Advantages and disadvantages of patients’ hospitalization in Intensive Care Units

Background: An Intensive Care Unit (ICU) is a special hospital department with many advantages and disadvantages for the patient.Aim: The aim of the present systematic review was to explore the advantages and disadvantages of hospitalized ICU patients.Material and Method: A literature review in international databases (Pubmed, Cinahl, Google Scholar, Cochrane Library) was conducted. A time limited criteria was applied with respect to the publication of articles (articles published in the last 15 years). Ten articles were found that met the criteria for participation in the present review.Results: Results thematic analysis revealed the following advantages and disadvantages of ICU hospitalization: Advantages related to patients care in ICU and advantages related to team work. Disadvantages related to the ICU environment (noise, lighting) that complicate the patient's hospitalization status and cause the patient's sleep disturbances and / or delirium. Additionally, it was found that financial cost of hospitalization is a very significant disadvantage for both patient and health care providers.Conclusions: Preparation and successful implementation of significant strategies will convert disadvantages of ICU hospitalization into advantages in daily clinical practice through increased use of protocols, the maintenance of a checklist, evidenced based practice, data recording, development of interdisciplinary groups and finally the extensive application of technology for patient’ s benefit.

A systematic review of training methods to increase staff’s knowledge and implementation of positive behaviour support in residential and day settings for individuals with intellectual and developmental disabilities

Behaviour support plans (BSPs), if accurately implemented, have been found to increase skills and decrease challenging behaviour of individuals with intellectual and developmental disabilities. Training is essential for staff to acquire the skills necessary for accurate implementation. The aim of this systematic literature review was to evaluate procedures used to train staff in Positive Behaviour Support (PBS), on both knowledge of PBS and implementation of BSPs. Systematic searches of 4 databases identified 18 studies as meeting criteria. Findings indicate that description alone was not consistently effective in increasing knowledge and should be used in combination with other training strategies. Staff’s implementation of BSPs were increased by different combinations of the following training components: description, feedback, modelling, role-play, monitory incentive, and escape contingency. To identify evidenced based practice when training staff on BSPs, it is necessary to evaluate active and feasible training components from current training models.

Exploring Evidence: A Challenge before Nurses of Today

The review article presents the obstacles and the solutions towards the implementation of Evidence Based Practice among the nurses in India by merging the content and concept from a few set of related articles by the experts and those include 1. K Gitumoni and K Jyasree. The barriers and challenges of conducting nursing research and communicatoing findings into practice. 2. Daphne c duncombe. A study of perceived barriers and faciliattors to implement evidenced based practice. 3. Joan and Warren. A crosssectional study to assess the strength and challenges to implement ebp in nursing. 4. B Mauricio, Implementing evidence based practice: a challenge for the nursing practice. 5. M Neda and B naser. Nurses faculties knowledge and attitude on evidence based practice. The successful utilization of best evidence into practice depends on the knowledge of nurses, understanding the concepts, and its application. There exists various barriers and facilitators as well to the application of EBP among nurses. The practice can be a successful and routine process in an organization only if there could be support, encouragement and recognition by the administration. The health care team in India must provide an indispensible support to eliminate those barriers and facilitate the optimal care through best evidences in the health care facilities. Thus the article comprises a cross cut view on the obstacles in the application of best evidences in the clinical setting.

Factors related to the implementation of Evidenced-based practice (EBP) of nursing staffing levels in Hospitals: A Literature Review

The implementation of Evidenced-based practice (EBP) was one of the factors in increasing the quality of health services as an ideal problem-solving approach. The ability of nurses to appliance EBP was influenced by many factors, not only on individual nurses consisting by the support of unit leader and colleague. The purpose of this study was to determine the factors associated with the implementation of EBP at the care room level establishing on the support of coworkers and nursing managers. This writing used a literature review study, from several databases namely PubMed, ProQuest, Google Scholar, and ScienceDirect with a limitation of the last 5 years. 17 journals met the inclusion criteria and the results of a literature review study show: eight journals conclude that the support of colleagues and authority in changing practices affects the implementation of EBP, 13 journals concluded the role of managerial nurses affects the implementation of EBP consisting of leadership support and mentorship including the lack of knowledge and skills of nursing leaders regarding EBP. Data from the collected and identified literature study clearly showed that EBP knowledge and skills of nursing leaders related to EBP are important factors in increasing the implementation of EBP but co-worker factors can be a supporter and also an obstacle to the implementation of EBP if it is not well managed.

Acceptance and commitment therapy for family caregivers: A systematic review and meta-analysis

Acceptance and commitment therapy is an emerging evidenced-based practice, but no systematic review regarding the effects of ACT on family caregivers has been conducted. This article examined the effects of ACT on family caregivers by conducting meta-analysis with a random effects model. Twenty-four articles were identified from four electronic databases searched up to 30 March 2020. Meta-analyses found moderate effects of ACT on depressive symptoms and quality of life, small effects on anxiety, and small to moderate effects on stress. Further ACT studies should be conducted to measure effects on different outcomes for various family caregiver populations.