1. The study compared the rate of error, time taken, and stress levels for healthcare professionals completing paediatric emergency drug and fluid calculations using a smartphone app, reference charts, or traditional methods.
2. It found that the smartphone app had significantly fewer errors, took less time, and caused less stress than traditional methods. Reference charts also had fewer errors than traditional methods.
3. The study recommends adopting the use of a smartphone app or reference charts over traditional methods for paediatric emergency calculations to improve accuracy, efficiency and reduce stress for healthcare professionals. Further research on medical apps is still needed to establish their full utility and safety.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.There are a total of thirteen hospitals included in this review. These facilities have implemented vitals capture and the MEWS scoring system.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
1) Chemotherapy patients commonly experience a variety of side effects ranging from mild to severe. However, clinicians often underestimate the side effects that patients report experiencing.
2) The use of electronic patient-reported outcomes (ePRO) tools has been shown to improve communication between patients and clinicians about side effects. This leads to earlier detection and management of side effects.
3) Implementing an ePRO app for patients to report side effects at home can help clinicians monitor symptoms in real-time and make timely adjustments to chemotherapy treatment plans. This may improve patients' quality of life and survival outcomes.
The document summarizes a study that explored whether patient satisfaction is increased when a web application is used to inform patients about a surgical colon resection procedure compared to standard oral information provided by a nurse practitioner. 32 patients undergoing elective colon resection for colon cancer were randomly assigned to receive pre-operative information via either a web application (experimental group) or standard oral information (control group). Patient satisfaction was measured before and after surgery using validated questionnaires. The results indicated that patients who received information via the web application reported higher satisfaction scores than those who received standard oral information. The study suggests that using multimedia technologies like web applications to provide tailored, individualized information to patients can improve satisfaction with the healthcare experience.
This document describes a study that developed a computer-based model using fuzzy logic and a meta-heuristic algorithm called Bee Royalty Offspring Algorithm (BROA) to diagnose pediatric appendicitis. The model used 6 clinical factors as inputs and classified patients as having appendicitis present, high risk, or rejected. It achieved an average accuracy of 71.4% compared to 66.4-99% for other models. The study aims to improve pediatric appendicitis diagnosis by developing an intelligent clinical decision support system that can help physicians when imaging is not available.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.There are a total of thirteen hospitals included in this review. These facilities have implemented vitals capture and the MEWS scoring system.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
IMPACT OF HEALTH INFORMATICS TECHNOLOGY ON THE IMPLEMENTATION OF A MODIFIED E...hiij
The Modified Early Warning System (MEWS) is based on a patient score that helps the medical team
monitor patients to identify a patient that may be experiencing a sudden decline in care. This study consists
of a detailed review of clinical data and patient outcomes to assess impact of technology and patient care.
There are a total of thirteen hospitals included in this review. These facilities have implemented vitals
capture and the MEWS scoring system.
1) Chemotherapy patients commonly experience a variety of side effects ranging from mild to severe. However, clinicians often underestimate the side effects that patients report experiencing.
2) The use of electronic patient-reported outcomes (ePRO) tools has been shown to improve communication between patients and clinicians about side effects. This leads to earlier detection and management of side effects.
3) Implementing an ePRO app for patients to report side effects at home can help clinicians monitor symptoms in real-time and make timely adjustments to chemotherapy treatment plans. This may improve patients' quality of life and survival outcomes.
The document summarizes a study that explored whether patient satisfaction is increased when a web application is used to inform patients about a surgical colon resection procedure compared to standard oral information provided by a nurse practitioner. 32 patients undergoing elective colon resection for colon cancer were randomly assigned to receive pre-operative information via either a web application (experimental group) or standard oral information (control group). Patient satisfaction was measured before and after surgery using validated questionnaires. The results indicated that patients who received information via the web application reported higher satisfaction scores than those who received standard oral information. The study suggests that using multimedia technologies like web applications to provide tailored, individualized information to patients can improve satisfaction with the healthcare experience.
This document describes a study that developed a computer-based model using fuzzy logic and a meta-heuristic algorithm called Bee Royalty Offspring Algorithm (BROA) to diagnose pediatric appendicitis. The model used 6 clinical factors as inputs and classified patients as having appendicitis present, high risk, or rejected. It achieved an average accuracy of 71.4% compared to 66.4-99% for other models. The study aims to improve pediatric appendicitis diagnosis by developing an intelligent clinical decision support system that can help physicians when imaging is not available.
This document describes a study that tested the reliability of a German questionnaire about how general practitioners manage and communicate about female urinary incontinence. 16 general practitioners completed the questionnaire twice, 4 weeks apart. The questionnaire included questions on managing urinary incontinence, communicating about it, practice structure, and personal details. Most items showed high or moderate reliability between responses. However, two items showed low reliability: satisfaction with urinary incontinence management and barriers to discussing it. The researchers recommend revising these items before using the questionnaire in future studies to improve reliability. Overall, the questionnaire seems to reliably assess general practitioners' handling of female urinary incontinence.
NURS 521 Nursing Informatics And Technology.docxstirlingvwriters
This document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on this topic. The articles found that clinical information systems can help reduce medical errors, improve care quality by enhancing workflow and access to patient information, and engage patients more in their care when interactive technology is used. However, challenges remain around data integration across healthcare systems and technical, human, and organizational constraints. The document concludes that clinical information systems provide opportunities to improve care but must be effectively implemented and upgraded so nurses can benefit from these technologies.
Literature Evaluation TableStudent Name Vanessa NoaChange.docxmanningchassidy
Literature Evaluation Table
Student Name: Vanessa Noa
Change Topic (2-3 sentences): Patient safety is one of the pertinent issues in nursing home health care. The literature evaluation table summarizes the strength and relevance of eight peer-reviewed articles on the role of nurse education on fall prevention.
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Author: Howard Katrina
Journal: MEDSURG Nursing
https://www.thefreelibrary.com/Improving+Fall+Rates+Using+Bedside+Debriefings+and+Reflective+Emails%3A...-a0568974192
Authors: Jang and Lee
Journal: Educational Gerontology
Link: https://doi.org/10.1080/03601277.2015.1033219
Authors: Kuhlenschmidt et al.
Journal: Clinical Journal of Oncology Nursing
Link: https://doi.org/10.1188/16.CJON.84-89
Authors: Minnier et al.
Journal: Creative Nursing
Link: https://doi.org/10.1891/1078-4535.25.2.169
Article Title and Year Published
Title: Improving Fall Rates Using Bedside Debriefings and Reflective Emails: One Unit’s Success Story
Year: 2018
Title: The Effects of an Education Program on Home Renovation for Fall Prevention of Korean Older People
Year: 2015
Title: Tailoring Education to Perceived Fall Risk in Hospitalized Patients With Cancer: A Randomized, Controlled Trial
Year: 2016
Title: Four Smart Steps: Fall Prevention for Community-Dwelling Older Adults
Year: 2019
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
RQs: Why falls remain a challenging and complex problem
What innovative measures can reduce patient falls
Quantitative research
Aim/purpose: To discuss a project that seeks to implement innovative measures that help decrease patient falls
RQs: Does an education program on home renovation reduce falls among older people?
Quantitative study
Hypothesis: Appropriate education is crucial for fall prevention
Aim/Purpose: To verify the impacts of an education program on home renovation for preventing falls among older adults
RQs: Are there evidence-based interventions tailored to the perception of falls risk
Quantitative study
Aim/Purpose: To determine the effects of tailored, nurse-delivered interventions
RQs: Do guides for fall prevention enhance older adults’ knowledge and awareness of fall risks.
Quality improvement project
Aim/Purpose: To implement a simple, author-designed guide for fall prevention among older adults dwelling in the community
Design (Type of Quantitative, or Type of Qualitative)
Survey
Quasi-experimental
Randomized, controlled design
Narrative model
Setting/Sample
A team of clinical staff and leaders
51 participants
91 patient participants
Senior center
Methods: Intervention/Instruments
Open discussions to enable clinical staff to discuss concerns and provide feedback
In-depth interviews and survey
A two-group, controlled design. This design helped to test interventions in the bone marrow plantation unit
The prevention program dubbed Fou.
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
The document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on the topic. The articles found that clinical information systems can improve workflow and reduce medical errors. However, challenges remain around data integration and sharing patient data across healthcare systems. The document concludes that clinical systems provide opportunities to improve care if effectively implemented and regularly updated to support nurses.
Lane – Ch. 142. The formula for a regression equation is Y’ = .docxsmile790243
Lane – Ch. 14
2. The formula for a regression equation is Y’ = 2X + 9.
a. What would be the predicted score for a person scoring 6 on X?
b. If someone’s predicted score was 14, what was this person’s score on X?
6. For the X,Y data below, compute:
a. r and determine if it is significantly different from zero.
b. the slope of the regression line and test if it differs significantly from zero.
c. the 95% confidence interval for the slope.
X
Y
4
6
3
7
5
12
11
17
10
9
14
21
Lane – Ch. 17
5. At a school pep rally, a group of sophomore students organized a free raffle for
prizes. They claim that they put the names of all of the students in the school in
the basket and that they randomly drew 36 names out of this basket. Of the prize
winners, 6 were freshmen, 14 were sophomores, 9 were juniors, and 7 were
seniors. The results do not seem that random to you. You think it is a little fishy
that sophomores organized the raffle and also won the most prizes. Your school is
composed of 30% freshmen, 25% sophomores, 25% juniors, and 20% seniors.
a. What are the expected frequencies of winners from each class?
b. Conduct a significance test to determine whether the winners of the prizes
were distributed throughout the classes as would be expected based on the
percentage of students in each group. Report your Chi Square and p values.
c. What do you conclude?
14. A geologist collects hand-specimen sized pieces of limestone from a particular
area. A qualitative assessment of both texture and color is made with the
following results. Is there evidence of association between color and texture for
theselimestones? Explain your answer.
COLOR
COLOR
COLOR
Texture
Light
Medium
Dark
Fine
4
20
8
Medium
5
23
12
Coarse
21
23
4
Illowsky – Ch. 11
True or False
70. The standard deviation of the chi-square distribution is twice the mean.
102.Do men and women select different breakfasts? The breakfasts ordered by randomly selected men and women at apopular breakfast place is shown inTable 11.55. Conduct a test for homogeneity at a 5% level of significance.
French Toast
Pancakes
Waffles
Omelettes
Men
47
35
28
53
Women
65
59
55
60
Use the following information to answer the next twelve exercises:Suppose an airline claims that its flights are consistentlyon time with an average delay of at most 15 minutes. It claims that the average delay is so consistent that the variance is nomore than 150 minutes. Doubting the consistency part of the claim, a disgruntled traveler calculates the delays for his next25 flights. The average delay for those 25 flights is 22 minutes with a standard deviation of 15 minutes.
113.df= _______
117. Let a = 0.05
Decision: _______
Conclusion (write out in a complete sentence): _________
The Regress ...
This systematic review examined 17 peer-reviewed studies from 2006-2016 that measured nurses' preparedness for disaster response. The review found that previous disaster response experience and disaster-related training increased nurses' preparedness. However, most studies reported that nurses felt insufficiently prepared and not confident in their ability to effectively respond to disasters. The findings suggest that nurse educators and administrators should do more to prepare nurses through policies, training, and disaster simulation exercises.
Patient Expectations and Experiences from a Clinical Study in Psychiatric Car...Petar Zaykov
A clinical study was conducted to evaluate the feasibility of using a self-monitoring system for psychiatric care. 32 patients diagnosed with depression used a self-monitoring web application at home for 4 weeks after hospital discharge. Preliminary results from case report forms found that a majority of patients felt the system supported getting a better overview of their symptoms and 12 out of 32 patients felt it helped them detect an upcoming depression. Most patients also felt it was important to have communication and information sharing with their clinicians regarding their monitoring data.
The document describes a three-phase stakeholder engagement process to develop an asthma discharge tool for children presenting to emergency departments with uncontrolled asthma.
In Phase 1, interviews with 28 stakeholders including caregivers, physicians, nurses and administrators identified themes regarding in-home asthma management and experiences with current discharge tools.
Phase 2 involved prototyping and refining the discharge tool based on feedback from 9 stakeholders.
In Phase 3, 11 caregivers and clinicians evaluated the new tool compared to existing tools using a quantitative survey and card sorting activity, showing strong preference for the new tool developed through stakeholder engagement.
12Plan for Evaluating the Impact of the Inte.docxmoggdede
The document proposes a handwashing education intervention for nurses to reduce hospital-acquired infections. The intervention involves a 6-month handwashing education program for nurses focused on compliance monitoring in a practice setting. Studies show education improves handwashing knowledge and practices, but compliance decreases after. This intervention aims to address sustainability by focusing on compliance and conducting education in a practice setting over an extended period. The expected impact is improved nurse handwashing and reduced transmission of pathogens, lowering patient infection risks and improving healthcare quality.
This randomized clinical trial compared medication administration error rates between dedicated medication nurses and general nurses across two hospitals. The main findings were:
1) Overall error rates were similar between medication nurses (15.7%) and general nurses (14.9%).
2) At one hospital, medication nurses had a significantly lower error rate than general nurses in surgical units but not medical units.
3) Differences in medication processes and settings highlighted the role of systems design in errors. The study suggests simple interventions may not reduce errors without broader system changes.
Many people rely on non-prescription drugs
therapy to treat common medical conditions. Health technology
can be a valid support to help people in selecting and choosing
an appropriate treatment.
Aim: This study examined how common people make their
decisions to select a non-prescription drug, evaluating
comprehensibility and satisfaction of a virtual tool that could
propose and sell different types of non-prescription drugs
therapy
Impact Of Computer Software Appplication On Medication Therapy AdherenceYayra Nyoagbe
This document summarizes a review of studies evaluating mobile apps designed to improve medication adherence in patients with chronic diseases. The review identified 4 randomized controlled trials involving 617 participants with conditions like HIV, alcohol dependence, diabetes and asthma. The studies tested whether apps improved adherence to therapy, quality of life, illness perception, and clinical/biological outcomes compared to standard care. The review found that apps had a positive effect on medication adherence but inconclusive evidence for other outcomes. It concluded that apps show promise for improving adherence, but more research is needed on clinical impacts.
Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
This document summarizes a study that developed a goal programming algorithm to schedule 11 nurses across a two-week period at a hospital. The goals were to satisfy each nurse's contracted time, ensure minimum nurse requirements by role each day, give full-time nurses a weekend off while avoiding more than two consecutive days off, and honor nurses' weekend preference when possible. The algorithm solved the 154-variable, 120-constraint scheduling problem in under 30 seconds. The results showed schedules that met goals for minimum nurse levels each day and individual nurses' two-week schedules.
Interprofessional Simulation: An Effective Training Experience for Health Car...Dan Belford
Background
This descriptive study measured the effectiveness of and participants' satisfaction with an interprofessional simulation education workshop as a teaching strategy for health care professionals.
Method
Health care professionals completed a 1-day clinical simulation workshop on interprofessional collaboration, after which they had the opportunity to fill out 4 evaluative instruments
This document provides an introduction and tables for determining sample sizes in various health studies. It covers one-sample situations like estimating a population proportion with absolute or relative precision and hypothesis tests for a population proportion. Two-sample situations covered include estimating the difference between two population proportions and hypothesis tests for two population proportions. It also addresses case-control studies, cohort studies, lot quality assurance sampling, and incidence-rate studies. Tables of minimum sample sizes are provided for each situation.
Critical Research Appraisal AssignmentNUR501 PhilosophiMargenePurnell14
Critical Research Appraisal Assignment
NUR501: Philosophical & Theoretical, Evidence-Based Research
Dr. Corzo-Sanchez
June 24, 2022
Critical Research Appraisal Assignment
Nursing research uncovers new knowledge to help build the foundation of clinical practice. Research can help prevent diseases and disabilities, help manage symptoms, establish new treatment plans and improve nursing skills. This is why nurses need to be able to participate in and analyze research, as this can bring positive outcomes to their careers and the health of their patients. There are two different types of research, quantitative and qualitative, that provide information and data. For this assignment, I chose one qualitative research that focuses on the stress and burnout experienced by nursing professionals and one quantitative analysis that explores nurses’ knowledge regarding hand hygiene. Each study will be evaluated thoroughly and analyzed.
Qualitative Research
The definition of qualitative research can be challenging. Qualitative research involves collecting and analyzing non-numerical data to understand concepts, opinions, or experiences (Morgan et al., 2021). This form of research explores deeper insights into real-world problems in an emergent and holistic way. Qualitative data can be collected using various methods such as interviews, focus groups, observations, and documentation analysis (Hoover, 2021). Qualitative research has been used in nursing for many years, but it was not the first method used in nursing. Before quantitative research, philosophical methods such as hermeneutics and phenomenology were the only options for professional inquiry (Butts & Rich, 2017). However, it was changed to qualitative research because its ways were incompatible with science. There are three major approaches to qualitative research, (1) ethnography, based on anthropology, (2) phenomenology, drawn from philosophy; and (3) grounded theory, drawn from sociology (Morgan et al., 2021). The use of qualitative studies is common due to its many strengths, such as providing multiple methods of data collection, more detailed information, and how it can refine and strengthen quantitative research. However, some of the limitations of this form of research are difficulty analyzing and collecting data while being more time-consuming.
Evaluating and Analyzing a Selected Qualitative Study
For the example of the qualitative study, I chose Luis M. Dos Santos's study, which focused on the effects of stress, burnout, and low self-efficacy in nursing professionals. The quantitative research aimed to understand and explore how social and environmental factors influence nursing professionals’ self-efficacy. In the study, the Social Cognitive Theory was used to define how each subject was affected based on their thoughts, behaviors, feeling, and personal beliefs (Dos Santos, 2020). For this research study, the phenomenological approach and analysis were used thought the survey to collec ...
American Research Journal of Humanities & Social Science (ARJHSS) is a double blind peer reviewed, open access journal published by (ARJHSS).
The main objective of ARJHSS is to provide an intellectual platform for the international scholars. ARJHSS aims to promote interdisciplinary studies in Humanities & Social Science and become the leading journal in Humanities & Social Science in the world.
Evidence based projectMSN, Walden UniversityNURS-6052CDr. BetseyCalderon89
Evidence based project
MSN, Walden University
NURS-6052C
Dr. Emily Keyes
10/01/2021
introduction
Most of the health care facilities have implemented Evidence Based Practices mostly in nursing
EBP involves the use of research evidence, clinical expertise as well as patient’s preferences
There is a confusion on the pros and cons of EBP in nursing
Thus, PICOT questions are based on the use of EBP in each day’s nursing project.
Picot question
With the mechanically ventilated patients in the ICU aged 40 years or older, does the use of oral chlorhexidine in comparison to no chlorhexidine aid in reducing the incidence of VAP in 5 weeks?
population
intervention
comparison
outcome
Time
mechanically ventilated patients in the ICU aged 40 years or older
use of oral chlorhexidine
use of no oral chlorhexidine
reducing the incidence of VAP
5 weeks
Databases used for the research
PubMed:
The database aids in ensuring easy search per topic by using the search terms in order to filter results and find certain peer reviewed articles
Google Scholar
Allows me to easily navigate as well as filter the results to fit in my research
Cochrane Library
The database offers a wide range of systematic reviews as well as peer reviewed articles
CINAHL
Provides access to associated health topics as well as nursing based literature using electronic books and journals.
Peer reviewed articles
Al-Rabeei, N., Al-jaradi, A., Al-Wesaby, S., & Alrubaiee, G. (2019). Nursing Practice for Prevention of Ventilator-Associated Pneumonia in ICUs at Public Hospitals in Sana’a, City-Yemen. Al-Razi University Journal of Medical Sciences, 3(2), 69–80.
Frota, M. L., Campanharo, C. R. V., Lopes, M. C. B. T., Piacezzi, L. H. V., Okuno, M. F. P., & Batista, R. E. A. (2019). Good practices for preventing ventilator-associated pneumonia in the emergency department. Revista Da Escola de Enfermagem Da USP, 53. https://doi.org/10.1590/s1980-220x2018010803460
Jam, R., Mesquida, J., Hernández, S., Sandalinas, I., Turégano, C., Carrillo, E., Delgado-Hito, P. (2018). Nursing workload and compliance with non-pharmacological measures to prevent ventilator-associated pneumonia: a multicentre study. Nursing in Critical Care, 23(6), 291–298. https://doi.org/10.1111/nicc.12380
Kapucu, S., & ÖZden, G. (2017). Nursing Interventions to Prevent Ventilator-Associated Pneumonia in ICUs. Konuralp Tıp Dergisi. https://doi.org/10.18521/ktd.285554
Levels of evidence
The level of evidence for the article by Jam et al (2018) is level II since an observational study design was used.
The level of evidence for this article by Fronta et al., (2019) is level I since it a cross sectional study
The level of evidence for this article by Al-Rabeei, et al., (2019) is level III since it is a descriptive, cross sectional study
The level of evidence for this article by Boltey, et al., (2017) is level IV since it is a systematic review.
Strengths of systematic reviews
Systematic reviews aids ...
This document describes a study that tested the reliability of a German questionnaire about how general practitioners manage and communicate about female urinary incontinence. 16 general practitioners completed the questionnaire twice, 4 weeks apart. The questionnaire included questions on managing urinary incontinence, communicating about it, practice structure, and personal details. Most items showed high or moderate reliability between responses. However, two items showed low reliability: satisfaction with urinary incontinence management and barriers to discussing it. The researchers recommend revising these items before using the questionnaire in future studies to improve reliability. Overall, the questionnaire seems to reliably assess general practitioners' handling of female urinary incontinence.
NURS 521 Nursing Informatics And Technology.docxstirlingvwriters
This document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on this topic. The articles found that clinical information systems can help reduce medical errors, improve care quality by enhancing workflow and access to patient information, and engage patients more in their care when interactive technology is used. However, challenges remain around data integration across healthcare systems and technical, human, and organizational constraints. The document concludes that clinical information systems provide opportunities to improve care but must be effectively implemented and upgraded so nurses can benefit from these technologies.
Literature Evaluation TableStudent Name Vanessa NoaChange.docxmanningchassidy
Literature Evaluation Table
Student Name: Vanessa Noa
Change Topic (2-3 sentences): Patient safety is one of the pertinent issues in nursing home health care. The literature evaluation table summarizes the strength and relevance of eight peer-reviewed articles on the role of nurse education on fall prevention.
Criteria
Article 1
Article 2
Article 3
Article 4
Author, Journal (Peer-Reviewed), and
Permalink or Working Link to Access Article
Author: Howard Katrina
Journal: MEDSURG Nursing
https://www.thefreelibrary.com/Improving+Fall+Rates+Using+Bedside+Debriefings+and+Reflective+Emails%3A...-a0568974192
Authors: Jang and Lee
Journal: Educational Gerontology
Link: https://doi.org/10.1080/03601277.2015.1033219
Authors: Kuhlenschmidt et al.
Journal: Clinical Journal of Oncology Nursing
Link: https://doi.org/10.1188/16.CJON.84-89
Authors: Minnier et al.
Journal: Creative Nursing
Link: https://doi.org/10.1891/1078-4535.25.2.169
Article Title and Year Published
Title: Improving Fall Rates Using Bedside Debriefings and Reflective Emails: One Unit’s Success Story
Year: 2018
Title: The Effects of an Education Program on Home Renovation for Fall Prevention of Korean Older People
Year: 2015
Title: Tailoring Education to Perceived Fall Risk in Hospitalized Patients With Cancer: A Randomized, Controlled Trial
Year: 2016
Title: Four Smart Steps: Fall Prevention for Community-Dwelling Older Adults
Year: 2019
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study
RQs: Why falls remain a challenging and complex problem
What innovative measures can reduce patient falls
Quantitative research
Aim/purpose: To discuss a project that seeks to implement innovative measures that help decrease patient falls
RQs: Does an education program on home renovation reduce falls among older people?
Quantitative study
Hypothesis: Appropriate education is crucial for fall prevention
Aim/Purpose: To verify the impacts of an education program on home renovation for preventing falls among older adults
RQs: Are there evidence-based interventions tailored to the perception of falls risk
Quantitative study
Aim/Purpose: To determine the effects of tailored, nurse-delivered interventions
RQs: Do guides for fall prevention enhance older adults’ knowledge and awareness of fall risks.
Quality improvement project
Aim/Purpose: To implement a simple, author-designed guide for fall prevention among older adults dwelling in the community
Design (Type of Quantitative, or Type of Qualitative)
Survey
Quasi-experimental
Randomized, controlled design
Narrative model
Setting/Sample
A team of clinical staff and leaders
51 participants
91 patient participants
Senior center
Methods: Intervention/Instruments
Open discussions to enable clinical staff to discuss concerns and provide feedback
In-depth interviews and survey
A two-group, controlled design. This design helped to test interventions in the bone marrow plantation unit
The prevention program dubbed Fou.
Introduction Healthcare system is considered one of the busiest.pdfbkbk37
The document discusses the application of clinical information systems in nursing. It reviews 4 peer-reviewed articles on the topic. The articles found that clinical information systems can improve workflow and reduce medical errors. However, challenges remain around data integration and sharing patient data across healthcare systems. The document concludes that clinical systems provide opportunities to improve care if effectively implemented and regularly updated to support nurses.
Lane – Ch. 142. The formula for a regression equation is Y’ = .docxsmile790243
Lane – Ch. 14
2. The formula for a regression equation is Y’ = 2X + 9.
a. What would be the predicted score for a person scoring 6 on X?
b. If someone’s predicted score was 14, what was this person’s score on X?
6. For the X,Y data below, compute:
a. r and determine if it is significantly different from zero.
b. the slope of the regression line and test if it differs significantly from zero.
c. the 95% confidence interval for the slope.
X
Y
4
6
3
7
5
12
11
17
10
9
14
21
Lane – Ch. 17
5. At a school pep rally, a group of sophomore students organized a free raffle for
prizes. They claim that they put the names of all of the students in the school in
the basket and that they randomly drew 36 names out of this basket. Of the prize
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seniors. The results do not seem that random to you. You think it is a little fishy
that sophomores organized the raffle and also won the most prizes. Your school is
composed of 30% freshmen, 25% sophomores, 25% juniors, and 20% seniors.
a. What are the expected frequencies of winners from each class?
b. Conduct a significance test to determine whether the winners of the prizes
were distributed throughout the classes as would be expected based on the
percentage of students in each group. Report your Chi Square and p values.
c. What do you conclude?
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area. A qualitative assessment of both texture and color is made with the
following results. Is there evidence of association between color and texture for
theselimestones? Explain your answer.
COLOR
COLOR
COLOR
Texture
Light
Medium
Dark
Fine
4
20
8
Medium
5
23
12
Coarse
21
23
4
Illowsky – Ch. 11
True or False
70. The standard deviation of the chi-square distribution is twice the mean.
102.Do men and women select different breakfasts? The breakfasts ordered by randomly selected men and women at apopular breakfast place is shown inTable 11.55. Conduct a test for homogeneity at a 5% level of significance.
French Toast
Pancakes
Waffles
Omelettes
Men
47
35
28
53
Women
65
59
55
60
Use the following information to answer the next twelve exercises:Suppose an airline claims that its flights are consistentlyon time with an average delay of at most 15 minutes. It claims that the average delay is so consistent that the variance is nomore than 150 minutes. Doubting the consistency part of the claim, a disgruntled traveler calculates the delays for his next25 flights. The average delay for those 25 flights is 22 minutes with a standard deviation of 15 minutes.
113.df= _______
117. Let a = 0.05
Decision: _______
Conclusion (write out in a complete sentence): _________
The Regress ...
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The document describes a three-phase stakeholder engagement process to develop an asthma discharge tool for children presenting to emergency departments with uncontrolled asthma.
In Phase 1, interviews with 28 stakeholders including caregivers, physicians, nurses and administrators identified themes regarding in-home asthma management and experiences with current discharge tools.
Phase 2 involved prototyping and refining the discharge tool based on feedback from 9 stakeholders.
In Phase 3, 11 caregivers and clinicians evaluated the new tool compared to existing tools using a quantitative survey and card sorting activity, showing strong preference for the new tool developed through stakeholder engagement.
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This randomized clinical trial compared medication administration error rates between dedicated medication nurses and general nurses across two hospitals. The main findings were:
1) Overall error rates were similar between medication nurses (15.7%) and general nurses (14.9%).
2) At one hospital, medication nurses had a significantly lower error rate than general nurses in surgical units but not medical units.
3) Differences in medication processes and settings highlighted the role of systems design in errors. The study suggests simple interventions may not reduce errors without broader system changes.
Many people rely on non-prescription drugs
therapy to treat common medical conditions. Health technology
can be a valid support to help people in selecting and choosing
an appropriate treatment.
Aim: This study examined how common people make their
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comprehensibility and satisfaction of a virtual tool that could
propose and sell different types of non-prescription drugs
therapy
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Scheduling Of Nursing Staff in Hospitals - A Case Studyinventionjournals
This document summarizes a study that developed a goal programming algorithm to schedule 11 nurses across a two-week period at a hospital. The goals were to satisfy each nurse's contracted time, ensure minimum nurse requirements by role each day, give full-time nurses a weekend off while avoiding more than two consecutive days off, and honor nurses' weekend preference when possible. The algorithm solved the 154-variable, 120-constraint scheduling problem in under 30 seconds. The results showed schedules that met goals for minimum nurse levels each day and individual nurses' two-week schedules.
Interprofessional Simulation: An Effective Training Experience for Health Car...Dan Belford
Background
This descriptive study measured the effectiveness of and participants' satisfaction with an interprofessional simulation education workshop as a teaching strategy for health care professionals.
Method
Health care professionals completed a 1-day clinical simulation workshop on interprofessional collaboration, after which they had the opportunity to fill out 4 evaluative instruments
This document provides an introduction and tables for determining sample sizes in various health studies. It covers one-sample situations like estimating a population proportion with absolute or relative precision and hypothesis tests for a population proportion. Two-sample situations covered include estimating the difference between two population proportions and hypothesis tests for two population proportions. It also addresses case-control studies, cohort studies, lot quality assurance sampling, and incidence-rate studies. Tables of minimum sample sizes are provided for each situation.
Critical Research Appraisal AssignmentNUR501 PhilosophiMargenePurnell14
Critical Research Appraisal Assignment
NUR501: Philosophical & Theoretical, Evidence-Based Research
Dr. Corzo-Sanchez
June 24, 2022
Critical Research Appraisal Assignment
Nursing research uncovers new knowledge to help build the foundation of clinical practice. Research can help prevent diseases and disabilities, help manage symptoms, establish new treatment plans and improve nursing skills. This is why nurses need to be able to participate in and analyze research, as this can bring positive outcomes to their careers and the health of their patients. There are two different types of research, quantitative and qualitative, that provide information and data. For this assignment, I chose one qualitative research that focuses on the stress and burnout experienced by nursing professionals and one quantitative analysis that explores nurses’ knowledge regarding hand hygiene. Each study will be evaluated thoroughly and analyzed.
Qualitative Research
The definition of qualitative research can be challenging. Qualitative research involves collecting and analyzing non-numerical data to understand concepts, opinions, or experiences (Morgan et al., 2021). This form of research explores deeper insights into real-world problems in an emergent and holistic way. Qualitative data can be collected using various methods such as interviews, focus groups, observations, and documentation analysis (Hoover, 2021). Qualitative research has been used in nursing for many years, but it was not the first method used in nursing. Before quantitative research, philosophical methods such as hermeneutics and phenomenology were the only options for professional inquiry (Butts & Rich, 2017). However, it was changed to qualitative research because its ways were incompatible with science. There are three major approaches to qualitative research, (1) ethnography, based on anthropology, (2) phenomenology, drawn from philosophy; and (3) grounded theory, drawn from sociology (Morgan et al., 2021). The use of qualitative studies is common due to its many strengths, such as providing multiple methods of data collection, more detailed information, and how it can refine and strengthen quantitative research. However, some of the limitations of this form of research are difficulty analyzing and collecting data while being more time-consuming.
Evaluating and Analyzing a Selected Qualitative Study
For the example of the qualitative study, I chose Luis M. Dos Santos's study, which focused on the effects of stress, burnout, and low self-efficacy in nursing professionals. The quantitative research aimed to understand and explore how social and environmental factors influence nursing professionals’ self-efficacy. In the study, the Social Cognitive Theory was used to define how each subject was affected based on their thoughts, behaviors, feeling, and personal beliefs (Dos Santos, 2020). For this research study, the phenomenological approach and analysis were used thought the survey to collec ...
American Research Journal of Humanities & Social Science (ARJHSS) is a double blind peer reviewed, open access journal published by (ARJHSS).
The main objective of ARJHSS is to provide an intellectual platform for the international scholars. ARJHSS aims to promote interdisciplinary studies in Humanities & Social Science and become the leading journal in Humanities & Social Science in the world.
Evidence based projectMSN, Walden UniversityNURS-6052CDr. BetseyCalderon89
Evidence based project
MSN, Walden University
NURS-6052C
Dr. Emily Keyes
10/01/2021
introduction
Most of the health care facilities have implemented Evidence Based Practices mostly in nursing
EBP involves the use of research evidence, clinical expertise as well as patient’s preferences
There is a confusion on the pros and cons of EBP in nursing
Thus, PICOT questions are based on the use of EBP in each day’s nursing project.
Picot question
With the mechanically ventilated patients in the ICU aged 40 years or older, does the use of oral chlorhexidine in comparison to no chlorhexidine aid in reducing the incidence of VAP in 5 weeks?
population
intervention
comparison
outcome
Time
mechanically ventilated patients in the ICU aged 40 years or older
use of oral chlorhexidine
use of no oral chlorhexidine
reducing the incidence of VAP
5 weeks
Databases used for the research
PubMed:
The database aids in ensuring easy search per topic by using the search terms in order to filter results and find certain peer reviewed articles
Google Scholar
Allows me to easily navigate as well as filter the results to fit in my research
Cochrane Library
The database offers a wide range of systematic reviews as well as peer reviewed articles
CINAHL
Provides access to associated health topics as well as nursing based literature using electronic books and journals.
Peer reviewed articles
Al-Rabeei, N., Al-jaradi, A., Al-Wesaby, S., & Alrubaiee, G. (2019). Nursing Practice for Prevention of Ventilator-Associated Pneumonia in ICUs at Public Hospitals in Sana’a, City-Yemen. Al-Razi University Journal of Medical Sciences, 3(2), 69–80.
Frota, M. L., Campanharo, C. R. V., Lopes, M. C. B. T., Piacezzi, L. H. V., Okuno, M. F. P., & Batista, R. E. A. (2019). Good practices for preventing ventilator-associated pneumonia in the emergency department. Revista Da Escola de Enfermagem Da USP, 53. https://doi.org/10.1590/s1980-220x2018010803460
Jam, R., Mesquida, J., Hernández, S., Sandalinas, I., Turégano, C., Carrillo, E., Delgado-Hito, P. (2018). Nursing workload and compliance with non-pharmacological measures to prevent ventilator-associated pneumonia: a multicentre study. Nursing in Critical Care, 23(6), 291–298. https://doi.org/10.1111/nicc.12380
Kapucu, S., & ÖZden, G. (2017). Nursing Interventions to Prevent Ventilator-Associated Pneumonia in ICUs. Konuralp Tıp Dergisi. https://doi.org/10.18521/ktd.285554
Levels of evidence
The level of evidence for the article by Jam et al (2018) is level II since an observational study design was used.
The level of evidence for this article by Fronta et al., (2019) is level I since it a cross sectional study
The level of evidence for this article by Al-Rabeei, et al., (2019) is level III since it is a descriptive, cross sectional study
The level of evidence for this article by Boltey, et al., (2017) is level IV since it is a systematic review.
Strengths of systematic reviews
Systematic reviews aids ...
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Journal Club (Smartphone use for Paediatric calculations in emergencies)
1. Smartphone Use For Paediatric
Calculations In Emergencies
(SPaCE)
Jordan Evans, Zoe Morrison, Rhian Thomas-turner, Omar Bouamra,
Stephen Mullen, Jeff Morgan
Journal
Club [09.02.24]
Ehab Zahran
2. Context
&
Background
Emergency drug and fluid volumes are calculated,
based on estimated weight, in preparation for the
arrival of a critically unwell or injured paediatric
patient using the commonly taught WETFLAG
acronym.
3. Context
&
Background
(Cont’d)
A survey of the paediatric emergency research in
the UK and Ireland network reported that APLS
WETFLAG calculation was the most-commonly
selected method of resuscitation aid to prepare
medication doses (79%), followed by hardcopy
reference charts (56%).
While smartphone applications are increasingly
used for these calculations in clinical practice,
limited studies have explored their accuracy and
safety.
4. Aim of study
The primary aim of this study was to explore the
difference in the rate of error for the completion of
paediatric emergency drug and fluid calculations
using three methods:
1. Smartphone app (specially designed).
2. Reference charts.
3. Traditional calculation (mental
arithmetic/calculator).
5. Aim of study
(Cont’d)
The secondary aims were to also compare both the
time taken and the level of task-related stress.
6. Clinical
Question
P - Healthcare professionals
I - Using smartphone app for fluid/drug
calculations
C - Using traditional methods for fluid/drug
calculations
O - Rate of error, time taken and stress
level
Is using a smartphone app superior to the traditional
methods for paediatric emergency drug and fluid
calculations?
7. Methods
A smartphone app was developed by a healthcare
technology company at the direct request of the
research team. The app consisted of a single page
with the functionality to input age in months or
years along with sex.
Based on the correct input of these variables with
one click, the app would display the ‘WETFLAG’
values on a single screen page, as determined from
the APLS weight calculations.
The method and case order were randomised
centrally.
9. This study took place between April 2021 and June
2022 across four sites within three health boards.
A convenience sample of 96 healthcare
professionals of fully qualified nurses and doctors
were invited to participate in the study when the
clinical workload in the department permitted.
Site
1
Site 2 Site
3
Site
4
Emergency department 12 12 12 12
Paediatric assessment
units
12 12 12 12
Methods
(Cont’d)
10. Participants were asked to calculate emergency
drug and fluid calculations using the WETFLAG
acronym for fictional paediatric patients using
three different methods:
1. Traditional calculation - mental arithmetic or
calculator (personal preference of participant).
2. Reference charts (APLS aide-memoire charts).
3. The smartphone app (on a phone provided by
the research team).
Methods
(Cont’d)
12. The fictional cases represented a range of ages:
Case one - 3 months (male).
Case two - 15 months (female).
Case three - 23 months (male).
Case four - 5 years (female).
Case five - 8 years (male).
Case six - 12 years (female).
Each participant performed one method of
calculation for each of the six cases.
Methods
(Cont’d)
13. The time taken to complete the calculations and
transcribe these was recorded using a hand-held
digital stopwatch. The same brand and model of
stopwatch was used across all four sites.
On completion of each scenario, participants were
asked to rate their stress levels on a Likert scale
(0=no stress, 10=maximum stress).
Methods
(Cont’d)
14. Results
Ninety-six participants calculated values for six
fictional cases, resulting in 576 calculations.
Traditional calculation methods showed a
statistically significant higher rate of error
compared with the use of a smartphone app or
reference charts (mean=1, 0, 0, respectively).
The smartphone app outperformed both traditional
calculation methods and reference charts for time
taken and user-reported stress levels.
15. Results
(Number of Errors)
Traditional calculation methods (mental arithmetic
or calculator) had the highest mean number of
errors and were significantly different from both
alternate methods.
Mean number of errors:
Traditional = 1.45
App = 0.44
Chart = 0.38
17. Results
(Time)
The mean times were significantly different for the
three methods (p<0.0001).
Mean time:
App = 27.8s
Chart = 45.5s
Traditional = 84.8
19. Results
(Stress)
Pairwise comparison confirmed that the use of the
app has a significantly lower level of stress with
respect to the other methods of calculation
(p<0.0001).
Mean level of stress.
App: 1.1
Chart: 3.3
Traditional: 4.9
21. Discussion
This study compared different methods for
calculating paediatric emergency drug doses and
fluid volumes, and to the best of our knowledge is
the first multicentre study to do so.
Study found that using a dedicated app (for
WETFLAG) or reference charts resulted in a
statistically significant reduction in errors compared
with traditional APLS methods (mental arithmetic
or calculator).
22. Discussion
(Cont’d)
It is however worth noting that multiple errors
were more common with the app and traditional
calculation, potentially due to incorrect weight
calculation. Multiple errors were rare with charts.
Use of the app was associated with both a
statistically significant increased speed of
calculation and reduced stress level for the user
compared with either traditional calculation or
the use of aide-memoire charts.
23. Recommendatio
ns
Based on the findings, it’s recommended that
emergency and acute paediatrics departments
should adopt the use of a smartphone app or
reference charts over the more commonly used
traditional APLS calculations.
Further studies should assess the potential
benefits and disadvantages of medical apps
already widely adopted in clinical practice,
together with those in development.
26. 1. Did the study address a clearly focused
research question?
27. 2. Was the assignments of participants to
interventions randomised?
28. 3. Were the participants who entered the
study accounted for at its conclusion?
29. 4. Were the participants and investigators
‘blind’ to intervention they were given?
30. 5. Were the study groups similar at the start
of the RCT?
31. 6. Apart from the experimental intervention,
did each study group receive the same level
of care (that is, were they treated equally)?
32. 7. Were the effects of intervention reported
comprehensively?
33. 8. Do the benefits of the experimental
intervention outweigh the harms and costs?
34. 9. Can the results be applied to your local
population/in your context?
35. 10. Would the experimental intervention
provide greater value to the people in your
care than any of the existing interventions?
36. Summary
&
Conclusion
This study found using traditional ‘WETFLAG’ value
calculations to have higher error rates than using
reference charts or a smartphone app.
Using a smartphone app significantly reduces
calculation time and lowers user stress levels.
Further research on apps in paediatric resuscitation
is needed to establish their utility and safety for
clinicians and patients.
37. References
• Advanced Life Support Group. Advanced paediatric life support. 6th ed. West Sussex,
UK: Wiley / BMJ, 2016.
• Mosa ASM, Yoo I, Sheets L. A systematic review of healthcare applications for
smartphones. BMC Med Inform Decis Mak 2012;12.
• Payne KFB, Wharrad H, Watts K. Smartphone and medical related app use among
medical students and junior doctors in the United Kingdom (UK): a regional survey. BMC
Med Inform Decis Mak 2012;12.
• Jyothi S, Halton F, Goodyear H. Use of smartphone apps by paediatric trainees. Br J Hosp
Med 2015;76:475–7.
• Jahn HK, Jahn IH, Roland D, et al. Mobile device and app use in paediatric emergency
care: a survey of departmental practice in the UK and Ireland. Arch Dis Child
2019;104:1203–7.
• Gálvez JA, Lockman JL, Schleelein LE, et al. Interactive pediatric emergency checklists to
the palm of your hand - how the pedi crisis app traveled around the world. Paediatr
Anaesth 2017;27:835–40.
• Siebert JN, Ehrler F, Combescure C, et al. A mobile device app to reduce time to drug
delivery and medication errors during simulated pediatric cardiopulmonary
resuscitation: a randomized controlled trial. J Med Internet Res 2017;19:e31.
• Flannigan C, McAloon J. Students prescribing emergency drug infusions utilising
smartphones outperform consultants using BNFCs. Resuscitation 2011;82:1424–7.
• Lauria MJ, Gallo IA, Rush S, et al. Psychological skills to improve emergency care
providers’ performance under stress. Ann Emerg Med 2017;70:884–90.
38. References
(Cont’d)
• Hunziker S, Laschinger L, Portmann-Schwarz S, et al. Perceived stress and team
performance during a simulated resuscitation. Intensive Care Med 2011;37:1473–9.
• LeBlanc VR. The effects of acute stress on performance: implications for health
professions education. Acad Med 2009;84:S25–33.
• Marlow RD, Lo D, Walton LJ. Accurate paediatric weight estimation by age: mission
impossible? Arch Dis Child 2011;96:A1–2.
• Carley S. APLS weight estimation – don’t do it (well almost never). St.Emlyn’s; 2013.
Available: http://stemlynsblog.org/apls-estimation-formulas-do-not-safely-predict-
weight-in-uk-children-st-emlyns/ [Accessed 07 Jul 2017].
• Black K, Barnett P, Wolfe R, et al. Are methods used to estimate weight in children
accurate. Emerg Med 2002;14:160–5.
• Graves L, Chayen G, Peat J, et al. A comparison of actual to estimated weights in
Australian children attending a tertiary children’s’ hospital, using the original and
updated APLS, Luscombe and Owens, best guess formulae and the broselow tape.
Resuscitation 2014;85:392–6.
• Marikar D, Varshneya K, Wahid A, et al. Just too many things to remember? A survey of
paediatric trainees’ recall of advanced paediatric life support (APLS) weight estimation
formulae. Arch Dis Child 2013;98:921.
• McVey L, Young D, Hulst J, et al. Development and validation of a novel paediatric
weight estimation equation in multinational cohorts of sick children. Resuscitation
2017;117:118–21.
• Jahn HK, Jahn IHJ, Roland D, et al. Prescribing in a paediatric emergency: a PERUKI
survey of prescribing and resuscitation AIDS. Acta Paediatr 2021;110:1038–45.
P: Healthcare professionals
I: App
C: Traditional
O: Accuracy, time taken, stress level
Doctors + Nurses
Not sure if randomisation was sufficient to eliminate systemic bias, but the allocation sequence was concealed from investigators and participants
The method of calculation used for each case was randomised via sealed opaque envelopes which were chosen by the participant
According to our knowledge, the participants were not analysed in the study groups to which they were randomized
Like which method you would use in which case
The participants were blind to the intervention
There is potential for it within the study as the app was developed at the request of the authors and the investigators were not blinded.
The app was however developed without funding or payment and the authors have no financial connection to the app or its developer.
To some degree
We know they are all health care professionals (nurses and doctors), and that’s it
Age, experience and background were not explored in this study
But no major differences we can tell that could affect the outcome
Not sure
Same level of care as same brand of stopwatch, same cases but randomised
But not the participants were only allowed to take part when the clinical workload permitted.
This is not a true reflection of healthcare and raises the potential that the participants’ stress levels were lower at baseline.
The results were expressed in a logical manner
No drop-outs from the study as far as we know
Sources of bias were reported (researcher and measurement bias)
P values were reported
No harms or unintended effects were reported
Cost-effectiveness analysis was not taken
The study participants are similar to the people in our careThe cases are similar as well (infants and children)
Similar work environment and departments (emergency and PAU)
The outcome is important if it makes things easier
But there are some limitations that might affect the decision
Resources needed as the app itself, the process, the time, the cost and integration into the system
This all takes time, effort and money
But I think it’s worth it on the long run to shift traditional methods of calculation into digital ones