BACKGROUND Endoscopic colon polypectomy is a common procedure used to remove polyps that may develop into colorectal cancer if left untreated.Despite these advantages,patients frequently experience anxiety and other a...BACKGROUND Endoscopic colon polypectomy is a common procedure used to remove polyps that may develop into colorectal cancer if left untreated.Despite these advantages,patients frequently experience anxiety and other adverse reactions.Standardized evidence-based nursing practices are essential for enhancing patient care by addressing both physical and psychological health issues.AIM To analyze the impact of standardized evidence-based nursing on psychological status and adverse reactions of patients undergoing endoscopic colonic polypectomy.METHODS Data from 200 patients who underwent endoscopic colonic polypectomy at the authors’hospital between January and June 2024 were randomly assigned to two groups:Control[received routine nursing care(n=100)]and study[received standardized evidence-based nursing intervention(s)(n=100)].Psychological status,visual analog scale,and Short-Form 36 Health Survey scores,adverse events,and satisfaction with nursing were compared between the two groups.RESULTS After the interventions,the study group exhibited significantly lower scores on the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale,along with a reduced incidence of adverse events compared with the control group(P<0.05).Short-Form 36 Health Survey scores and overall satisfaction with nursing care were also significantly higher in the intervention group(P<0.05).CONCLUSION Standardized evidence-based nursing interventions effectively reduced negative patient emotions and enhanced quality of life and satisfaction,demonstrating high safety.展开更多
Objective:To investigate the preventive effect of evidence-based preventive nursing on urinary tract infections(UTIs)in elderly female diabetic patients.Methods:Seventy-nine elderly female diabetic patients admitted t...Objective:To investigate the preventive effect of evidence-based preventive nursing on urinary tract infections(UTIs)in elderly female diabetic patients.Methods:Seventy-nine elderly female diabetic patients admitted to our hospital from March 2023 to March 2025 were selected and randomly divided into observation group(40 cases)and control group(39 cases)using the envelope method.The control group received routine nursing,while the observation group received evidence-based preventive nursing.The outcomes were compared between the two groups.Results:After treatment,blood glucose levels in both groups were significantly reduced,and the improvement in various indicators in the observation group was better than that in the control group(P<0.05).Additionally,quality of life scores were significantly improved in both groups,with the observation group showing better improvement than the control group(P<0.05).The duration of catheter indwelling and hospital stay in the observation group were lower than those in the control group(P<0.05).Conclusion:Evidence-based preventive nursing can systematically reduce the risk of urinary tract infections,improve patient outcomes,and provide effective references for clinical nursing practice.展开更多
With the aging of China’s population,tumors have become a major disease affecting people’s normal life.In particular,“cancer pain”caused by tumors has a severe impact on tumor patients,not only reducing their qual...With the aging of China’s population,tumors have become a major disease affecting people’s normal life.In particular,“cancer pain”caused by tumors has a severe impact on tumor patients,not only reducing their quality of life but also exerting negative effects on their physical and mental health and emotions.Therefore,in the clinical care of tumor patients,helping them relieve“cancer pain”and improving the quality and efficiency of medical care services have become important research topics.This paper takes evidence-based nursing as the starting point,analyzes the basic concepts and practical characteristics of evidence-based nursing,and then proposes the application process and effects of evidence-based nursing in cancer pain care for tumor patients.展开更多
This study aimed to investigate the effect of evidence-based nursing intervention on patients undergoing nasal endoscopic resection of nasal polyps,particularly focusing on its impact on MIGILL’s pain scores.A total ...This study aimed to investigate the effect of evidence-based nursing intervention on patients undergoing nasal endoscopic resection of nasal polyps,particularly focusing on its impact on MIGILL’s pain scores.A total of 74 patients who underwent endoscopic nasal polyp resection were randomly divided into two groups using a random number table method.The outcomes of evidence-based nursing intervention in the observation group were compared with those of the control group.The results showed that the MIGILL pain scores in the observation group were significantly lower than those in the control group,and both hospitalization time and cost were notably reduced(P<0.05).Additionally,patients in the observation group demonstrated better psychological states and experienced fewer postoperative complications compared to the control group(P<0.05).Furthermore,the quality of life scores were significantly higher in the observation group(P<0.05).These findings suggest that evidence-based nursing intervention after endoscopic resection of nasal polyps is highly effective in alleviating postoperative pain,improving emotional well-being,minimizing complications,reducing hospital stay and expenses,and enhancing overall quality of life,indicating its potential value for broader clinical application.展开更多
Objectives:To examine Chinese nurses'practice of reading and understanding scientific literature and elucidate the motivating and deterring factors.Methods:This is a cross-sectional study conducted between March a...Objectives:To examine Chinese nurses'practice of reading and understanding scientific literature and elucidate the motivating and deterring factors.Methods:This is a cross-sectional study conducted between March and June 2015.A random sample of 853 full-time registered nurses from three tertiary and two secondary hospitals in China filled out a set of self-administered questionnaires,including literature habit questionnaire(41 items),the situational motivation scale and the socio-demographic and professional characteristics questionnaire(15 items).Results:Significant majority(89.2%)of the respondents reported perception of barriers to keeping up to date with literature.The language barrier was the most prominent,followed by poor presentation and readability of articles.Using simpler language when writing articles,improving ones'foreign language proficiency and getting education or training on nursing research were raised as the top facilitators.Additionally,reading and understanding literature was significantly associated with the nurses'educational background,motivation,genders and work settings.Conclusions:The survey of the current status of literature education among Chinese nurses suggests that providing protected time,training for critical thinking,and incentive mechanisms will help improve nurses'engagement in literature and create a culture of academic inquiry.展开更多
Objective:Pain management is an integral part of nursing practice.In this respect,angina management can be a serious clinical problem for nurses.The evaluation of pain management based on guidelines is one of the esse...Objective:Pain management is an integral part of nursing practice.In this respect,angina management can be a serious clinical problem for nurses.The evaluation of pain management based on guidelines is one of the essential components in quality assurance and improvement processes.One of the most necessary steps in this process to improve pain management is to analyze the existing situation.This study aimed to determine the compliance of critical care unit(CCU)nurses’care performance in angina management with evidence-based guidelines(EBGs).Methods:In this observational cross-sectional study,69 nurses working in the CCU departments of public hospitals in Bushehr province participated using the full number method,and their performance was observed 207 times.The data collection tool in this study included a demographic profile form and a 29-item checklist of nurses’performance in angina management.The performance of each nurse was evaluated three times in three different shifts.Descriptive and analytical independent t-tests and Spearman and Pearson correlation were used to analyze the data.SPSS 19 software was used to perform statistical tests.The significance level was considered to be<0.05 in all cases.Results:The findings showed that 85.5%of the participants were female and 14.5%were male,with an average age of 33.87±7.14 years.The average score for performing care functions according to the evidence-based pain management guidelines was 71.42±19.31.The highest(73.60±19.45)and lowest(63.51±28.27)average scores were related to the investigation and evaluation area,respectively.The results showed a significant negative correlation between age and care performance(p<0.03;r=−0.265).Conclusions:The results of this study showed that the average performance score of nurses in angina management based on the guidelines was higher than average.Considering that some items had little compliance,the health system planners are recommended to put the annual training methods to obtain and use the latest guidelines for pain management,especially angina,in the education program of nurses.展开更多
Background: Making changes in the existing curriculum aims, objectives, course contents learning outcomes and assessment strategies have become a fact of life for nurse educators. Purpose: To enhance the existing Bach...Background: Making changes in the existing curriculum aims, objectives, course contents learning outcomes and assessment strategies have become a fact of life for nurse educators. Purpose: To enhance the existing Bachelor of Science (BSc) in nursing curriculum through integration of evidence-based practice (EBP) and teaching of critical thinking skills. Materials and Methods: A needs analysis was conducted using a five-phased approach to review the BSc in nursing Curriculum. Kern’s six-step model was adapted and introduced through a series of workshop exercises that highlighted the application of each step: 1) Desk review of the BSc curriculum offered globally;2) Administration of the needs assessment questionnaire to key informants;3) Strengths, weakness, opportunities and threat analysis;4) Consultative meeting with major stakeholders;5) Curriculum review. Results: The five-phased approach established some gaps in existing curricula, and identified critical core competences and best practices in integrating EPB and critical thinking in the BSc undergraduate curriculum and some “A” level content that was not in tandem with the practice of nurses. New courses were developed to support students in academic writing and enhance professionalism and duration of training was reduced from 5 to 4 years. Conclusion: The process demonstrated that BSc curriculum review, in fact, should be thoroughly scrutinized to encourage positive changes to the curriculum, provide opportunities for team building and the development of leadership skills and a whole-of course perspective on the curriculum.展开更多
Dear Editor,We have read the article entitled"Improve nursing in evidencebased practice:How Chinese nurses'read and comprehend scientific literature"by Huang et al.[1]published in the International Journ...Dear Editor,We have read the article entitled"Improve nursing in evidencebased practice:How Chinese nurses'read and comprehend scientific literature"by Huang et al.[1]published in the International Journal of Nursing Sciences.We would like to appreciate and strongly support the authors'efforts in pointing out the importance of Evidence-Based Practice(EBP)in nursing.Nurses are required to adhere to accepted standards of practice and professional performance.As a professional,nurses need to use evidence-based intervention and the integration of research findings into practice[2,3].EBP is an approach to nursing care that is very important for improving patient outcomes[4],however,the previous studies have been suggested that health professional does not always use the evidence to guide their practice[1,5-7].Huang et al.state that only 3.5%of nurses read literature regularly on a daily,9.8%on a weekly,9.3%on a monthly and 66%only read when needed[1].Further,O'lynn et al.also state that"in terms of actual use of research findings in practice,small range of nurses(27.1%)reported using research"often"or"very often"in the past year;whereas 30.0%reported using research"rarely"or"never"in the past year"[6].展开更多
Restless legs syndrome(RLS)is a common neurological disorder in clinical practice,particularly prominent among hemodialysis patients.RLS severely impacts patients’sleep quality and mental state,exacerbating their pre...Restless legs syndrome(RLS)is a common neurological disorder in clinical practice,particularly prominent among hemodialysis patients.RLS severely impacts patients’sleep quality and mental state,exacerbating their pre-existing physical discomfort and life burden.Current pharmacological treatments often yield suboptimal results and carry numerous adverse effects.Consequently,combining evidence-based nursing with rehabilitation therapy has emerged as a promising intervention strategy.Rehabilitation therapy,a multimodal non-pharmacological treatment,aims to enhance patients’physical and psychological health,while evidence-based nursing emphasizes individualized,scientifically grounded nursing interventions.The integration of these two approaches not only alleviates RLS symptoms but also improves patients’quality of life and self-management abilities.Based on this,the paper conducts an in-depth study of the pathogenesis and clinical characteristics of RLS in hemodialysis patients and provides a detailed analysis of the combined application of rehabilitation therapy and evidence-based nursing for this condition.展开更多
The evidence-based Traditional Chinese Medicine(TCM) nursing in standard plan is to be constructed by a combination of evidence-based thinking and expert consensus.(1) The symptoms of diseases with better curative eff...The evidence-based Traditional Chinese Medicine(TCM) nursing in standard plan is to be constructed by a combination of evidence-based thinking and expert consensus.(1) The symptoms of diseases with better curative effect in TCM and the nursing techniques of TCM based on scientific evidence can be preliminarily presented through bibliometric analysis.(2) Expert consultation letters can be developed based on bibliometric results, and symptoms of dominant diseases in TCM and TCM nursing techniques can be selected through those letters.(3) Based on the selected symptoms and TCM nursing techniques, the PICO can be determined, and then evidence search, evidence extraction, evidence analysis can be conducted and synthesized, and recommendations would be chosen.(4) The recommendation grade of each recommendation can be determined by applying the Delphi method and referring to GRADE.(5) The plan will be determined through discussions of experts. The construction of TCM nursing plan would make sure that TCM nursing is scientific, and internationalize TCM nursing.展开更多
Objective To explore the application of evidence-based nursing intervention in patients with congenital heart diseases treated by transcatheter interventional therapy.Methods A total of 64 patients with congenital hea...Objective To explore the application of evidence-based nursing intervention in patients with congenital heart diseases treated by transcatheter interventional therapy.Methods A total of 64 patients with congenital heart diseases who were administered in our hospital from June 2011 to July 2013 were recruited in our research.展开更多
Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement...Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly.This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings.Methods:This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan,Indonesia.Semi-structured in-depth interviews were recorded and then transcribed verbatim.Results:Three themes were generated during the analysis:“types of student supervision,”“issues during supervision,”and“the need for research literacy and supervision.”Conclusions:Nurse preceptors need support to supervise the nursing students to use research findings.In addition to upgrading nursing skills,nurse preceptors must receive training in research and its utilization.Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.展开更多
Objective.To analyze the effect of applying evidence-based care in rehabilitation nursing effect of patients with patellar fractures.Methods.A total of 54 patients with patellar fractures were randomly selected from t...Objective.To analyze the effect of applying evidence-based care in rehabilitation nursing effect of patients with patellar fractures.Methods.A total of 54 patients with patellar fractures were randomly selected from the hospital.The diagnosis and treatment time were from the beginning of July 2018 to end of June 2019.The digital table grouping was adopted to divide patients into two groups with each group consists of 27 patients with this disease.Both groups underwent routine nursing and the experimental group with increased evidence-based care.Results.Compared with the control group,the knee function evaluation,complications and nursing satisfaction of the experimental group were more ideal,and the difference was statistically significant(P<0.05).Conclusion.Evidence-based care in rehabilitation nursing of patients with patellar fracture can obtain ideal nursing effect.展开更多
Objective: to study the application effect of evidence-based nursing in neurosurgery body restraint clinical nursing. Methods: from January 2020 to February 2022, 100 patients with physical constraints were selected f...Objective: to study the application effect of evidence-based nursing in neurosurgery body restraint clinical nursing. Methods: from January 2020 to February 2022, 100 patients with physical constraints were selected from our department of neurosurgery. Among them, 50 patients who received routine nursing were divided into control group and 50 patients who received evidence-based nursing were divided into observation group. Self-extubation rate, complication rate and Ramsay score of the two groups were compared. Results: in the control group, the rate of self-extubation was 18%, and the incidence of complications was 22%. The Ramsay scores of the patients were 4.24±0.55 and 4.22±0.40 at the time of physical restraint and the end of restraint. In the observation group, the rate of self-extubation was 2%, and the incidence of complications was 6%. The Ramsay scores of the patients were 3.11±0.46 and 4.86±0.32 at the time of physical restraint and the end of restraint. There were significant differences in self-extubation rate, complication rate and Ramsay score between the two groups (P < 0.05).展开更多
Objective: to analyze the clinical effect of evidence-based nursing in children with hand foot mouth disease complicated with encephalitis and its influence on nursing satisfaction. Methods: the samples included child...Objective: to analyze the clinical effect of evidence-based nursing in children with hand foot mouth disease complicated with encephalitis and its influence on nursing satisfaction. Methods: the samples included children with foot-and-mouth disease and children with encephalitis in our hospital. 79 samples were selected for analysis. The collection time was from June 2019 to March 2021. They were combined by parity method, and the observation group conducted evidence analysis. The control group received traditional nursing and summarized the nursing effect. Results: the cerebrospinal fluid index of the children was better in the observation group, and the nursing satisfaction of the children's families was higher in the observation group, and the difference between the groups was significant, with statistical significance (P < 0.05). Conclusion: the clinical effect of evidence-based nursing for children with hand-foot-mouth disease combined with encephalitis in our hospital is good, which ensures the quality of nursing and improves the nursing satisfaction of the children's families.展开更多
Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial i...Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.展开更多
Objective:This study aims to explore the effect of evidence-based nursing(EBN)on improving patient satisfaction by systematically evaluating the impact of EBN implementation through the analysis of 40 hospital-related...Objective:This study aims to explore the effect of evidence-based nursing(EBN)on improving patient satisfaction by systematically evaluating the impact of EBN implementation through the analysis of 40 hospital-related literature articles.Methods:A review of 40 studies published from January 2022 to December 2023 related to EBN and patient satisfaction was conducted.The selection was based on specific inclusion and exclusion criteria,focusing on studies that involved EBN interventions.Data were extracted and statistically analyzed using patient satisfaction scores and nursing quality assessments to compare satisfaction before and after EBN implementation.Results:Literature analysis showed that patient satisfaction significantly improved after the implementation of EBN,with average satisfaction scores increasing from 82.5%before intervention to 91.3%after intervention(P<0.05).The application of EBN enhanced patients’care experience,reduced nursing errors,and significantly improved the efficiency and professional competence of healthcare staff.Conclusion:This study confirms that EBN has a significant effect on improving patient satisfaction,particularly in personalized care and evidence-based decision-making.Future efforts should promote EBN and standardize nursing processes to continuously improve care quality and patient satisfaction.展开更多
Objective: To study the clinical effect of routine nursing and evidence-based nursing in elderly patients with acute myocardial infarction complicated with arrhythmia. Methods: From March 2019 to March 2020, 80 elderl...Objective: To study the clinical effect of routine nursing and evidence-based nursing in elderly patients with acute myocardial infarction complicated with arrhythmia. Methods: From March 2019 to March 2020, 80 elderly patients with arrhythmia after acute myocardial infarction in our hospital were selected as the research objects and randomly divided into two groups, the reference group and the study group. The reference group was given routine nursing, and the study group was given evidence-based nursing. Result: Through nursing, the hospitalization time and hospitalization expenses of the study group were significantly less than those of the reference group, and the data difference was statistically significant (P < 0.05);the arrhythmia recurrence rate and complication rate of the study group were significantly lower than those of the reference group, and the data difference was statistically significant (P < 0.05);the nursing satisfaction of the study group was significantly better than that of the reference group, and the data difference was significant (P < 0.05). Conclusion for elderly patients with acute myocardial infarction complicated with arrhythmia, evidence-based nursing has significant clinical nursing effect, can improve the patient's heart function, reduce the occurrence of complications, at the same time, can shorten the length of stay, reduce the cost of hospitalization, improve the prognosis of patients, with significant clinical application value.展开更多
Objective: to explore the effect of evidence-based nursing in laparoscopic treatment of patients with gallstone in operating room and its influence on quality of life. Methods: 44 cases of patients with gallstones tre...Objective: to explore the effect of evidence-based nursing in laparoscopic treatment of patients with gallstone in operating room and its influence on quality of life. Methods: 44 cases of patients with gallstones treated by laparoscopic surgery were selected as the experimental subjects. The patients were divided into two groups by the method of touching balls, the control group (22 cases) received routine nursing, the observation group (22 cases) received evidence-based nursing, and the results were analyzed. Results: the disappearance of postoperative pain and the length of hospital stay in the observation group were significantly shortened compared with the control group (P < 0.05). The quality of life score of observation group was higher than that of control group (P < 0.05). Conclusion: evidence-based nursing can effectively promote postoperative recovery and improve the quality of life of patients, and it is worth popularizing.展开更多
Objective: to analyze the clinical effects of evidence-based nursing and individualized nursing in patients with gastroenterology. Methods: 100 patients admitted to the department of gastroenterology were selected, an...Objective: to analyze the clinical effects of evidence-based nursing and individualized nursing in patients with gastroenterology. Methods: 100 patients admitted to the department of gastroenterology were selected, and the selected patients were divided into group A (individualized nursing, 50 cases) and group B (evidence-based nursing, 50 cases) by computer sampling. All the patients were hospitalized from January 2020 to January 2021, and the clinical effects of the two groups were observed and analyzed. Results: the total effective rate of group B and group A was 98.00% (49/50) and 96.00% (48/50), respectively, which was meaningless (P > 0.05). Conclusion: the application of individual nursing and evidence-based nursing in gastroenterology patients has good clinical effect, clinical implementation of nursing should be based on the specific situation of patients.展开更多
文摘BACKGROUND Endoscopic colon polypectomy is a common procedure used to remove polyps that may develop into colorectal cancer if left untreated.Despite these advantages,patients frequently experience anxiety and other adverse reactions.Standardized evidence-based nursing practices are essential for enhancing patient care by addressing both physical and psychological health issues.AIM To analyze the impact of standardized evidence-based nursing on psychological status and adverse reactions of patients undergoing endoscopic colonic polypectomy.METHODS Data from 200 patients who underwent endoscopic colonic polypectomy at the authors’hospital between January and June 2024 were randomly assigned to two groups:Control[received routine nursing care(n=100)]and study[received standardized evidence-based nursing intervention(s)(n=100)].Psychological status,visual analog scale,and Short-Form 36 Health Survey scores,adverse events,and satisfaction with nursing were compared between the two groups.RESULTS After the interventions,the study group exhibited significantly lower scores on the Hamilton Anxiety Rating Scale and Hamilton Depression Rating Scale,along with a reduced incidence of adverse events compared with the control group(P<0.05).Short-Form 36 Health Survey scores and overall satisfaction with nursing care were also significantly higher in the intervention group(P<0.05).CONCLUSION Standardized evidence-based nursing interventions effectively reduced negative patient emotions and enhanced quality of life and satisfaction,demonstrating high safety.
文摘Objective:To investigate the preventive effect of evidence-based preventive nursing on urinary tract infections(UTIs)in elderly female diabetic patients.Methods:Seventy-nine elderly female diabetic patients admitted to our hospital from March 2023 to March 2025 were selected and randomly divided into observation group(40 cases)and control group(39 cases)using the envelope method.The control group received routine nursing,while the observation group received evidence-based preventive nursing.The outcomes were compared between the two groups.Results:After treatment,blood glucose levels in both groups were significantly reduced,and the improvement in various indicators in the observation group was better than that in the control group(P<0.05).Additionally,quality of life scores were significantly improved in both groups,with the observation group showing better improvement than the control group(P<0.05).The duration of catheter indwelling and hospital stay in the observation group were lower than those in the control group(P<0.05).Conclusion:Evidence-based preventive nursing can systematically reduce the risk of urinary tract infections,improve patient outcomes,and provide effective references for clinical nursing practice.
文摘With the aging of China’s population,tumors have become a major disease affecting people’s normal life.In particular,“cancer pain”caused by tumors has a severe impact on tumor patients,not only reducing their quality of life but also exerting negative effects on their physical and mental health and emotions.Therefore,in the clinical care of tumor patients,helping them relieve“cancer pain”and improving the quality and efficiency of medical care services have become important research topics.This paper takes evidence-based nursing as the starting point,analyzes the basic concepts and practical characteristics of evidence-based nursing,and then proposes the application process and effects of evidence-based nursing in cancer pain care for tumor patients.
文摘This study aimed to investigate the effect of evidence-based nursing intervention on patients undergoing nasal endoscopic resection of nasal polyps,particularly focusing on its impact on MIGILL’s pain scores.A total of 74 patients who underwent endoscopic nasal polyp resection were randomly divided into two groups using a random number table method.The outcomes of evidence-based nursing intervention in the observation group were compared with those of the control group.The results showed that the MIGILL pain scores in the observation group were significantly lower than those in the control group,and both hospitalization time and cost were notably reduced(P<0.05).Additionally,patients in the observation group demonstrated better psychological states and experienced fewer postoperative complications compared to the control group(P<0.05).Furthermore,the quality of life scores were significantly higher in the observation group(P<0.05).These findings suggest that evidence-based nursing intervention after endoscopic resection of nasal polyps is highly effective in alleviating postoperative pain,improving emotional well-being,minimizing complications,reducing hospital stay and expenses,and enhancing overall quality of life,indicating its potential value for broader clinical application.
文摘Objectives:To examine Chinese nurses'practice of reading and understanding scientific literature and elucidate the motivating and deterring factors.Methods:This is a cross-sectional study conducted between March and June 2015.A random sample of 853 full-time registered nurses from three tertiary and two secondary hospitals in China filled out a set of self-administered questionnaires,including literature habit questionnaire(41 items),the situational motivation scale and the socio-demographic and professional characteristics questionnaire(15 items).Results:Significant majority(89.2%)of the respondents reported perception of barriers to keeping up to date with literature.The language barrier was the most prominent,followed by poor presentation and readability of articles.Using simpler language when writing articles,improving ones'foreign language proficiency and getting education or training on nursing research were raised as the top facilitators.Additionally,reading and understanding literature was significantly associated with the nurses'educational background,motivation,genders and work settings.Conclusions:The survey of the current status of literature education among Chinese nurses suggests that providing protected time,training for critical thinking,and incentive mechanisms will help improve nurses'engagement in literature and create a culture of academic inquiry.
文摘Objective:Pain management is an integral part of nursing practice.In this respect,angina management can be a serious clinical problem for nurses.The evaluation of pain management based on guidelines is one of the essential components in quality assurance and improvement processes.One of the most necessary steps in this process to improve pain management is to analyze the existing situation.This study aimed to determine the compliance of critical care unit(CCU)nurses’care performance in angina management with evidence-based guidelines(EBGs).Methods:In this observational cross-sectional study,69 nurses working in the CCU departments of public hospitals in Bushehr province participated using the full number method,and their performance was observed 207 times.The data collection tool in this study included a demographic profile form and a 29-item checklist of nurses’performance in angina management.The performance of each nurse was evaluated three times in three different shifts.Descriptive and analytical independent t-tests and Spearman and Pearson correlation were used to analyze the data.SPSS 19 software was used to perform statistical tests.The significance level was considered to be<0.05 in all cases.Results:The findings showed that 85.5%of the participants were female and 14.5%were male,with an average age of 33.87±7.14 years.The average score for performing care functions according to the evidence-based pain management guidelines was 71.42±19.31.The highest(73.60±19.45)and lowest(63.51±28.27)average scores were related to the investigation and evaluation area,respectively.The results showed a significant negative correlation between age and care performance(p<0.03;r=−0.265).Conclusions:The results of this study showed that the average performance score of nurses in angina management based on the guidelines was higher than average.Considering that some items had little compliance,the health system planners are recommended to put the annual training methods to obtain and use the latest guidelines for pain management,especially angina,in the education program of nurses.
文摘Background: Making changes in the existing curriculum aims, objectives, course contents learning outcomes and assessment strategies have become a fact of life for nurse educators. Purpose: To enhance the existing Bachelor of Science (BSc) in nursing curriculum through integration of evidence-based practice (EBP) and teaching of critical thinking skills. Materials and Methods: A needs analysis was conducted using a five-phased approach to review the BSc in nursing Curriculum. Kern’s six-step model was adapted and introduced through a series of workshop exercises that highlighted the application of each step: 1) Desk review of the BSc curriculum offered globally;2) Administration of the needs assessment questionnaire to key informants;3) Strengths, weakness, opportunities and threat analysis;4) Consultative meeting with major stakeholders;5) Curriculum review. Results: The five-phased approach established some gaps in existing curricula, and identified critical core competences and best practices in integrating EPB and critical thinking in the BSc undergraduate curriculum and some “A” level content that was not in tandem with the practice of nurses. New courses were developed to support students in academic writing and enhance professionalism and duration of training was reduced from 5 to 4 years. Conclusion: The process demonstrated that BSc curriculum review, in fact, should be thoroughly scrutinized to encourage positive changes to the curriculum, provide opportunities for team building and the development of leadership skills and a whole-of course perspective on the curriculum.
文摘Dear Editor,We have read the article entitled"Improve nursing in evidencebased practice:How Chinese nurses'read and comprehend scientific literature"by Huang et al.[1]published in the International Journal of Nursing Sciences.We would like to appreciate and strongly support the authors'efforts in pointing out the importance of Evidence-Based Practice(EBP)in nursing.Nurses are required to adhere to accepted standards of practice and professional performance.As a professional,nurses need to use evidence-based intervention and the integration of research findings into practice[2,3].EBP is an approach to nursing care that is very important for improving patient outcomes[4],however,the previous studies have been suggested that health professional does not always use the evidence to guide their practice[1,5-7].Huang et al.state that only 3.5%of nurses read literature regularly on a daily,9.8%on a weekly,9.3%on a monthly and 66%only read when needed[1].Further,O'lynn et al.also state that"in terms of actual use of research findings in practice,small range of nurses(27.1%)reported using research"often"or"very often"in the past year;whereas 30.0%reported using research"rarely"or"never"in the past year"[6].
基金Evidence Application and Clinical Transformation Project of the Evidence-Based Nursing Center at Fudan University(Project No.Nmyyjd202406)。
文摘Restless legs syndrome(RLS)is a common neurological disorder in clinical practice,particularly prominent among hemodialysis patients.RLS severely impacts patients’sleep quality and mental state,exacerbating their pre-existing physical discomfort and life burden.Current pharmacological treatments often yield suboptimal results and carry numerous adverse effects.Consequently,combining evidence-based nursing with rehabilitation therapy has emerged as a promising intervention strategy.Rehabilitation therapy,a multimodal non-pharmacological treatment,aims to enhance patients’physical and psychological health,while evidence-based nursing emphasizes individualized,scientifically grounded nursing interventions.The integration of these two approaches not only alleviates RLS symptoms but also improves patients’quality of life and self-management abilities.Based on this,the paper conducts an in-depth study of the pathogenesis and clinical characteristics of RLS in hemodialysis patients and provides a detailed analysis of the combined application of rehabilitation therapy and evidence-based nursing for this condition.
文摘The evidence-based Traditional Chinese Medicine(TCM) nursing in standard plan is to be constructed by a combination of evidence-based thinking and expert consensus.(1) The symptoms of diseases with better curative effect in TCM and the nursing techniques of TCM based on scientific evidence can be preliminarily presented through bibliometric analysis.(2) Expert consultation letters can be developed based on bibliometric results, and symptoms of dominant diseases in TCM and TCM nursing techniques can be selected through those letters.(3) Based on the selected symptoms and TCM nursing techniques, the PICO can be determined, and then evidence search, evidence extraction, evidence analysis can be conducted and synthesized, and recommendations would be chosen.(4) The recommendation grade of each recommendation can be determined by applying the Delphi method and referring to GRADE.(5) The plan will be determined through discussions of experts. The construction of TCM nursing plan would make sure that TCM nursing is scientific, and internationalize TCM nursing.
文摘Objective To explore the application of evidence-based nursing intervention in patients with congenital heart diseases treated by transcatheter interventional therapy.Methods A total of 64 patients with congenital heart diseases who were administered in our hospital from June 2011 to July 2013 were recruited in our research.
基金supported by Universitas Tanjungpura Pontianak,Indonesia(No.2377/UN22.9/PG/2022,2022)。
文摘Objective:Evidence-based practices(EBPs)have been taught to students by identifying the best evidence/evidence from research results.However,the experiences of Indonesian nurse preceptors in helping students implement research findings have not been explored thoroughly.This study aimed to explore Indonesian nurse preceptors in guiding nursing students to use research findings.Methods:This study used interpretive phenomenology analysis that involves 9 nurse preceptors from hospitals in West Kalimantan,Indonesia.Semi-structured in-depth interviews were recorded and then transcribed verbatim.Results:Three themes were generated during the analysis:“types of student supervision,”“issues during supervision,”and“the need for research literacy and supervision.”Conclusions:Nurse preceptors need support to supervise the nursing students to use research findings.In addition to upgrading nursing skills,nurse preceptors must receive training in research and its utilization.Developing an appropriate strategy to assist students in using research findings will enhance the promotion of evidence-based nursing practices on a daily basis.
文摘Objective.To analyze the effect of applying evidence-based care in rehabilitation nursing effect of patients with patellar fractures.Methods.A total of 54 patients with patellar fractures were randomly selected from the hospital.The diagnosis and treatment time were from the beginning of July 2018 to end of June 2019.The digital table grouping was adopted to divide patients into two groups with each group consists of 27 patients with this disease.Both groups underwent routine nursing and the experimental group with increased evidence-based care.Results.Compared with the control group,the knee function evaluation,complications and nursing satisfaction of the experimental group were more ideal,and the difference was statistically significant(P<0.05).Conclusion.Evidence-based care in rehabilitation nursing of patients with patellar fracture can obtain ideal nursing effect.
文摘Objective: to study the application effect of evidence-based nursing in neurosurgery body restraint clinical nursing. Methods: from January 2020 to February 2022, 100 patients with physical constraints were selected from our department of neurosurgery. Among them, 50 patients who received routine nursing were divided into control group and 50 patients who received evidence-based nursing were divided into observation group. Self-extubation rate, complication rate and Ramsay score of the two groups were compared. Results: in the control group, the rate of self-extubation was 18%, and the incidence of complications was 22%. The Ramsay scores of the patients were 4.24±0.55 and 4.22±0.40 at the time of physical restraint and the end of restraint. In the observation group, the rate of self-extubation was 2%, and the incidence of complications was 6%. The Ramsay scores of the patients were 3.11±0.46 and 4.86±0.32 at the time of physical restraint and the end of restraint. There were significant differences in self-extubation rate, complication rate and Ramsay score between the two groups (P < 0.05).
文摘Objective: to analyze the clinical effect of evidence-based nursing in children with hand foot mouth disease complicated with encephalitis and its influence on nursing satisfaction. Methods: the samples included children with foot-and-mouth disease and children with encephalitis in our hospital. 79 samples were selected for analysis. The collection time was from June 2019 to March 2021. They were combined by parity method, and the observation group conducted evidence analysis. The control group received traditional nursing and summarized the nursing effect. Results: the cerebrospinal fluid index of the children was better in the observation group, and the nursing satisfaction of the children's families was higher in the observation group, and the difference between the groups was significant, with statistical significance (P < 0.05). Conclusion: the clinical effect of evidence-based nursing for children with hand-foot-mouth disease combined with encephalitis in our hospital is good, which ensures the quality of nursing and improves the nursing satisfaction of the children's families.
文摘Objective: To investigate the effect of evidence-based nursing intervention in elderly patients with arrhythmia after acute myocardial infarction. Methods: 146 elderly patients with arrhythmia after acute myocardial infarction treated in our hospital from February 2016 to March 2017 were selected as research objects. According to the random number method, patients were divided into control group (73 cases, traditional nursing) and observation group (73 cases, evidence-based nursing intervention). The clinical effects and nursing satisfaction of the two groups were compared. Results: The hospital stay, average bed rest time, hospitalization cost, and incidence of arrhythmia complications in the observation group were significantly lower than those in the control group. The difference was statistically significant (P<0.05). After nursing, the four grades of heart function and satisfaction of nursing in the observation group were significantly higher than those in the control group. The difference was statistically significant (P<0.05). Conclusions: In elderly patients with arrhythmia after acute myocardial infarction, evidence-based nursing intervention was adopted. The patient's health has been greatly improved and the doctor-patient relationship has been significantly improved. This method is worth promoting.
文摘Objective:This study aims to explore the effect of evidence-based nursing(EBN)on improving patient satisfaction by systematically evaluating the impact of EBN implementation through the analysis of 40 hospital-related literature articles.Methods:A review of 40 studies published from January 2022 to December 2023 related to EBN and patient satisfaction was conducted.The selection was based on specific inclusion and exclusion criteria,focusing on studies that involved EBN interventions.Data were extracted and statistically analyzed using patient satisfaction scores and nursing quality assessments to compare satisfaction before and after EBN implementation.Results:Literature analysis showed that patient satisfaction significantly improved after the implementation of EBN,with average satisfaction scores increasing from 82.5%before intervention to 91.3%after intervention(P<0.05).The application of EBN enhanced patients’care experience,reduced nursing errors,and significantly improved the efficiency and professional competence of healthcare staff.Conclusion:This study confirms that EBN has a significant effect on improving patient satisfaction,particularly in personalized care and evidence-based decision-making.Future efforts should promote EBN and standardize nursing processes to continuously improve care quality and patient satisfaction.
文摘Objective: To study the clinical effect of routine nursing and evidence-based nursing in elderly patients with acute myocardial infarction complicated with arrhythmia. Methods: From March 2019 to March 2020, 80 elderly patients with arrhythmia after acute myocardial infarction in our hospital were selected as the research objects and randomly divided into two groups, the reference group and the study group. The reference group was given routine nursing, and the study group was given evidence-based nursing. Result: Through nursing, the hospitalization time and hospitalization expenses of the study group were significantly less than those of the reference group, and the data difference was statistically significant (P < 0.05);the arrhythmia recurrence rate and complication rate of the study group were significantly lower than those of the reference group, and the data difference was statistically significant (P < 0.05);the nursing satisfaction of the study group was significantly better than that of the reference group, and the data difference was significant (P < 0.05). Conclusion for elderly patients with acute myocardial infarction complicated with arrhythmia, evidence-based nursing has significant clinical nursing effect, can improve the patient's heart function, reduce the occurrence of complications, at the same time, can shorten the length of stay, reduce the cost of hospitalization, improve the prognosis of patients, with significant clinical application value.
文摘Objective: to explore the effect of evidence-based nursing in laparoscopic treatment of patients with gallstone in operating room and its influence on quality of life. Methods: 44 cases of patients with gallstones treated by laparoscopic surgery were selected as the experimental subjects. The patients were divided into two groups by the method of touching balls, the control group (22 cases) received routine nursing, the observation group (22 cases) received evidence-based nursing, and the results were analyzed. Results: the disappearance of postoperative pain and the length of hospital stay in the observation group were significantly shortened compared with the control group (P < 0.05). The quality of life score of observation group was higher than that of control group (P < 0.05). Conclusion: evidence-based nursing can effectively promote postoperative recovery and improve the quality of life of patients, and it is worth popularizing.
文摘Objective: to analyze the clinical effects of evidence-based nursing and individualized nursing in patients with gastroenterology. Methods: 100 patients admitted to the department of gastroenterology were selected, and the selected patients were divided into group A (individualized nursing, 50 cases) and group B (evidence-based nursing, 50 cases) by computer sampling. All the patients were hospitalized from January 2020 to January 2021, and the clinical effects of the two groups were observed and analyzed. Results: the total effective rate of group B and group A was 98.00% (49/50) and 96.00% (48/50), respectively, which was meaningless (P > 0.05). Conclusion: the application of individual nursing and evidence-based nursing in gastroenterology patients has good clinical effect, clinical implementation of nursing should be based on the specific situation of patients.
