Establishing an Evidence-Based Inpatient Medical Oncology Fluid Balance Measurement Policy

Alexander, Lindsey S.; Allen, Deborah

doi:10.1188/11.cjon.23-25

Cited by 6 publications

(15 citation statements)

References 5 publications

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“…In total, we excluded 15 studies after full copies of papers were obtained and scrutinised (Alexander 2011; Anonymous 2009; Artz 2011; Callaghan 1998; Gracias 2008; Hampton 2005; Johnson 2011; Kavanagh 2006; Lee 2009; Lenz 2009; Levin 2011; McKinley 2007; Scheide 2007; White 2010; Whitney 2006). The reasons for exclusion are presented in the Characteristics of excluded studies table.…”

Section: Resultsmentioning

confidence: 99%

Effectiveness of organisational infrastructures to promote evidence-based nursing practice

Flodgren

Rojas-Reyes

Cole

et al. 2012

Cochrane Database of Systematic Reviews

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Background Nurses and midwives form the bulk of the clinical health workforce and play a central role in all health service delivery. There is potential to improve health care quality if nurses routinely use the best available evidence in their clinical practice. Since many of the factors perceived by nurses as barriers to the implementation of evidence-based practice (EBP) lie at the organisational level, it is of interest to devise and assess the effectiveness of organisational infrastructures designed to promote EBP among nurses. Objectives To assess the effectiveness of organisational infrastructures in promoting evidence-based nursing. Search methods We searched the Cochrane Effective Practice and Organisation of Care (EPOC) Group Specialised Register, the Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, EMBASE, CINAHL, LILACS, BIREME, IBECS, NHS Economic Evaluations Database, Social Science Citation Index, Science Citation Index and Conference Proceedings Citation Indexes up to 9 March 2011. We developed a new search strategy for this update as the strategy published in 2003 omitted key terms. Additional search methods included: screening reference lists of relevant studies, contacting authors of relevant papers regarding any further published or unpublished work, and searching websites of selected research groups and organisations. Selection criteria We considered randomised controlled trials, controlled clinical trials, interrupted times series (ITSs) and controlled before and after studies of an entire or identified component of an organisational infrastructure intervention aimed at promoting EBP in nursing. The participants were all healthcare organisations comprising nurses, midwives and health visitors. Data collection and analysis Two authors independently extracted data and assessed risk of bias. For the ITS analysis, we reported the change in the slopes of the regression lines, and the change in the level effect of the outcome at 3, 6, 12 and 24 months follow-up. Main results We included one study from the USA (re-analysed as an ITS) involving one hospital and an unknown number of nurses and patients. The study evaluated the effects of a standardised evidence-based nursing procedure on nursing care for patients at risk of developing healthcare-acquired pressure ulcers (HAPUs). If a patient’s admission Braden score was below or equal to 18 (i.e. indicating a high risk of developing pressure ulcers), nurses were authorised to initiate a pressure ulcer prevention bundle (i.e. a set of evidence-based clinical interventions) without waiting for a physician order. Re-analysis of data as a time series showed that against a background trend of decreasing HAPU rates, if that trend was assumed to be real, there was no evidence of an intervention effect at three months (mean rate per quarter 0.7%; 95% confidence interval (CI) 1.7 to 3.3; P = 0.457). Given the small percentages post intervention it was not statistically possible to extrapolate effects beyond three months. Authors...

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Section: Resultsmentioning

confidence: 99%

Effectiveness of organisational infrastructures to promote evidence-based nursing practice

Flodgren

Rojas-Reyes

Cole

et al. 2012

Cochrane Database of Systematic Reviews

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“…The studies comprised 12 studies categorised as quasi-experimental,33 40–43 45–47 49–51 54 3 cohort studies32 37 44 and 8 prevalence studies (cross-sectional studies) 34–36 38 39 48 52 53. All were appraised using the JBI tools for assessing quasi-experimental and prevalence studies.…”

Section: Resultsmentioning

confidence: 99%

Quality of fluid balance charting and interventions to improve it: a systematic review

Leinum,

Krogsgaard,

Tantholdt-Hansen

et al. 2023

BMJ Open Qual

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IntroductionFluid balance monitoring is pivotal to patients’ health. Thus, fluid balance charting is an essential part of clinical nursing documentation. This systematic review aimed to investigate and describe the quality of fluid balance monitoring in medical, surgical and intensive care units, with an emphasis on the completeness of charting data, calculation errors and accuracy, and to evaluate methods used to improve fluid balance charting.Materials and methodsQuantitative studies involving adult patients and reporting data on fluid balance monitoring were included in the review. We searched MEDLINE, Embase, CINAHL and the Cochrane Library. The risk of bias in the included studies was assessed using tools developed by the Joanna Briggs Institute.ResultsWe included a total of 23 studies, which involved 6649 participants. The studies were quasi-experimental, cohort or prevalence studies, and every third study was of low quality. Definitions of ‘completeness’ varied, as well as patient categories and time of evaluation. Eighteen studies reported the prevalence of patients with complete fluid balance charts; of those, 10 reported that not more than 50% of fluid balance charts were complete. Studies addressing calculation errors found them in 25%–35% of charts, including omissions of, for example, intravenous medications. The reported interventions consisted of various components such as policies, education, equipment, visual aids, surveillance and dissemination of results. Among studies evaluating interventions, only 38% (5 of 13) achieved compliance with at least 75% of complete fluid balance charts. Due to the heterogeneity of the studies, a meta-analysis was not possible.ConclusionThe quality of fluid balance charting is inadequate in most studies, and calculation errors influence quality. Interventions included several components, and the impact on the completion of fluid balance charts varied.

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“…Changes in weight in the short period are largely due to changes in the body's total water. Knowledge of the intensity and direction of this parameter may exert great relevance in the diagnosis and treatment of complex disorders of the electrolyte balance (22) .…”

Section: Discussionmentioning

confidence: 99%

“…Nursing care is responsible for ensuring that water balance printouts are accurately and accurately recorded. (22) Descriptive, exploratory/ VI* The nursing team identified that entry and exit measures are useful and necessary for at-risk populations. The Iowa Model for Evidence-Based Practice guided the change in practice.…”

Section: Articlementioning

confidence: 99%

“…Several objectives were listed by the researchers to address this theme, such as: evaluating water balance performance in a given service, evaluating the knowledge of health professionals about the theme, demonstrating the importance of taking stock and guiding how to perform it accurately (20)(21)(22)(23)(24)(25)(26)(27) .…”

Section: Process Of Construction Of the Standard Operating Proceduresmentioning

confidence: 99%

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Water balance in pediatric nephrology: construction of a Standard Operating Procedure

et al. 2018

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Objective: To construct a Standard Operating Procedure (SOP) about the water balance, to be used by the health team in the care of children hospitalized in a pediatric nephrology unit. Method: The study was carried out in two stages: integrative review of the literature for the development of SOP and validation by specialists. The search for literature occurred in the electronic databases PUBMED, SCOPUS, LILACS, BDENF. After the bibliographic survey the construction of the SOP was performed, which was evaluated by specialists. The analysis was performed by calculating the Content Validity Index (CVI). Results: nine studies were selected as results of the integrative review. The sample of specialists was composed of nine professionals. The study was evaluated in six items, five of which presented CVI = 1 and one obtained CVI = 0.77. Conclusion: the evaluation of specialists culminated in the validation of SOP, suggesting changes that were accepted and discussed with the literature.

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Establishing an Evidence-Based Inpatient Medical Oncology Fluid Balance Measurement Policy

Cited by 6 publications

References 5 publications

Effectiveness of organisational infrastructures to promote evidence-based nursing practice

Effectiveness of organisational infrastructures to promote evidence-based nursing practice

Quality of fluid balance charting and interventions to improve it: a systematic review

Water balance in pediatric nephrology: construction of a Standard Operating Procedure

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