Worldviews on evidence-based nursing
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Worldviews Evid Based Nurs · Jan 2009
ReviewA systematic review of the effectiveness of communication interventions for health care providers caring for patients in residential care settings.
This systematic review will describe the theoretical grounding, components, duration, mode of delivery, and outcomes of communication interventions for health care providers delivering care in residential care settings and will evaluate the effectiveness of these interventions. ⋯ Although communication training has been shown to have positive effects on staffs' communication knowledge and skills as well as on resident outcomes, future controlled intervention research is needed to assess the effectiveness of individual intervention components.
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Worldviews Evid Based Nurs · Jan 2009
Comparative StudyComparisons of acute physiological parameters influencing outcome in patients with traumatic brain injury and hemorrhagic stroke.
Although several factors are known to influence prognosis after acute brain injury, physiologic derangements were found to be associated with, or contributing to, increased mortality and disability in these patients. ⋯ In critical care units, the most important aims of nursing care are decreasing mortality and disability rates. In order to achieve such goals, acute physiological parameters such as BP, respiratory rate, heart rate, PaO2, PaCO2, and temperature should be monitored and managed, with the aim of reducing the risk of secondary brain injury.
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Worldviews Evid Based Nurs · Jan 2009
Attitudes toward guidelines in Finnish primary care nursing: a questionnaire survey.
Evidence-based clinical guidelines have attracted international interest as tools for improving the quality of health care. Attitudes toward these guidelines are of great importance because attitudes are proven to be important predictors of guideline use. Attitudes are also believed to be shaped by perceptions of others, which makes the role of organizational implementation interventions interesting. ⋯ The evidence-based guidelines were accepted as a reliable source of advice in patient care in Finnish primary care. It seems that implementation interventions improve attitudes toward guidelines and enhance guideline use. These interventions might also be important from another point of view; they presumably improve familiarity with guidelines, which was also associated with guideline use.
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During the past 2 decades, evidence-based practice has increasingly been proven as a means of standard and higher-quality health care. Nurses who base their practices on scientific evidence bring their clients and organization better and more cost-effective nursing care. However, little is known about Iranian nurses' perceptions of evidence-based practice. ⋯ Nurses need support from both the organizational management and the educational system to help them apply evidence in practice.