JBI database of systematic reviews and implementation reports
-
JBI Database System Rev Implement Rep · Jan 2018
Nutritional screening, assessment and implementation strategies for adults in an Australian acute tertiary hospital: a best practice implementation report.
The project aimed to improve the effectiveness of nutritional screening and assessment practices through clinical audits and the implementation of evidence-based practice recommendations. ⋯ The baseline audit revealed gaps between current practice and best practice. Through the implementation of a targeted education program and resource package, outcomes improved in the follow up audit. The findings indicated that engagement from multidisciplinary team members and consumers was effective in developing tailored education that improved knowledge of best practice. This was demonstrated by an increase in the percentage of compliance across the 10 criteria, although leaving room for more improvement. A policy has been developed for implementation and future audits are planned to measure whether improved practices have been sustained.
-
JBI Database System Rev Implement Rep · Jan 2018
Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: a systematic review.
To summarize the best available evidence regarding the effectiveness of interventions for preventing frailty progression in older adults. ⋯ This review found mixed results regarding the effectiveness of frailty interventions. However, there is clear evidence on the usefulness of such interventions in carefully chosen evidence-based circumstances, both for frailty itself and for secondary outcomes, supporting clinical investment of resources in frailty intervention. Further research is required to reinforce current evidence and examine the impact of the initial level of frailty on the benefits of different interventions. There is also a need for economic evaluation of frailty interventions.
-
JBI Database System Rev Implement Rep · Jan 2018
Effectiveness of ultrasound-guided peripheral intravenous cannulation in pediatric patients aged under three years: a systematic review protocol.
The objective of this systematic review is to identify, evaluate and synthesize evidence of effectiveness on ultrasound-guided peripheral intravenous cannulation in pediatric patients aged under three years. Specially, the review question is: In pediatric patients aged under three years, what is the effect of ultrasound-guided peripheral intravenous cannulation on the first attempt and on the overall success rate, time to cannulation and number of attempts for successful cannulation compared with the traditional blind approach?
-
JBI Database System Rev Implement Rep · Dec 2017
RevieweHealth interventions for parents in neonatal intensive care units: a systematic review.
As technology becomes increasingly more advanced, particularly video technology and interactive learning platforms, some neonatal intensive care units are embracing electronic health (eHealth) technologies to enhance and expand their family-centered care environments. Despite the emergence of eHealth, there has been a lack of systematic evaluation of its effectiveness thus far. ⋯ While heterogeneity across studies precluded meta-analysis, consistent trends across all studies examining parental acceptance of eHealth interventions indicate that parents are willing to accept eHealth interventions as part of their neonatal intensive care, suggesting that the incorporation and evaluation of eHealth interventions in the neonatal intensive care unit setting is warranted. Further high quality studies are needed with larger sample sizes to detect changes in outcomes. As eHealth intervention studies move beyond feasibility and implementation, there is a demand for randomized control trials to examine the effect of eHealth interventions on parent and neonatal outcomes compared to usual care. Future studies should consider reporting of outcomes using standardized measures which would allow comparison across eHealth interventions in subsequent reviews.
-
JBI Database System Rev Implement Rep · Nov 2017
ReviewExperiences and shared meaning of teamwork and interprofessional collaboration among health care professionals in primary health care settings: a systematic review.
During the last decade, teamwork has been addressed under the rationale of interprofessional practice or collaboration, highlighted by the attributes of this practice such as: interdependence of professional actions, focus on user needs, negotiation between professionals, shared decision making, mutual respect and trust among professionals, and acknowledgment of the role and work of the different professional groups. Teamwork and interprofessional collaboration have been pointed out as astrategy for effective organization of health care services as the complexity of healthcare requires integration of knowledge and practices from differente professional groups. This integration has a qualitative dimension that can be identified through the experiences of health professionals and to the meaning they give to teamwork. ⋯ This review included 21 research studies, representing various countries and healthcare settings. There were 223 findings, which were aggregated into 15 categories, and three synthesized findings: CONCLUSIONS: This review shows that health professionals experience teamwork and interprofessional collaboration as a process in primary health care settings; its conditions, consequences (benefits and barriers), and finally shows its determinants. Health providers face enormous ideological, organizational, structural and relational challenges while promoting teamwork and interprofessional collaboration in primary health care settings. This review has identified possible actions that could improve implementation of teamwork and interprofessional collaboration in primary health care.