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Retaining nurses with crew resources management
(2023)
"The purpose of this evidenced based practice project is to evaluate the implementation of Crew Resource Management (CRM) training and culture, on staff satisfaction and retention over a two year period."--Purpose....
Safe-T expanding services and improving patient outcomes
(2023)
"Sexual assault is a serious public health issue affecting men, women and children statewide. In 2021 there were 3,262 reports of sexual assault in Missouri (Missouri State Highway Patrol, 2023). 12% of reported sexual ...
Improving pediatric nursing practice utilizing electronic K-cards
(2023)
-cards as an educational and quality metric to reinforce compliance with evidence-based policies and nursing processes (Kamityet al., 2021; Lehaneet al., 2022; McVey et al., 2022; Salinas et al., 2021; Shea et al., 2019; Stewart, 2021; Wu et al., 2022). Nurses complete K...
How effective are complementary/alternative medicine (CAM) therapies for fibromyalgia?
(Family Physicians Inquiries Network, 2001)
Acupuncture, biofeedback, and S-adenosyl methionine (SAMe) have been shown to have some efficacy in the treatment of fibromyalgia in randomized controlled trials. Spa treatments, hypnotherapy, massage, and meditation may ...
Nurse resident job satisfaction with a formal mentorship program
(2023)
"This quality improvement (QI) project aims to evaluate the impact of a new mentoring program on the job satisfaction of nurse residents as part of their participation in the nurse residency program between January 2023 ...
Does knuckle popping lead to arthritis?
(Family Physicians Inquiries Network, 2016)
Q: Does knuckle popping lead to arthritis? Evidence-based answer: No, habitual knuckle popping, or cracking (over the course of several decades) isn't associated with clinical or radiographic evidence of osteoarthritis (strength of recommendation...
What predicts a successful smoking cessation attempt?
(Family Physicians Inquiries Network, 2006)
Quit date abstinence (strength of recommendation [SOR]: B, based on low-quality randomized controlled trial [RCT] of healthy subjects) and refraining from tobacco products within the first 2 weeks after an attempt (SOR: A, based on 2 RCTs) predict...
A therapist survey of evidence-based practices in publicly funded youth mental health
(University of Missouri--Columbia, 2018)
sizes in controlled clinical trials for evidence-based treatments (EBTs) for youth MH problems (Weisz, Jensen-Doss & Hawley, 2006). One potential reason for this discrepancy may be that therapists within TAU contexts are not implementing EBTs. To date...
Addressing chronic back pain in adults
(2023)
"Reduce the number of opioid drug-related overdose deaths in U.S. adults. Reduce the incidence of major adverse opioid effects for adults with chronic back pain (CBP), such as tolerance, dependence, misuse, and addiction ...
Does evidence support the use of supplements to aid in BP control?
(Family Physicians Inquiries Network, 2020)
Q: Does evidence support the use of supplements to aid in BP control? Evidence-based answer: Yes. A number of well-tolerated natural therapies have been shown to reduce systolic and diastolic blood pressure (BP). (See TABLE1-8 for summary.) However...
What are the current treatment and monitoring recommendations for hepatitis C virus (HCV)?
(Family Physicians Inquiries Network, 2001)
evidence shows that treatment with PEG-interferon alpha-2b and ribavirin with weight-based dosing achieved an 82% sustained viral response. (Grade of recommendation: A [dual therapy]; D [all other recommendations].)...
When is neuroimaging warranted for headache?
(Family Physicians Inquiries Network, 2005)
of recommendation [SOR]: B, based on a validating cohort study), decreased level of
consciousness (SOR: B, based on a retrospective, nonconsecutive case study), occipitonuchal location, multiple associated symptoms, and age older than 55 years (SOR: B, based on a...
What is the best duration of steroid therapy for contact dermatitis (rhus)?
(Family Physicians Inquiries Network, 2006)
Scant evidence exists for the best duration of steroid therapy for contact dermatitis due to plants (rhus). Review articles recommend 10 to 21 days of treatment with topical or oral corticosteroids for moderate to severe contact dermatitis due...
What is the best treatment for chronic constipation in the elderly?
(Family Physicians Inquiries Network, 2007)
There is no one best evidence-based treatment for chronic constipation in the elderly. While the most common first-line treatments are dietary fiber and exercise, the evidence is insufficient to support this approach in the geriatric population...
What is the best strategy for monitoring the lipid-lowering effects of medical therapy used for the primary prevention of coronary artery disease (CAD)?
(Family Physicians Inquiries Network, 2001)
There is good evidence that treatment for primary prevention of CAD decreases risk of major first coronary events and cardiovascular mortality, though all-cause mortality has not been shown to be reduced. There is no evidence identifying the best...
Patient safety outcomes with bedside reporting
(2023)
"This EBP project was started in response to patient safety events reported that could have been prevented had nursing staff completed change of shift hand off at the patient's bedside. A few commonly found events included ...
What's the best secondary treatment for patients who fail initial triple therapy for H pylori?
(Family Physicians Inquiries Network, 2018)
Q: What's the best secondary treatment for patients who fail initial triple therapy for H pylori? Evidence-based answer: treating patients with Helicobacter pylori infection who have failed clarithromycin-based triple therapy with either...
How effective is spironolactone for treating resistant hypertension?
(Family Physicians Inquiries Network, 2019)
Q: How effective is spironolactone for treating resistant hypertension? EVIDENCE-BASED ANSWER: VERY EFFECTIVE. Spironolactone reduces systolic blood pressure (SPB) by 11 to 17 mm Hg and diastolic blood pressure (DPB) by up to 6 mm Hg in patients...
What are the relative risks and benefits of progestin-only contraceptives?
(Family Physicians Inquiries Network, 2005)
Little evidence describes the risks and benefits of progestin-only contraceptives therapy. No good-quality evidence exists to determine the risk of cancer associated with progestin-only contraceptives. Data are insufficient to discern their effect...
Is the long-term use of proton pump inhibitors safe?
(Family Physicians Inquiries Network, 2004)
Long-term use of proton pump inhibitors (PPIs) appears safe, resulting in no clinically relevant adverse effects (strength of recommendation: B, based on nonsystematic reviews, cohort studies, or low-quality randomized controlled trials...