Ebola Virus Disease

Beam, Elizabeth L.; Schwedhelm, Michelle; Boulter, Kathleen C.; Vasa, Angela; Larson, Lu Ann; Cieslak, Theodore J.; Lowe, John J.; Herstein, Jocelyn J.; Kratochvil, Christopher J.; Hewlett, Angela

doi:10.1016/j.cnur.2019.02.001

Cited by 9 publications

(6 citation statements)

References 22 publications

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“…The decision to admit a patient into an HLIU is influenced by several factors, including the suspected or confirmed pathogen, the preparedness of the HLIU team and facility, patient acuity, financial and regulatory considerations, and the requestor (eg, local, regional or national authorities; organisations responding to an HCID emergency with an exposed or infected employee) 1 49. Although no consensus list of HCIDs warranting HLIU-level care exists, recommendations for diseases that might be considered for HLIU admission include VHFs, novel infectious diseases and smallpox 1 3 6 50–52. A 2018 survey of select HLIUs found consensus among respondents that VHFs and smallpox would be managed in an HLIU, but HLIU uses varied for other diseases 6.…”

Section: Resultsmentioning

confidence: 99%

“…Security can assist in closing off traffic and keeping patients, staff, and hospital visitors away from the route. An internal transport team should receive the patient, composed of trained HLIU staff wearing PPE and equipped with spill kits and other decontamination supplies; on intake of the patient into the HLIU, this team should decontaminate the entire pathway from hospital entry point to the HLIU 12 50 54 55. Portable isolation units (eg, EpiShuttle, Isopod) can be used to minimise exposure risks to transport teams; however, they can hinder direct patient access, are expensive and many are not reusable.…”

Section: Resultsmentioning

confidence: 99%

“…For specialised procedures, units may have predetermined or trained teams on standby 6 10. Several case reports outline HLIU-specific clinical care experiences, primarily with EVD or other VHFs 48 50 52 59–74…”

Section: Resultsmentioning

confidence: 99%

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A narrative review of high-level isolation unit operational and infrastructure features

et al. 2023

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High-level isolation units (HLIUs) are specially designed facilities for care and management of patients with suspected or confirmed high-consequence infectious diseases (HCIDs), equipped with unique infrastructure and operational features. While individual HLIUs have published on their experiences caring for patients with HCIDs and two previous HLIU consensus efforts have outlined key components of HLIUs, we aimed to summarise the existing literature that describes best practices, challenges and core features of these specialised facilities. A narrative review of the literature was conducted using keywords associated with HLIUs and HCIDs. A total of 100 articles were used throughout the manuscript from the literature search or from alternate methods like reference checks or snowballing. Articles were sorted into categories (eg, physical infrastructure, laboratory, internal transport); for each category, a synthesis of the relevant literature was conducted to describe best practices, experiences and operational features. The review and summary of HLIU experiences, best practices, challenges and components can serve as a resource for units continuing to improve readiness, or for hospitals in early stages of developing their HLIU teams and planning or constructing their units. The COVID-19 pandemic, a global outbreak of mpox, sporadic cases of viral haemorrhagic fevers in Europe and the USA, and recent outbreaks of Lassa fever, Sudan Ebolavirus, and Marburg emphasise the need for an extensive summary of HLIU practices to inform readiness and response.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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A narrative review of high-level isolation unit operational and infrastructure features

et al. 2023

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“…5 However, the paradigm for practice change shifted with the enactment of the Affordable Care Act (ACA), 6 which promoted using evidence in a systematic way. 7,8 Provisions within the ACA aimed to improve healthcare services and the health status of patients by standardizing care, promoting the use of the latest evidence, and truncating the amount of time that elapses between research findings and their utilization. 9,10 Tying federal reimbursements to performance on goals and patient outcomes shifted decision-making from the sole purview of individuals (microlevel) to one that is more protocol and institutionally driven (macrolevel).…”

Section: Implementing Evidence Informed Practice Changesmentioning

confidence: 99%

“…Despite long-standing advocacy, decisions about when and whether evidence was implemented into practice remained largely within the domain of individual providers within healthcare organizations 5 . However, the paradigm for practice change shifted with the enactment of the Affordable Care Act (ACA), 6 which promoted using evidence in a systematic way 7,8 . Provisions within the ACA aimed to improve healthcare services and the health status of patients by standardizing care, promoting the use of the latest evidence, and truncating the amount of time that elapses between research findings and their utilization 9,10 .…”

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confidence: 99%

Implementing Evidence Informed Practice Changes

Smith-Miller

2022

JONA: The Journal of Nursing Administration

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OBJECTIVE This study examined nurses' perspectives about the barriers and facilitators to implementing research findings and evidence into practice. BACKGROUND Work environments play an essential role in implementation and innovation; however, much of the research regarding evidence-based practice focuses on nurses' knowledge and skills, leaving the work environments unexamined. METHODS A mixed method survey design was used. Data collection included an electronic survey and open questions. Analysis included descriptive statistics and narrative analysis using the Consolidated Framework for Implementation Research. RESULTS Attitudes about implementing evidence into practice were positive. Identified barriers included lack of time and knowledge, change fatigue, and complex internal processes; facilitators included supportive colleagues, knowledgeable mentors, and access to libraries and other resources. CONCLUSIONS Implementing evidence into practice is facilitated by committing organizational resources, fostering supportive work environments, integrating evidence into quality improvement projects, offering continuing education, and reducing the complexity of translating evidence into practice and the number of institution-wide initiatives.

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Airway Management in Infectious Diseases

Bidkar

Praveen

2023

The Airway Manual

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Ebola Virus Disease

Cited by 9 publications

References 22 publications

A narrative review of high-level isolation unit operational and infrastructure features

A narrative review of high-level isolation unit operational and infrastructure features

Implementing Evidence Informed Practice Changes

Airway Management in Infectious Diseases

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