2.50
Hdl Handle:
http://hdl.handle.net/10755/153213
Type:
Presentation
Title:
Promoting surgical EBP by choosing a research spearhead
Abstract:
Promoting surgical EBP by choosing a research spearhead
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Vermeulen, Hester, PhD
P.I. Institution Name:Academic Medical Center to the University of Amsterdam
Title:Senior Rearch Nurse
[Symposium Presentation] Evidence Based Practice (EBP) is encouraged in our hospital, initially among doctors. To stimulate surgical nurses in using EBP we have performed studies in which nursing interventions were questioned as to the effectiveness or known for their variation in clinical practice. A spearhead in our research was local wound care, as in this field there is widespread variation in intervention usage. Aim: To formulate condensed evidence based recommendations for local wound care on the surgical departments.áMethod: We conducted two systematic literature review (SR) to summarise the evidence; a) on dressings for surgical wounds healing by secondary intention and b) on silver dressings for treating infected wounds. Followed by a randomised clinical trial (RCT), inter- and intra-observer studies for the levels of agreement of doctors and nurses when classifying wounds and regarding their choice of wound dressings and a conjoint analysis to get insight in the preferences of doctors, nurses and patients for the "ideal" dressing a conjoint analysis. Results: and condensed recommendations for practice: From the SRs we concluded that only small and poor-quality trials exist, therefore evidence was insufficient to formulate recommendations. Based on our RCT we recommend the use gauze-based dressings for wound care on surgical wards and in the extramural setting as gauze is less expensive and effective as to wound healing and pain. We recommend the use of specific schemes for classification of woundsáwhich guides in the choice of local wound care materials. The preferences for wound dressing attributes (pain during dressing changes, hospitalisation, and wound healing time) were similar for doctors, nurses and patients. To achieve a more consistent local wound care, clinical decision-making should be in accordance with these preferences. Special attention is pay to the implementation results of the above recommendations. Conclusion: This transdisciplinary research project on wound care research is a tangible proof.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePromoting surgical EBP by choosing a research spearheaden_GB
dc.identifier.urihttp://hdl.handle.net/10755/153213-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Promoting surgical EBP by choosing a research spearhead</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Vermeulen, Hester, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Academic Medical Center to the University of Amsterdam</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Senior Rearch Nurse</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">h.vermeulen@amc.uva.nl</td></tr><tr><td colspan="2" class="item-abstract">[Symposium Presentation] Evidence Based Practice (EBP) is encouraged in our hospital, initially among doctors. To stimulate surgical nurses in using EBP we have performed studies in which nursing interventions were questioned as to the effectiveness or known for their variation in clinical practice. A spearhead in our research was local wound care, as in this field there is widespread variation in intervention usage. Aim: To formulate condensed evidence based recommendations for local wound care on the surgical departments.&aacute;Method: We conducted two systematic literature review (SR) to summarise the evidence; a) on dressings for surgical wounds healing by secondary intention and b) on silver dressings for treating infected wounds. Followed by a randomised clinical trial (RCT), inter- and intra-observer studies for the levels of agreement of doctors and nurses when classifying wounds and regarding their choice of wound dressings and a conjoint analysis to get insight in the preferences of doctors, nurses and patients for the &quot;ideal&quot; dressing a conjoint analysis. Results: and condensed recommendations for practice: From the SRs we concluded that only small and poor-quality trials exist, therefore evidence was insufficient to formulate recommendations. Based on our RCT we recommend the use gauze-based dressings for wound care on surgical wards and in the extramural setting as gauze is less expensive and effective as to wound healing and pain. We recommend the use of specific schemes for classification of wounds&aacute;which guides in the choice of local wound care materials. The preferences for wound dressing attributes (pain during dressing changes, hospitalisation, and wound healing time) were similar for doctors, nurses and patients. To achieve a more consistent local wound care, clinical decision-making should be in accordance with these preferences. Special attention is pay to the implementation results of the above recommendations. Conclusion: This transdisciplinary research project on wound care research is a tangible proof.</td></tr></table>en_GB
dc.date.available2011-10-26T12:07:15Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:07:15Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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