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Evidence-Based Review in Policy and Practice, An Issue of Nursing Clinics, E-Book

Evidence-Based Review in Policy and Practice, An Issue of Nursing Clinics, E-Book

Alan Pearson

(2014)

Abstract

Evidence synthesis is the evaluation or analysis of research evidence and opinion on a specific topic to aid in decision-making in health care. Although the science of evidence synthesis has developed most rapidly in relation to the meta-analysis of numerical data linked to theories of cause and effect, the further development of theoretical understandings and propositions of the nature of evidence, its role in health care delivery, and the facilitation of improved global health have increased rapidly since 2000. The articles appearing in this issue examine the role of evidence synthesis in nursing and health care and are written by expert translational scientists from across the world. Three introductory articles overview evidence synthesis and its role in evidence-based health care; methods, issues, and trends in the systematic review of health care evidence; and the development of a robust evidence base for nursing. Subsequent articles explore the impact of systematic reviews on policy and practice in a variety of settings, including perioperative care, pediatrics, rehabilitation and long-term/continuing care, mental health, and public health. The final articles discuss the impact of evidence on health policy and practice and the complexities of translating evidence into policy and practice. These articles show the importance of synthesizing evidence and translating policy and practice into action in our quest to improve health care and health outcomes.

Table of Contents

Section Title Page Action Price
Front Cover Cover
Evidence-Based Reviewin Policy and Practice i
Copyright\r ii
Contributors iii
Contents vii
Nursing Clinics Of\rNorth America\r x
Foreword xi
Preface xiii
Evidence Synthesis and Its Role in Evidence-Based Health Care 453
Key points 453
Introduction 453
The emergence of evidence-based practice in the United States and internationally 454
The Campbell Collaboration 457
Evidence-based health care and evidence synthesis 457
Evidence synthesis—the systematic review 458
Summary 459
References 459
The Systematic Review of Health Care Evidence 461
Key points 461
What is a systematic review? 461
How do they differ from other reviews? 461
What are systematic reviews used for? 462
Different types of systematic reviews 463
Where to find reviews 463
Undertaking a systematic review 464
Step 1: Framing the Question 464
Step 2: Searching for the Evidence 465
Step 3: Looking at the Quality of the Evidence 468
Step 4: Synthesizing the Evidence 468
Step 5: Interpreting the Findings 470
References 472
Developing a Robust Evidence Base for Nursing 475
Key points 475
Robust evidence base 475
Implications of “Best Available Evidence” 476
Trends in publication of systematic reviews relevant to nursing 477
Finding Systematic Reviews 477
Overview of Published Systematic Reviews Relevant to Nursing Care 478
Bibliographic Trends in Nursing: Cumulative Index to Nursing and Allied Health Literature 1994 to 2014 479
Geographic and gender distribution 480
Publishers of systematic reviews 480
Subject major headings 480
Nursing practice foci 480
Bibliographic Trends in Nursing: Joanna Briggs Institute Library (1998 to 2014) 481
Gaps in Systematic Review Literature for Nursing Care 483
Building a Robust Evidence Base for Nursing in the Future 483
Summary 483
References 483
Evidence in Perioperative Care 485
Key points 485
Introduction 485
Systematic reviews in perioperative care 487
Preoperative care 487
Intraoperative care 490
Postoperative care 490
Case study 491
Summary 491
References 491
Evidence-Based Health Care in Pediatrics 493
Key points 493
Introduction 493
The importance of quality in reporting and publishing systematic reviews 494
Case study 499
Step 1: The Development of a Rigorous Proposal or Protocol Setting a Predetermined Plan to Ensure Scientific Rigor and Mini ... 500
Step 2: Stating the Review Questions Hypothesis 500
Step 3: Establishing the Criteria That Will Be Used to Select the Literature 501
Step 4: Detailing a Strategy to Identify All Relevant Literature from an Agreed Time Frame 501
Step 5: Critical Appraisal of the Studies Retrieved 502
Step 6: Extracting Data from the Primary Research Regarding the Participants, the Intervention/Issue or Phenomena of Intere ... 503
Step 7: Generating a Summary (Meta-analysis or Meta-aggregation) or Descriptive Narrative of the Results 503
Summary 504
References 504
Finding and Using Best Evidence for Rehabilitation 507
Key points 507
Where to find systematic reviews 508
Synopses 508
Organizations Producing Systematic Reviews 509
Systematic Review Registries 509
Professional/Trade Organizations 514
Databases 514
Systematic reviews and clinical guidelines 514
Using systematic reviews: a case study of an elderly patient with a hip fracture and acute delirium 514
Hip Fracture, Falls, and Delirium: The Background 514
Case Study 515
Systematic reviews and acute delirium 516
Identifying Risk Factors 516
Screening 517
Prevention 517
Systematic review data applied to the case study 520
Summary 522
References 522
Evidence in Mental Health 525
Key points 525
Introduction 525
What is a systematic review? 525
Process of systematic review 526
Systematic reviews for mental health practitioners 527
Sample mental health systematic review 529
Mental health systematic review gaps 529
Emerging topics for mental health systematic reviews 530
Summary 530
References 530
Evidence in Public Health 533
Key points 533
Introduction 533
Methodologies for synthesis of evidence in public health: some controversies 534
Systematic reviews in public health: some recommendations 535
Case examples of reviews in public health, and their impact on health and use 536
General Characteristics 536
Objectives of the Reviews 538
Theoretic Contributions of the Reviews 538
Methodologies Used in the New Reviews in Public Health and Old Controversies 539
Impact on Use 540
Application in Research 540
References 542
Impact of Evidence and Health Policy on Nursing Practice 545
Key points 545
Introduction 545
Nurses and evidence 546
Impact on nursing education 547
Impact on nursing practice 549
Impact on nursing research 550
Summary 550
References 551
Translating Evidence into Policy and Practice 555
Key points 555
Introduction 555
The translational health cycle 556
Case Study: Pediatric Fever 558
Lessons Learned from the Case Study: Evidence Synthesis 561
Lessons Learned from the Case Study: Evidence Transfer 562
Lessons Learned from the Case Study: Evidence Utilization 563
Discussion 564
References 564
Index 567