LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 333

Search options

  1. Article ; Online: Starting at the top: culture change has the potential to advance the patient participation agenda in Iranian hospitals.

    Tobiano, Georgia / Chaboyer, Wendy

    Evidence-based nursing

    2023  

    Language English
    Publishing date 2023-07-17
    Publishing country England
    Document type Journal Article
    ZDB-ID 1425988-6
    ISSN 1468-9618 ; 1367-6539
    ISSN (online) 1468-9618
    ISSN 1367-6539
    DOI 10.1136/ebnurs-2023-103698
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: The frequency and reasons for missed nursing care in Australian perioperative nurses: A national survey.

    Gillespie, Brigid M / Harbeck, Emma / Chaboyer, Wendy

    Journal of clinical nursing

    2024  

    Abstract: Aim: To describe Australian perioperative nurses' reported frequency and reasons for missed nursing care in the operating room.: Design: Cross-sectional online survey conducted in March-April 2022.: Methods: A census of Australian perioperative ... ...

    Abstract Aim: To describe Australian perioperative nurses' reported frequency and reasons for missed nursing care in the operating room.
    Design: Cross-sectional online survey conducted in March-April 2022.
    Methods: A census of Australian perioperative nurses who were members of a national professional body were invited to complete a survey that focussed on their reported frequency of missed nursing care and the reasons for missed nursing care in the operating room using the MISSCare Survey OR.
    Results: In all, 612 perioperative nurses completed the survey. The perioperative and intraoperative nursing care tasks reported as most frequently missed included time-intensive tasks and communication with multiple surgical team members present. The most frequently reported reasons for missed care were staffing-related (e.g. staff number, skill mix, fatigue and complacency) and affected teamwork. There were no significant differences in the frequency of missed care based on perioperative nurse roles. However, there were statistically significant differences between nurse management, circulating/instrument nurses and recovery room nurses in reasons for missed care.
    Conclusions: Much of the missed care that occurs in the operating room is related to communication practices and processes, which has implications for patient safety.
    Implications for the profession and/or patient care: Understanding the types of nursing care tasks being missed and the reasons for this missed care in the operating room may offer nurse managers deeper insights into potential strategies to address this situation.
    Reporting method: Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) Statement.
    Patient or public contribution: No patient or public contribution.
    Language English
    Publishing date 2024-02-21
    Publishing country England
    Document type Journal Article
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.17082
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: Characteristics and outcomes of patient presentations to the emergency department via police: A scoping review.

    Wardrop, Rachel / Ranse, Jamie / Chaboyer, Wendy / Crilly, Julia

    Australasian emergency care

    2023  Volume 26, Issue 3, Page(s) 239–248

    Abstract: Background: As emergency department (ED) presentations continue to rise, understanding the complexities of vulnerable populations such as people brought in by police (BIBP) is crucial. This review aimed to map and describe the research about people BIBP ...

    Abstract Background: As emergency department (ED) presentations continue to rise, understanding the complexities of vulnerable populations such as people brought in by police (BIBP) is crucial. This review aimed to map and describe the research about people BIBP to the ED.
    Design and method: A scoping review, guided by the Joanna Briggs Institute process, was undertaken. The databases CINAHL, Embase and PubMed were searched between November 2017 and July 2022. The Patterns, Advances, Gaps, Evidence for practice, Research recommendations (PAGER) framework was used to guide the analysis.
    Results: A total of 21 studies were included in the review, originating mainly from westernised countries. Examination of patterns across studies revealed four themes: routinely collected data is used to describe people BIBP to the ED; a focus on mental health care; the relationship between care delivery and outcomes; and the role of police in providing emergency care.
    Conclusion: There is some understanding of the demographic characteristics, clinical characteristics, and outcomes of people BIBP to the ED. Knowledge gaps surrounding sociodemographic factors, prehospital and ED care delivery for people BIBP require further investigation to optimise outcomes for this vulnerable cohort of presenters.
    MeSH term(s) Humans ; Police ; Delivery of Health Care ; Emergency Service, Hospital
    Language English
    Publishing date 2023-02-13
    Publishing country Australia
    Document type Journal Article ; Review
    ISSN 2588-994X
    ISSN (online) 2588-994X
    DOI 10.1016/j.auec.2023.01.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article: NCREN - Summary of our experiences.

    Chaboyer, Wendy

    The Queensland nurse

    2016  Volume 35, Issue 5, Page(s) 33

    MeSH term(s) Humans ; Nursing Care/organization & administration ; Organizational Objectives ; Queensland
    Language English
    Publishing date 2016-12
    Publishing country Australia
    Document type Journal Article
    ZDB-ID 1034988-1
    ISSN 0815-936X
    ISSN 0815-936X
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Facilitators, barriers and acceptability of implementing a communication board in Sri Lankan intensive care units: A qualitative descriptive study.

    Kuruppu, Nipuna R / Tobiano, Georgia / Ranse, Kristen / Abayadeera, Anuja / Chaboyer, Wendy

    Intensive & critical care nursing

    2024  Volume 83, Page(s) 103708

    Abstract: Objectives: To explore patients' and nurses' views of potential facilitators, barriers, and prospective acceptability of implementing a communication board in Sri Lankan intensive care units.: Design: A qualitative, descriptive study.: Research ... ...

    Abstract Objectives: To explore patients' and nurses' views of potential facilitators, barriers, and prospective acceptability of implementing a communication board in Sri Lankan intensive care units.
    Design: A qualitative, descriptive study.
    Research methodology: Eight patients who received mechanical ventilation and nine nurses who worked in adult medical and surgical intensive care units were purposively selected. Data were collected via audio-taped, semi-structured, face-to-face interviews in January/February 2023. Interview guide questions were informed by the knowledge-to-action framework and the theoretical framework of acceptability. Data were analysed using inductive and deductive content analysis. The 32-item checklist of the consolidated criteria for reporting qualitative research (COREQ) was used to ensure the quality of reporting.
    Setting: A 3,000 bed Sri Lankan teaching hospital with 18 intensive care units.
    Findings: Four categories reflecting patients' and nurses' anticipated use of the board were found. The first category described patients' and nurses' 'readiness to use the communication board' and their positive attitudes towards it. The second category focused on the 'potential benefits of the communication board', while the third category emphasised the 'individual patient characteristics' that should be taken into consideration when implementing communication boards. The final category described practical aspects related to 'integrating communication boards into routine practice'.
    Conclusion: This study demonstrates communication boards may improve communication between ventilated patients and nurses, and they are acceptable to end users. Adopting these tools may be a pivotal step to enhancing patient-centred care in demanding intensive care settings.
    Implications for clinical practice: An inability to communicate effectively with ventilated intensive care patients creates negative experiences for both patients and nurses. Communication boards may act as a medium to better understand patients' needs during mechanical ventilation.Understanding patients' and nurses' views is beneficial when designing patient-centred communication interventions in intensive care units.
    Language English
    Publishing date 2024-04-20
    Publishing country Netherlands
    Document type Journal Article
    ZDB-ID 1105892-4
    ISSN 1532-4036 ; 0964-3397
    ISSN (online) 1532-4036
    ISSN 0964-3397
    DOI 10.1016/j.iccn.2024.103708
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Use of point-of-care subepidermal moisture devices to detect localised oedema and evaluate pressure injury risk: A scoping review.

    McLaren-Kennedy, Annette / Chaboyer, Wendy / Carlini, Joan / Latimer, Sharon

    Journal of clinical nursing

    2023  Volume 32, Issue 17-18, Page(s) 5478–5492

    Abstract: Aims and objectives: To map current literature on bedside clinicians' use of point-of-care subepidermal moisture devices to identify increased pressure injury risk.: Background: Pressure injuries are a substantial healthcare burden. Localised oedema ... ...

    Abstract Aims and objectives: To map current literature on bedside clinicians' use of point-of-care subepidermal moisture devices to identify increased pressure injury risk.
    Background: Pressure injuries are a substantial healthcare burden. Localised oedema occurs before visible or palpable changes, and therefore is a biomarker of increased pressure injury risk. Novel bedside technologies that detect localised oedema may aid early pressure injury preventative practices.
    Design: A scoping review.
    Methods: Arksey and O'Malley's six-step framework and the PRISMA-ScR guidelines guided this scoping review. CINAHL Complete, Embase, SCOPUS, Cochrane (wounds) and PubMed databases were searched for primary research and quality improvement projects published in English between 2008-2022. Included studies focused on clinicians' bedside use of subepidermal moisture devices to quantify localised oedema and pressure injury risk. The PAGER framework supported narrative synthesis of the extracted data.
    Results: Nine studies were selected from 1676 sources. Two point-of-care subepidermal moisture devices were identified in clinical use, largely by nurses. Inconsistent use and interpretations revealed significant knowledge gaps in clinical practice. Additionally, no included studies engaged patients or the public in their design.
    Conclusions: Nurses recognise the value of objective measures in determining the risk of pressure injury and are the primary end-users of point-of-care subepidermal moisture devices. However, standardising procedural instructions and interpretive criteria to guide preventative measures requires further research.
    Relevance to clinical practice: International pressure injury clinical practice guidelines advocate for subepidermal moisture devices as an adjunct to routine clinical skin assessment, although little is known about bedside use. This scoping review reveals low adoption of such devices and the need to develop standardised procedures in their use and interpretation.
    Registration: Open Science DOI https://doi.org/10.17605/OSF.IO/AB6Y5-7th of March 2022.
    MeSH term(s) Humans ; Pressure Ulcer/etiology ; Pressure Ulcer/prevention & control ; Pressure Ulcer/diagnosis ; Point-of-Care Systems ; Skin ; Edema ; Skin Care
    Language English
    Publishing date 2023-01-30
    Publishing country England
    Document type Systematic Review ; Journal Article ; Review
    ZDB-ID 1159483-4
    ISSN 1365-2702 ; 0962-1067 ; 1752-9816
    ISSN (online) 1365-2702
    ISSN 0962-1067 ; 1752-9816
    DOI 10.1111/jocn.16630
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article: Augmentative and alternative communication tools for mechanically ventilated patients in intensive care units: A scoping review.

    Kuruppu, Nipuna R / Chaboyer, Wendy / Abayadeera, Anuja / Ranse, Kristen

    Australian critical care : official journal of the Confederation of Australian Critical Care Nurses

    2023  Volume 36, Issue 6, Page(s) 1095–1109

    Abstract: Objectives: The aim of this scoping review was to understand the extent and type of evidence on augmentative and alternative communication tools used with mechanically ventilated patients in the intensive care unit.: Review method used: This scoping ... ...

    Abstract Objectives: The aim of this scoping review was to understand the extent and type of evidence on augmentative and alternative communication tools used with mechanically ventilated patients in the intensive care unit.
    Review method used: This scoping review was conducted using Arksey and O'Malley's methodological framework, followed by PAGER (Patterns, Advances, Gaps, Evidence for practice and Research recommendations) framework to provide a structured approach to analysis of reviews.
    Data sources: In December 2021, six electronic databases-CENTRAL, CINAHL, Embase, Medline (Ebscohost), PyscINFO, and Web of Science-were searched. Searches were supplemented with hand searching of reference lists of included studies.
    Review methods: Studies were selected according to inclusion and exclusion criteria. Full-text review was completed by two independent authors, with any disagreement resolved by consensus or with consultation with a third reviewer. A table was developed to extract key information from the eligible studies. The Mixed Methods Appraisal Tool and Supporting the Use of Research Evidence checklist were used to quality appraise the selected primary research and reviews, respectively.
    Results: Twenty-three studies (19 primary studies and four reviews) were included in the review. Findings highlighted five main patterns: (i) Co-designing of the augmentative and alternative communication tools; (ii) Patients' and healthcare professionals' training needs on augmentative and alternative communication tools; (iii) Implementation of validated communication assessment algorithms; (iv) Amalgamate several communication methods/approaches; (v) Technical competency required for high-technology augmentative and alternative communication tools.
    Conclusion: Both low- and high-technology augmentative and alternative communication tools are widely used for mechanically ventilated patients in intensive care units, but there is a need for systematically assessing the communication needs and implementing communication interventions to promote meaningful patient-centred clinical outcomes.
    MeSH term(s) Humans ; Respiration, Artificial ; Intensive Care Units ; Communication ; Health Personnel
    Language English
    Publishing date 2023-02-09
    Publishing country Australia
    Document type Journal Article ; Review
    ZDB-ID 1159493-7
    ISSN 1878-1721 ; 1036-7314
    ISSN (online) 1878-1721
    ISSN 1036-7314
    DOI 10.1016/j.aucc.2022.12.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article: The effect of head of bed elevation on sacral and heel subepidermal moisture in healthy adults: A randomised crossover study.

    McLaren-Kennedy, Annette / Chaboyer, Wendy / Thalib, Lukman / Latimer, Sharon

    Journal of tissue viability

    2023  Volume 32, Issue 1, Page(s) 2–8

    Abstract: Background: Subepidermal moisture (SEM) changes may detect early tissue injury and enhance pressure injury risk assessments. However, little is known how modifiable factors, like head of bed elevation (HOBE), affect SEM.: Aim: This study investigated ...

    Abstract Background: Subepidermal moisture (SEM) changes may detect early tissue injury and enhance pressure injury risk assessments. However, little is known how modifiable factors, like head of bed elevation (HOBE), affect SEM.
    Aim: This study investigated the influence of HOBE on sacral and heel SEM, using the Provizio ® SEM Scanner.
    Method: A 2 × 2 randomised crossover study compared the effects of 30-min of 30⁰ versus 60⁰ HOBE on sacral and heel SEM in healthy adults.
    Results: 48 participants were randomly allocated to 30⁰ or 60⁰ HOBE and crossed over after a 60-min washout period. The mean age was 40.6 years (SD = 18.3). The study found the sacral and heel SEM values were not statistically different at 30⁰ versus 60⁰ HOBE. No clinically relevant association between SEM and characteristics of age, sex, body mass index and skin type were found. Baseline sacral and heel SEM values recovered after a 60-min washout period. Notably, half of the initial baseline measures suggested pressure injury risk.
    Conclusion: The HOBE may not influence SEM at the sacrum and heels, in healthy adults after 30 min of loading. Standard operating procedures for measuring SEM for pressure injury risk assessment require a stronger body of evidence in varied populations and timeframes before this technology is widely adopted.
    Trial registration: Australian and New Zealand Clinical Trials Registry ACTRN12622001456741.
    MeSH term(s) Humans ; Adult ; Pressure Ulcer/diagnosis ; Heel ; Sacrum ; Cross-Over Studies ; Australia ; Crush Injuries
    Language English
    Publishing date 2023-01-28
    Publishing country England
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1282604-2
    ISSN 0965-206X
    ISSN 0965-206X
    DOI 10.1016/j.jtv.2023.01.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Clinicians' experiences of caring for people brought in by police to the emergency department: A qualitative interpretive study.

    Wardrop, Rachel / Ranse, Jamie / Crilly, Julia / Stubbs, Nicole / Chaboyer, Wendy

    Journal of advanced nursing

    2023  Volume 80, Issue 5, Page(s) 1955–1966

    Abstract: Aim: To explore nurses' and doctors' experiences of providing care to people brought in by police (BIBP) to the emergency department (ED).: Design: A qualitative interpretive study using in-depth individual interviews.: Methods: Semi-structured ... ...

    Abstract Aim: To explore nurses' and doctors' experiences of providing care to people brought in by police (BIBP) to the emergency department (ED).
    Design: A qualitative interpretive study using in-depth individual interviews.
    Methods: Semi-structured interviews were conducted with nurses and doctors who worked in various EDs in one Australian state and were involved in the care of people BIBP. Interviews were undertaken between May and October 2022 and focused on the structures (i.e., what), processes (i.e., how) and outcomes of care for people BIBP. Data were analysed using deductive and then inductive content analysis.
    Results: Nine nurses and eight doctors were interviewed. Structures described by participants included human structures (staff) and organizational structures (areas for assessment, involuntary assessment orders, investigations, chemical/physical restraints). For processes, participants described practices including risk/mental health assessments, legal considerations, and increased/decreased levels of care compared to other presentations. Communication processes were largely between police and health care staff. Service outcomes pertained to discharge location (custody, community, hospital admission) and length of stay.
    Conclusion: The current care delivery for people BIBP to the ED is unique and complex, often occurring in high traffic, resource-intensive areas. There is a need to strengthen structures and processes, to improve service outcomes.
    Implications for the profession: Understanding the care requirements for people brought into ED by police enables the delivery of targeted care alongside appropriate resource allocation.
    Impact: This study provides a comprehensive understanding of the health care requirements for people BIBP to EDs. Interventions delivered in the ED to support health care delivery for people BIBP and foster clinician and police relationships are required to optimize patient and health service outcomes.
    Reporting method: This study adheres to the COREQ checklist (Table S1) of the EQUATOR guidelines.
    Patient or public contribution: This study focused on ED staff experiences.
    MeSH term(s) Humans ; Australia ; Police ; Delivery of Health Care ; Palliative Care ; Emergency Service, Hospital ; Qualitative Research
    Language English
    Publishing date 2023-11-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 197634-5
    ISSN 1365-2648 ; 0309-2402
    ISSN (online) 1365-2648
    ISSN 0309-2402
    DOI 10.1111/jan.15944
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Evaluating the feasibility of a web-based discharge education programme to improve general surgical patients' postdischarge recovery: a pilot randomised controlled trial.

    Kang, Evelyn / Chaboyer, Wendy / Tobiano, Georgia / Gillespie, Brigid

    BMJ open

    2022  Volume 12, Issue 2, Page(s) e054038

    Abstract: Objective: To assess the feasibility of implementing a web-based discharge education programme for general surgery patients both prior to and after hospital discharge.: Design, setting and participants: This is a prospective, two-arm, pilot ... ...

    Abstract Objective: To assess the feasibility of implementing a web-based discharge education programme for general surgery patients both prior to and after hospital discharge.
    Design, setting and participants: This is a prospective, two-arm, pilot randomised controlled trial. Patients who had a general surgery procedure were recruited from a tertiary hospital between October 2020 and January 2021. Patients were randomly assigned to either the standard education or the web-based education intervention.
    Intervention: The web-based education comprised of three components designed to enhance patients' knowledge, skills and confidence to improve their engagement with self-care, and the ability to detect any postoperative issues that can arise during the postdischarge period.
    Main outcomes and measures: The primary outcome was feasibility in terms of recruitment, randomisation, retention and treatment fidelity related to intervention delivery, adherence and satisfaction. Secondary outcomes were patient activation, self-care ability and unplanned healthcare utilisation.
    Results: Eighty-five patients were recruited and randomised (42 control; 43 intervention). Twenty-three (27%) were lost to follow-up. All patients received their group allocation as randomised and all patients in the intervention group received the web-based education prior to discharge. Postdischarge, patients accessed the education an average of 3 times (SD 3.14), with 4 minutes (SD 16) spent on the website. 28 (97%) of the intervention patients found the content easy to understand, 25 (86%) found it useful and 24 (83%) were satisfied with its content. There was a significant association between the intervention and patient activation (
    Conclusion: This pilot study demonstrated the feasibility of implementing a web-based education programme. There was a high number of participants lost to follow-up, requiring additional attention in the design and implementation of a larger trial.
    Trial registration number: ACTRN12620000389909p.
    MeSH term(s) Aftercare ; Feasibility Studies ; Humans ; Internet-Based Intervention ; Patient Discharge ; Pilot Projects ; Prospective Studies
    Language English
    Publishing date 2022-02-09
    Publishing country England
    Document type Journal Article ; Randomized Controlled Trial ; Research Support, Non-U.S. Gov't
    ZDB-ID 2599832-8
    ISSN 2044-6055 ; 2044-6055
    ISSN (online) 2044-6055
    ISSN 2044-6055
    DOI 10.1136/bmjopen-2021-054038
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top