• MeSH
• ošetřovatelské modely MeSH
• ošetřovatelství založené na důkazech MeSH
• Publikační typ
• příručky MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• ošetřovatelství

• MeSH
• medicína založená na důkazech MeSH
• směrnice pro lékařskou praxi jako téma MeSH
• translační biomedicínský výzkum MeSH
• zdravotní politika MeSH
• Publikační typ
• monografie MeSH

• Konspekt
• Veřejné zdraví a hygiena
• NLK Obory
• management, organizace a řízení zdravotnictví

Because negative findings have less chance of getting published, available studies tend to be a biased sample. This leads to an inflation of effect size estimates to an unknown degree. To see how meta-analyses in education account for publication bias, we surveyed all meta-analyses published in the last five years in the Review of Educational Research and Educational Research Review. The results show that meta-analyses usually neglect publication bias adjustment. In the minority of meta-analyses adjusting for bias, mostly non-principled adjustment methods were used, and only rarely were the conclusions based on corrected estimates, rendering the adjustment inconsequential. It is argued that appropriate state-of-the-art adjustment (e.g., selection models) should be attempted by default, yet one needs to take into account the uncertainty inherent in any meta-analytic inference under bias. We conclude by providing practical recommendations on dealing with publication bias.

• MeSH
• biomedicínský výzkum * MeSH
• lidé MeSH
• metaanalýza jako téma * MeSH
• publikační zkreslení * MeSH
• žurnalistika lékařská (masmédia) MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• práce podpořená grantem MeSH

• MeSH
• lékařská informatika MeSH
• lékařská praxe založená na důkazech * MeSH
• výzkum MeSH
• žurnalistika lékařská (masmédia) MeSH
• Publikační typ
• příručky MeSH

• Konspekt
• Patologie. Klinická medicína
• NLK Obory
• lékařská informatika

INTRODUCTION: In the UK, the Royal College of Midwives and the Chartered Society for Physiotherapy advocate that women undertake early and effective pelvic floor muscle training (PFMT) during the childbirth period to reduce the incidence of urinary incontinence (UI). OBJECTIVES: This project sought to assess and improve midwives' compliance with best practice recommendations for PFMT in a UK NHS maternity service, with the goal of improving PFMT for women. METHODS: This project used the JBI Evidence Implementation Framework and JBI's best practice recommendations for PFMT. Following a baseline audit of midwives' practice, the results were considered. The JBI Getting Research into Practice (GRiP) approach was used to identify barriers and facilitators to improve compliance with recommendations. A follow-up audit was undertaken after the development of a revised continuing professional development (CPD) program for midwives on PFMT. RESULTS: The results showed improved compliance with all four audit criteria. Criterion 1 (midwives' engagement with PFMT) increased from 76% to 92%; Criterion 2 (PFMT during the antenatal period) rose from 50% to 92%; Criterion 3 (postnatal risk assessment for UI) rose from 45% to 67%; and Criterion 4 (PFMT for high-risk women during the postnatal period) increased from 49% to 92%. CONCLUSION: Whilst this study presented some challenges in implementing evidence-based initiatives in a UK NHS maternity service, it also demonstrated that an audit approach can overcome these, thereby improving compliance with best practices. In this case, changes to a CPD PFMT program increased midwives' compliance with evidence-based practice criteria. In the future, when implementing change in the NHS system, consideration should be given to organizational and leadership factors. Further audits will need to be carried out to monitor practice and effect change. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A322.

• MeSH
• babictví * normy   MeSH
• dodržování směrnic * MeSH
• inkontinence moči * prevence a kontrola   MeSH
• lékařská praxe založená na důkazech MeSH
• lidé MeSH
• pánevní dno * fyziologie   MeSH
• porod * MeSH
• směrnice pro lékařskou praxi jako téma MeSH
• státní lékařství MeSH
• těhotenství MeSH
• terapie cvičením * metody   MeSH
• Check Tag
• lidé MeSH
• těhotenství MeSH
• ženské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Spojené království MeSH

OBJECTIVES: This project aimed to set up a control mechanism for the prevention of pressure injuries during surgery. INTRODUCTION: Structured and comprehensive risk assessment is effective in identifying individuals at risk for pressure injuries. The subsequent use of proper positioning aids (modern gel-filled positioning aids used to position the head and limbs: floating limb concept) reduces the incidence of surgery-related pressure injuries. METHODS: The best practice implementation project used the JBI's Practical Application of Clinical Evidence System and Getting Research into Practice audit tool for promoting change in local healthcare practice. The study was carried out from January 2020 to February 2021 at the private clinic of aesthetic surgery (Brno, Czech Republic). A baseline audit involving 27 patients was undertaken and measured against six best practice recommendations. This step was followed by the implementation of targeted strategies and finally, a postimplementation follow-up audit was conducted. RESULTS: The baseline audit results showed significant deficits between current practice and best practice in all but two criteria. Barriers to implementation of nursing clinical handover best practice criteria were identified by the project team and an education strategy was implemented, documentation for recording possible risks of pressure injuries was created, and new positioning aids were purchased and introduced into clinical practice. There were significantly improved outcomes across all best practice criteria in the follow-up audit. CONCLUSION: Clinical audits were proved to promote best practice in healthcare. Focused education, provision, and use of relevant tools and aids can have an immediate and positive impact on clinical practice. Future audits are planned to ensure the sustainability of practice changes.

• MeSH
• dodržování směrnic MeSH
• dokumentace MeSH
• lékařská praxe založená na důkazech metody   MeSH
• lidé MeSH
• předání pacienta do jiné péče * MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

INTRODUCTION: The Royal College of Physicians (RCP) and the Royal College of Nursing (RCN) in the United Kingdom advocate the use of structured multidisciplinary team (MDT) ward rounds since they can enable safe, effective, improved care and enhanced staff satisfaction. OBJECTIVES: This project sought to implement best practices for MDT ward rounds in a male medical ward in a hospital in Malawi. METHODS: The project was conducted in line with the JBI Evidence Implementation Framework. A baseline audit of MDT ward rounds was conducted with six staff members. Audit criteria consisted of ten best practices, as recommended by JBI, the RCP, and the RCN. Stakeholder meetings were held to review the baseline audit results and highlight areas of non-compliance. JBI's Getting Research into Practice (GRiP) tool was used to identify barriers to compliance with best practices, and a follow-up audit was conducted to determine changes in practice. RESULTS: The results only showed improvement for one criterion, which rose from 33% to 100% (n=6) where nurses attended the ward round. CONCLUSIONS: This study demonstrated some challenges in evidence implementation projects and how these can, in part, be overcome. While the results only demonstrated improvement for one criterion, this paper shows how audits can be used to promote best practice, which in this case resulted in nurses being more involved in ward rounds, improvements in MDT communication, enhanced nurse inclusion in decision-making and, consequently, patient care. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A233.

• MeSH
• lékařská praxe založená na důkazech * MeSH
• lidé MeSH
• studentská vizita * organizace a řízení   MeSH
• týmová péče o pacienty * organizace a řízení   MeSH
• Check Tag
• lidé MeSH
• mužské pohlaví MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Malawi MeSH

OBJECTIVES: To promote evidence-based practices related to the prevention of adverse events associated with medication administration (only chemotherapy) in a hospital service. INTRODUCTION: The medication management process in a hospital setting is highly complex, going through multiple stages from drug selection, procurement and storage, to prescription, validation, dispensing, preparation, administration and monitoring. METHODS: An evidence implementation project based on an audit and feedback approach was conducted from December 2019 to April 2021 using the JBI Practical Application of Clinical Evidence System and Getting Research into Practice. RESULTS: The results of the baseline audit showed that the 10 audit criteria were mostly met; however, two of the criteria (criterion 6: the expiry date of medication is checked before use and criterion 7: the nurse who prepares the medication administers the medication to the patient) had low compliance (respectively, 0 and 67.9%). After identifying the barriers and implementing strategies to deal with the identified barriers, we verified a significant improvement in compliance with best practices (criterion 6 improved to 64.3% and criterion 7 to 78.6%). CONCLUSION: This implementation project was a success, achieving a great improvement of the implementation of evidence-based guidelines concerning the prevention of adverse events associated with medication administration in a hospital in central Portugal. More such projects should be planned to sustain the implementation of evidence-based methods to improve health outcomes, patient safety, costs and health systems.

• MeSH
• bezpečnost pacientů MeSH
• dodržování směrnic * MeSH
• hematologie * MeSH
• hospitalizace MeSH
• lékařská praxe založená na důkazech metody   MeSH
• lidé MeSH
• Check Tag
• lidé MeSH
• Publikační typ
• časopisecké články MeSH

U Hrvatskoj je obiteljska medicina bila prvi privatizirani segment sustava zdravstvene zaštite. Zasad je privatizirano oko 84 % ordinacija obiteljske medicine dok je preostalih 16 % ostalo u sastavu domova zdravlja. Da bismo procijenili status informatizacije ordinacija obiteljske medicine, anketirali smo liječnike na specijalizaciji iz obiteljske medicine za vrijeme njihovog poslijediplomskog studija na Medicinskom fakultetu Sveučilišta u Zagrebu u školskoj godini 2004/05. Uzorak se sastojao od 159 liječnika. Pokazalo se da neki oblik informacijskog sustava postoji u 62 % ordinacija u zakupu, 42 % ordinacija u domovima zdravlja te 91 % potpuno privatnih ordinacija obiteljske medicine. Svoj postojeći informacijski sustav liječnik obiteljske medicine prvenstveno upotrebljava za administrativne svrhe: izvještavanje, preskripcije, bolovanja, uputnice i račune. Što se tiče medicinskog dijela rada, elektronički medicinski zapis koristi oko 50 % liječnika, istraživanja, koja se temelje na podacima pohranjenim u e-formatu, provodi oko 31 % liječnika, dok oko 35 % koristi podatke iz sustava za evaluaciju svog rada. Bibliografske baze podataka i elektroničke časopise čita 86 % liječnika iz privatnih ordinacija, 79 % onih koji rade u ordinacijama obiteljske medicine unutar domova zdravlja te 60 % liječnika u ordinacijama u zakupu. Zadovoljstvo s postojećim informacijskim sustavima nije veliko (19 %). Informacijski sustavi naime samo parcijalno zadovoljavaju informacijske potrebe liječnika. 32 % smatra da uz pomoć postojećeg informacijskog sustava dobiva dovoljno informacija, 40 % smatra da im je posao postao učinkovitiji, a 25 % da su i njihovi pacijenti zadovoljniji što njihov liječnika ima kompjutorizirani informacijski sustav u svojoj ordinaciji. S obzirom na tri tipa prakse može se reći da su mlađi doktori, koji rade unutar domova zdravlja, manje zadovoljni svojim informacijskim sustavom nego li doktori iz privatnih ordinacija ili ordinacija u zakupu. Zaštita podatka u sustavu se provodi pomoću zaporke, fizičkom zaštitom računala te svakodnevnim arhiviranjem podatka.

Family practice was the first privatized part of the health care system in Croatia. Recently, 84 % of family practices are privatized. Other 16% of them left within health centers. In order to assess current status of use of the information and communication technology (ICT) in family practice, physicians specializing in the family medicine, being also the postgraduate students of the University of Zagreb, School of Medicine in the year 2004/05, have been surveyed. The sample consisted of 159 physicians. Some kind of information system (IS) exists in 62 % of family practices under lease, 42 % within health centers, and 91 % of completely private offices. Having IS in their offices, physicians use it primarily for administration: reporting, prescriptions, sick leaves, referrals and for billing. Usage of ICT in medical work, electronic medical records, was found at about 50 % of physicians. Doing research based on information stored in e-format, is conducting by 31 % of physicians. Based on e-information 35 % of physicians evaluate their work. About using e-sources of medical knowledge (bibliographic data bases, e-journals): 86 % physicians from private offices, 79% physicians working within health centers, 60 % physicians from offices under lease. Satisfaction with current information system is small (19 %). Their information needs are covered partially. 32 % of physicians said they can get enough information by using their information system. 40 % of physicians feel that ICT gave more efficiency to their work, and 25 % of physicians feel their patients are more satisfied since the IS was put into function. Considering different types of practices – young physicians working in health centers are less satisfied with their ISs than the other two groups of physicians coming from private practice. Data security was practiced by using a password, physical protection, and by daily archiving of data .

• MeSH
• chorobopisy - počítačové systémy statistika a číselné údaje   využití   MeSH
• elektronická pošta statistika a číselné údaje   využití   MeSH
• internet statistika a číselné údaje   využití   MeSH
• lidé MeSH
• počítače statistika a číselné údaje   využití   MeSH
• počítačová gramotnost MeSH
• postoj k počítačům MeSH
• rodinní lékaři statistika a číselné údaje   MeSH
• Check Tag
• lidé MeSH
• Geografické názvy
• Chorvatsko MeSH

OBJECTIVES: This evidence implementation project aimed to assess and improve compliance with evidence-based neuroimaging criteria for adult patients with suspected stroke. INTRODUCTION: Stroke is the second leading cause of mortality and severe disability, requiring timely and accurate diagnosis. Clinical guidelines recommend brain imaging within 60 minutes of hospital arrival for suspected stroke patients. This project involved hospitals in North West Anglia NHS Foundation Trust, UK, serving 850,000 people with over 800 admissions annually. METHODS: The JBI Evidence Implementation Framework was used to guide this project. JBI software, the Practical Application of Clinical Evidence System (PACES), as well as JBI's Getting Research into Practice (GRiP) approach, were used to conduct the audit and implementation phases. The project followed three stages: (1) implementation planning, (2) baseline assessment and implementation, and (3) impact evaluation. Three audit criteria were used to represent best practices for diagnosing suspected stroke patients. RESULTS: The baseline audit revealed low compliance with the first criterion, with only 2.9% (1/35) of patients receiving a CT head scan within 1 hour of admission. In the follow-up audit, compliance improved to 45.2% (14/31). The other two criteria, diagnosis by a trained health care professional and baseline ECG assessment, had already achieved 100% compliance in the baseline audit. CONCLUSIONS: Compliance with evidence-based neuroimaging criteria improved after implementing targeted educational strategies and training. The rate of CT scans conducted within 1 hour increased, although door-to-imaging times remain suboptimal compared with achievable benchmarks of ≤ 20 minutes. Ongoing education and training are crucial for sustaining high compliance and improving stroke patient outcomes. SPANISH ABSTRACT: http://links.lww.com/IJEBH/A324.

• MeSH
• časové faktory MeSH
• cévní mozková příhoda * diagnostické zobrazování   diagnóza   MeSH
• dodržování směrnic MeSH
• dospělí MeSH
• lékařská praxe založená na důkazech MeSH
• lidé MeSH
• neurozobrazování * metody   normy   MeSH
• počítačová rentgenová tomografie MeSH
• směrnice pro lékařskou praxi jako téma MeSH
• Check Tag
• dospělí MeSH
• lidé MeSH
• Publikační typ
• časopisecké články MeSH
• Geografické názvy
• Spojené království MeSH