Reducing insulin omission errors among patients with diabetes mellitus in general surgical wards: a best practice implementation project.

Introduction And Objectives: Omission of insulin, a high-alert medication with one of the highest locally reported errors, could lead to severe hyperglycemia, which could result in coma or death if not treated timeously. This study aimed to identify, evaluate, and implement strategies to reduce the occurrence of insulin omission errors in diabetic adult patients requiring insulin.

Methods: This project followed the JBI Evidence Implementation Framework and conducted context analysis, strategy implementation, and evaluation of outcomes according to evidence-based quality indicators.

Nurse-led speech therapist referral initiative for older adult patients at risk of dysphagia: a best practice implementation project.

Introduction And Objectives: Dysphagia is common among older patients, affecting their nutritional status, hospital readmission, length of hospital stay, and hospitalization costs. Nurses can play a key role in early identification of dysphagia through systematic screening. This project sought to (i) achieve 80% compliance among nurses in using the 4-point questionnaire test (4QT) swallow screening test on patients and (ii) ensure all patients screening positive for dysphagia were referred to a speech therapist within 1 day.

Prevent postoperative urinary retention in day surgery adult patients: evidence-based quality improvement project.

Introduction And Aims: Postoperative urinary retention (POUR) is a complication that often leads to adverse outcomes and prolonged hospital stay if treatment is delayed. The aim of this project was to improve the competence of nurses in the provision of preoperative POUR education and ensure all patients received preoperative POUR education, and hence reduce the incidence of POUR.

Methods: The evidence-based quality improvement project utilized JBI's Practical Application of Clinical Evidence System and Getting Research into Practice module, adopting two POUR best practice recommendations and two audit criteria.

Increasing patient participation in hand hygiene practices in adult surgical wards in a tertiary institution: a best practice implementation project.

Introduction: The WHO states that hospital-acquired infections may be transmitted through contaminated hands. Practicing hand hygiene using alcohol-based handrub or soap and water reduces harmful organisms. The Joanna Briggs Institute (JBI) best practice recommends empowering patients with hand hygiene knowledge and engaging their involvement to strengthen hand hygiene practices.

Maintaining oral hydration in older adults in surgical wards: a best practice implementation project.

Introduction And Aim: Oral hydration is essential in older adults as poor hydration can complicate existing medical conditions and increase morbidity. Older adults in surgical wards are at risk of dehydration due to insufficient fluid consumption. The aim of this project is to ensure patients aged 65 years and above are adequately hydrated.

Patients performing lower limb exercises in an orthopedic ward: a best practice implementation project.

Aims: The evidence-based project sought to educate patients on doing lower limb exercises within 24 h of their admissions to the ward. Patients spend most of their time in bed during their hospital stays, which imposes negative outcomes due to inactivity, such as risks of reduced muscle mass and deconditioning, which may further implicate patients' conditions.

Methods: The project occurred in three phases over a period of 18 months.

Reducing contamination of midstream urine samples through standardized collection processes: a best practice implementation project.

Objective: The objective of this project is to decrease the rates of midstream urine sample contamination through standardization of evidence-based techniques among nurses.

Introduction: Urinary tract infection is a prevalent health problem worldwide. The diagnosis and treatment of urinary tract infection depend on a thorough physical examination and the results of an uncontaminated midstream specimen of urine.

Enhancing the verbal handover process for nurses in inpatient orthopedic wards: a best practice implementation project.

Objectives: This evidence-based quality improvement project aimed to evaluate the effectiveness of a handover guide in improving handovers from registered nurses to enrolled nurses.

Introduction: Nursing handover involves the transfer of the responsibility of care for a patient from one nurse to another. Handover techniques vary in different healthcare organizations.

Clinical nursing handovers for continuity of safe patient care in adult surgical wards: a best practice implementation project.

Objectives: The objective of this evidence-based quality improvement project was to improve clinical nursing handovers between registered nurses.

Introduction: Clinical nursing handovers transfer critical information about the patient's care to oncoming shift nurses. Nurses use structured handover tools to handover patient information.

The Progression and Future of Nursing in Singapore: A Descriptive Qualitative Study.

Nursing professionalism and nursing identity are important for retention of nurses. Despite of much attention on nurses in Singapore, there is still a shortage of nurses. This study aims to understand the perceptions of the progression and future of the nursing profession in Singapore.

Prevention of heel pressure ulcers among adult patients in orthopaedic wards: an evidence-based implementation project.

Background: Immobility and prolonged bed rest often lead to heel pressure ulcers in patients. A point prevalence audit undertaken in the orthopaedic wards of a Singapore tertiary hospital reported that 6 out of 30 patients who were audited had mild to blanching redness on their heels.

Aims: The evidence-based project sought to achieve 80% compliance from nurses to perform heel off-loading practice and a 50% reduction in the occurrence of heel pressure ulcers.

Improving the accuracy of fluid intake charting through patient involvement in an adult surgical ward: a best practice implementation project.

Objectives: The main objective of this evidence-based utilization project was to improve the accuracy of fluid intake charting through patient involvement.

Introduction: The accurate documentation and maintenance of fluid balance charts constitute an integral part of nursing care. However, inaccuracies in fluid balance charting by nurses often occur.

Patient Satisfaction Is Linked to Nursing Workload in a Singapore Hospital.

No studies have examined the association between patient satisfaction and the allocation of nursing care hours using a workload management system. The aim of this study is to examine the correlation between inpatients' perceived satisfaction with nursing care and nursing workload management in a Singapore hospital. A secondary data analysis was performed based on the results of 270 patients' perceived satisfaction measured by the Revised Humane Caring Scale and nursing workload management data extracted from the TrendCare Patient Acuity System.

Patient-centred hand hygiene information in orthopaedics units: an evidence-based implementation project.

Aim: This project aimed to improve patients' knowledge on the importance of hand hygiene. It involved providing patients with a patient and family education on the importance of hand hygiene using a patient information leaflet that introduces the rationale of hand hygiene, possible consequences of poor hand hygiene, and the seven steps of hand hygiene.

Methods: This projected used a preimplementation and postimplementation audit strategy using the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research Into Practice programs.

Confirming nasogastric tube placement: Is the colorimeter as sensitive and specific as X-ray? A diagnostic accuracy study.

Background: The effect of delivering enteral nutrition or medications via a nasogastric tube that is inadvertently located in the tracheobronchial tract can cause respiratory complications. Although radiographic examination is accepted as the gold standard for confirming the position of patients' enteral tubes, it is costly, involves risks of radiation, and is not failsafe. Studies using carbon dioxide sensors to detect inadvertent nasogastric tube placements have been conducted in intensive care settings.

A descriptive quantitative study on multi-ethnic patient satisfaction with nursing care measured by the Revised Humane Caring Scale.

Aim: To determine patients' satisfaction with nursing care during hospitalization.

Background: Limited studies reporting patients' satisfaction with quality of nursing care in Singapore.

Method: A descriptive study was conducted in a tertiary hospital in Singapore.

Securement of the indwelling urinary catheter for adult patients: a best practice implementation.

Aim: The evidence-based project sought to improve knowledge and practice in the care and securement of indwelling urinary catheters.

Methods: The project utilized a pre and post-implementation audit strategy, with the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programs. The best practice recommendations on the care and securement of indwelling urinary catheters were retrieved from the Joanna Briggs Institute Clinical Online Network of Evidence for Care and Therapeutics database.

Total knee replacement pre-operative education in a Singapore tertiary hospital: A best practice implementation project.

Objectives: To increase the competency of specialist outpatient clinic nurses in the provision of pre-operative total knee replacement (TKR) education, and ensure that all patients scheduled for elective TKR received the pre-operative education package.

Methods: The project was implemented in three phases. Phase 1 entailed a baseline audit that analysed 30 randomized TKR patients who received pre-operative education.

Psychometric testing of the Revised Humane Caring Scale for adult patients in Singapore.

In this study, we examined the validity and reliability of the Revised Humane Caring Scale as used by adult patients in a tertiary hospital in Singapore. A three-phase descriptive quantitative study was conducted. In phase I, an expert panel of nurses and inpatients examined the content validity of the scale; phase II comprised a pilot study on 20 patients; and in phase III, a large-scale study on 235 patients was implemented to test the internal consistency of the scale.

Improving Search for Evidence-based Practice using Information Extraction.

The search for applicable and valid research evidence-based practice articles is not supported well in common EBP resources, as some crucial study data, such as patient details, study design and results, are not available or presented explicitly. We propose to extract these data from research articles using a two-step supervised soft classification method. Compared to manual annotation, our approach is less labor-intensive and more flexible, hence opening up the possibility of utilizing these data to facilitate the evidence selection process in information seeking support systems.

eEvidence: Information Seeking Support for Evidence-based Practice: An Implementation Case Study.

We propose to collect freely available articles from the web to build an evidence-based practice resource collection with up-to-date coverage, and then apply automated classification and key information extraction on the collected articles to provide means for sounder relevance judgments. We implement these features into a dual-interface system that allows users to choose between an active or passive information seeking process depending on the amount of time available.

The effectiveness of sitz bath in managing adult patients with anorectal disorders: A systematic review.

Background: Sitz bath is commonly prescribed for anorectal disorders in conjunction with dietary and pharmacological therapies. However, the effectiveness of sitz bath for anorectal disorders is not certain and there has been no previous examination of the evidence using a systematic approach.

Objective: The objective of this review was to critically analyse and systematically review the evidence to determine the effectiveness of sitz bath in managing adult patients with anorectal disorders.

eEvidence: supplying evidence to the patient interaction.

Nursing demands that all care offered to patients is appropriately assessed, delivered and evaluated; the care offered must be up to date and supported by adequately researched published evidence. A basic logic suggests that information and communications technology can help the nurse in maintaining his/her care provision to the highest level through presenting relevant evidence. The nursing need for evidence to support the delivery of care is a global phenomenon.