Journal of evaluation in clinical practice
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Physiotherapists form an important part of the inter-professional team that cares for critically ill patients in intensive care units (ICU). No formalized clinical practice guidelines or standards exist for the educational profile or scope of practice requirements for physiotherapy within critical care, which poses a threat to physiotherapy practice and professional credibility. ⋯ The NGT allowed for the cross-stimulation of ideas in an engaging yet anonymous and structured manner. The importance of discussion in reaching consensus is highlighted. Going forward, it is intended to use the concepts generated through this process as the foundation for further consensus-building activities among the wider physiotherapy and intensive care communities.
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To analyse anthropometric parameters, clinical pain and experimental pain in women with chronic pelvic pain (CPP). ⋯ Evaluation of anthropometric parameters and pain measurements can be applied in clinical practice, making a contribution to the diagnosis and influencing the choice of a more effective treatment for women with CPP.
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Diagnostic systems exist in many disciplines. Strengths and weaknesses of such diagnostic systems vary considerably within and among disciplinary domains of the health sciences. The logical framework behind each diagnostic process involves identifying a condition, seeking causes, establishing a prognosis and a treatment. Notably, a clinical diagnosis is a judgment focused on the present, aiming to cluster events associated with a disease. Diagnostic judgment focuses on the past when it attempts to isolate possible causes, and towards the future when it indicates prognoses and treatments. ⋯ The proposed logical framework has been applied to a nursing taxonomy-based diagnostic system in order to evaluate its strengths and weaknesses consistently with the epistemology of a diagnostic judgment.
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Falls in hospital are costly and may impact psychologically on fallers causing them to avoid mobilization, thereby affecting recovery rate and hospital length of stay. The study aim was to investigate the relationships between fear of falling, falls risk, in-hospital falls and hospital length of stay. ⋯ An admission MFES score of less than 5 is an effective predictor of patient falls and is associated with a significantly longer hospital length of stay.
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We aim to investigate a range of risk factors associated with medication adherence among Chinese hypertensive patients. We also aim to investigate the association between medication adherence and blood pressure control. ⋯ The rate of suboptimal medication adherence among Chinese hypertensive patients is quite high. Interventions could focus upon the risk factors to improve antihypertensive medication adherence in clinical practice.