Of 538 potentially eligible studies, 27 met the inclusion criteria.
Those eligible were critically appraised and quality assessed using the Critical Appraisal Skills Programme and Specialist Unit for Review Evidence checklists. Potentially eligible papers were scrutinised by two reviewers. Thirteen electronic databases were searched 1996–2020, followed by searches with a general browser, hand-searching key journals and reviewing reference lists of retrieved papers. Mixed methods, systematic literature review adopting Joanna Briggs Institute methodology. To appraise and synthesize empirical studies exploring undergraduate nursing students' education and training in aseptic technique. To be effective and sustainable, reporting methods must be easy to use and available in real time. Awareness of such problems among clinicians is necessary before work flow process changes can be made, but clinical change require systems-level change. Infection control hazards and near misses were commonly reported across clinical settings by nursing students. The most common category was nonadherence to isolation precautions (27.6%), followed by contamination of the environment or equipment (18.5%), breaks in aseptic technique (17.2%), hand hygiene (15.9%) or gloving failures (11.5%), and occupational risks (8.2%). Of these, 886 responses (25.4%) were related to infection control practices.
Seven categories of infection control problems were identified.įive hundred nursing students submitted 3492 comments related to hazards and near misses. Three years worth of comments associated with these reports (2006-2009) were extracted and analyzed by 3 independent reviewers (κ statistic = 0.85). The purpose of this article is to describe the frequency and types of hazard and near-miss comments about infection control issues over 3 years of data collection.įor each clinical rotation, students were required to complete 2 entries per week into a structured electronic hazard and near-miss reporting system. The system is used during their 25-week clinical rotations of 2 days per week in community, medical-surgical, obstetrics, pediatrics, and psychiatric settings. Pain during mobilization shows the most marked improvement in both groups, which is important preoperative information for patients.Hazard and near-miss reporting has been integrated into the curriculum for postbaccalaureate bachelor of science in nursing/master of science in nursing degree students at our institution through a Web-based reporting system since 2006. Interpretation - Primary THA patients reported better function and more pain relief than the revision THA group 1 year after surgery. 93% of primary THA patients reported both better function 1 year after surgery and that they would have gone through surgery again, compared with 78% and 79% in the revision THA group. 1 year after surgery, pain during mobilization was reduced with a mean change of 5.1 (SD 2.6) for primary THA and 2.9 (SD 3.0) for revision THA. All PROMs improved more in the primary group relative to the revision group. Results - There were statistically significant improvements in all PROMs at the 3-month follow-up in both groups. 2 anchor questions were asked 1 year after surgery concerning joint function and willingness to go through surgery again. PROMs were registered preoperatively, 3 months, and 1 year after surgery, numeric rating scale (0–10) for pain during mobilization and at rest, healthrelated quality of life (EQ-5D), and a hip-specific physical function score (HOOS-PS). Patients and methods - From 2010 to 2018, 3,559 primary THA and 406 revision THAs were included in our institutional quality registry. We present 1-year results on pain, function, and quality of life following primary and revision THA. Department of Orthopaedic Surgery, St Olavs hospital, Trondheim Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Science, Norwegian University of Science and Technology NTNU, Trondheimĭepartment of Orthopaedic Surgery, St Olavs hospital, Trondheimĭepartment of Clinical Services, St Olavs Hospital, Trondheim, NorwayĪrthroplasty, Fast track, Hip, patient reported outcome Abstractīackground and purpose - Patient-reported outcomes (PROMs) after primary total hip arthroplasty (THA) and revision THA are important information in the preoperative shared decision-making process.
0 kommentar(er)
