Joan Webster

..Results from non-randomised studies have produced conflicting results about the efficacy of this approach, but no systematic review has been conducted to date to guide clinical practice...

..It is less clear whether reducing skin microflora leads to a lower incidence of surgical site infection...

..However, this is a rapidly evolving therapy. Consequently, a systematic review of the evidence for the effects of NPWT on postoperative wounds expected to heal by primary intention is required...

..Therefore, the aim of this study is to determine if the single injection SWI technique is no less effective than the routinely used four injection SWI method in reducing continuous lower back pain during labour...

..However, the extent to which nurses were able to access the resource was unknown...

..To compare the effectiveness of the STRATIFY falls tool with nurses' clinical judgments in predicting patient falls...

..The objective of this study was to investigate whether removing a urinary catheter at 22.00 hours compared to 06.00 hours among a general hospital population would lead to earlier hospital discharge...

..There is currently no high grade evidence on which to base decisions about the frequency of intravenous cannula re-sites...

..Preoperative bathing with an antiseptic solution is widely used to prevent surgical site infection, but trial results are conflicting...

..To compare routine replacement of intravenous peripheral catheters with replacement only when clinically indicated...

..The purpose of the current study was to test a new product before introducing it to the hospital's sterilizing processing unit...

..Ambiguity remains about the effectiveness of wearing surgical face masks. The purpose of this study was to assess the impact on surgical site infections (SSIs) when non-scrubbed operating room staff did not wear surgical face masks...

..to evaluate the impact of social support on postnatal depression and health-related quality of life...

..To compare the effectiveness of a self-report checklist with a standard set of direct questions in identifying women who are experiencing domestic partner violence...

..To evaluate the effectiveness of two pressure-ulcer screening tools against clinical judgement in preventing pressure ulcers...

..A 23-h unit was established in June 2005 to relieve pressure on surgical beds. Patients were to be discharged by 0900h without review by a doctor. However, discharge without review remained the exception rather than the rule...

..To explore the underlying organizational issues affecting a nurses' decision to leave and to develop a contemporary practice environment measure based on the experiences of nurses working lives...

..002), Nursing Mothers' Associations of Australia (P=0.043) and obstetricians (P=0.045). Postpartum depression leads to an increase use of health-care services and has a negative effect on satisfaction with some services...

..To assess the face validity and the inter-rater reliability of the Vein Assessment Tool (VAT) for classifying veins according to their level of intravenous insertion difficulty...

..There is increasing interest in measuring quality of life (QOL) in clinical settings and in clinical trials. None of the commonly used QOL instruments has been validated for use postnatally...

..This paper describes the current infection control practices for CVC care and compares these to evidence-based practice guidelines...

..The intervention is within the scope of midwifery practice, caused no harm to participants, was perceived as helpful, and enhanced women's confidence about a future pregnancy...

..To assess the effects of information interventions which orient patients and their carers/family to a cancer care facility and the services available within the facility...

..Hospital-prepared sterilized items (n = 152) were shelved in wards and every 3 months, several articles were retrieved and microbiologically tested. During the 2-year period, all of the items tested were sterile...

..It has applications for early intervention or to identify high-risk groups for research purposes...

..8 to 39.6 percent. CONCLUSION: The Brisbane Postnatal Depression Index was validated in a prospective sample, but its sensitivity and specificity require improvement before introduction as a measure of prediction...

..To undertake rigorous psychometric testing of the newly developed contemporary work environment measure (the Brisbane Practice Environment Measure [B-PEM]) using exploratory factor analysis and confirmatory factor analysis...

..This would provide significant cost savings and would also be welcomed by patients, who would be spared the unnecessary pain of routine re-sites in the absence of clinical indications...

..Study implications suggest that this type of intervention may provide an effective, clinically manageable therapy for women who prefer a self-directed approach to preventing and decreasing cardiovascular risk factors...

..interest in the health impact of domestic violence is increasing and routine screening for violence in health settings has been recommended. However, there are limited data about how women feel about such screening...

..Costs associated with routine replacement may be considerable. This is an update of a review first published in 2010...

..There is no evidence to suggest that a 24-hour delay of treatment is necessary for patients with a previous venous puncture proximal to the administration site...

..Orientation interventions aim to address information needs at the start of a person's experience with a cancer care facility. The extent of any benefit of these interventions is unknown...

..Currently, it is not clear which type of dressing is the most appropriate...

..The unoccupied bed is not resource neutral and time associated with its maintenance should be considered when calculating nursing requirements to provide safe care...

..Debriefing and non-directive counselling have been used as early interventions to reduce the prevalence of depression and post-traumatic stress...

..It is a treatable disorder but under-diagnosis is common. Efforts to reduce postnatal depression by implementing interventions in the prenatal period have been unsuccessful...

..Exit interviews are widely used in healthcare organisations to identify reasons for staff attrition, yet their usefulness in limiting turnover is unclear...

..One-step and two-step alcohol based antiseptic regimens are both commonly advocated but there is uncertainty as to which is most effective...

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..Exit interviews are widely used in healthcare organisations to identify reasons for staff attrition, yet their usefulness in limiting turnover is unclear...

..2%; antiseptic group, 9.2%; odds ratio 1.13; 95% confidence interval 0.58-2.21). CONCLUSION: The practice of periurethral cleaning with an antiseptic did not decrease the rates of bacteriuria in this population and is probably not useful...