International journal of evidence-based healthcare
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Int J Evid Based Healthc · Dec 2013
Validity and reliability of the aneroid sphygmomanometer using a paediatric size cuff for craniocervical flexion test.
The craniocervical flexion test (CCFT) is generally undertaken using a pressure biofeedback unit. However, the high costs of the device limits its availability in poorly resourced healthcare settings. The use of alternate measures such as the aneroid sphygmomanometer to undertake CCFT need to be investigated. ⋯ This study has confirmed high concurrent validity, intra- and inter-rater reliability of the aneroid sphygmomanometer using a paediatric cuff for CCFT in asymptomatic adults. Its use in people with neck pain warrants investigation.
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Int J Evid Based Healthc · Dec 2013
ReviewInforming clinical policy decision-making practices in ambulance services.
This study aims to identify the processes and frameworks that support an evidence-based approach to clinical policy decision-making practices in ambulance services. ⋯ There is little published literature that describes the processes involved, and frameworks required, to inform clinical policy decision making within ambulance services. This review found that processes were iterative and involved collaborations across many internal and external stakeholders. In several jurisdictions, these were coordinated by a dedicated team. Success appears dependent on committed leadership and purposive human and structural resources. Although time consuming, structured processes have been developed in some jurisdictions to assist decision-making processes. Further insight is likely to be obtained from literature published by those from other disciplines.
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Int J Evid Based Healthc · Dec 2013
Evidence utilisation project: Management of inadvertent perioperative hypothermia. The challenges of implementing best practice recommendations in the perioperative environment.
The prevention of inadvertent perioperative hypothermia (IPH) remains an important issue in perioperative healthcare. The aims of this project were to: (i) assess current clinical practice in the management of IPH and (ii) promote best practice in the management of IPH in adult operating theatres. ⋯ Temperature monitoring, warming and rates of normothermia improved; however, barriers to best practice of IPH management were experienced, which negatively impacted on the project. Further stages of implementation and audit were added to further address IPH management in this department.