Jennifer DeBerg

Five-Year Bibliometric Review of Genomic Nursing Science Research.

PURPOSE This bibliometric review profiles the focus, dissemination, and impact of genomic nursing science articles from 2010 to 2014. DESIGN Data-based genomic nursing articles by nursing authors and articles by non-nurse principal investigators funded by the National Institute of Nursing Research were categorized into the Genomic Nursing Science Blueprint nursing areas. METHODS Bibliometric content analysis was used. FINDINGS A total of 197 articles met the inclusion criteria. Of these, 60.3% were on biologic plausibility, 12.1% on client self-management, 11.1% on decision making or decision support, 8.1% on family, and 4.0% on communication, with the remaining 4.0% of articles focused on other topics. Few (11.6%) addressed healthcare disparities in the study purpose. Thirty-four references (17.2%) were cited 10 or more times. CONCLUSIONS Research-based genomic nursing science articles are in the discovery phase of inquiry. All topics were investigated in more than one country. Healthcare disparities were addressed in few studies. Research findings from interdisciplinary teams were disseminated beyond nursing audiences, with findings addressing biologic discovery, decision making or support, and family being cited most frequently. Gaps in the reviewed articles included cross-cutting themes, ethics, and clinical utility. Interdisciplinary research is needed to document clinical and system outcomes of genomic nursing science implementation in health care. CLINICAL RELEVANCE Although the review identifies areas that are encountered in clinical practice, relevance to practice will depend on evaluation of findings and subsequent development of clinical guidelines.

Effectiveness of active and passive warming for the prevention of inadvertent hypothermia in patients receiving neuraxial anesthesia: A systematic review and meta-analysis of randomized controlled trials

OBJECTIVE Perioperative hypothermia is a common complication of anesthesia that can result in negative outcomes. The purpose of this review is to answer the question: Does the type of warming intervention influence the frequency or severity of inadvertent perioperative hypothermia (IPH) in surgical patients receiving neuraxial anesthesia? DESIGN Systematic review and meta-analysis. SETTING Perioperative care areas. PATIENTS Adults undergoing surgery with neuraxial anesthesia. INTERVENTION Perioperative active warming (AW) or passive warming (PW). MEASUREMENTS PubMed, CINAHL, Embase, and Cochrane Central Register of Controlled Trials were searched. Inclusion criteria were: randomized controlled trials; adults undergoing surgery with neuraxial anesthesia; comparison(s) of AW and PW; and temperature measured at end of surgery/upon arrival in the Postanesthesia Care Unit. Exclusion criteria were: no full-text available; not published in English; studies of: combined neuraxial and general anesthesia, warm intravenous or irrigation fluids without using AW, and rewarming after hypothermia. Two independent reviewers screened abstracts and titles, and selected records following full-text review. The Cochrane Collaborations tool for assessing risk of bias was used to evaluate study quality. A random-effects model was used to calculate risk ratios for dichotomous data and mean differences for continuous data. MAIN RESULTS Of 1587 records, 25 studies (2048 patients) were included in the qualitative synthesis. Eleven studies (1189 patients) comparing AW versus PW were included in the quantitative analysis. Meta-analysis found that intraoperative AW is more effective than PW in reducing the incidence of IPH during neuraxial anesthesia (RR=0.71; 95% CI 0.61-0.83; p<0.0001; I2=32%). The qualitative synthesis revealed that IPH continues despite current AW technologies. CONCLUSIONS During neuraxial anesthesia, AW reduces IPH more effectively than PW. Even with AW, IPH persists in some patients. Continued innovation in AW technology and additional comparative effectiveness research studying different AW methods are needed.

Hospital Noise: How Librarians Can Help

Historically, librarians have been known for maintaining quiet spaces. A twist on the evolution of this role puts librarians on the frontline in hospitals on committees with charges of improving patient satisfaction, which may include noise reduction. In this article, details about the existence of hospital noise and its impact on patient recovery and satisfaction will be shared. The relationship between satisfaction and reimbursement rates will be explained, in order to enhance understanding of a problem that is a priority for many hospitals in the nation. The authors will describe noise reduction methods employed by a teaching hospital in the Midwest, involving partnerships between the hospital librarian and groups both within and outside the hospital. Findings from a review of the evidence will be shared, along with the description of an initiative to reduce noise and improve satisfaction. Outcomes from the noise reduction program will be conveyed, along with challenges, lessons learned, and future plans.

Tobacco use and risk of wound complications and periprosthetic joint infection: A systematic review and meta-analysis of primary TJA procedures

BACKGROUND The purpose of this study was to perform a systematic review and meta-analysis to quantitatively assess the association between tobacco use and the risk of any wound complication and periprosthetic joint infection (PJI) after primary total hip and total knee arthroplasty procedures. METHODS Relevant articles published before January 2018 were identified by systematically searching PubMed, EMBASE, and Cochrane library databases. Pooled odds ratios (OR) and 95% confidence intervals were calculated for end points of any wound complication and PJI. Additional analyses were performed to evaluate risks between current, former, and non-tobacco users. RESULTS Fourteen studies were included in the meta-analysis. Tobacco users had a significantly higher risk of wound complications (OR, 1.78 [1.32-2.39]) and PJI (OR, 2.02 [1.47-2.77]) compared to non-tobacco users. Compared to non-tobacco users, there was an increased risk of PJI among current (OR, 2.16 [1.57-2.97] and former (OR, 1.52 [1.16-1.99]) tobacco users. Current tobacco users also had a significantly increased risk of PJI compared to former tobacco users (OR, 1.52 [1.07-2.14]). CONCLUSION Tobacco use before total hip and total knee arthroplasty significantly increases the risk of wound complications and PJI. This increased risk is present for both current and former tobacco users. However, former tobacco users had a significantly lower risk of wound complications and PJI compared to current tobacco users, suggesting that cessation of tobacco use before TJA can help to mitigate these observed risks.

The Perils of Predatory Publishing: Views and Advice from an Editor and a Health Sciences Librarian

In the last ten years scholarly publishing has experienced a significant transformation due in part to increased internet access. In the past, articles were primarily available in print form only, but now there are journals solely published online. With the new open-access model, more articles from all disciplines are now freely available through the Internet and not restricted by subscriptions that limit access (Beall, 2016). Predatory publishers often exhibit questionable practices with a major incentive to collect fees from authors for publishing their articles (Shen & Bjork, 2015). Those most at risk are newer authors who are not familiar with this practice. A bigger concern is how predatory publishers are affecting the science that underpins our practice and decision-making. We assume that published articles are of high quality and based on good scholarship/scientific methods. Unfortunately this may not always be true. Professionals in all disciplines need to and be aware of predatory publishers and wary of what they are reading. To gain a better understanding of predatory publishing in nursing,Oermann andcolleagues (2016) attempted to identify all known nursing predatory journals and determine their distinguishing characteristics. They discovered there are 140 predatory nursing journals with the greatest increase occurring in the last few years (27 in 2014, 54 in 2015). This trend will likely continue. Plus, many of the predatory journals Oermann, et al. (2016) identified had one to two volumes and then either ceased to exist and/or reduced the number of issues. In addition, they learned that India (12.8%) and the U.S. (12.6%) have the most predatory publishers.

Assessment of Service Desk Quality at an Academic Health Sciences Library

ABSTRACT Due to an identified need for formal assessment, a small team of librarians designed and administered a survey to gauge the quality of customer service at their academic health sciences library. Though results did not drive major changes to services, several important improvements were implemented and a process was established to serve as a foundation for future use. This article details the assessment process used and lessons learned during the project.