Evidence based practice updates - 4 April 2013

New guidelines, research and other tools and updates on evidence based techniques and processes from across the UK. For more information about this theme see Quality and Safety eBulletin: evidence based practice.

Some of the resources linked to are in PDF format - see how to access PDF files.

Implementation Science: Developing the next generation of dissemination and implementation researchers: insights from initial trainees. Dissemination and implementation (D&I) research is a relatively young discipline and there are several challenges in designing formal training programs and career development in this area. The authors of this study, published in Implementation Science, looked into fellows’ perception of the usefulness of different types of training and support in fostering career advancement in D&I.

NHS Evidence: Evidence updates: Two new updates on:

NICE clinical guideline: Conduct disorders in children and young people (CG158). This guideline updates and replaces 'Parent-training/education programmes in the management of children with conduct disorder' (NICE technology appraisal guidance 102, published June 2006). It offers evidence-based advice on the recognition and management of conduct disorders in children and young people.
Press release: Parents need greater support to manage conduct disorders.
Pathway: Antisocial behaviour and conduct disorders in children and young people overview.

NICE: New quality standards published.

Diagnosis and management of venous thromboembolic diseases (QS29). This quality standard defines clinical best practice within this topic area. It provides specific, concise quality statements, measures and audience descriptors to provide the public, health and social care professionals, commissioners and service providers with definitions of high-quality care. This quality standard covers the diagnosis and treatment of venous thromboembolic diseases in adults, excluding pregnant women. For prevention of VTE see the NICE quality standard for the prevention of VTE.
Care of people with dementia (QS30). This quality standard covers the care and support of people with dementia. It applies to all social care settings and services working with and caring for people with dementia. It should be read alongside the NICE Dementia quality standard (QS1) which covers care provided by health and social care staff in direct contact with people with dementia in hospital, community, home-based, group care, residential or specialist care settings.
Health and wellbeing of looked after children (QS31). This quality standard defines best practice for the health and wellbeing of looked-after children and young people. It covers the health and wellbeing of looked-after children and young people from birth to 18 years and care leavers (including young people planning to leave care or under leaving care provisions). It applies to all settings and services working with and caring for looked-after children and young people, and care leavers, including where they live.
Hypertension (QS28). This quality standard defines clinical best practice within this topic area. It provides specific, concise quality statements, measures and audience descriptors to provide the public, health and social care professionals, commissioners and service providers with definitions of high-quality care. This quality standard covers the management of primary hypertension in adults, including diagnosis and investigations, treatment to reduce risk of cardiovascular disease, monitoring of treatment efficacy, and specialist referral.

PLoS Medicine: Changing Patterns in Place of Cancer Death in England: A Population-Based Study. Most patients with cancer prefer to die at home or in a hospice, but hospitals remain the most common place of death (PoD).This study aims to explore the changing time trends of PoD and the associated factors, which are essential for end-of-life care improvement.

SIGN clinical guideline: SIGN has published two new guidelines.

Guideline 132: Long term follow up of survivors of childhood cancer. This guideline is applicable to all people who have survived cancer in childhood, and who may experience late effects that are related to the treatment received. It is aimed at primary care staff who provide health care for cancer survivors, as well as secondary care and long term follow-up clinic staff.
Guideline 131: Management of schizophrenia. This guideline provides evidence based recommendations for the care and treatment of adults with schizophrenia. Topics include: dual diagnosis, access and engagement, pharmacological interventions, psychological therapies and perinatal issues.