Library launches new page: Understanding Evidence

If critical appriasal, referencing and ‘p’ values aren’t exactly top of your list of strengths, then take a look at the latest page to be added to the Library website – Understanding Evidence.

Having good study skills and knowing where to look for evidence based information is essential when it comes to reducing the hassle of assignments and improving your CPD experience.  This page has lots of useful links where you can find the necessary help you need.

Take a look at:

Commission on dignity in care gets underway

The NHS Confederation, Local Government Association (LGA) and Age UK has announced details of their joint commission on improving dignity in care for older patients in hospitals and care homes.

The Commission is part of an initiative from the three organisations called the Partnership on Dignity in Care.  It will examine why some organisations fail to treat older people with dignity and make practical recommendations for improvement.

Kings Fund: Close to home

Equality and Human Rights Commission (EHRC) Close to home: an inquiry into older people and human rights in home care. The inquiry has found that although many older people receive care at home which respects and enhances their human rights, this is by no means a universal experience. It uncovered areas of concern in the treatment of some older people and shortcomings in the way that care is commissioned by local authorities. Full report Executive summary EHRC – inquiry into home care of older people EHRC – press release

Kings Fund: 25 November

Royal College of Obstetricians and Gynaecologists (RCOG)

The care of women requesting induced abortion: evidence-based clinical guideline number 7
These guidelines are for all healthcare professionals and aim to ensure that all women considering induced abortion have access to a high quality service based on national standards. The recommendations cover commissioning and organising services, possible side effects and complications, pre-abortion management, abortion procedures and follow up care.

National Institute for Health and Clinical Excellence (NICE)

Caesarean section
NICE has published an update to its existing guidelines on caesarean section. It is hoped that these new recommendations mean more women may avoid unnecessary surgery and that changes in practice will reduce post-operative infections. It also recognises that mental health issues, as well as physical conditions, are possible indications for caesarean section.

Royal College of Midwives

State of maternity services report 2011
This report looks at a number of indicators of the pressures on maternity care and the resources available to cope in each of the four United Kingdom countries. It finds that a significant increase in the number of births in each of the four countries, and a trend towards older mothers, is increasing the pressures on maternity care throughout the UK. In England, and in the last few years Wales, this has led to a substantial deficit in the workforce needed to provide a safe level of care to women and their babies.

King’s Fund: Sustainability portal

NHS Sustainable Development Unit

NHS sustainability portal
University College London Hospitals and Building Research Establishment have set up a web portal to help Trusts and other healthcare organisations cut carbon emissions, energy use and operate more efficiently. It will give healthcare organisations access to methodologies, processes and information inspired by and developed in the style of Marks and Spencer’s Plan A.

A Critical Pathway for the Frail Elderly Cardiac Patient

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine:
December 2011 – Volume 10 – Issue 4 – pp 159-163

A Critical Pathway for the Frail Elderly Cardiac Patient
Wit, Mirjam MSc; Schaap, Annet MSc; Umans, Victor MD, PhD, FACC


Background: The medical community needs to better respond to the predictable complexities associated with admission of frail and elderly cardiac patients who may need specific attention and care programs. The nurse practitioner can play an important role to continue and coordinate nursing and medical care. We propose a new critical pathway designed to improve cardiac and nursing care for frail elderly cardiac patients admitted with heart failure or atrial fibrillation.

Method: The critical pathway is developed by the nurse practitioner who will act as a pathway coordinator and take care of the medical care of these patients in a teaching hospital setting. This critical pathway is applied to all patients aged >75 years who are admitted for heart failure or atrial fibrillation.

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Patient safety in patients who occupy beds on clinically inappropriate wards: a qualitative interview study with NHS staff

Article published in BMJ
Accepted 15 October 2011
Published Online First 18 November 2011

Objective To explore NHS staff members’ perceptions and experiences of the contributory factors that may underpin patient safety issues in those who are placed on a hospital ward that would not normally treat their illness (such patients are often called ‘outliers’ ‘sleep outs’ or ‘boarders’).

Design Qualitative study using semi-structured interviews.

Setting A single large teaching hospital in the north of England.

Participants 29 members of NHS staff (doctors, nurses and non-clinical or management staff).

Cancer genetics project launched

A new initiative to develop personalised cancer treatment has been launched. The experimental project has been designed to develop a screening program to test tumours for key genetic changes. It is hoped that in the future the results of such tests would influence treatment programmes, helping doctors choose the best drug for each person.