Factors affecting nurse practitioners' integration of evidence into practice.

Background: Evidence-based clinical practice guidelines bridge the gap between clinical practice and research, improve patient outcomes, promote consistency of care, and enhance quality of care. However, guideline adherence varies widely among individual providers and organizations.

Purpose: To identify factors that facilitate or impede nurse practitioners' integration of guideline recommendations into practice.

Intrapartum Nurse Perception of Labor Support After Implementation of the Coping With Labor Algorithm.

The purpose of this research project was to determine if using the Coping with Labor Algorithm would lead to changes in the perception of the intrapartum (IP) nurses' beliefs toward birth practices and frequency of labor support interventions. Twenty-three participants completed the preintervention survey, which included the IP Nurses' Belief Toward Birth Practice Scale and the Labor Support Scale. Following completion of the preintervention survey, participants received a copy of the Coping with Labor Algorithm and Toolkit and then began implementation of the Coping with Labor Algorithm.

Adherence: a concept analysis.

Purpose: To utilize a Wilsonian method of concept analysis to define and describe the concept of adherence.

Data Sources: Published research articles, nursing literature, published books, and national and international advisory reports.

Data Synthesis: The concept of adherence was analyzed using the Wilson method.

Customization of electronic medical record templates to improve end-user satisfaction.

Since 2004, increasing importance has been placed on the adoption of electronic medical records by healthcare providers for documentation of patient care. Recent federal regulations have shifted the focus from adoption alone to meaningful use of an electronic medical record system. As proposed by the Technology Acceptance Model, the behavioral intention to use technology is determined by the person's attitude toward usage.

Do differences in dialysis prescription impact on KDOQI bone mineral targets? The Pan Thames Renal Audit.

Background And Objectives: Patients achieving the Kidney Disease Outcomes Quality Initiative (KDOQI) bone mineral clinical practice guidelines have been reported to have improved survival. Many factors affecting calcium and phosphate control are not modifiable; however, we wished to determine whether differences in dialysis treatment could affect achievement of KDOQI clinical guideline targets.

Methods: We audited pre-mid-week session calcium and phosphate levels in 5,324 adult patients receiving thrice weekly dialysis in the 14 Pan Thames centres: 60% male, mean age 62 ± 16 years, median dialysis vintage 29 months (14-58), 84% treated by haemodialysis, 16% by online haemodiafiltration, median session time 4.

The effect of dialysis modality on phosphate control : haemodialysis compared to haemodiafiltration. The Pan Thames Renal Audit.

Background And Objectives: Hyperphosphataemia is a primary risk factor for patients with end-stage kidney failure. Phosphate clearance by traditional thrice-weekly standard haemodialysis is inadequate for patients achieving recommended dietary protein goals. We investigated whether phosphate control was improved by adding convective clearance with haemodiafiltration.