The aim was to evaluate the effectiveness of evidence implementation through participatoryaction research (PAR). A prospective quasi-experimental design with two non-equivalent and non-concurrent groups (2006 and 2008) was adopted. The research was conducted at the bone marrow transplant unit of a tertiary-level Spanish hospital. To put the evidence in practice, PAR was adopted as an "intervention studied". The dependent variables were: professional performance and patient outcomes (psycho-emotional area and adverse effects). In total, 125 patients were recruited (1 st period=56; 2 nd period=69). The results in the second period show significant improvements in professional performance in terms of the quality of the registers of signs and symptoms. In the psycho-emotional area, the psycho-social adjustment improved significantly; without caregiver burden or satisfaction showing any clear tendencies. Among the adverse effects, catheter-related thrombosis and catheter-related infection improved significantly; there were no significant differences in the level of pain or mucositis. Through the PAR, evidence could be put in practice and the outcomes under analysis could be improved. desempeño profesional y resultados de salud (área psico-emocional y efectos adversos).Se reclutaron 125 pacientes (1 er grupo=56; 2º grupo=69). Se aprecia una mejoría significativa en el segundo grupo en la calidad de los registros de valoración de signos y síntomas. En el área psico-emocional, el ajuste psico-social mejora significativamente; no hay cambios en la sobrecarga ni la satisfacción. En efectos adversos, la obstrucción e infección relacionada con catéter mejoran significativamente; no hay diferencias en dolor y mucositis. La IAP ha servido para implantar evidencias y mejorar los resultados de salud.Descriptores: Enfermería Basada en la Evidencia; Investigación sobre la Eficacia
Objective:to review the most relevant evidence on the nurses’ attitudes towards
witnessed resuscitation, in the inpatient and out-of-hospital spheres. Method:integrative literature review, covering the period from 2008 till 2015, using
the databases PubMed, Lilacs and SciELO; in Spanish, English and Portuguese.
The pediatric context was excluded from the study. Results:the synthesis of the data resulted in the inclusion of 10 articles,
categorized as: positive attitudes and negative attitudes. Conclusions:discrepancies exist among the nurses from different contexts and geographical
regions towards the concept; protocols need to be established for this
situation, in view of the advantages evidenced in the literature, for the
nursing professionals as well as the relatives. Witnessed resuscitation can
represent an opportunity to understand and cope with the rational and
irrational in the situation in a shared manner, as well as mitigate or
dignify the mourning.
The prevention of falls is an integral part of the safety culture of health institutions with mandatory fall prevention programs set within health care facilities. Care providers are key in identifying the risks of falls and in implementing strategic actions to prevent them. With the aim to better understand practices of fall prevention, we conducted a synthesis of qualitative evidence on care providers’ practices to prevent older people from falling in health care facilities. This synthesis is part of an integrative review of the role of care providers in fall prevention of adults aged 65 years and above. Primary studies were synthesized with the emerging core category of “a complex decision” and described by four emerging conditions that make that decision complex: (a) permanent threat of a fall, (b) continuous flow of information, (c) lack of control, and (d) ethical dilemmas and moral issues over the course of action. The present synthesis shows that before implementing preventive actions, care providers consider the conditions in which they are immersed, in this way situating their preventive actions in a clinical and a moral context.
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