Fall 2016

Sleep Apnea and Hand Hygiene


This is the first issue of our free evidence-based Nursing Reference Center Update. You are receiving this newsletter because you are a subscriber of CINAHL and/or Nursing Reference Center. We will periodically send news on the latest evidence in nursing. Please share this with your colleagues, students, practitioners and others who would appreciate awareness of this information. 

Nursing Reference Center Systematic Literature Surveillance

Each week the Nursing Reference Center Editorial Team reviews and evaluates thousands of articles for inclusion within our evidence-based content to deliver to you the best available evidence at the point-of-care.

Evidence-Based Content Update

Recently twenty-six papers (quick lessons and evidence-based care sheets) were revised following review under the systematic literature surveillance program. Eight of the papers (Asthma, Adult; Falls, Accidental: Risk Assessment; Alzheimer's Disease; Chylothorax series  [in Children; Neonatal; and Postoperative]; and Insomnia) are accompanied by continuing education modules.
Information of particular value to nursing practice includes the Joint Guidelines that were issued by the Royal College of Nursing in Australia concerning the role of nursing in the influenza pandemic, which can be accessed in its entirety here. Additionally, a recent study, as reported in the evidence-based care sheet, Falls, Accidental: Risk Assessment, established the benefit of functional mobility tests for predicting falls.

Influenza Evidence-Based Information Portal

View the recently released free information portal on influenza, which includes content from Nursing Reference Center, specifically content on the 2009 pandemic, an influenza overview, and much more! 

Nursing Reference Center in Daily Practice

Sleep Apnea

Mrs. H is worried about her husband's sleep patterns. He snores loudly and then seems to stop breathing for as long as 40 seconds, several times each night. She is concerned about his health. 

The primary care nurse practitioner suspects sleep apnea and consults Nursing Reference Center, searching the keywords "Sleep Apnea."

Quick Lesson - Sleep Apnea: An Overview
She reads about 3 kinds of sleep apnea: obstructive, central, and mixed. Then, she reviews pertinent risk factors for sleep apnea: family history of sleep apnea and obesity. After reading about diagnostic tests, she schedules a polysomnogram.

She prints the patient handout Sleep Apnea for both Mr. and Mrs. H.

Hand Hygiene in the Care of Hospitalized Patients

There is hardly a health care professional today that is not aware of the critical importance of proper hand hygiene. Patients exposed to persistent, virulent microorganisms in hospitals, such as methicillin-resistant staphylococcus aureus (MRSA), are at risk for developing nosocomial (hospital-acquired infections) and their resultant complications. 

In recent years, studies showed us that compliance with hand washing procedures, using soap and water before and after direct patient contact, was less than 50% and so we developed stricter protocols in response, including monitoring by colleagues! 

Now there is widespread use of alcohol-based hand rubs instead of soap and water. We learned that using soap and water may have been a "best practice," but that it wasn't an evidence-based solution to curtailing the spread or microorganisms. There was a scientific reason to support changing infection control policy: teaching evidence-based practice at the most basic level - washing one's hands.

Using alcohol-based hand rubs is far more effective than hand washing for removing bacteria, viruses, fungi, and multiple drug resistant microorganisms from the skin. Moreover, alcohol-based products can be used anywhere by dispenser, eliminating the need for water and a mechanism for drying hands. 

Most hospitals today are equipped with dispensers containing alcohol gels or foam. They are found at the bedside, at nurses' stations, near elevators, and in highly visible areas, such as entryways to patient units. We also see them in hotels, airports, and other public areas.

Proper hand hygiene using alcohol-based products is easier, faster, and more effective in removing microorganisms from the hands, whether in or out of the hospital setting; it has health benefits for all.

Please login to Nursing Reference Center to read the Evidence-based Care Sheet on Hand Hygiene.

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