Transcript EBSCO Information Services

Nursing Reference Center
with Patient Education Reference Center
Supporting Nursing Excellence
Nursing Reference Center with
Patient Education Reference Center
A web-based nursing reference system designed
to provide the latest evidence-based clinical
information at the point-of-care, for nursing
practice, education, and research.
Nursing Reference Center
with
PERC Users
Staff and advanced practice nurses
Nursing practice councils
Nurse educators and researchers
Nursing faculty and students
Ancillary health practitioners
Case Managers and Discharge Planners
Hospital librarians
Clinical risk managers
Homepage
Nursing Reference Center with PERC Components
– Quick Lessons &
Evidence-based Care Sheets
– Nursing Skills & Procedures
– Cultural Competencies
– Drug Information
– Patient Education Handouts
– Practice Guidelines & Research Instruments
– Legal Cases and Unique Reference Books
– Continuing Education Modules
Quick Lessons & Evidence-Based Care Sheets —
What’s the Difference?
Quick Lessons
Documents that provide nurses with on-the-spot information about
diseases and conditions—descriptions, signs and symptoms,
interventions, and typical tests to diagnose or measure treatment
progress .
Evidence-Based Care Sheets
Documents that provide the best available evidence about aspects of
a disease or a condition—what we know and what we can do. The
evidence is coded as to its strength, which underscores its relevance
to evidence based practice.
Determining the Best Available Evidence:
Evidence-Based Care Sheets
Gravante G, Caruso R, Araco A, & Cervelli V. Infections after
plastic procedures: Incidences, etiologies, risk factors and
antibiotic prophylaxis. Aesthetic Plastic Surgery 2008; 32(2):
243-251. (RV)
M
Published meta-analysis
SR
Published systematic or integrative literature review
RCT
Published research (randomized controlled trial)
RV
Published review of the literature
R
Published research (not randomized controlled trial)
1
Strength of evidence supporting EBP
3
2
Nursing Skills, Procedures & Competencies
• Skills & Procedures
Skills are necessary steps to achieve proficiency in specific
nursing tasks. Procedure papers outline ways to accomplish
the task in practice.
• Competencies:
Papers covering job-specific tasks for which the health care
care professional is responsible.
• Cultural Competencies
Papers providing background for practicing culturally sensitive
care in diverse populations.
Nursing Skills: Use of Tenckhoff Catheter
Culturally Sensitive Care:
the Adolescent Hmong Patient
• Health Beliefs and Attitude Toward Health (1) (6) 11)
…believe the general concepts of physical and mental health
include eating nutritiously, being physically active, and
maintaining harmony within the family…
• Attitude Toward Illness and Treatment (8) (10)
…illness and disease are a result of soul loss caused by ancestral
spirits. Signs of an unhealthy body are believed to be visible,
such as a rash or persistent cough… such diseases/conditions
as hepatitis, tuberculosis, AIDS, lead poisoning, and renal
disease are not believed to exist unless signs are visible…
• Attitude Toward Health Professionals (1) …
10. Smith L. Critical thinking, health policy, and the Hmong culture group, Part 1. Journal of Cultural Diversity
1997; 4(1): 5-12. (RV)
Additional Components
• Point-of-Care Drug Information for Nurses
– Davis’s Drug Guide for Nurses
– AHFS Drug Information Essentials
– Current Drug News and Updates
• Unique Reference Books, such as:
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Taber’s Cyclopedic Medical Dictionary
Laboratory & Diagnostic Tests with Nursing Implications
Diseases and Disorders: A Nursing Therapeutics Manual
Concept Mapping: a Critical Thinking Approach to Care Planning
Nursing Diagnosis Manual: Planning, Individualizing & Documenting…
• Links to journals in CINAHL and MEDLINE for subscribing
institutions
Additional Components
• Patient Education
Over 4,000 Health Library documents presented in 17 languages,
with custom printing and detailed medical illustrations
• Continuing Education for Nurses
Over 250 modules offering CEs at no cost to nurses
• Health Nursing News
Health Day News with daily FDA, Clinical and Drug Updates
Patient Handout
Answering Clinical Questions
at the Point of Care
Nursing Clinical Scenario – Ulcerative Colitis
Mr. J., 35 years of age, has had severe ulcerative colitis since
the age of 19. He is now admitted to the acute care unit for
treatment of an acute exacerbation. He makes the decision to
undergo colectomy (bowel resection) when his condition
stabilizes.
• What are immediate nursing actions?
• What are red flags?
• What tests are ordered?
• What are treatments goals?
• What are necessary nursing skills and precautions?
Nursing Limiters and Quick Lessons
Quick Lesson – Answers within Seconds
Red Flags
Developing Treatment Goals and a Plan
The evidence-based plan will include:
•
Safe administration of multiple potent
medications
•
Fluid & electrolyte management
•
Nutritional assessment and counseling
•
Perioperative planning for colectomy
•
Health education
Drug Information
Hydrocortisone
Dosage and Administration for Ulcerative Colitis
…Rectal (as Retention Enema)
• Adjunctive treatment of ulcerative colitis: 100 mg nightly.[a] Some clinicians
recommend 100 mg twice daily followed by 100 mg nightly when improvement
occurs.[a]…
• Lay on left side during and for 30 minutes after administration to distribute drug
throughout the left colon.[a] Retain for ≥1 hour, preferably all night.[a]…
• Symptoms may improve in 3–5 days, followed by proctologic improvement.[a]
Discontinue if clinical or proctologic improvement does not occur within 2–3
weeks.[a]…
• Following treatment for >21 days, gradually withdraw use; give every other night for
2–3 weeks, then discontinue.[a]…
Hydrocortisone, Hydrocortisone Acetate, Hydrocortisone Buteprate, Hydrocortisone Butyrate, Hydrocortisone Valerate
(Topical) By: McEvoy GK, AHFS Drug Information Essentials, 2006-2007, January 1, 2009
Nursing Skills: Nutritional Assessment
Nutritional Assessment
Evidence Based Preventive Care
Planning for Colectomy:
Surgical Site Infection Protection
…Risk factors (1)(2)…(5)(6)
Patient risk factors
Diabetes mellitus, poor nutritional status, older age, cigarette smoking…patients with
chronic illness, coexisting infections at other sites, nares that are colonized with S.
aureus,…
Surgical risk factors
Inadequate antiseptic shower or bath, inadequate skin preparation, and lack of
antimicrobial prophylaxis… lack of or improper use of surgical barriers, compromised
aseptic technique…
Surgical personnel risk factors
Surgical personnel infected or colonized with bacteria and/or who use poor handwashing
techniques
Postoperative risk factors
Poor wound management and inadequate patient education upon discharge
(2) Gravante G, Caruso R, Araco A, & Cervelli V. Infections after plastic procedures: Incidences, etiologies, risk factors and
antibiotic prophylaxis. Aesthetic Plastic Surgery 2008; 32(2): 243-251. (RV)
Stoma Care: Preparation
Stoma Care: Procedure
Health Knowledge and Education
Choosing Patient Handouts
Health Education: Ulcerative Colitis
NPR Multilanguage Availability
Customizing and Printing Handouts
Saving to Folders
User-Specific Folders
Creating a Personal Log-in
Printing Multiple Handouts Together
Step One: Save to Folder
Step Two: Select All and Print
Continuing Nursing Education
3. Add
Continuing Nursing Education
Research
What Did I Learn?
• Assessment, treatment goals, and red flags associated with acute UC
exacerbation
• Administration safety and precautions associated with hydrocortisone
• Assessment of nutritional and skin status
• The best available evidence for prevention of surgical site infections
• Care of the patient with an enterostomy
• How to choose, customize, and print patient and family education materials
• How to save articles and searches
• How to obtain online continuing education credit
• How to get full-text journal articles with CINAHL with Full Text
• How to search the database for support of evidence-based nursing practice
and research
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