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Pesquisa : H02.249 [Categoria DeCS]
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[PMID]:28453823
[Au] Autor:Borgert M; Binnekade J; Paulus F; Goossens A; Dongelmans D
[Ad] Endereço:Department of Intensive Care Medicine, Academic Medical Center, University of Amsterdam, PO Box 22660, 1100 DD Amsterdam, The Netherlands.
[Ti] Título:A flowchart for building evidence-based care bundles in intensive care: based on a systematic review.
[So] Source:Int J Qual Health Care;29(2):163-175, 2017 Apr 01.
[Is] ISSN:1464-3677
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Purpose: The Institute for Healthcare Improvement is the founder of the care bundled approach and described the methods used on how to develop care bundles. However, other useful methods are published as well. In this systematic review, we identified what different methods were used to design care bundles in intensive care units. The results were used to build a comprehensive flowchart to guide through the care bundle design process. Data sources: Electronic databases were searched for eligible studies in PubMed, EMBASE and CINAHL from January 2001 to August 2014. Study selection: There were no restrictions on the types of study design eligible for inclusion. Methodological quality was assessed by using the Downs & Black-checklist or Appraisal of Guidelines, REsearch and Evaluation II. Data extraction: Data extraction was independently performed by two reviewers. Results of data synthesis: A total of 4665 records were screened and 18 studies were finally included. The complete process of designing bundles was reported in 33% (6/18). In 50% (9/18), one of the process steps was described. A narrative report was written about care bundles in general in 17% (3/18). We built a comprehensive flowchart to visualize and structure the process of designing care bundles. Conclusion: We identified useful methods for designing evidence-based care bundles. We built a comprehensive flowchart to provide an overview of the methods used to design care bundles so that others could choose their own applicable method. It guides through all necessary steps in the process of designing care bundles.
[Mh] Termos MeSH primário: Unidades de Terapia Intensiva/organização & administração
Pacotes de Assistência ao Paciente/métodos
[Mh] Termos MeSH secundário: Prática Clínica Baseada em Evidências/métodos
Seres Humanos
Melhoria de Qualidade/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/intqhc/mzx009


  2 / 7212 MEDLINE  
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[PMID]:29419385
[Au] Autor:Capewell S; Cairney P; Clarke A
[Ad] Endereço:Public Health and Policy, Institute of Psychology Health and Society, University of Liverpool, Liverpool, UK.
[Ti] Título:Should action take priority over further research on public health?
[So] Source:BMJ;360:k292, 2018 02 01.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Prática Clínica Baseada em Evidências/métodos
Promoção da Saúde/métodos
Saúde Pública/normas
Pesquisa
[Mh] Termos MeSH secundário: Efeitos Psicossociais da Doença
Seres Humanos
Política Nutricional/tendências
Formulação de Políticas
Controle Social Formal
Estados Unidos/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180209
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k292


  3 / 7212 MEDLINE  
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[PMID]:29406650
[Au] Autor:Stevens KE; Marvicsin DJ
[Ti] Título:Evidence-Based Recommendations for Reducing Pediatric Distress During Vaccination.
[So] Source:Pediatr Nurs;42(6):267-74, 2016 Nov-Dec.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Vaccinations are often associated with anxiety, avoidance, and considerable distress for children and parents. These issues can also impair coping during future health care visits. Parents, children, and clinicians can benefit from strategies designed to enhance coping. However, an important barrier to implementation of coping strategy interventions is lack of knowledge among both parents and staff. We produced two sets of tailored handouts designed to enhance education for primary care staff and parents using 41 clinical guidelines, reviews, and randomized controlled trials. Articles were selected from vaccine-specific literature by relevance and practicality for primary care. Handouts provide suggestions for parent and staff interventions before, during, and after vaccinations, focusing on techniques that are effective, cost-efficient, and adaptable. For children of all ages, tailored adult vocabulary and tone can also support coping.
[Mh] Termos MeSH primário: Adaptação Psicológica
Prática Clínica Baseada em Evidências/educação
Prática Clínica Baseada em Evidências/normas
Recursos Humanos de Enfermagem/educação
Pais/educação
Estresse Psicológico/prevenção & controle
Vacinação/psicologia
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Educação Continuada em Enfermagem
Feminino
Seres Humanos
Lactente
Masculino
Guias de Prática Clínica como Assunto
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  4 / 7212 MEDLINE  
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[PMID]:29406629
[Au] Autor:Niederhauser V; Barnes L; Chyka D; Gaylord N; Mefford L; Miller L; Mixer SJ
[Ti] Título:Better Together: A Win-Win Pediatric Academic Partnership.
[So] Source:Pediatr Nurs;42(4):175-9, 2016 Jul-Aug.
[Is] ISSN:0097-9805
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:As healthcare facilities and academic nursing programs are challenged to be efficient and effective in light of an ever-changing healthcare system, recent literature has focused on the value of creating academic practice partnerships. Using the American Association of Colleges of Nursing (AACN) and American Organization of Nurse Executives (AONE) Academic Practice Partnership Guiding Principles, a children's hospital and state university are working collaboratively to improve evidence-based practice and research, create innovative educational opportunities for undergraduate and advanced practice students, promote academic progression that enables nurses to advance their education, improve access to health care services for underserved families, and implement initiatives that improve patient- and family-centered care. This article will describe the initiatives, processes, and outcomes of this fruitful partnership. The examples we provide using the Academic Practice Partnership Guiding Principles can be adapted in other healthcare facilities and nursing programs.
[Mh] Termos MeSH primário: Comportamento Cooperativo
Bacharelado em Enfermagem/organização & administração
Prática Clínica Baseada em Evidências/organização & administração
Hospitais Pediátricos/organização & administração
Relações Interinstitucionais
Enfermagem Pediátrica/organização & administração
Escolas de Enfermagem/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:180207
[St] Status:MEDLINE


  5 / 7212 MEDLINE  
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[PMID]:29179820
[Au] Autor:Penno SJ; Hamilton B; Petrakis M
[Ad] Endereço:St. Vincent's Hospital (Melbourne), Mental Health Service, Melbourne, Australia.
[Ti] Título:Early Intervention in Psychosis: Health of the Nation Outcome Scales (HoNOS) Outcomes From a Five-Year Prospective Study.
[So] Source:Arch Psychiatr Nurs;31(6):553-560, 2017 12.
[Is] ISSN:1532-8228
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Over the last two decades, mental health services internationally have shifted towards intervening early in psychosis. The critical period for intervention is estimated to be five-years and many specialised programs target early psychosis. AIM/QUESTION: This prospective cohort study aimed to evaluate five-year outcomes from an early psychosis program (EPP) that adopted an integrated model, providing nursing and multidisciplinary community mental healthcare to clients aged 16-65years, beyond the typical age range of 16-25years. METHOD: We examined one routine outcome measure, the Health of the Nation Outcome Scales (HoNOS) across episodes of care for clients receiving EPP over a 5year period (n=239), comparing these results with HoNOS outcomes in an Australian national dataset for all public mental health clients. RESULTS: HoNOS improvements were highly significant from intake to discharge and from review to discharge for EPP clients, and these compared well with national outcome performance. CONCLUSION: There is potential for mental health nurses and other clinicians to significantly improve client symptoms and functioning, in a model of early psychosis treatment beyond a youth focus.
[Mh] Termos MeSH primário: Diagnóstico Precoce
Avaliação de Resultados (Cuidados de Saúde)/métodos
Transtornos Psicóticos/terapia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Austrália
Prática Clínica Baseada em Evidências
Feminino
Seres Humanos
Estudos Longitudinais
Masculino
Serviços de Saúde Mental/utilização
Meia-Idade
Estudos Prospectivos
Enfermagem Psiquiátrica
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  6 / 7212 MEDLINE  
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[PMID]:28459493
[Au] Autor:Lovelace R; Noonen M; Bena JF; Tang AS; Angie M; Cwynar R; Field R; Rosenberger J; Ross D; Walker D; Albert NM
[Ti] Título:Value of, Attitudes Toward, and Implementation of Evidence-Based Practices Based on Use of Self-Study Learning Modules.
[So] Source:J Contin Educ Nurs;48(5):209-216, 2017 May 01.
[Is] ISSN:1938-2472
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: It is unknown if completing educational modules on understanding, reviewing, and synthesizing research literature is associated with higher value of, attitudes toward, and implementation of evidence-based practices. METHOD: Nurses completed valid, reliable questionnaires on the value of, attitudes toward, and implementation of evidence-based practice 6 months after four educational modules were introduced. Multivariable modeling was used to learn associations of education modules and evidence-based practice themes. RESULTS: Of 1,033 participants, 54% completed at least one education module; 22% completed all modules. Value and attitude about evidence-based practice were moderately high, but implementation was low (mean = 15.15 ± 15.72; range = 0 to 72). After controlling for nurse characteristics and experiences associated with evidence-based practice value, attitudes, and implementation scores, education modules completion was associated with the implementation of evidence-based practice (p = .001), but not with value or attitude of evidence-based practices scores. CONCLUSION: Education on reviewing and synthesizing literature strengthened implementation of evidence-based practices. J Contin Educ Nurs. 2017;48(5):209-216.
[Mh] Termos MeSH primário: Educação Continuada em Enfermagem/métodos
Prática Clínica Baseada em Evidências/educação
Conhecimentos, Atitudes e Prática em Saúde
Recursos Humanos de Enfermagem/educação
Recursos Humanos de Enfermagem/psicologia
Instrução Programada como Assunto
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Masculino
Meia-Idade
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE
[do] DOI:10.3928/00220124-20170418-05


  7 / 7212 MEDLINE  
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[PMID]:28453416
[Au] Autor:Thomas WS
[Ad] Endereço:a Medical Center @ Navicent Health, Macon, Georgia, USA and Mercer University School of Medicine, Skelton Medical Library , Macon , Georgia , USA.
[Ti] Título:Nurse Research Rounds: In the Spirit of Inquiry.
[So] Source:Med Ref Serv Q;36(2):179-186, 2017 Apr-Jun.
[Is] ISSN:1540-9597
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Nurses deliver a point-of-care service to patients. The nursing staff work extensive schedules and do not have time to research a clinical question to help support patient care. This article describes the implementation of the first research service that supports evidence-based practice at Georgia's second largest hospital. Inspired by a similar service at a children's hospital in 2014, the first year of nurse research rounds provides clinicians a new research service in their clinical setting.
[Mh] Termos MeSH primário: Prática Clínica Baseada em Evidências
Hospitais Pediátricos
Sistemas Automatizados de Assistência Junto ao Leito
[Mh] Termos MeSH secundário: Georgia
Seres Humanos
Recursos Humanos de Enfermagem no Hospital
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1080/02763869.2017.1293988


  8 / 7212 MEDLINE  
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[PMID]:29430892
[Au] Autor:Novikov SM; Fokin MV; Unguryanu TN
[Ti] Título:[Actual problem of methodology and development of evidence-based health risk assessment associated with chemical exposure].
[So] Source:Gig Sanit;95(8):711-6, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:Paramount problems of the development of the assessment of population health risks associated with the chemical exposure in Russia are considered on the ground of critical analysis of reports devoted to methodological issues of the risk assessment and guidelines published since 2010. Causes of the lack in progress of risk assessment are discussed. The information of executed research revealed the significant retardation number of Russian publications devoted to the evidence-based health risk assessment compare to worldwide trend. The analysis of publications according to evidence-based health risk assessment in Russia in 1998 - 2012 demonstrated methodical problems to be leading to the underestimation of the real risk to population's health. There are demonstrated directions in the renewal of methodology and practice of hygienic standardization on the basis of the risk assessment. The comparative analysis of values of uncertainty factors (modifying factors, conversion factors) used for extrapolation and accepted in different countries and organizations was made. The system of extrapolation coefficients of DNEL (Derive No-Effect Level) is presented. The leading principles of modern toxicology and risk assessment based on strict scientific proofs are showed. Criteria of evidence-based toxicology and risk assessment are presented.Among actual problems which demand their decision there are considered: the assessment of combined action in regulatory toxicology; expansion of spheres of the application of health risk assessment methodology; the improvement ofpreparation and certification of experts in the field of health risk assessment; need of check of dispersion models and their replacement by more modern models; the improvement of exposure assessment with taking into account the international requirements; the assessment of regional exposure factors; expansion of atmospheric air monitoring in all the large cities of Russia.
[Mh] Termos MeSH primário: Exposição Ambiental
Substâncias Perigosas
Medição de Risco
[Mh] Termos MeSH secundário: Exposição Ambiental/prevenção & controle
Exposição Ambiental/normas
Poluentes Ambientais/análise
Poluentes Ambientais/normas
Prática Clínica Baseada em Evidências
Substâncias Perigosas/análise
Substâncias Perigosas/normas
Seres Humanos
Higiene/normas
Saúde Pública/métodos
Medição de Risco/métodos
Medição de Risco/normas
Federação Russa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Environmental Pollutants); 0 (Hazardous Substances)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


  9 / 7212 MEDLINE  
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[PMID]:29424518
[Au] Autor:Abrams K; Carlon S; Haugen MB; Mancilla D; McElroy K; Millen M; Sandefer R; Sharp M; Sorensen L
[Ti] Título:HIM Reimagined Outlines BOLD New Future for HIM Profession.
[So] Source:J AHIMA;88(6):22-5, 2017 06.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Educação Profissionalizante/tendências
Gestão da Informação em Saúde/educação
Gestão da Informação em Saúde/tendências
[Mh] Termos MeSH secundário: Difusão de Inovações
Prática Clínica Baseada em Evidências
Previsões
Política de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


  10 / 7212 MEDLINE  
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[PMID]:29185959
[Au] Autor:Marchesoni A; Olivieri I; Salvarani C; Pipitone N; D'Angelo S; Mathieu A; Cauli A; Punzi L; Ramonda R; Scarpa R; Maccarone M; Lubrano E
[Ad] Endereço:Day Hospital of Rheumatology, ASST Gaetano Pini-CTO, Milano, Italy. antonio.marchesoni@asst-pini-cto.it.
[Ti] Título:Recommendations for the use of biologics and other novel drugs in the treatment of psoriatic arthritis: 2017 update from the Italian Society of Rheumatology.
[So] Source:Clin Exp Rheumatol;35(6):991-1010, 2017 Nov-Dec.
[Is] ISSN:0392-856X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: To update the 2011 Italian Society of Rheumatology (SIR) recommendations for the use of biologics and other novel agents in the treatment of psoriatic arthritis (PsA). METHODS: To create this new set of recommendations, the SIR "Spondyloartritis and Psoriatic Arthritis study group - A. Spadaro" went through the following steps: literature search, identification of the items of interests for each of the four previously identified clinical domains of PsA and the different treatment phases, achievement of the consensus on all topics, and generation of the recommendations. RESULTS: An update on the available evidence on all of the biologics and new small molecules tested in PsA is reported, comprising the data for each of the individual articular manifestation. Indications for therapy inclusion criteria, choice of the drug, disease assessment, response definition, therapy failure management, and disease remission management for PsA peripheral joint arthritis, enthesitis, dactylitis, and spondylitis are provided. Suggestions for the treatment of patients with PsA and concomitant extra-articular manifestations are also given. CONCLUSIONS: These evidence-based recommendations may be used for guidance in the complex and fast-evolving field of the treatment of PsA.
[Mh] Termos MeSH primário: Antirreumáticos/uso terapêutico
Artrite Psoriásica/tratamento farmacológico
Produtos Biológicos/uso terapêutico
[Mh] Termos MeSH secundário: Abatacepte/uso terapêutico
Anticorpos Monoclonais Humanizados/uso terapêutico
Prática Clínica Baseada em Evidências
Seres Humanos
Interleucina-17/antagonistas & inibidores
Guias de Prática Clínica como Assunto
Fator de Necrose Tumoral alfa/antagonistas & inibidores
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Antibodies, Monoclonal, Humanized); 0 (Antirheumatic Agents); 0 (Biological Products); 0 (Interleukin-17); 0 (Tumor Necrosis Factor-alpha); 0 (clazakizumab); 7D0YB67S97 (Abatacept)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE



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