Worldviews on evidence-based nursing
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Worldviews Evid Based Nurs · Jan 2004
Multicenter Study Controlled Clinical TrialTranslation research in long-term care: improving pain management in nursing homes.
Pain prevalence in nursing homes remains high, with multiple resident, staff, and physician barriers presenting serious challenges to its improvement. ⋯ Pain is a complex problem in the nursing home setting. Multiple factors must be considered in both the design and implementation of interventions to improve pain practices and reduce pain prevalence in nursing homes.
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Worldviews Evid Based Nurs · Jan 2004
Nurses' perceived knowledge, beliefs, skills, and needs regarding evidence-based practice: implications for accelerating the paradigm shift.
The paradigm shift to evidence-based nursing practice in the United States has been slow. Although multiple barriers to evidence-based practice (EBP) have been identified through prior studies, there is a gap in the literature specifically identifying key variables (e.g., belief that EBP produces quality outcomes) that are correlated with the extent to which nurses engage in EBP. ⋯ Health care systems need to implement interventions that not only increase nurses' EBP knowledge and skills, but also strengthen their beliefs about the benefit of evidence-based care. EBP mentors may be key in accelerating a more rapid shift toward evidence-based nursing practice. Theoretically driven randomized controlled trials are urgently needed to test the effectiveness of interventions on advancing evidence-based care.
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Worldviews Evid Based Nurs · Jan 2004
ReviewConducting translation research in the home care setting: lessons from a just-in-time reminder study.
Home care organizations are relatively isolated from academic health centers, university-based schools of nursing, and centers of health services research that have advanced the knowledge base for quality improvement. Thus limited information exists about how best to promote evidence-based practice in this setting. ⋯ The study described in this article demonstrates that rigorous translation research can be conducted in highly decentralized practice settings. It also points to the value of assessing different levels of intensity of interventions in a single study, looking at process measures and patient outcomes, and conducting a cost-effectiveness analysis. To encourage broader adoption of translation strategies, additional incentives from purchasing or regulatory agencies may be needed.
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Worldviews Evid Based Nurs · Jan 2004
ReviewWeight loss interventions for adult obesity: evidence for practice.
One out of three adults is obese, making obesity the most common presenting chronic medical condition in the primary care setting. Obesity is associated with an increased risk of developing secondary illnesses resulting in a higher rate of morbidity. This chronic condition is a constant challenge facing international health care systems. A need for a systematic approach to treatment is essential to conquering obesity and improving patients' outcomes and quality of lives. Despite the existence of evidence-based guidelines, the proportion of primary care clinicians implementing weight loss counseling is low. ⋯ Finally, the feasibility of applying these findings to practice and the practical implications of these findings are discussed.