Read this thread for key points from an #EBHC impact
story on how health outcomes were improved for
adolescents with #SickleCellDisease.
Sickle cell disease is a serious, inherited, lifelong condition that affects most countries in the African region. It is associated with a very high rate of mortality of about 50-90% & lifelong morbidity. In some areas of sub-Saharan Africa, up to 2% of all children are born SCD.
Adolescents with sickle cell disease have the highest rate of morbidity as they struggle to manage their condition through early recognition of signs & symptoms, when to seek medical care & in practicing routine selfcare behaviours.
Chikondi Chimbatata, an Advanced Childhood Nurse in Malawi, implemented #EBP focusing on adolescents with sickle cell disease as they transition from paediatric primary to adult primary care.
Evidence suggests that adolescents with sickle cell disease have limited disease knowledge. Therefore, these patients may benefit from educational interventions given that they are transitioning to take increasing responsibility for their own condition.
Chikondi conducted a clinical audit at her hospital which demonstrated that current health education practices by nurses were suboptimal in part due to inadequate knowledge & limited opportunity for education & counselling. There were no existing guidelines for use by nurses.
Structured education and training programs were conducted not only for the adolescents, but also for healthcare professionals caring for adolescents with sickle cell disease in order to improve adolescents’ disease knowledge and #EBP self-care management practices.
Adolescents who attended the interactive education sessions facilitated by the nurses increased their knowledge of sickle cell disease from 26% to 72%. Importantly, their knowledge of self-care practices increased from 20% to 74%.
Want to know more? Read Chikondi’s impact story and watch her impact story video at jbi.global/our_impact/sto…
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🧵Globally, migrant nurses and midwives make up a significant proportion of healthcare workers, and trends indicate an exponential rise in #nurse & #midwife migration globally. #JBIEBHC 1/8
The @WHO healthcare workforce report predicts a shortfall of ~ 6 million nurses by 2030 2/8
Many countries rely on nurse and midwife migration to manage their shortfall of healthcare professionals 3/8
🧵In hospitals, paediatric patients aged 1-3 are at higher risk of falls, with most falls occurring from an inpatient bed in the presence of a caregiver #JBIEBHC 1/6
JBI Evidence Summaries bring together world-class evidence in a single, easy to read summary crafted by review experts and are found in the JBI #EBP Database wolterskluwer.com/en/know/jbi-re… @ovid_wkhealth
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On #IND2022 we reflect on JBI’s origins as the ‘Joanna Briggs Institute for Evidence Based Nursing’ and the continuing importance, 25 years on, of evidence-based nursing research and clinical practice #JBIEBHC 🧵 1/7
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‘When I was involved in setting up JBI in the 1990s, #EBM was increasingly adopted across the world, but #EBN was in its infancy. Since then, JBI has played a stellar role in developing great models and systems to support the implementation of evidence into nursing practice' 3/7
Read this Tweetorial on relative ranks for methodological quality assessment by Jennifer Stone, Research Fellow in the JBI #EBHC Research Division, for #JBImethodology month 1/7
Did you know that there’s an alternative bias assessment method for primary studies in meta-analyses and systematic reviews that does not require reviewer judgments? 2/7
This approach uses relative ranks that are based on quality counts.
#Qualitative evidence synthesis seeks to provide an understanding of meanings, practices and processes associated with social experience, behaviour and culture 2/10
Qualitative evidence synthesis involves the identification and synthesis of qualitative studies to provide insights related to a focused question 3/10
A/Prof Edoardo Aromataris gives key points on umbrella reviews in this tweetorial. #JBImethodology
With the ever-increasing number of systematic reviews and research syntheses available to inform topics in healthcare, SRs of existing reviews, or #umbrellareviews, are increasingly being conducted to summarise a broad scope of issues related to a given topic.
An umbrella review is also ideal in highlighting if the evidence base around a topic or question is consistent or if contradictory or discrepant findings exist, and in exploring and detailing the reasons why.