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"The power to question is the basis of all human progress"
Indira Gandhi

 

Nursing skill mix associated with better patient outcomes

This European study examined the "association of hospital nursing skill mix with patient mortality, patient ratings of their care and indicators of quality of care". The work involved a "survey of adult acute care hospitals in Belgium, England, Finland, Ireland, Spain and Switzerland covering 13,077 nurses in 243 hospitals, and 18,828 patients in 182 of the same hospitals with discharge data for 275,519 surgical patients in 188 of these hospitals". Authors concluded "reducing nursing skill mix by adding nursing associates and other categories of assistive nursing personnel without professional nurse qualifications may contribute to preventable deaths, erode quality and safety of hospital care and contribute to hospital nurse shortages."

Source: BMJ Quality & Safety 2016; online first: 15 November

 

Breast cancer: safety of adipose fat transfer

There are concerns around the safety of adipose fat transfer (AFT) after breast cancer surgery. This systematic review finds a "remarkable contradiction between experimental and clinical findings". Authors caution that the long-term oncological safety of AFT remains unclear despite current clinical studies showing promising results.

Source: Breast 2016; 31: 128-136
Link to full text is available with ClinicalKey remote access when you are offsite
Link to journal via Library barcode/PIN

Further reading:
Research needs in breast cancer
Twelve priority areas for clinical research in breast cancer are outlined in an attempt to focus and accelerate future research.
Source: Annals of Oncology 2016; online first: 9 November

 

Drug-caused deaths in health practitioners

"There are numerous factors putting health-care professionals (HCP) at a higher risk of substance abuse and premature death, including high-stress jobs, access to controlled substances, long hours of practice and constant contact with the critically ill. This study aimed to examine fatal drug toxicity in this high-risk cohort, in order to: (1) estimate the rate of drug-caused deaths of Australian HCPs; (2) describe the key characteristics of the cohort; and (3) examine the relationship between HCP occupation and drug type, or intent."

Source: Addiction 2016; online first: 20 November

 

Intimate partner violence – what is our role?

Approximately 85% of the survivors of intimate partner violence (IPV) are female and research indicates IPV is an underreported phenomenon. A qualitative systematic review examined abuse experienced by women across the lifespan. The findings indicate that "in the presence of a supportive atmosphere, women interpret talking about abuse as a healing experience, despite being initially distressing, because they feel empowered by an increased sense of self-worth". The authors highlight that mental health nurses in particular are "instrumental in collecting valuable information that can then be used to tailor each individual's treatment plan and assist clinicians in providing trauma-informed care to women who have experienced abuse."

Source: Journal of Psychiatric and Mental Health Nursing 2016; online first: 18 November

Further reading:
The Culture of Pretence: A hidden barrier to recognising, disclosing and ending domestic violence
Recent research from Australia indicates the barriers which impede women from disclosing abuse are complex.
Source: Journal of Clinical Nursing 2016; online first: 9 August

‘They aren't really black fellas but they are easy to talk to': Factors which influence Australian Aboriginal women's decision to disclose intimate partner violence during pregnancy
"Strategies are needed to build cultural safety to counter widespread racism and promote safe opportunities for Indigenous women to disclose intimate partner violence and receive support."
Source: Midwifery 2016; 41:79-88
Full text available for Austin & MHW Heidelberg staff via document delivery

Screening women for intimate partner violence in healthcare settings
Some governments and professional organisations recommend screening all women for intimate partner violence (IPV) rather than asking only women with symptoms. This systematic review examines the evidence for whether screening benefits women.
Source: Cochrane Database of Systematic Reviews 2015; 7: CD007007

 

Will it work here? Perspectives on quality improvement

This perspective paper provides an overview of appropriate research methods, tips to translate into practice; and evaluation of a quality improvement project. The article takes a consumer-centred approach and is intended to "generate debate about how best to provide valid answers to the broad range of improver's questions".

Source: International Journal for Quality in Health Care 2016; online first 10 November

 

Did you know?

ClinicalKey is a clinical search engine designed to support health professionals in point of care decision making. Access is available via the Library. In 2017/18 Austin Health will be reviewing our subscription to ClinicalKey.
Your feedback on this product would be useful and if you complete the survey by 3 December 2016 you have a chance to win a $50 Westfield Gift Card.

2016 ClinicalKey Experience Survey

 

Austin Health Research Online - recent submissions

ASPREE-NEURO study protocol: a randomized controlled trial to determine the effect of low-dose aspirin on cerebral microbleeds, white matter hyperintensities, cognition, and stroke in the healthy elderly
Ward SA, Raniga PF, Nicholas J, et al. International Journal of Stroke 2016; online first: 15 September

Safe sex messages within dating and entertainment smartphone apps: a review
Huang ET, Williams H, Hocking JS, et al. JMIR mHealth and uHealth 2016; 4(4): e124

A randomised controlled trial of supplemental oxygen versus medical air during exercise training in people with chronic obstructive pulmonary disease: supplemental oxygen in pulmonary rehabilitation trial (SuppORT) (Protocol)
Alison JA, McKeough ZJ, Jenkins SC, at el. BMC Pulmonary Medicine 2016; 16: 25

Workplace chemical and toxin exposures reported to a Poisons Information Centre: a diverse range causing variable morbidity
Ling SL, Taylor DM, Robinson J. European Journal of Emergency Medicine 2016; online first: 18 October
Full text available for Austin & MHW Heidelberg staff via document delivery

See more at AHRO, Austin Health Research Online

 

eBooks spotlight

Andrews' diseases of the skin : clinical dermatology / William D. James, Timothy G. Berger, Dirk M. Elston. - 12th ed., Elsevier 2016.
This edition includes videos of surgical techniques, new images of skin conditions and guidelines from the American Society of Dermatology.

High risk pregnancy : management options / edited by David James ... [et al]. - 4th ed., Elsevier Saunders, 2011.
Presents an evidence-based approach to managing complications in pregnancy using the available options, equipping you with the most appropriate strategy for each patient.

Rich's vascular trauma / edited by Todd E Rasmussen, Nigel R.M. Tai - 3rd ed., Elsevier, 2016.
Providing current and comprehensive coverage of the management of vascular trauma, this text explores the clinical implications of vascular injury throughout all phases of trauma care. .

 

Journals spotlight

These links provide access to the current table of contents:

Advances in Neonatal Care

Blood Pressure

Child and Adolescent Mental Health

Journal of Family Violence

JAMA

Journal of Asthma

Lancet

Sleep and Breathing

Violence and Gender

Looking for the latest journal issues?

All our journal titles with electronic access are available via the Journal List
(outside the Austin Health network use your Library barcode no. & PIN for access)

If you require an article from a journal that is not in the Journal List, please use our online document delivery form.

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The Austin Health Sciences Library accepts no liability for the information or advice provided by external links. Links are provided on the basis that readers make their own decisions about the accuracy, currency and reliability of the information contained therein. Any opinions expressed are not necessarily those of Austin Health.