Improving the Visibility of Intravenous (IV) Site in Pediatric Patients to Reduce IV Site Related Complications - An Evidence-based Utilization Project.

Purpose: This project aims to improve the visibility of the IV site using more adhesive transparent dressings to attain 90% compliance based on the frequent and proper inspection of the IV site and decrease the incidence of IV complications.

Design And Method: The project was conducted in a 43-bedded general pediatric ward from March 2016 to February 2017. To address the poor visibility of the IV site due to bandaging caused by poor adhesive strength of the IV securement dressing, a more adhesive securement dressing was introduced.

Development and Validation of a Simplified Falls Assessment Tool in an Acute Care Setting.

An easy-to-use assessment tool, which contains reversible risk factors, might influence the success of a falls prevention program. A 2-phase study was undertaken to develop and validate a simplified falls assessment tool. Risk factors of confusion, dizziness, altered elimination, and difficulty with mobility were found to be significantly associated with fall status.

A 10-year journey in sustaining fall reduction in an academic medical center in Singapore.

Background: The incidence rate of falls at 1.3 falls/1000 patient-days at a tertiary hospital in 2004 was found to be high when benchmarked against other hospitals' fall rates in Singapore. This marked the starting point of a journey of reducing fall incidence by successfully combining evidence-based healthcare measures with quality-improvement strategies.

Evidence utilization project: implementation of kangaroo care at neonatal ICU.

Background: Kangaroo care is no longer performed for the initial purpose of maintaining a small baby's body temperature in the developed countries where there are now sufficient medical equipments to keep babies warm. The objectives of kangaroo care in advanced neonatal ICUs have changed to provide benefits such as bonding and attachment, physiologic stability of newborn babies, successful breastfeeding and positive effects on infant development. Kangaroo care is not new to many neonatal nurses, but not every neonatal center is routinely practicing kangaroo care in Singapore.

Fall prevention among children in the presence of caregivers in a paediatric ward: a best practice implementation.

Aim: This study aims to reduce the incidence of falls in paediatric inpatients aged 3 and below by implementing fall prevention strategies.

Methods: The Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice programmes were used for this project. The project was carried out in three phases over a 4-month period from March to June 2011.

Hand hygiene in the nursery during diaper changing.

Aim: This project aimed to improve hand hygiene practice during diaper changing among nurses working in the nursery.

Methods: This project was conducted in one of the nurseries in a 935-bed acute care hospital with a sample of 15 nurses. A pre- and post-intervention audit was conducted utilising the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice module.

Reliability, validity and feasibility of quality of life instruments for adult patients with cancer undergoing chemotherapy: result from a systematic review.

Aim: The aim of this review was to analyse the literature critically and present the best available evidence related to quality of life (QoL) instruments that consists of all four subscales of physical, psychological, social and spiritual, which can be used in the clinical setting to assess adult patients with cancer on chemotherapy.

Inclusion Criteria: This review included randomised control trials and observational studies without control group related to QoL instruments used for cancer chemotherapy. The types of participants for this review included all adults with cancer over the age of 18 years who have undergone chemotherapy.

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.

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.