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Journal of Obstetric, Gynecologic, and... Mar 2022To use a scoping review to explore the existing literature on best practice guidelines for safe, dignified, and compassionate care in the labor and birth setting for... (Review)
Review
OBJECTIVE
To use a scoping review to explore the existing literature on best practice guidelines for safe, dignified, and compassionate care in the labor and birth setting for pregnant women who use methamphetamines.
DATA SOURCES
We conducted a systematic search for articles and best practice guidelines from health-related databases (MEDLINE; CINAHL; and the Web of Science, including the Core Collection and Social Science Citation Index, PsycInfo, Women's Studies International, and Sociological Abstracts) and gray literature. Search terms included substance use disorder, methamphetamine, childbirth, and labor and delivery.
STUDY SELECTION
We included English-language, peer-reviewed reports of primary research, systematic reviews, and practice guidelines from credible databases and organizations published between 1991 and 2020. We screened 1,297 resources and agreed to review 156 articles and 16 gray literature resources in the full-text analysis. Nine of the 156 articles and 16 gray literature resources met the inclusion criteria.
DATA EXTRACTION
We used the Joanna Briggs Institute review guidelines (2015) criteria for extraction of the following data: author(s); year of publication; type of study; objectives; country of origin; study population and sample size (if applicable); inclusion of best practice guidelines for the labor and birth setting; care approaches specific to safety, dignity, compassion; and the targeted substance(s) discussed (e.g., methamphetamine, opioids, etc.). We further documented the phenomena of interest to determine if articles or best practice guidelines included safe, dignified, and compassionate care approaches specific to pregnant women who use methamphetamine.
DATA SYNTHESIS
We summarized the best practice guidelines, which included universal screening, assessment, and management of analgesia during labor, as well as broad guidance regarding the inclusion of a multidisciplinary health care team. Safe, dignified, and compassionate care approaches were focused on communication, shared decision making, and the provision of nonjudgmental care. Although evidence about substance use during the childbearing years is increasing, stronger evidence for clinical care approaches in the labor and birth setting is needed, inclusive of all stakeholder perspectives.
CONCLUSION
The articles and best practice guidelines reviewed provided broad clinical recommendations that were applicable to pregnant women who use methamphetamine. However, we did not find a complete comprehensive best practice guideline for labor and birth that was specific, was solution focused, and delineated a safe, dignified, and compassionate care approach.
Topics: Birth Setting; Female; Humans; Labor, Obstetric; Methamphetamine; Parturition; Practice Guidelines as Topic; Pregnancy; Pregnant Women
PubMed: 34914926
DOI: 10.1016/j.jogn.2021.10.008 -
Best Practice & Research. Clinical... May 2021Pediatric anesthesia is large part of anesthesia clinical practice. Children, parents and anesthesiologists fear anesthesia because of the risk of acute morbidity and... (Review)
Review
Pediatric anesthesia is large part of anesthesia clinical practice. Children, parents and anesthesiologists fear anesthesia because of the risk of acute morbidity and mortality. Modern anesthesia in otherwise healthy children above 1 year of age in developed countries has become very safe due to recent advance in pharmacology, intensive education, and training as well as centralization of care. In contrast, anesthesia in these children in low-income countries is associated with a high risk of mortality due to lack of basic resources and adequate training of health care providers. Anesthesia for neonates and toddlers is associated with significant morbidity and mortality. Anesthesia-related (near) critical incidents occur in 5% of anesthetic procedures and are largely dependent on the skills and up-to-date knowledge of the whole perioperative team in the specific needs for children. An investment in continuous medical education of the perioperative staff is required and international standard operating protocols for common procedures and critical situations should be defined.
Topics: Anesthesia; Anesthesiology; Biomedical Research; Humans; Pediatrics; Perioperative Care; Practice Guidelines as Topic; Quality of Health Care
PubMed: 33742575
DOI: 10.1016/j.bpa.2020.12.007 -
Early Human Development Dec 2019
Topics: Humans; Intensive Care Units, Neonatal; Parents; Practice Guidelines as Topic
PubMed: 31679859
DOI: 10.1016/j.earlhumdev.2019.104911 -
The Journal of Clinical Psychiatry Jun 2017Herein we provide the 2015 update for the Florida Best Practice Psychotherapeutic Medication Guidelines (FPG) for major depressive disorder (MDD). The FPG represent... (Review)
Review
OBJECTIVE
Herein we provide the 2015 update for the Florida Best Practice Psychotherapeutic Medication Guidelines (FPG) for major depressive disorder (MDD). The FPG represent evidence-based decision support for practitioners providing care to adults with MDD.
PARTICIPANTS
The consensus meeting included representatives from the Florida Agency for Health Care Administration (FAHCA), advocacy members, academic experts in MDD, and multidisciplinary mental health clinicians, as well as health policy experts. The FAHCA provided funding support for the FPG.
EVIDENCE
Evidence was limited to results from adequately powered, randomized, double-blind, placebo-controlled trials; in addition, pooled-, meta-, and network-analyses were included. Recommendations were based on consensus arrived at by the multistakeholder Florida Expert Panel. Articles selected were identified on the electronic search engine PubMed with the dates 2010 to present. The search terms were major depressive disorder, psychopharmacology, antidepressants, psychotherapy, neuromodulation, complementary alternative medicines, pooled-analysis, meta-analysis, and network-analysis. Bibliographies of the identified articles were manually searched for additional citations not identified in the original search.
CONSENSUS PROCESS
A consensus meeting comprising all representatives took place on September 25-26, 2015, in Tampa, Florida. Guiding principles (eg, emphasis on the most rigorous evidence for efficacy, safety, and tolerability) were discussed, defined, and operationalized prior to review of extant data. As MDD often pursues a recurrent and chronic course, principles of practice, measurement-based care, and comprehensive assessment and management of overall physical and mental health were emphasized. Evidence supporting pretreatment major depressive episode specifiers (eg, mixed features, anxious distress) and the role of pharmacogenomics (and other biological-behavioral markers) in informing treatment selection were comprehensively discussed. Algorithmic priority was assigned to agents with relatively greater therapeutic index (ie, efficacy) and minimal propensity for safety and tolerability disadvantages.
CONCLUSIONS
The updated 2015 FPG provide concise, pragmatic, evidence-based decision support for treatment selection and sequencing for adults with MDD. Principles of practice include measurement-based care, priority to both psychiatric and medical comorbidity, identification of DSM-5-defined specifiers (eg, mixed features), suicide risk assessment, and evaluation of cognitive symptoms. The FPG have purposefully aimed to minimize emphasis on "expert opinion" and instead differentially emphasized extant evidence for pharmacologic treatments.
Topics: Adult; Antidepressive Agents; Consensus Development Conferences as Topic; Depressive Disorder, Major; Evidence-Based Medicine; Florida; Humans; Practice Guidelines as Topic
PubMed: 28682531
DOI: 10.4088/JCP.16cs10885 -
Nursing TimesThis article examines the development of a best practice statement on the care of patients with a tracheostomy. It outlines key elements of care, including the context... (Review)
Review
This article examines the development of a best practice statement on the care of patients with a tracheostomy. It outlines key elements of care, including the context in which care is given. This best practice statement is part of a series of such documents produced by the former Scottish Nursing and Midwifery Practice Development Unit, which has now merged with four other clinical effectiveness organisations to form NHS Quality Improvement Scotland (NHSQIS).
Topics: Humans; Lung Diseases; Practice Guidelines as Topic; Specialties, Nursing; Tracheostomy
PubMed: 12961937
DOI: No ID Found -
The Laryngoscope May 2014
Review
Topics: Acute Disease; Adolescent; Algorithms; Child; Child, Preschool; Diagnostic Imaging; Humans; Infant; Mastoiditis; Practice Guidelines as Topic
PubMed: 23852990
DOI: 10.1002/lary.24306 -
The American Journal of Medicine Mar 2017
Topics: Algorithms; Clinical Competence; Electronic Health Records; Humans; Practice Guidelines as Topic
PubMed: 27640740
DOI: 10.1016/j.amjmed.2016.08.035 -
Medsurg Nursing : Official Journal of... Jan 2017The first aim of this literature review was to determine if nurse res- idency programs are effective in supporting newly licensed nurses in the transition to... (Review)
Review
The first aim of this literature review was to determine if nurse res- idency programs are effective in supporting newly licensed nurses in the transition to professional practice. The second aim was to establish best practice of nurse residency programs.
Topics: Adult; Clinical Competence; Education, Nursing, Graduate; Female; Humans; Internship and Residency; Male; Middle Aged; Nursing Care; Nursing Staff, Hospital; Practice Guidelines as Topic
PubMed: 30351576
DOI: No ID Found -
Journal of Intellectual Disabilities :... Sep 2019
Topics: Caregivers; Family; Humans; Intellectual Disability; Practice Guidelines as Topic; Professional-Family Relations; Social Support
PubMed: 31496386
DOI: 10.1177/1744629519874217 -
Journal of Manipulative and... Nov 2019The purpose of this study was to develop best-practice recommendations for chiropractic management of adults with neck pain.
OBJECTIVE
The purpose of this study was to develop best-practice recommendations for chiropractic management of adults with neck pain.
METHODS
A steering committee of experts in chiropractic practice, education, and research drafted a set of recommendations based on the most current relevant clinical practice guidelines. Additional supportive literature was identified through targeted searches conducted by a health sciences librarian. A national panel of chiropractors representing expertise in practice, research, and teaching rated the recommendations using a modified Delphi process. The consensus process was conducted from August to November 2018. Fifty-six panelists rated the 50 statements and concepts and reached consensus on all statements within 3 rounds.
RESULTS
The statements and concepts covered aspects of the clinical encounter, ranging from informed consent through diagnosis, assessment, treatment planning and implementation, and concurrent management and referral for patients presenting with neck pain.
CONCLUSIONS
These best-practice recommendations for chiropractic management of adults with neck pain are based on the best available scientific evidence. For uncomplicated neck pain, including neck pain with headache or radicular symptoms, chiropractic manipulation and multimodal care are recommended.
Topics: Adult; Chiropractic; Clinical Protocols; Consensus; Headache; Humans; Informed Consent; Manipulation, Chiropractic; Neck Pain; Practice Guidelines as Topic
PubMed: 31870638
DOI: 10.1016/j.jmpt.2019.08.001