Evidence-based practice barriers and facilitators from a continuous quality improvement perspective: an integrative review.

Aims: The purpose of the present study is to examine the barriers and facilitators to evidence-based practice (EBP) using Shortell's framework for continuous quality improvement (CQI).

Background: EBP is typically undertaken to improve practice. Although there have been many studies focused on the barriers and facilitators to adopting EBP, these have not been tied explicitly to CQI frameworks.

Effects of Reiki on anxiety, depression, pain, and physiological factors in community-dwelling older adults.

The purpose of this study was to evaluate the effect of Reiki as an alternative and complementary approach to treating community-dwelling older adults who experience pain, depression, and/or anxiety. Participants (N = 20) were randomly assigned to either an experimental or wait list control group. The pre- and posttest measures included the Hamilton Anxiety Scale, Geriatric Depression Scale-Short Form, Faces Pain Scale, and heart rate and blood pressure.

Directory of clinical nurse specialist programs in the United States, 2005.

Interest in clinical nurse specialist (CNS) programs continues to increase as market demands for CNSs have risen. Schools of nursing are responding to this demand by expanding existing programs and opening new programs. In 2003, the National Association of Clinical Nurse Specialists (NACNS) published a Directory of Clinical Nurse Specialist Programs.

Do patients' beliefs act as barriers to effective pain management behaviors and outcomes in patients with cancer-related or noncancer-related pain?

Purpose/objectives: To understand the role of patients' beliefs in pain management in a cancer population treated in a primary care setting.

Design: Secondary analyses of data from the baseline phase of a randomized study.

Setting: Eight of the largest primary care clinics in a managed care system.

Probing the paradox of patients' satisfaction with inadequate pain management.

The paradox of patients who are in pain, yet satisfied with their pain management, has been previously reported. To probe this paradox, we used cross-sectional data collected in the primary care setting on cancer patients' patterns of pain and pain treatment, beliefs and expectations about pain and pain relief, willingness to report pain and take pain medication, care from the provider, and satisfaction with their pain management (n = 316). Descriptive findings were similar to other studies: more than 75% of patients were satisfied or very satisfied with their overall pain management, despite almost half of all patients reporting recent moderate to severe pain.