scholarly journals Motivation for participating in a journal club: Perceptions of the participants

2017 ◽  
Vol 8 (2) ◽  
pp. 93
Author(s):  
Stacy Blake ◽  
Lana Teegarden ◽  
Ashley Peacock ◽  
Janet Crumley ◽  
Ashley Stumpenhaus ◽  
...  
Keyword(s):  
Registered Nurses ◽  
Journal Club ◽  
Career Ladder ◽  
Survey Study ◽  
Evidence Based ◽  
Primary Reason ◽  
Web Based ◽  
Evidence Based Care ◽  
Perceived Outcomes

The purpose of this survey study was to describe the motivation and perceived outcomes from registered nurses (RNs) who participated in a hospital-based journal club. Using a web-based format, data were collected from 40 registered nurses who completed at least one journal club activity in the previous six months. The majority of these participants (78%) disclosed career ladder points as the primary reason for completing the activity. The most frequently cited perceived outcome was an increased desire to provide evidence-based care. Age and number of years as a RN influenced the perception of the benefit of journal club participation.

scholarly journals Implementation Effectiveness of a Parent-Directed YouTube Video (“It Doesn’t Have To Hurt”) on Evidence-Based Strategies to Manage Needle Pain: Descriptive Survey Study (Preprint)

2019 ◽  
Author(s):  
Christine T Chambers ◽  
Justine Dol ◽  
Jennifer A Parker ◽  
Line Caes ◽  
Kathryn A Birnie ◽  
...  
Keyword(s):  
Pain Management ◽  
Management Strategies ◽  
Survey Study ◽  
Evidence Based ◽  
Deep Breathing ◽  
Topical Anesthetic ◽  
Web Based ◽  
Implementation Effectiveness ◽  
Children's Pain ◽  
The Web

BACKGROUND Despite the availability of high-quality evidence and clinical practice guidelines for the effective management of pediatric pain, this evidence is rarely used in practice for managing children’s pain from needle procedures such as vaccinations. Parents are generally unaware of pain management strategies they can use with their children. OBJECTIVE This study aimed to develop, implement, and evaluate the implementation effectiveness of a parent-directed YouTube video on evidence-based strategies to manage needle pain in children. METHODS This was a descriptive study. Analytics were extracted from YouTube to describe video reach. A Web-based survey was used to seek parent and health care professional (HCP) feedback about the video. The 2-minute 18-second video was launched on YouTube on November 4, 2013. In the video, a 4-year-old girl tells parents what they should and should not do to help needles hurt less. The key evidence-based messages shared in the video were distraction, deep breathing, and topical anesthetic creams. A group of parents (n=163) and HCPs (n=278) completed the Web-based survey. Measures of reach included number of unique views, country where the video was viewed, sex of the viewer, and length of watch time. The Web-based survey assessed implementation outcomes of the video, such as acceptability, appropriateness, penetration, and adoption. RESULTS As of November 4, 2018 (5 years after launch), the video had 237,132 unique views from 182 countries, with most viewers watching an average of 55.1% (76/138 seconds) of the video. Overall, both parents and HCPs reported strong acceptance of the video (ie, they liked the video, found it helpful, and felt more confident) and reported significant improvements in plans to use distraction, deep breathing, and topical anesthetic creams. CONCLUSIONS This parent-directed YouTube video was an acceptable and appropriate way to disseminate evidence about the procedure of pain management to a large number of parents.

scholarly journals Evidence-Based Practice in Nursing

2015 ◽  
Author(s):  
Sandra Linde
Keyword(s):  
Registered Nurses ◽  
Evidence Based Practice ◽  
High Reliability ◽  
Medical Center ◽  
The United States ◽  
Survey Study ◽  
Evidence Based ◽  
Institute Of Medicine ◽  
Study Results ◽  
Evidenced Based

<p>Evidenced-based practice (EBP) as defined by the Institute of Medicine(IOM) is the integration of "best research with clinical expertise and patient values for optimum care"(IOM, 2003, p.45-46). Evidence-based practice (EBP) is considered a standard for safe and quality care (Carlson & Plonczynski, 2008). Healthcare leaders recognize EBP as an integral part of achieving quality outcomes and attaining high reliability. The Institute of Medicine (IOM) has established a goal that 90% of healthcare decisions in the United States be evidenced based by the year 2020 (IOM, 2009). Despite the fact that EBP has been promoted for many years, inconsistencies in implementation and adoption have been noted. Barriers to the implementation of EBP need to be understood. Assessing organizational culture has been identified as a necessary first step in to overcoming common barriers (Carlson & Plonczynski, 2008; Frasure, 2008). The purpose of this study was to assess the practice, attitudes and knowledge of EBP in registered nurses using the Evidence-Based Practice Questionnaire (EBPQ). The study used a descriptive design with convenience sampling. All staff registered nurses (RNs), Clinical Managers (CMs) and Assistant Clinical Managers (ACMs) on inpatient units within a large medical center in the Northeast were invited to participate in this survey. Study results are similar to those found in literature previously cited: a positive attitude towards EBP with a lower perception of knowledge or practice (Melnyk et al., 2004) and belief that more knowledge is needed (Alspach, 2006; Melnyk et al., 2004; Melnyk, Fineout-Overholt, Gallagher-Ford, & Kaplan, 2012). This assessment indicates a degree of environmental readiness and provides relative estimation of educational needs.</p>

Cincinnati’s adoption of a web-based portal to promote reportable evidence-based care.

2014 ◽  
Vol 32 (30_suppl) ◽  
pp. 121-121
Author(s):  
Bryan A. Loy ◽  
Jude Gallagher ◽  
Barry A. Peterson ◽  
Stanley Forston ◽  
Michael Sturgill
Keyword(s):  
Clinical Trial ◽  
Performance Status ◽  
Evidence Based ◽  
Health Plans ◽  
Web Based ◽  
Lung Cancers ◽  
Platform Process ◽  
And Performance ◽  
Line Of Therapy ◽  
Evidence Based Care

121 Background: Health plans have limited ability to assess compendia and preferred pathways, as claims data lack tumor subtyping, staging, line of therapy, and performance status. Attempts by health plans to gain visibility into compendia compliance have resulted in pre-authorizations and medical record analysis, which incur administrative burdens for physicians and plans. Alternative, more efficient approaches for payers and oncologists to share clinical data on treatment decisions may promote evidence-based care. Methods: In 2011, Humana and New Century Health implemented a registry-like platform to improve administrative efficiencies and facilitate compendia and preferred pathways in participating oncology centers in the Cincinnati metropolitan area. This web-based platform replaced faxed pre-authorization forms and created the opportunity to obtain real-time authorization. In the 3 years after implementation of the platform, process metrics for breast, colon, lung cancers, and lymphoma were reported. Coverage determinations were grouped as 1) withdrawn or not approved, or 2) approved, defined as compendia-based, inclusive of pathways, off-compendia approvals, and clinical trial notifications. Results: Widespread physician adoption of the platform exceeded 99% in 2011 and remained above 95% in the following 2 years. The trends in non-approved and approved reviews remained stable. As a subset of approved-reviews, compendia-based care remained consistently above 95%, while off-compendia plus clinical trial notifications occurred at frequencies below 5%. Conclusions: Compendia compliance was high and remained stable over time. Widespread adoption of a web-based platform can ease the administrative burden and support timely enrollment of patients into clinical programs. Evolution of the platform intends to shift the information closer to the point of decision making by the treating oncologist. [Table: see text]

scholarly journals Implementation Effectiveness of a Parent-Directed YouTube Video (“It Doesn’t Have To Hurt”) on Evidence-Based Strategies to Manage Needle Pain: Descriptive Survey Study

10.2196/13552 ◽  
2020 ◽  
Vol 3 (1) ◽  
pp. e13552 ◽  
Author(s):  
Christine T Chambers ◽  
Justine Dol ◽  
Jennifer A Parker ◽  
Line Caes ◽  
Kathryn A Birnie ◽  
...  
Keyword(s):  
Pain Management ◽  
Management Strategies ◽  
Survey Study ◽  
Evidence Based ◽  
Deep Breathing ◽  
Topical Anesthetic ◽  
Web Based ◽  
Implementation Effectiveness ◽  
Children's Pain ◽  
The Web

Background Despite the availability of high-quality evidence and clinical practice guidelines for the effective management of pediatric pain, this evidence is rarely used in practice for managing children’s pain from needle procedures such as vaccinations. Parents are generally unaware of pain management strategies they can use with their children. Objective This study aimed to develop, implement, and evaluate the implementation effectiveness of a parent-directed YouTube video on evidence-based strategies to manage needle pain in children. Methods This was a descriptive study. Analytics were extracted from YouTube to describe video reach. A Web-based survey was used to seek parent and health care professional (HCP) feedback about the video. The 2-minute 18-second video was launched on YouTube on November 4, 2013. In the video, a 4-year-old girl tells parents what they should and should not do to help needles hurt less. The key evidence-based messages shared in the video were distraction, deep breathing, and topical anesthetic creams. A group of parents (n=163) and HCPs (n=278) completed the Web-based survey. Measures of reach included number of unique views, country where the video was viewed, sex of the viewer, and length of watch time. The Web-based survey assessed implementation outcomes of the video, such as acceptability, appropriateness, penetration, and adoption. Results As of November 4, 2018 (5 years after launch), the video had 237,132 unique views from 182 countries, with most viewers watching an average of 55.1% (76/138 seconds) of the video. Overall, both parents and HCPs reported strong acceptance of the video (ie, they liked the video, found it helpful, and felt more confident) and reported significant improvements in plans to use distraction, deep breathing, and topical anesthetic creams. Conclusions This parent-directed YouTube video was an acceptable and appropriate way to disseminate evidence about the procedure of pain management to a large number of parents.

Factors Associated With Evidence-Based Care in Community-Based Child Psychotherapy

2010 ◽  
Author(s):  
Lauren Brookman-Frazee ◽  
Rachel A. Haine ◽  
Mary J. Baker-Ericzen ◽  
Ann F. Garland
Keyword(s):  
Child Psychotherapy ◽  
Evidence Based ◽  
Community Based ◽  
Factors Associated ◽  
Evidence Based Care

Design and Development of a Web-based Delirium Preventive Application for Long-term Care Facilities: A Methodological Study (Preprint)

2020 ◽  
Author(s):  
Kyoung Ja Moon ◽  
Chang-Sik Son ◽  
Jong-Ha Lee ◽  
Mina Park
Keyword(s):  
Risk Factors ◽  
Long Term Care ◽  
Cloud System ◽  
Evidence Based ◽  
Methodological Study ◽  
Term Care ◽  
Web Based ◽  
Care Facilities ◽  
Delirium Prevention

BACKGROUND Long-term care facilities demonstrate low levels of knowledge and care for patients with delirium and are often not properly equipped with an electronic medical record system, thereby hindering systematic approaches to delirium monitoring. OBJECTIVE This study aims to develop a web-based delirium preventive application (app), with an integrated predictive model, for long-term care (LTC) facilities using artificial intelligence (AI). METHODS This methodological study was conducted to develop an app and link it with the Amazon cloud system. The app was developed based on an evidence-based literature review and the validity of the AI prediction model algorithm. Participants comprised 206 persons admitted to LTC facilities. The app was developed in 5 phases. First, through a review of evidence-based literature, risk factors for predicting delirium and non-pharmaceutical contents for preventive intervention were identified. Second, the app, consisting of several screens, was designed; this involved providing basic information, predicting the onset of delirium according to risk factors, assessing delirium, and intervening for prevention. Third, based on the existing data, predictive analysis was performed, and the algorithm developed through this was calculated at the site linked to the web through the Amazon cloud system and sent back to the app. Fourth, a pilot test using the developed app was conducted with 33 patients. Fifth, the app was finalized. RESULTS We developed the Web_DeliPREVENT_4LCF for patients of LTC facilities. This app provides information on delirium, inputs risk factors, predicts and informs the degree of delirium risk, and enables delirium measurement or delirium prevention interventions to be immediately implemented with a verified tool. CONCLUSIONS This web-based application is evidence-based and offers easy mobilization and care to patients with delirium in LTC facilities. Therefore, the use of this app improves the unrecognized of delirium and predicts the degree of delirium risk, thereby helping initiatives for delirium prevention and providing interventions. This would ultimately improve patient safety and quality of care. CLINICALTRIAL none

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