Nursing Quality Conference - call for abstracts

Here is a great opportunity for nurses to share their innovative work toward improving nursing outcomes.  The call for abstracts is open for ANA's 8th annual Nursing Quality Conference, to be held in Phoenix AZ February 5-7, 2014.  The conference theme is Advancing Nursing Outcomes: Research, Practice, Innovation.  Submissions will be accepted until May 10th; guidelines and conference details are available on the conference website.

Free CE from the ANA - Innovation in Nursing Practice

To celebrate National Nurses Week, the ANA is offering a free CE webinar, Innovation in Nursing Practice: Are You Leading the Charge? The webinar will take place on Thursday May 9, 10am-11am Pacific Time and will cover, innovations in nursing practice that "improve patient outcomes and satisfaction".

Danielle's Picks from the Literature - January 2013

Happy new year!  Here are my picks of the literature for January. SJO and CHOC staff have access to the articles by contacting Burlew Medical Library.

1.  Restoring Balance: A Consensus Statement on the Protection of Vulnerable Research Participants.
DuBois, James M.; Beskow, Laura; Campbell, Jean; Dugosh, Karen; Festinger, David; Hartz, Sarah; James, Rosalina; Lidz, Charles;
American Journal of Public Health, 2012 Dec; 102 (12): 2220-5
Abstract: A diverse panel convened in June 2011 to explore a dilemma in human research: some traits may make individuals or communities particularly vulnerable to a variety of harms in research; however, well-intended efforts to protect these vulnerable individuals and communities from harm may actually generate a series of new harms. We have presented a consensus statement forged by the panel through discussion during a 2-day meeting and the article-writing process. We have identified practical problems that sometimes arise in connection with providing additional safeguards for groups labeled as vulnerable and offered recommendations on how we might better balance concerns for protection with concerns for justice and participant autonomy.

2.  Information professionals' participation in interdisciplinary research: a preliminary study of factors affecting successful collaborations.
Lorenzetti, Diane L.; Rutherford, Gayle;
Health Information & Libraries Journal, 2012 Dec; 29 (4): 274-84

3.  Appraising Evidence for Everyday Research Questions.
Jakubec, Sonya L.; Astle, Barbara J.;
Journal of Nursing Education, 2012 Dec; 51 (12): 719

4.  How many subjects do I need in my research sample?
Albert, Nancy M; O'Connor, Priscilla C;
Clinical Nurse Specialist: The Journal for Advanced Nursing Practice, 2012 Nov-Dec; 26 (6): 302-4

5.  Ten Things We Might Not Want to Do Anymore: How Research Changes Nursing Practice.
Wolf, Lisa A.; Carman, Margaret J.; Henderson, Deborah; Kamienski, Mary; Koziol-McLain, Jane; Manton, Anne; Moon, Michael D.;
JEN: Journal of Emergency Nursing, 2012 Nov; 38 (6): 589-91

6.  Celluloid devils: a research study of male nurses in feature films
Stanley, David;
Journal of Advanced Nursing, 2012 Nov; 68 (11): 2526-37
Abstract: Aim. To report a study of how male nurses are portrayed in feature films. Background. It was hypothesized that male nurses are frequently portrayed negatively or stereotypically in the film media, potentially having a negative impact on male nurse recruitment and the publics' perception of male nurses. Design/Methods. An interpretive, qualitative methodology guided by insights into hegemonic masculinity and structured around a set of collective case studies (films) was used to examine the portrayal of male nurses in feature films made in the Western world from 1900 to 2007. Over 36,000 feature film synopses were reviewed (via CINAHL, ProQuest and relevant movie-specific literature) for the keyword 'nurse' and 'nursing' with an additional search for films from 1900 to 2010 for the word 'male nurse'. Identified films were labelled as 'cases' and analysed collectively to determine key attributes related to men in nursing and explore them for the emergence of concepts and themes related to the image of male nurses in films. Results/Findings. A total of 13 relevant cases (feature films) were identified with 12 being made in the USA. Most films portrayed male nurses negatively and in ways opposed to hegemonic masculinity, as effeminate, homosexual, homicidal, corrupt or incompetent. Few film images of male nurses show them in traditional masculine roles or as clinically competent or self-confident professionals. Conclusion. Feature films predominantly portray male nurses negatively. Given the popularity of feature films, there may be negative effects on recruitment and on the public's perception of male nurses.

7.  Disseminating Research and Scholarly Projects: Developing a Successful Abstract.
Linder, Lauri;
Journal of Pediatric Oncology Nursing, 2012 Nov; 29 (6): 362-6

8.  The 'auto/biographical' method and its potential to contribute to nursing research
Hugill, Kevin;
Nurse Researcher, 2012 Nov; 20 (2): 28-32
Abstract: Aim To discuss the potential contribution of 'auto/ biography' to nursing research. Background Auto/biographical research approaches involve researchers reflexively recognising that their intellectual and personal biographies are inseparable from the way that they conduct research, from defining research topics and questions and deciding on methods to conducting the research, analysing data and determining findings. Discussion This paper focuses on the components of auto/biography and considers the usefulness and downsides of incorporating it into research. The author explains how greater recognition of the effects of self on research and vice versa is important when aiming to produce transparent, accountable knowledge. Implications for research/practice Nurse researchers should be encouraged to engage in the process of reflexivity in a way that acknowledges the effects of their personal and intellectual life stories on their research. This will help them develop more nuanced and accountable research records.

9.  Focus groups in nursing research: Methodological perspectives.
Jayasekara, Rasika S.;
Nursing Outlook, 2012 Nov; 60 (6): 411-6
Abstract: Focus groups have been increasingly used as a data collection method in nursing research. The key feature of focus groups is the active interaction among participants to explore their views and opinions. In this respect, focus groups are distinct from other methods such as Delphi groups, nominal groups, brainstorming, and consensus panels, which seek to determine a consensus between participants. Compared with other data collection methods, it can be concluded that the real strength of focus groups is not simply in exploring what participants have to say, but in providing insights into the sources of complex behaviors and motivations. The aim of this paper is to present an overview of the focus group as a research tool in nursing research, particularly in nursing education.

10.  Evidence-based practice for the busy nurse practitioner: Part three: Critical appraisal process.
Facchiano, Lynda; Hoffman Snyder, Charlene;
Journal of the American Academy of Nurse Practitioners, 2012 Dec; 24 (12): 704-15
Abstract: Purpose: Evidence-based practice (EBP) involves integrating research evidence with clinical expertise to answer clinical practice inquiries. The purpose of part 3 of this EBP series is to provide an introductory overview of the critical appraisal process, relevant clinical measurements, and critical thinking skills that can enhance nurse practitioners' (NPs') confidence in the clinical decision-making process. Data sources: Scientific literature review, gray literature, PubMed and other online literature databases and resources, and online EBP websites. Conclusions: Critical appraisal skills can assist NPs in interpreting available research, determining its validity reliability, and applicability to their clinical practice. Similarities in the critical appraisal process center around determining a study's reliability, validity, and applicability to the client(s) in question, while the differences exist in the clinical measurements used within specific research designs. Implications for practice: Because medicine is an evolving field, access to knowledge sources that address diagnostic, therapeutic, and prognostic questions is essential for the NP in order to maintain best practice skills. Making EBP user friendly for the practicing NP is paramount for utilization of best evidence.

11.  Increasing Nurses' Access to Evidence Through a Web-Based Resource.
Leaque, Karin; Christenbery, Thomas; Sandlin, Victoria; Arnow, Debbie; Moss, Kathy; Wells, Nancy;
Journal of Nursing Administration, 2012 Nov; 42 (11): 531-5

12.  How relevant is the Cochrane Database of Systematic Reviews to nursing care?
Geurden, Bart JG; Stern, Cindy; Piron, Cécile; Gobert, Micheline;
International Journal of Nursing Practice, 2012 Dec; 18 (6): 519-26
Abstract: Barriers obstructing evidence-based nursing have been explored in many countries. Lack of resources and evidence has been noted as one of these barriers. We aimed to identify nursing care-related systematic reviews published in the Cochrane Database of Systematic Reviews from 1996 until 2009. Using a broad search strategy we identified titles of Cochrane systematic reviews and protocols that focused on nursing care. The abstract of each title was examined and predetermined data were collected and analysed. 1249 titles out of a possible 6244 records were identified as being relevant to nursing care. Most of them focused on newborn and adult populations and related to comparing one intervention with another, and management strategies. The most common nursing specialties represented were internal medicine (34%) and mother and child care (25%). Twenty one percent of reviews published in the Cochrane Database of Systematic Reviews are of direct interest to those involved in nursing care however their relevance was not always obvious.

KP's Nursing Research Series

The Nursing Research Department at Kaiser Permanente is sharing it's Nursing Research Series with the community of nurses at large to, "assist nurses to be a consumer of nursing research, to evaluate the adequacy of research findings in terms of their scientific merit, and to consider their potential for utilization in evidence-based nursing practice".

Check out their Research Series including topics such as: conducting a literature review, developing a research problem, and outcomes research to change nursing practice.  Supplementary materials at the bottom of the page include the informative, "Falls Prevention / Prevention of Injury from Falls Integrative Review".

Danielle's Picks from the Literature - November 2012

Here are my picks of the literature for November. SJO and CHOC staff have access to the articles by contacting Burlew Medical Library.

1. Translating evidence to practice for mechanical venous thromboembolism prophylaxis.
Larkin, Brenda G; Mitchell, Kimberly M; Petrie, Kathryn;
AORN Journal, 2012 Nov; 96 (5): 513-27
Abstract: Perioperative staff nurses at Aurora Health Care, Milwaukee, Wisconsin, questioned variations in the use of mechanical venous thromboembolism prophylaxis and sought to improve the consistency of prophylaxis care and ensure use of evidence-based practices. A work group consisting of perioperative clinical nurse specialists, a nurse clinician, and a staff nurse performed a systematic literature review to determine best practices for the implementation of mechanical venous thromboembolism prevention in the perioperative period. Key practices identified included optimal application times for initiating mechanical prophylaxis before the surgical procedure and the use of unilateral mechanical prophylaxis for some orthopedic procedures. We found no published consensus regarding a cumulative benefit from combining sequential compression devices and graduated compression stockings and no clinical evidence to support the use of alternative configurations for specialty procedural tables to prevent venous thromboembolism. We disseminated the best practices that we identified within our hospital and to the greater nursing community through posters and presentations.

2.  Embedding a Culture of Evidence-based Practice.
Fitzsimons, Emma; Cooper, Joanne;
Nursing Management - UK, 2012 Nov; 19 (7): 14-9.
Abstract: Evidence-based practice (EBP) can improve patient outcomes, cost effectiveness and staff satisfaction, and nursing care should be based on the best available evidence. However, this does not happen consistently. A study tour to the US, funded by the Florence Nightingale Foundation, was undertaken to identify methods of embedding effective EBP in nursing culture. This article presents the findings specifically related to leadership and discusses implications for practice.

3.  The Care Utilizing Evidence initiative.
Beswick, Susan; Martin, Kirsten; Jeffs, Lianne;
Canadian Nurse, 2012 Oct; 108 (8): 20-1

4.  Collaborating With Hospital Librarians to Engage Nurses in Evidence-Based Practice Education.
Winsett, Rebecca P.; Moutseous, Margaret;
Journal of Hospital Librarianship, 2012 Oct-Dec; 12 (4): 309-16
Abstract: Collaboration with the hospital librarian was successful in engaging nurses in evidence-based practice (EBP) education. The experiential learning model guided the course objectives and activities. A single clinical question was used by the class where each topic was introduced along with the resources needed to accomplish each task. Sufficient time was provided for the small groups to complete the assigned task. Once the activity was completed, groups presented findings in an oral presentation. As nurses in a hospital setting may represent three or four different generations, the experiential model was useful in addressing a wide variety of learning needs.

5.  Evidence-based practice for the busy nurse practitioner: Part one: Relevance to clinical practice and clinical inquiry process.
Facchiano, Lynda; Snyder, Charlene Hoffman;
Journal of the American Academy of Nurse Practitioners, 2012 Oct; 24 (10): 579-86
Abstract: Purpose: Evidence-based practice (EBP) continues to gain momentum within health care. The purpose of this four-part EBP series is to provide an introductory overview of the EBP process, emphasizing EBP steps one through three, in order to assist nurse practitioners (NPs) in building EBP skills that can be integrated into clinical practice. The relevance of EBP to the NP's clinical practice, an introduction to the EBP process steps, and clinical inquiry process begin the series. Data sources: Scientific literature review, gray literature, and online evidence-based practice databases and resources. Conclusions: EBP has become increasingly important to NPs, yet there is evidence suggesting it is not being fully implemented in clinical practice. EBP is one way to keep the busy NP's knowledge up to date, enhance clinical judgment, and augment the existing provider-client decision-making process. Implications for practice: The principles of EBP have become the cornerstone strategy for NPs to translate research findings into clinical practice. Practicing in an ever-changing healthcare environment, NPs have a responsibility to provide their clients with the best available evidence, while incorporating that evidence into the provider-client decision-making process.

6.  Evidence-based practice for the busy nurse practitioner: Part two: Searching for the best evidence to clinical inquiries.
Facchiano, Lynda; Snyder, Charlene Hoffman;
Journal of the American Academy of Nurse Practitioners, 2012 Nov; 24 (11): 640-8
Abstract: Purpose: The purpose of this four-part evidence-based practice (EBP) series is to enhance the nurse practitioner's (NP's) EBP skills by reviewing the process of developing a clinical question, searching for the best evidence, and critically appraising and applying the findings. Part two of the series focuses on how to search the published scientific literature for the most relevant studies that will answer a specific clinical question of importance to the NP. Data sources: Scientific literature review, gray searching, PubMed and other online literature databases and resources, and online EBP websites. Conclusions: Technology has allowed multiple healthcare resources to be available at one's fingertips enabling both NPs and their patients to find answers to clinical questions. EBP databases can be categorized as synthesized/filtered, unfiltered, and background information/expert opinion resources. Learning which database can best answer the clinical inquiry can streamline the search process. Implications for practice: For the busy NP, EBP has emerged as an important strategy to maintain valid, accurate, and relevant clinical knowledge. It is expected that this part of the series will enable NPs to identify appropriate databases to answer clinical inquires while refining their search strategy skills, which takes both time and practice.

7.  Evidence-based nursing. The nursing model of care: Don't forget the patient perspective.
Bakker, Denise; Mau, Jean;
Nursing Management, 2012 Oct; 43 (10): 8-11

8.  Making good choices about publishing in the journal jungle.
Clark, Alexander M.; Thompson, David R.;
Journal of Advanced Nursing, 2012 Nov; 68 (11): 2373-5

9.  The Study of Nursing Care project: back to the future for contemporary nursing research?
Smith, Kylie M.; Crookes, Patrick A.;
Journal of Advanced Nursing, 2012 Nov; 68 (11): 2586-93
Abstract: Aims. To discuss the Study of Nursing Care project, an initiative from the late 1970s in the UK. The article explores the impact of the Study of Nursing Care on nursing research, and considers to what extent it presents a useful model for contemporary nursing research. Background. It is acknowledged internationally that the nursing academic workforce is ageing and dwindling. Many possible solutions are being debated with all agreeing that the next generation of evidence based nurse leaders is urgently required. Data sources. In this article, the authors survey existing workforce schemes, describe the Study of Nursing Care series, published in the 1970s, and draw on interviews and correspondence conducted in 2009 with four of the original Study of Nursing Care research assistants. Discussion. The Study of Nursing Care project poses a potential response to academic workforce issues. This article discusses the evolution of the project, its methods and operation and considers its possible implications for contemporary practice. Implications for nursing. The Study of Nursing Care model demonstrates the clear benefits of fully committed funding, a programmatic approach towards research development, and the importance of selecting the right kind of people for the work, in a National scheme. Conclusion. The authors argue that although the clinical outcomes it set out to achieve remain elusive, the project produced a cohort of nurse researchers who went on to give important leadership in nursing, including in nursing academia/research. A contemporary version of the Study of Nursing Care has important potential to generate the next generation of nurse researchers, and leaders, into the twenty-first century.

10.  Participating in Clinical Nursing Research: Challenges and Solutions of The Bedside Nurse Champion.
Burnett, Margie; Lewis, Maureen; Joy, Tameria; Jarrett, Kelly;
MEDSURG Nursing, 2012 Sep-Oct; 21 (5): 309-11

11.  Clinical Inquiry. Engaging Research Partners to Advance Clinical Inquiry.
Bettger, Janet Prvu; Granger, Bradi B.;
AACN Advanced Critical Care, 2012 Oct-Dec; 23 (4): 471-8

12.  Uncovering the common ground in qualitative inquiry: combining quality improvement and phenomenology in clinical nursing research.
Gullick, Janice; West, Sandra;
International Journal of Health Care Quality Assurance 2012; 25 (6): 532-48  

13.  Before You Search the Literature: How to Prepare and Get the Most Out of Citation Databases.
McGrath, Jacqueline M.; Brown, Roy E.; Samra, Haifa A.;
Newborn & Infant Nursing Reviews, 2012 Sep; 12 (3): 162-70
Abstract: Abstract: As evidence-based practice becomes more integrated into routine care, systematically searching of the literature is essential to making informed clinical decisions. To uncover all the evidence and get the most unbiased sense of what is known about a particular phenomenon or caregiving practice, a clear method of searching that is systematic is needed. This article provides a discussion of six steps in a systematic search: (1) constructing the question, (2) choose the appropriate database(s), (3) formulate a search strategy, (4) perform the search, (5) evaluate the results, (6) good results (answer the question) = use the search information, (7) bad results = start over (refine the search strategies). Tips for working with a librarian are also provided. Lastly, a checklist developed to facilitate the steps of the searching process is discussed and provided for use by readers. Nurses are not trained to systematically search the literature, yet evidence-based practice demands that nurses and all health professionals be familiar with the searching process, especially when making evidence-based caregiving decisions.

14.  Advanced nursing roles: A systematic review.
Jokiniemi, Krista; Pietilä, Anna-Maija; Kylmä, Jari; Haatainen, Kaisa;
Nursing & Health Sciences, 2012 Sep; 14 (3): 421-31
Abstract: In this systematic literature review, we analyzed and synthesized the literature on one specialized advance practice nursing role in three countries for the purpose of describing and comparing these roles, as well as discussing whether an international consensus of the advance practice nursing definition is possible. A systematic search on CINAHL and PubMed Medline was conducted in 2011 to search the literature on the nurse consultant in the UK, the clinical nurse specialist in the USA, and the clinical nurse consultant in Australia. The studies ( n = 42) were analyzed and combined using qualitative content analysis method. The roles of the nurse consultant, clinical nurse specialist, and clinical nurse consultant were similar. The variation in the roles appears to derive from organizational or individual choices, not the country in question. The study process comprised a synthesized representation of one specialized advance practice nursing role. More work is needed to further define the concept of the advance practice nursing, as well as its implementation on other cultures beyond this review. Based on this review, an international consensus regarding the definition of advance practice nursing and its subroles is possible.

15.  Focus groups in nursing research: Methodological perspectives.
Jayasekara, Rasika S.;
Nursing Outlook, 2012 Nov; 60 (6): 411-6
Abstract: Abstract: Focus groups have been increasingly used as a data collection method in nursing research. The key feature of focus groups is the active interaction among participants to explore their views and opinions. In this respect, focus groups are distinct from other methods such as Delphi groups, nominal groups, brainstorming, and consensus panels, which seek to determine a consensus between participants. Compared with other data collection methods, it can be concluded that the real strength of focus groups is not simply in exploring what participants have to say, but in providing insights into the sources of complex behaviors and motivations. The aim of this paper is to present an overview of the focus group as a research tool in nursing research, particularly in nursing education.

16.  Nursing research across a large health care system: sparking nurses' clinical inquiry.
Wolf, Ilene Sue; Paoletti, Cathy; Du, Hongyan;
Nursing Administration Quarterly, 2012 Oct-Dec; 36 (4): 332-9
Abstract: : In our journey to achieve Magnet designation, we sought to increase staff nurses' research participation and teach them about the research process by conducting a corporate-wide study, a blind taste test, using potato chips. PURPOSE: : To compare 3 varieties of the same-brand potato chips for overall preference and perception of healthiness. We hypothesized that the potato chip the nurses liked the best would not be the chip they perceived as the healthiest. METHODS: : For this institutional review board-approved study, nurses were recruited via (1) randomly selected units and (2) a convenience sample during cafeteria lunch hours. After informed consent was obtained, nurses rated each potato chip in a blinded manner, based on appearance, crispiness, flavor, saltiness, and greasiness. They indicated which potato chip they perceived to be the healthiest and which they preferred overall, and they completed an anonymous demographic questionnaire. RESULTS: : A total of 263 nurses participated, with 78% being staff nurses. Regular (full fat) was most preferred (37.6%), whereas fat free was least preferred (16%) and also considered the healthiest (45.2%) (P < .0001). CONCLUSIONS: : Nurses preferred the regular chip and chose the fat-free chip as the healthiest, proving our hypothesis that the preferred chip would not be considered the healthiest. IMPLICATIONS: : This study was easy, feasible, and helped promote systemwide nursing research.

17.  Realizing the IOM Future of Nursing Research Within Clinical Practice.
Jones, Dorothy;
Nursing Research, 2012 Sep-Oct; 61 (5): 315

Recently Published St. Joseph Hospital Nurses

Here are a few of the most recent articles published by SJO nurses, congratulations!

Instrument validation: hospital nurse perceptions of their Behavioral Health Care Competency.
Rutledge DN, Wickman M, Drake D, Winokur E, Loucks J.
Journal of Advanced Nursing
2012 May 2.
doi: 10.1111/j.1365-2648.2012.06025.x. [Epub ahead of print]

Abstract:
Aim: To report the development and psychometric testing of the Behavioral Health Care Competency survey, designed to measure hospital nurse perceptions of behavioral healthcare competency. Background.  Hospital nurses working in general or other non-psychiatric units may lack behavioral healthcare competency to manage disruptive behaviours associated with mental illnesses.
Design.  Instrument development.
Method.  A nurse study team including clinical experts and nurse researchers from three community hospitals in southern California (USA) reviewed content validity of each item and the 31-item instrument and created a behavioral health care competency conceptual model based on the nursing process. Separate institutional review board permissions were obtained from each hospital. The study team collaborated in the timing of survey administration (November 2010), analysis of the results and survey validation.
Results.  A total of 844 nurses completed the survey, representing approximately 23-41% of eligible nurses from each hospital. Using principal component analysis with varimax rotation, 23 items led to a factor structure with four components. Four subscales with adequate alpha coefficients were formed: Resource Adequacy, Patient Assessment, Practice/Intervention Competency, and Psychotropic Recommendation.
Conclusion.  The 23-item hospital nurse Behavioral Health Care Competency survey is an adequate and valid newly developed instrument. Further testing with diverse samples is needed to strengthen generalizability and address unique and specialized nursing care needs.

Reconceptualizing patient safety attendants.
Wiggins, Alexandra; Welp, Cheryl; Rutledge, Dana N.;
Nursing Management, 2012 May; 43(5): 25-7

A model program for perinatal palliative services.
Engelder S, Davies K, Zeilinger T, Rutledge D.
Advances in Neonatal Care. 2012 Feb;12(1):28-36.

Abstract:
Despite the fact that parents of infants with lethal anomalies may not want "full-blown" medical care for their infants after birth, most such infants die in neonatal intensive care units. Although neonatal nurses are trained to administer life-saving treatments, they may suffer from moral distress when faced with caring for babies with incompatible-with-life conditions. This article describes a Perinatal Comfort Care program in which (a) care is provided at the time of diagnoses/antenatally and includes home visits by members of an interdisciplinary hospice team; (b) care is collaborative, community-based, and family-centered, and takes place in labor and delivery and on the mother baby unit; and (c) follow-up to the family continues for 1 year after the death. Neonatal nurses can become involved either by initiating efforts to form a perinatal comfort care program or by joining an existing team.

Danielle's Picks from the Literature - October 2012

Here are my picks of the literature for October. SJO and CHOC staff have access to the articles by contacting Burlew Medical Library.


1.  The Study of Nursing Care project: back to the future for contemporary nursing research?
Smith, Kylie M.; Crookes, Patrick A.;
Journal of Advanced Nursing, 2012 Nov; 68 (11): 2586-93

Abstract: Aims. To discuss the Study of Nursing Care project, an initiative from the late 1970s in the UK. The article explores the impact of the Study of Nursing Care on nursing research, and considers to what extent it presents a useful model for contemporary nursing research. Background. It is acknowledged internationally that the nursing academic workforce is ageing and dwindling. Many possible solutions are being debated with all agreeing that the next generation of evidence based nurse leaders is urgently required. Data sources. In this article, the authors survey existing workforce schemes, describe the Study of Nursing Care series, published in the 1970s, and draw on interviews and correspondence conducted in 2009 with four of the original Study of Nursing Care research assistants. Discussion. The Study of Nursing Care project poses a potential response to academic workforce issues. This article discusses the evolution of the project, its methods and operation and considers its possible implications for contemporary practice. Implications for nursing. The Study of Nursing Care model demonstrates the clear benefits of fully committed funding, a programmatic approach towards research development, and the importance of selecting the right kind of people for the work, in a National scheme. Conclusion. The authors argue that although the clinical outcomes it set out to achieve remain elusive, the project produced a cohort of nurse researchers who went on to give important leadership in nursing, including in nursing academia/research. A contemporary version of the Study of Nursing Care has important potential to generate the next generation of nurse researchers, and leaders, into the twenty-first century.

2.  The Controversy Over Antidepressant Drugs in an Era of Evidence-Based Practice.
Littrell, Jill Leslie; Lacasse, Jeffrey R.;
Social Work in Mental Health, 2012 Nov-Dec; 10 (6): 445-63
Abstract: Questions regarding the efficacy of antidepressant drugs have been a recent focus of attention in the national news both in print and in the television media. Many clients will have questions regarding what they can believe and how they can address mood problems. Social workers constitute a greater percentage of the mental health work force than any other profession. Thus, social workers will probably be asked by clients about these issues. This article presents information on the efficacy of antidepressants for both the short and long term. It covers adverse effects and withdrawal symptoms. Clients' self-determination should be honored. However, social workers can be of assistance in supplying facts relevant to decision making.

3.  Evidence based electronic system to ensure quality of care in trauma patients.
Mpletsa, Vasiliki; Kaklamanos, Ioannis; Birbas, Konstantinos; Mantas, John;
Studies in Health Technology & Informatics, 2012; 180: 482-6

Abstract: Electronic patient records are important for quality health services. Aim of this study is to support the trauma patient care with the development of an electronic system. A survey was conducted in the Emergency Department (ED) of a University hospital to study the effectiveness of an electronic monitoring system in a group of trauma patients, as well as the acceptance of this electronic system by the health professionals of the ED. A questionnaire collected information about the perceptions of 50 health professionals working in the ED on various aspects of patient care. The 86% (Nu=43) replied that there is lack of staff working in their department, 44% (N=22) is satisfied with the co-operation with other departments and 48% (N=24) believe that they spend precious time in administrative work during the care. For the purpose of a more efficient patient monitoring there was developed an electronic trauma patient monitoring system which was evaluated by the above mentioned professionals. The severity, length of care and the health outcomes of 200 trauma patients, were investigated. Half of the patients (N=100) have been monitored by the electronic system and the other 100 were monitored without the use of the system. The time between the admission and completion of the planned care was significantly lower in the electronic monitoring patient group (100±92 minutes) compared to the control group (149±29 minutes).

4.  Toward Evidence and Theory-Based Skin Care in Radiation Oncology.
Dendaas, Nancy;
Clinical Journal of Oncology Nursing, 2012 Oct; 16 (5): 520-5

Abstract: Dermatitis is a distressing symptom of radiation therapy, and current care guidelines often lack evidence. Using an evidence-based practice (EBP) model, a multidisciplinary group in an academic medical center reviewed the literature to create departmental patient education materials related to skin care that were grounded in evidence. Recommendations not supported by evidence from randomized, controlled trials were viewed within a stress-reduction framework. Until evidence related to the prevention and treatment of radiation dermatitis is more fully developed, skin care recommendations for patients with cancer who receive radiation may need to be based on evidence and theory. In addition, care for patients with radiation dermatitis should encompass strategies aimed at physical and psychosocial stressors.

5.  Integration of Evidence-Based Knowledge Management in Microsystems: A Tele-ICU Experience.
Rincon, Teresa A;
Critical Care Nursing Quarterly, 2012 Oct-Dec; 35 (4): 335-40

Abstract: The Institute of Medicine's proposed 6 aims to improve health care are timely, safe, effective, efficient, equitable, and patient-centered care. Unfortunately, it also asserts that improvements in these 6 dimensions cannot be achieved within the existing framework of care systems. These systems are based on unrealistic expectations on human cognition and vigilance, and demonstrate a lack of dependence on computerized systems to support care processes and put information at the point of use. Knowledge-based care and evidence-based clinical decision-making need to replace the unscientific care that is being delivered in health care. Building care practices on evidence within an information technology platform is needed to support sound clinical decision-making and to influence organizational adoption of evidence-based practice in health care. Despite medical advances and evidence-based recommendations for treatment of severe sepsis, it remains a significant cause of mortality and morbidity in the world. It is a complex disease state that has proven difficult to define, diagnose, and treat. Supporting bedside teams with real-time knowledge and expertise to target early identification of severe sepsis and compliance to Surviving Sepsis Campaign, evidence-based practice bundles are important to improving outcomes. Using a centralized, remote team of expert nurses and an open-source software application to advance clinical decision-making and execution of the severe sepsis bundle will be examined.

6.  Patient health literacy and the practice of evidence-based medicine.
Kistin, Caroline J.;
Evidence Based Medicine, 2012 Oct; 17 (5): 135-6
7.  Using the Theory of Planned Behaviour to predict nurses' intention to integrate research evidence into clinical decision-making.

Côté, Françoise; Gagnon, Johanne; Houme, Philippe Kouffé; Abdeljelil, Anis Ben; Gagnon, Marie-Pierre;
Journal of Advanced Nursing, 2012 Oct; 68 (10): 2289-98

Abstract: Aims. Using an extended Theory of Planned Behaviour, this article is a report of a study to identify the factors that influence nurses' intention to integrate research evidence into their clinical decision-making. Background. Health professionals are increasingly asked to adopt evidence-based practice. The integration of research evidence in nurses' clinical decision-making would have an important impact on the quality of care provided for patients. Despite evidence supporting this practice and the availability of high quality research in the field of nursing, the gap between research and practice is still present. Design. A predictive correlational study. Methods. A total of 336 nurses working in a university hospital participated in this research. Data were collected in February and March 2008 by means of a questionnaire based on an extension of the Theory of Planned Behaviour. Descriptive statistics of the model variables, Pearson correlations between all the variables and multiple linear regression analysis were performed. Results/findings. Nurses' intention to integrate research findings into clinical decision-making can be predicted by moral norm, normative beliefs, perceived behavioural control and past behaviour. The moral norm is the most important predictor. Overall, the final model explains 70% of the variance in nurses' intention. Conclusion. The present study supports the use of an extended psychosocial theory for identifying the determinants of nurses' intention to integrate research evidence into their clinical decision-making. Interventions that focus on increasing nurses' perceptions that using research is their responsibility for ensuring good patient care and providing a supportive environment could promote an evidence-based nursing practice.

8.  Evidence Into Practice: Using Research Findings to Create Practice Recommendations.

Cullen, Laura; Smelser, Jamie; Wagner, Michele; Adams, Susan;
Journal of PeriAnesthesia Nursing, 2012 Oct; 27 (5): 343-51

9.  Beyond PICO: The SPIDER Tool for Qualitative Evidence Synthesis.
Cooke, Alison; Smith, Debbie; Booth, Andrew;
Qualitative Health Research, 2012 Oct; 22 (10): 1435-43
10.  Evidence-Based Assessments in the Ventilator Discontinuation Process.
R. MacIntyre, Neil;
Respiratory Care, 2012 Oct; 57 (10): 1611-8
Abstract: The ventilator discontinuation process is an essential component of overall ventilator management. Undue delay leads to excess stay, iatrogenic lung injury, unnecessary sedation, and even higher mortality. On the other hand, premature withdrawal can lead to muscle fatigue, dangerous gas exchange impairment, loss of airway protection, and also a higher mortality. An evidence-based task force has recommended a daily discontinuation assessment and management process for most ICU patients requiring at least 24 hours of mechanical ventilator support. This process focuses on assessments on the causes for ventilator dependence, assessments for evidence of disease stability/ reversal, use of regular spontaneous breathing trials (SBTs) as the primary assessment tool for ventilator discontinuation potential, use of separate assessments to evaluate the need for an artificial airway in patients tolerating the SBT, and the use of comfortable, interactive ventilator modes (that do not need to be "weaned") in between regular SBTs. More recent developments have focused on the utility of computer decision support to guide these processes and the importance of linking sedation reduction protocols to ventilator discontinuation protocols. These guidelines are standing the test of time, and practice patterns are evolving in accordance with them. Nevertheless, there is still room for improvement and need for further clinical studies, especially in the patient requiring prolonged mechanical ventilation.

11.  Journal Club: A venue to advance evidence-based infection prevention practice.

Manning, Mary Lou; Davis, James;
American Journal of Infection Control, 2012 Sep; 40 (7): 667-9

Abstract: Journal Clubs are a well-recognized strategy used by clinicians to critique and keep up to date with relevant literature. This article provides an example of an assessment of an article appearing in this issue of the American Journal of Infection Control titled, “US School/Academic Institution Disaster and Pandemic Preparedness and Seasonal Influenza Vaccination Among School Nurses.”

12.  Uncovering the common ground in qualitative inquiry: combining quality improvement and phenomenology in clinical nursing research.
Gullick, Janice; West, Sandra;
International Journal of Health Care Quality Assurance, 2012; 25 (6): 532-48

13.  Employing a clinical governance framework to engage nurses in research.

Kinney, Sharon; Lima, Sally; McKeever, Stephen; Twomey, Bernadette; Newall, Fiona;
Journal of Nursing Care Quality, 2012 Jul-Sep; 27 (3): 226-31
Abstract: The theoretical benefits of engaging in quality and research activities are readily apparent; however, engagement of clinical nurses in these pursuits remains challenging. In addition, the separation of quality improvement and research as distinct endeavors can impair desired improvements in patient outcomes. We propose that employing a clinical governance framework to inform nursing research in the clinical setting enhances the engagement of nurses in the generation and utilization of evidence to improve the quality of care.

14.  Making good choices about publishing in the journal jungle.
Clark, Alexander M.; Thompson, David R.;
Journal of Advanced Nursing, 2012 Nov; 68 (11): 2373-5
15.  Balancing interests of hospitals and nurse researchers: Lessons learned.
Marshall, June; Edmonson, Cole; Gemeinhardt, Gretchen; Hamilton, Patti;
Applied Nursing Research, 2012 Aug; 25 (3): 205-11
Abstract: While nurse researchers and administrators in health care organizations need to collaborate to understand the variables that affect nursing practice environments and patient care outcomes, there are inherent risks associated with these collaborations that require careful consideration. A team of academic and hospital researchers found that in studying the off-peak (nights and weekends) nursing environment using institutional ethnography, which involved interviews of nurses and administrators, the subject of the research was frequently the hospitals where these individuals worked. Although the individuals who participated in the research consented to be interviewed about their work, it was less clear how and to what extent the anonymity of their organizations could be maintained. The risks and benefits encountered suggest the need for a decision-making process to be undertaken by collaborative research teams. This decision process and analysis can help ensure a fruitful research relationship that protects sensitive concerns of hospital entities while advancing our understanding of nursing practice environments and patient care outcomes. Important strategies include having all leaders and research team members discuss the agendas of all entities and individuals involved, including clearly delineating the roles, responsibilities, and contributions of all parties. In addition, any constraints or expectations of first right of review of publications needs to be negotiated from the outset. Collaborators need to review their agreements throughout the research process to avoid pitfalls that could adversely impact the relationships as well as the dissemination of knowledge gained.

16.  The five top bad reasons nurses don't publish in impactful journals.
Thompson, David R.; Clark, Alexander M.;
Journal of Advanced Nursing, 2012 Aug; 68 (8): 1675-8