JBI database of systematic reviews and implementation reports
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JBI Database System Rev Implement Rep · Oct 2016
Review Comparative StudyEffectiveness and experiences of families and support workers participating in peer-led parenting support programs delivered as home visiting programs: a comprehensive systematic review.
Designing child and family health services to meet the diverse needs of contemporary families is intended to minimize impacts of early disadvantage and subsequent lifelong health and social issues. Innovative programs to engage families with child and family support services have led to interest in the potential value of peer-led home visiting from parents in local communities. There is a range of benefits and challenges identified in a limited number of studies associated with home visiting peer support. ⋯ The focus of further research should be on confirmatory studies using an action research methodology and the cost-effectiveness of these models.
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JBI Database System Rev Implement Rep · Oct 2016
Nursing clinical handover improvement practices among acute inpatients in a tertiary hospital in Sydney: a best practice implementation project.
The nursing handover normally occurs at the beginning of a nurse's shift and is considered essential for continuity of care. Nursing handovers have the potential to communicate accurate information about a patient's condition, treatment and anticipated needs but also to be ineffective or even harmful if information is incomplete or omitted. The Australian Commission on Safety and Quality in Health Care has recognized clinical handover as a National Standard, thus reinforcing its importance. ⋯ The findings showed how audits may be used to promote best practice in healthcare and that focused education and provision of relevant resources can have an immediate and positive impact on clinical practice. Some of the measured criteria improved to a moderate degree, leaving room for improvement; however, by the end of the project attitudes toward nursing clinical handover had been "transformed" from a passive routine "must do" task to an active process with a focus on safety and patient/carer engagement. Future audits are planned to ensure sustainability.
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JBI Database System Rev Implement Rep · Oct 2016
ReviewExperiences of mental health professionals and patients in the use of pro re nata medication in acute adult mental healthcare settings: a systematic review.
The use of pro re nata (PRN) medication, a medication that is given when needed, as opposed to medication that is given at a regular time, is surrounded by claims of misuse and poor accountability within the mental health setting. Gaining insight into and understanding of the experiences of health professionals' and patients' use of PRN medication will assist in contributing to improving education and safety around this common intervention. ⋯ Pro re nata medication use among MHPs and service users is subject to many variables from individual decision making to organizational policies. There are many factors that contribute to MHPs prescribing and administering PRN medications and patients had views and opinions on their use of PRN medication in the acute mental health setting.
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JBI Database System Rev Implement Rep · Oct 2016
Comparative StudyEffectiveness of assertive communication training programs for health professionals and students: a systematic review protocol.
The objective of this systematic review is to identify, appraise and synthesize the best available evidence related to the effectiveness of assertive communication training programs in healthcare. More specifically, the objective of this systematic review is to determine the effectiveness of assertive communication interventions for health professionals and students on levels of assertiveness, communication competence and impact on clinician behaviors compared to alternative or no interventions.
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JBI Database System Rev Implement Rep · Oct 2016
Experiences of healthcare professionals in providing palliative end-of-life care to patients in emergency departments: a systematic review protocol.
The objective of this review is to identify and synthesize the best available evidence on the experiences of healthcare professionals in providing palliative care to patients at the end of life in emergency departments.