Evidence‐based intensive care medicine

Wijetunge, Aruna; Baldock, G.

doi:10.1046/j.1365-2044.1998.00471.x

Cited by 11 publications

(1 citation statement)

References 9 publications

(9 reference statements)

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“…The ability to analyse and synthesize empirical evidence related to nursing practice has become increasingly important (Parkin, 1998; Warner et al ., 1998; Witejunge & Baldock, 1998). Indeed, one of the goals of nursing is to strengthen the scientific foundation upon which to base practice (Taylor‐Piliae, 1998).…”

Section: Introductionmentioning

confidence: 99%

An evaluation of a teaching intervention to improve the practice of endotracheal suctioning in intensive care units

Day

Wainwright

Wilson‐Barnett

2001

Journal of Clinical Nursing

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Endotracheal suctioning is a frequently performed procedure that has many associated risks and complications. It is imperative that nurses are aware of these risks and are able to practise according to current research recommendations. This study was designed to examine to what extent intensive care nurses' knowledge and practice of endotracheal suctioning is based on research evidence, to investigate the relationships between knowledge and practice, and to evaluate the effectiveness of a research-based teaching programme. This quasi-experimental study was a randomized, controlled, single-blinded comparison of two research-based teaching programmes, with 16 intensive care nurses, using non-participant observation and a self-report questionnaire. Initial baseline data revealed a low level of knowledge for many participants, which was also reflected in practice, as suctioning was performed against many of the research recommendations. Following teaching, significant improvements were seen in both knowledge and practice. Four weeks later these differences were generally sustained, and provide evidence of the effectiveness of the educational intervention. The study raised concern about all aspects of endotracheal suctioning and highlighted the need for changes in nursing practice, with clinical guidelines and focused practice-based education.

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Section: Introductionmentioning

confidence: 99%

An evaluation of a teaching intervention to improve the practice of endotracheal suctioning in intensive care units

Day

Wainwright

Wilson‐Barnett

2001

Journal of Clinical Nursing

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The Cochrane Collaboration ‐ What is it About?

Pedersen¹

2003

Evidence‐based Resource in Anaesthesia and Analgesia

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„Evidence Based Emergency Medicine”

1998

Der Anaesthesist

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Evidence Based (Emergency) Medicine (EB(E)M is a term referring to the application into daily clinical practice of only those methods, procedures, medications etc. which are based on scientific evidence. Where diagnostic and therapeutic principles have not been validated on a prospective, controlled randomised basis, this should be tried out at a later time, if at all possible. This concept may allow to bridge the gap between research and clinical practice, and represents the major goal of EB(E)M. Protagonists of EBEM are at times confronted with criticism that EBEM does not constitute the only but one out of several possible approaches to quality controlled medical care. The fact that more than 50% of all emergency procedures are not evidence based give rise to the question as to whether the performance of randomised controlled studies is ethically justifiable, if control groups are included whose treatment leaves out generally recommended and recognised (though not evidence based) therapeutic and/or diagnostic principles. The following examples may enumerate some of the procedures, methods or medications, respectively, without proven scientific evidence: Medication for resuscitation of cardiac arrest victims. Medication for acute asthmatic attacks Initial treatment of uncontrolled haemorrhagic shock. Endotracheal intubation in VF/VT. The principle need for initial ventilation and the volumes of ventilation in cardiac arrest patients. Effectiveness of ACD- and VEST-CPR. A few typical examples are presented to illustrate the requirements of current study designs which have to be met before results of an evaluation are accepted by the EBEM scientists to obtain approval for application of a procedure, method or medication in clinical practice (large patient numbers, power calculations, ethical issues) as well as their benefits and drawbacks.

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Evidence‐based intensive care medicine

Cited by 11 publications

References 9 publications

An evaluation of a teaching intervention to improve the practice of endotracheal suctioning in intensive care units

An evaluation of a teaching intervention to improve the practice of endotracheal suctioning in intensive care units

The Cochrane Collaboration ‐ What is it About?

„Evidence Based Emergency Medicine”

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