Purpose This study aimed to analyze the differences in medical care use and patient outcomes between patient groups in the general ward (GW) and integrated nursing care ward (INCW). Methods Among all patients admitted from January 1 to December 31, 2020, 430 patients (total 860) were selected in the GW and INCW using propensity score matching. The differences in the two groups were analyzed using t-test and x 2 test. Multiple and logistic regression were used to investigate the effect of admission to the INCW or GW on medical use and patient outcomes. Results The total medical expenses, urinary tract infection rate, and pneumonia rate of the two groups did not show significant differences; however, the length of stay for the INCW group was approximately 3 days longer and unplanned readmissions were 5.4% lower for the INCW group than that for the GW group. Multiple and logistic regression analysis showed similar results. Conclusion Patients in the INCW group had longer hospitalization days and lower rates of unplanned readmission than those in GW group. Additional studies related to longer hospital stays are needed, and measures should be taken to prevent social hospitalization.
Purpose This study aimed to investigate factors affecting prevention performance of catheter-associated urinary tract infection (CAUTI) among long-term care hospital nurses.
Methods: The participants were 162 nurses in 11 long-term care hospitals. Data were collected from May 21 to June 4, 2021, using structured questionnaires. The collected data were analyzed with an independent t-test, Mann-Whitney U test, a one-way ANOVA, Pearson’s correlation, and multiple regression analysis. All analyses were performed using SPSS/WIN 26.0.
Results: The factors influencing the prevention performance of CAUTI were formal learning (β=.22, p=.003) and prevention knowledge on CAUTI (β=.17, p=.029). These variables explained 13% of the prevention performance of CAUTI.
Conclusion: In this study, it is necessary for long-term care hospitals to develop infection prevention educational programs for CAUTI based on nursing evidence and ensure that nurses apply the knowledge obtained through these educational programs.
PURPOSE To implement evidence-based nursing, it is important to know where and how to find the best available evidence. This study was conducted to identify the results of a search from Ovid MEDLINE and to compare the results from Ovid MEDLINE with those from PubMed MEDLINE. METHODS Four different approaches via Ovid MEDLINE were used to search for guidelines on preventing catheter-associated urinary tract infections. Outcomes of this study were the number of records and relevant literature, and the sensitivity and precision of the search methods via Ovid MEDLINE. RESULTS The number of retrieved items ranged 23 to 6,005 and that of relevant studies, 5 to 8 of 8. Simple searches resulted in the highest sensitivity of 100.0%. When using MeSH terms and limits feature, the precision was highest (21.7%) among four approaches for literature searches. Simple searches in Ovid had higher sensitivity and lower precision than those in PubMed. CONCLUSION Simple searches in Ovid may be inefficient for busy clinicians compared to PubMed. However, to ensure a comprehensive and systematic literature search, using Ovid MEDLINE in addition to PubMed is recommended.
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A Systematic Review of Home based Pulmonary Rehabilitation in COPD Patients: Randomized Controlled Trials Min Hee Ahn, Ja Yun Choi, Yun Hee Kim The Korean Journal of Rehabilitation Nursing.2016; 19(2): 82. CrossRef
PURPOSE Effective literature searching is essential to support evidence-based nursing. The aim of this study was to present our recent systematic search experience to identify guidelines in PubMed for prevention of catheter-associated urinary tract infections. METHODS Five approaches to the literature search via PubMed were employed. The searches were restricted to items published from 1980 to 2010, for patients admitted to hospital, and in the English language. The search results were compared using the number of records and relevant items, and the sensitivity and precision of each search strategy. RESULTS The individual approaches retrieved 19-141 of records and 3-6 of relevant items. Sensitivity ranged from 37.5% to 75.0% with the highest values for simple searches and a search combining MeSH terms and free textwords with a methodological search filter. Precision varied from 4.3% to 21.7% and the highest precision was found for MeSH terms with limits feature. CONCLUSION The simple search in PubMed is an appropriate way for nurses in a busy clinical practice to search the literature for evidence. However, several approaches using MeSH terms, free textwords, limits feature or methodological search filters are also required to have more efficient and better informed search results.
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Trends in Evidence-based Nursing Research in South Korea Seang Ryu, Sun Weon Yun, Yun Sook Kim Journal of Korean Academy of Nursing Administration.2017; 23(4): 385. CrossRef
Systematic Search for Guidelines to Prevent Catheter-associated Urinary Tract Infections-Part II: Using the Ovid MEDLINE Hyunyoung Park, Keum-Seong Jang, Ja-Yun Choi, Yun-Hee Kim Journal of Korean Academy of Nursing Administration.2015; 21(1): 64. CrossRef
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