JBI database of systematic reviews and implementation reports
-
JBI Database System Rev Implement Rep · Apr 2020
Reliability, validity and relevance of needs assessment instruments for informal dementia caregivers: a psychometric systematic review.
The objective of this review was to identify reliable and/or valid needs assessment instruments for informal dementia caregivers that are relevant for clinical practice, research and informal caregivers. ⋯ Despite the good evidence for some psychometric properties, further developments in the field of needs assessment for informal dementia caregivers are needed, particularly regarding structural and construct validity, as well as test-retest reliability and sensitivity to change. To enhance conceptual clarity, the development of an underlying theoretical model of needs should be prioritized.
-
JBI Database System Rev Implement Rep · Jan 2020
Enhanced perioperative nutritional care for patients undergoing elective colorectal surgery at Calvary North Adelaide Hospital: a best practice implementation project.
The aim of this project was to evaluate the current practice and implement best practice related to Enhanced Recovery After Surgery (ERAS) nutrition care protocols amongst elective colorectal surgery patients at Calvary North Adelaide Hospital. A second aim was to improve outcomes regarding length of hospital stay and rate of unplanned readmissions within 28-days in patients undergoing elective colorectal surgery. ⋯ Changes in patient outcomes could not be attributed to the implementation of ERAS nutrition care protocols, given the mixed compliance with audit criteria in the post-implementation audit. This project has, however, raised awareness of the importance of having operational definitions for audit criteria, systems to ensure adherence to protocols, and audits of calendar year data for reliability and validity of results. It has also increased knowledge of ERAS nutrition care protocols amongst those involved in the care of patients undergoing elective colorectal surgery and strengthened relationships within the multidisciplinary team. This project represents the first step toward the development of an effective ERAS nutrition care program for patients underoing elective colorectal surgery at Calvary North Adelaide Hospital and informs future audits and feedback cycles.
-
JBI Database System Rev Implement Rep · Dec 2019
ReviewPreventative interventions, protocols or guidelines for trauma patients at risk of cervical collar-related pressure ulcers: a scoping review.
The objective of this scoping review was to explore the existing literature related to preventative interventions, protocols or guidelines for trauma patients at risk of cervical collar-related pressure ulcers to examine and conceptually map the evidence, and to identify any gaps in the literature. ⋯ Protocols with a multidisciplinary approach are available in the literature to serve as guidance for proper treatment and care of trauma patients' wearing of cervical collars. Standardized cervical collar protocols should highlight the importance of early identification of trauma patients who may be at risk. Risk factors identified in this review should be assessed and addressed to halt cervical collar-related pressure ulcers from ever developing in trauma patients who are immediately identified as at risk. Preventative interventions identified in the protocols in this scoping review can be used to create a standardized approach to care for patients in cervical collars.
-
JBI Database System Rev Implement Rep · Dec 2019
Oral health outcomes for people with cerebral palsy: a scoping review protocol.
This review aims to systematically map the literature reporting on oral health outcomes experienced by people with cerebral palsy. ⋯ This review will be conducted in accordance with the guidelines outlined by JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). Articles published in any language will be considered for inclusion, with no restriction on publication date. The search databases will include the Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, Scopus, Embase and Dentistry and Oral Science. A search of gray literature will also be conducted. Extracted data relevant to the scoping review will be performed by two reviewers.
-
JBI Database System Rev Implement Rep · Nov 2019
Postoperative handover among nurses in an orthopedic surgical setting in Myanmar: a best practice implementation project.
The aim of this project was to improve the postoperative handover practice within the local context of an orthopedic surgical setting by implementing best practice. ⋯ We were able to make significant improvements in the underperforming areas related to postoperative patient handover. This project confirms that an SBAR (Situation, Background, Assessment, Recommendation) checklist has been implemented to navigate and document every postoperative handover at the main operating theater; the handover process at the intensive care unit complies with the COLD (Connect, Observe, Listen, Delegate) process; and attendance of handovers by nurses has increased. It is recommended that regular audits be conducted to sustain the change and improve where required.