目。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-09 DOI: 10.1097/XEB.0000000000000461
Marleen Corremans, Comfort Ohenewaa, Isaura Van Steenberghe, Trudy Bekkering, Hilke Jespers
{"title":"DIABEZE: Diabetes self-management among the elderly in a Belgian home for the aged: a best practice implementation project.","authors":"Marleen Corremans, Comfort Ohenewaa, Isaura Van Steenberghe, Trudy Bekkering, Hilke Jespers","doi":"10.1097/XEB.0000000000000461","DOIUrl":"https://doi.org/10.1097/XEB.0000000000000461","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this project was to improve the self-management of diabetes among elderly residents in a Belgian home for the aged.</p><p><strong>Introduction: </strong>Diabetes is a common chronic condition with significant comorbidity. Incidence is increasing, but a third of patients with diabetes are unaware that they have the disease. The treatment of diabetes requires a multifactorial approach. Treatment guidelines on diabetes recommend involving patients in monitoring their condition because supported self-management improves daily glycemic control.</p><p><strong>Methods: </strong>This evidence implementation project used the JBI Evidence Implementation Framework, which follows three phases. In the first phase, the area of change, stakeholders' role, and practice context and readiness for change are investigated. In the second phase, a baseline audit is conducted to compare current practice with best practice. Strategies are then implemented to address any areas of non-compliance with best practice. In the third phase, a follow-up audit is conducted to evaluate changes in practice.</p><p><strong>Results: </strong>At baseline, six criteria had 0% compliance, two criteria had compliance lower than 50%, and only 49% of health care workers were familiar with the procedure for hypoglycemia treatment. Improvement strategies included creating awareness among health workers. In the follow-up audit, one criterion improved from 0% to 100%, three criteria improved from 0% to 85%, two criteria reached the threshold of 50% compliance, and one criterion reached 19%. Further audits are needed to ensure sustainability.</p><p><strong>Conclusions: </strong>This project improved diabetes self-management in elderly people living in a Belgian home for the aged. An in-depth planning phase with internal facilitation and interdisciplinary collaboration between all co-workers addressed barriers related to quality systems, structure, communication, and education.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A258.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394342","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
Adherence to optimal delirium management practices in intensive care units in Brazil: a nationwide survey. 巴西重症监护病房对最佳谵妄管理措施的遵守情况:一项全国性调查。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-08 DOI: 10.1097/XEB.0000000000000470
Mateus Meneses Bispo, Regina Claudia da Silva Souza
{"title":"Adherence to optimal delirium management practices in intensive care units in Brazil: a nationwide survey.","authors":"Mateus Meneses Bispo, Regina Claudia da Silva Souza","doi":"10.1097/XEB.0000000000000470","DOIUrl":"10.1097/XEB.0000000000000470","url":null,"abstract":"<p><strong>Background: </strong>Effective delirium management is crucial, considering its association with adverse outcomes. Adherence to best practices has the potential to reduce the incidence and prevalence of delirium and improve health outcomes.</p><p><strong>Objectives: </strong>The objectives of this project were to describe self-assessed adherence to best practices in delirium management by health care professionals in intensive care units (ICUs) in Brazil, assess the health care professionals' perception of the importance of adequate delirium prevention and treatment in ICUs, and compare the compliance rates with best practices between public and private ICUs.</p><p><strong>Method: </strong>A cross-sectional study was conducted in Brazil using an online questionnaire consisting of three parts, namely, data about the health care professionals and the ICU in which they worked; statements about the 17 best practices; and questions related to perceptions of delirium prevention and management by ICU physicians and nurses. The survey was sent to email addresses registered with the Brazilian Association of Intensive Care Medicine.</p><p><strong>Results: </strong>The compliance rate exceeded 50% for only eight best practices. These included the identification and management of pressure sores and falls in delirium patients, with compliance rates of 77.8% and 74.1%, respectively.</p><p><strong>Conclusion: </strong>Among ICU professionals in Brazil, adherence to best practices in delirium management is low, particularly for practices involving patient education and involvement of their relatives in their care. These results emphasize the importance of enhancing delirium management in Brazilian health care institutions, regardless of hospital classification.</p><p><strong>Spanish abstract: </strong>http://links.lww.com/IJEBH/A274.</p>","PeriodicalId":48473,"journal":{"name":"Jbi Evidence Implementation","volume":null,"pages":null},"PeriodicalIF":2.7,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382039","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
Correct patient identification and matching of adults in an ambulatory care setting: a best practice implementation project. 在门诊护理环境中正确识别和匹配成人患者:最佳实践实施项目。
IF 2.7 4区 医学
Jbi Evidence Implementation Pub Date : 2024-10-04 DOI: 10.1097/XEB.0000000000000471
Louise Dung Tran, Bronwyn Neil, Christine Taylor
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