JBI database of systematic reviews and implementation reports
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JBI Database System Rev Implement Rep · Nov 2016
ReviewEffectiveness and experience of arts-based pedagogy among undergraduate nursing students: a mixed methods systematic review.
To develop well rounded professional nurses, educators need diverse pedagogical approaches. There is growing interest in arts-based pedagogy (ABP) as the arts can facilitate reflection, create meaning and engage healthcare students. However, the emerging body of research about ABP needs to be systematically examined. ⋯ Nurse educators should consider using ABP as students found that this approach offered a meaningful way of learning and resulted in the development of important competencies for professional nursing. The QN studies provide a very low level of evidence that ABP improved students' knowledge acquisition, level of empathy, attitude toward others, emotional states, level of reflective practice, learning behaviors and aspects of cognitive/ethical maturity. Although the QN findings can inform future research, the evidence is not robust enough to demonstrate improved outcomes.
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JBI Database System Rev Implement Rep · Nov 2016
ReviewQuality of life among adults following bariatric and body contouring surgery: a systematic review.
Weight loss following bariatric surgery is associated with significant improvements in obesity-related comorbidities, body satisfaction and psychosocial outcomes, at least in the short term. However, in the context of extreme weight loss, body image and appearance may worsen again because the "excess" or "loose" skin can lead to both functional and profound dissatisfaction with appearance. These concerns have led to an increasing uptake of post-bariatric surgery, "body-contouring" procedures but the implications for quality of life (QoL) have not been thoroughly considered. ⋯ Body contouring surgery has been shown to have positive benefits, especially in relation to improved wellbeing, function and QoL. However, adjustment to changing body image following body contouring is both challenging and empowering and seems to be a transitional process.
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JBI Database System Rev Implement Rep · Nov 2016
Comparative StudyA comparison between dexmedetomidine and propofol on extubation times in postoperative adult cardiac surgery patients: a systematic review protocol.
The objective of this systematic review is to synthesize the best available evidence regarding the effects of dexmedetomidine compared to propofol on time to extubation, intensive care unit (ICU) length of stay (LOS), hospital LOS and mortality in postoperative adult cardiac surgery patients. The specific review question is as follows:What is the effectiveness of dexmedetomidine compared to propofol on times to extubation, ICU LOS, hospital LOS and mortality in postoperative adults undergoing cardiac surgery?
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JBI Database System Rev Implement Rep · Oct 2016
Nursing clinical handover improvement practices among acute inpatients in a tertiary hospital in Sydney: a best practice implementation project.
The nursing handover normally occurs at the beginning of a nurse's shift and is considered essential for continuity of care. Nursing handovers have the potential to communicate accurate information about a patient's condition, treatment and anticipated needs but also to be ineffective or even harmful if information is incomplete or omitted. The Australian Commission on Safety and Quality in Health Care has recognized clinical handover as a National Standard, thus reinforcing its importance. ⋯ The findings showed how audits may be used to promote best practice in healthcare and that focused education and provision of relevant resources can have an immediate and positive impact on clinical practice. Some of the measured criteria improved to a moderate degree, leaving room for improvement; however, by the end of the project attitudes toward nursing clinical handover had been "transformed" from a passive routine "must do" task to an active process with a focus on safety and patient/carer engagement. Future audits are planned to ensure sustainability.
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JBI Database System Rev Implement Rep · Oct 2016
Comparative StudyEffectiveness of assertive communication training programs for health professionals and students: a systematic review protocol.
The objective of this systematic review is to identify, appraise and synthesize the best available evidence related to the effectiveness of assertive communication training programs in healthcare. More specifically, the objective of this systematic review is to determine the effectiveness of assertive communication interventions for health professionals and students on levels of assertiveness, communication competence and impact on clinician behaviors compared to alternative or no interventions.