Patients performing lower limb exercises in an orthopedic ward: a best practice implementation project

Koh, Siew Yi; Sridaran, Mahendran N.; Goh, Mien Li

doi:10.1097/xeb.0000000000000255

Cited by 2 publications

(2 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unlike other assessment tools, such as the nutrition screening tool, the fall risk assessment tool, or the pressure injury risk assessment tool, which were compulsory in the documentation flow, the swallow screening tool was newly introduced and had not been integrated into the documentation system. Nurses’ resistance and unfamiliarity with this new initiative may have led to the temporary low compliance or noncompliance 17 and subsequent failure to reach the target rate of 80%. Therefore, the development of a structured process may be beneficial to increase nurses’ compliance.…”

Section: Discussionmentioning

confidence: 99%

Nurse-led speech therapist referral initiative for older adult patients at risk of dysphagia: a best practice implementation project

Khor,

Juay,

Wong

et al. 2023

JBI Evidence Implementation

Self Cite

View full text Add to dashboard Cite

Introduction and objectives: Dysphagia is common among older patients, affecting their nutritional status, hospital readmission, length of hospital stay, and hospitalization costs. Nurses can play a key role in early identification of dysphagia through systematic screening. This project sought to (i) achieve 80% compliance among nurses in using the 4-point questionnaire test (4QT) swallow screening test on patients and (ii) ensure all patients screening positive for dysphagia were referred to a speech therapist within 1 day. Methods: A short swallow screening tool was adapted from an evidence-based screening tool, the 4QT, by a team of speech therapists, a geriatrician, and a geriatric trained nurse. Ward nurses were then trained on using the tool to screen older patients upon admission or transfer to another ward. The project used the JBI Evidence Implementation Framework, which involved pre and post audits and feedback to evaluate compliance with best practice. Results: Compliance increased in the use of the short swallow screening tool, rising from 64% (n = 25) in the baseline audit to 71% (n = 34) in the follow-up audit. However, there was a decrease in the referral of patients who screened positive for dysphagia to speech therapists, with the rate dropping from 92% (n = 12) to 86% (n = 12). All patients (n = 12) from both baseline and follow-up audits were referred to a speech therapist within 1 day of admission/transfer post-implementation compared with 70% (n = 7) at pre-implementation. Conclusions: This project applied evidence-based recommendations to clinical practice and improved patient outcomes. The nurses facilitated timely referrals to speech therapists for further assessment and intervention, which was useful in the clinical context. The nurses continue to use the screening tool routinely to prevent dysphagia complications among geriatric patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Nurse-led speech therapist referral initiative for older adult patients at risk of dysphagia: a best practice implementation project

Khor,

Juay,

Wong

et al. 2023

JBI Evidence Implementation

Self Cite

View full text Add to dashboard Cite

show abstract

“…Another important factor during hospitalization is that health care providers focus on treating acute illnesses and may overlook the patients' need for exercise. 9 Weight gain, muscle weakness, reduced exercise tolerance, and decreased aerobic capacity are prevalent among solid organ transplant recipients because of prolonged bed rest, inactivity, immunosuppressive drug use, and the resultant muscle deconditioning. 10 Exercise is an effective intervention for KTRs to recover comprehensively.…”

Section: Introductionmentioning

confidence: 99%

Rehabilitation exercises for kidney transplant recipients in an organ transplant ward: a best practice implementation project

Liu,

Chen

et al. 2024

JBI Evidence Implementation

View full text Add to dashboard Cite

Introduction and objectives: Kidney transplantation is an effective treatment for end-stage kidney disease. Kidney transplant recipients (KTRs) are prone to experiencing reduced physical function, depression, fatigue, and lack of exercise motivation due to their sedentary lifestyle before surgery. Exercise is an effective intervention for KTRs, but it has not been properly implemented in many practice settings. This project aimed to promote evidence-based exercises as part of KTRs’ rehabilitation to improve their health outcomes. Methods: This project was informed by the JBI Evidence Implementation Framework. The project was conducted in the organ transplant ward of a tertiary comprehensive hospital in Changsha, China. Based on a summary of best evidence, 12 audit criteria were developed for the baseline and follow-up audits involving 30 patients and 20 nursing staff. The JBI Practical Application of Clinical Evidence System (PACES) and Getting Research into Practice (GRiP) tool were used to identify barriers and facilitators and develop targeted strategies to improve issues. Results: Compared with the baseline audit, significant improvements were achieved in most of the criteria in the follow-up audit, with 9 of the 12 criteria reaching 100% compliance. Notably, the 6-minute walk distance test results were significantly higher, while the Self-Rating Depression Scale and Self-Rating Anxiety Scale scores were significantly lower (p < 0.05). Conclusions: This project demonstrates that evidence-based practice can improve the clinical practice of rehabilitation exercises for KTRs. The GRiP strategies proved to be extremely useful, notably, the formulation of a standardized rehabilitation exercise protocol, training, and enhancement of the exercising environment. Head nurses’ leadership and decision-making also played an important role in the success of this project. Spanish abstract: http://links.lww.com/IJEBH/A180

show abstract

Patients performing lower limb exercises in an orthopedic ward: a best practice implementation project

Cited by 2 publications

References 31 publications

Nurse-led speech therapist referral initiative for older adult patients at risk of dysphagia: a best practice implementation project

Nurse-led speech therapist referral initiative for older adult patients at risk of dysphagia: a best practice implementation project

Rehabilitation exercises for kidney transplant recipients in an organ transplant ward: a best practice implementation project

Contact Info

Product

Resources

About