News items that focus on evidence based practice
This theme explores what it means to practise in line with best available evidence. It highlights evidence based practice guidelines, research and other tools and updates on evidence based techniques and processes from across the UK. International content from credible resources is also included.
BMC Medical Education
Clinical reasoning is a key competence in medicine. There is a lack of knowledge, how non-experts like medical students solve clinical problems. It is known that they have difficulties applying conceptual knowledge to clinical cases, that they lack metacognitive awareness and that higher level cognitive actions correlate with diagnostic accuracy.
BMC Medical Informatics and Decision Making
Clinicians frequently make decisions when the outcome is uncertain, and loss aversion may influence choices. This study explores the extent to which prospect theory, loss aversion, and probability information in a non-clinical domain explains clinical decision making under uncertainty.
The aim of this study was to explore how nurses document nutritional treatment and care for elderly patients in hospitals and how nurses and undergraduate nurses communicate information about patients’ nutritional status when elderly patients are transferred between hospital and nursing homes.
This quality standard covers the diagnosis and management of hip fracture in adults (aged 18 years and over). It describes high-quality care in priority areas for improvement. It does not cover the prevention of hip fracture, which is covered in osteoporosis and falls in older people.
This guideline covers assessing and managing low back pain and sciatica in people aged 16 and over. It outlines physical, psychological, pharmacological and surgical treatments to help people manage their low back pain and sciatica in their daily life.
This guideline covers how to improve services for people aged 14 and above who have been diagnosed as having coexisting severe mental illness and substance misuse. The aim is to provide a range of coordinated services that address people’s wider health and social care needs, as well as other issues such as employment and housing..
National Institute for Health Research
Stroke patients, who are more susceptible to pneumonia, could benefit from a trial funded by the NIHR HTA Programme. Pneumonia is a major cause of death and disability after stroke and is mainly caused by inhaling saliva containing bacteria, or gastric content following vomiting or regurgitation when the patient cannot swallow safely.
NIHR and James Lind Alliance
‘What are the most effective ways to help people with alcohol-related liver disease stop drinking?’ is the top priority question for alcohol-related liver disease research, according to new results from the JLA’s Alcohol-Related Liver Disease Priority Setting Partnership (PSP).
Families of people dying in intensive care need to receive personalised communication and ongoing support, and be involved in the dying process.
Providing a set of additional fluoride-based treatments at dental appointments for children aged two to three years was no better than health education at preventing tooth decay.
Exercise therapy may improve balance for people in the chronic phase of recovery six or more months after stroke. The most effective training regimens seem to be those that focus on balance, weight shifting and gait training.