JBI database of systematic reviews and implementation reports
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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.
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JBI Database System Rev Implement Rep · Oct 2016
Experiences of healthcare professionals in providing palliative end-of-life care to patients in emergency departments: a systematic review protocol.
The objective of this review is to identify and synthesize the best available evidence on the experiences of healthcare professionals in providing palliative care to patients at the end of life in emergency departments.
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JBI Database System Rev Implement Rep · Oct 2016
Implementation of the American Society of Anesthesiology's guidelines to reduce prolonged fasting times in pediatric preoperative patients: a best practice implementation project.
The American Society of Anesthesiology (ASA) guidelines for pediatric preoperative fasting have been a standard for well over a decade. However, use of protocols involving an excessive fasting duration exposes patients to the physiological impacts of fluid volume loss. ⋯ Moderate success with fasting compliance was demonstrated when patients/parents were taught the multi-step ASA non per os (nothing by mouth) instructions. This complexity may have contributed to non-compliance and pointed to the need for enhanced teaching strategies. No operative start delays related to insufficient fasting indicated surgical scheduling flexibility was not at risk, and anesthesia providers had adopted the guidelines. Interdisciplinary engagement in this project was significantly impacted by director level communication which will be a key strategy for future implementations.
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JBI Database System Rev Implement Rep · Aug 2016
ReviewEffectiveness of culturally focused interventions in increasing the satisfaction of hospitalized Asian patients: a systematic review.
Patient satisfaction is a driving force for healthcare organizations to enhance patient services. As the Asian population in the United States is increasing at a significant rate, it is important to understand the needs of this population to implement culturally focused services that will lead to increased Asian in-patient satisfaction. ⋯ Evidence was insufficient to demonstrate cause and effect. Results suggest that culturally competent communication with patients by physicians and registered nurses, quietness of the room, information about treatments and procedures, and cultural foods are associated with increased satisfaction among hospitalized adult Asian patients.