Issue 18: August 2010.

High Impact Actions - learn from the contributors
Two conferences in September will give you the opportunity to learn from some of the speakers who have either contributed to the High Impact Actions case studies, or submitted examples of high quality and cost effective care:
A Practical Guide to Improving Nutrition and Hydration on the Wards:
Tuesday 7th September 2010 at 20 Cavendish Square, London.

Frustration at lag in stroke rehabilitation
Inadequate rehabilitation services are undermining improvements in hospital care for people who have had a stroke, says a new report.

Circuit class therapy for improving mobility after stroke
An intervention review to examine the effectiveness and safety of CCT on mobility in adults with stroke.
English C, Hillier SL. Circuit class therapy for improving mobility after stroke. Cochrane Database of Systematic Reviews 2010, Issue 7.

Speech and language therapy for aphasia following stroke
An intervention review to assess the effectiveness of speech and language therapy (SLT) for aphasia following stroke.
Kelly H, Brady MC, Enderby P. Speech and language therapy for aphasia following stroke. Cochrane Database of Systematic Reviews 2010, Issue 5. Edited (no change to conclusions), published in Issue 7, 2010.

Clinical therapeutics review: Acupuncture for lower back pain
The Clinical Therapeutics review in this month’s NEJM looks at acupuncture for lower back pain. As always with the articles in this series, the authors start by describing an example patient and follow by summarising current evidence on treatment of the condition including the specific mode of therapy involved.
New England Journal of Medicine 2010; 363: 454-6
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Insufficient evidence to recommend routine adjunctive chest physiotherapy for adults with pneumonia.
Fleming S, Morgan G
Evidence-Based Nursing, 01 July 2010, vol./is. 13/3(73-74).
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The role of teamwork and communication in the emergency department: a systematic review.
Kilner E, Sheppard LA
International Emergency Nursing, 01 July 2010, vol./is. 18/3(127-137).
The aim of this study was to develop a systematic review using international research to describe the role of teamwork and communication in the emergency department, and its relevance to physiotherapy practice in the emergency department. There is moderate evidence that the introduction of multidisciplinary teams to the ED may be successful in reducing access block, and physiotherapists may play a role in this. The need for teamwork and communication in the ED is paramount, and their roles are closely linked, with the common significant purposes of improving patient safety, reducing clinical errors, and reducing waiting times.
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Do protected mealtimes improve inpatient glycaemic control?
Ng, J, Mellor, D, Narayanan, D
Journal of Diabetes Nursing, 2010, vol./is. 14/6(234-8).
Research exploring the effect of the protected mealtimes initiative on the glycaemic control of inpatients with diabetes. The incident rate of hypoglycaemia before and after the introduction of the initiative in a specialist diabetes ward was measured and the results compared. The relevance of the findings to the NHS Institute of Innovation and Improvement's ThinkGlucose 2010 initiative is considered. 10 refs.
(Print copy of this journal at Pilgrim Staff Library).

Embracing the opportunity to make sustainable improvements to nutritional care in all settings.
Wilson, R
Nursing Times, July 2010, vol./is. 106/27(12-4).
Implications of the Health and Social Care Act (2008) for the management of nutritional needs in hospital. The incidence and consequences of inadequate nutrition and hydration in hospitals and the importance of providing good quality nutritional care are discussed. Characteristics of good nutritional care identified by the Nutrition Action Plan Delivery Board (2010) are highlighted. 23 refs.
(Print copies of this journal are held at Grantham, Lincoln and Pilgrim Staff Libraries).


The high impact actions for nursing and midwifery, part 1: keeping nourished: getting better.
Ward, L, Fenton, K, Maher, L
Nursing Times, July 2010, vol./is. 106/27(10-1).
2nd in a series on the high impact actions for nursing and midwifery, focusing on good nutritional care to reduce the incidence and consequences of malnutrition. 4 case studies are included, illustrating the implementation of projects to improve nutrition in hospitals: nutritional supplements, the introduction of multidisciplinary ward rounds, standardised food fortification and increased fluid balance monitoring to minimise dehydration. 4 refs.
(Print copies of this journal at Grantham, Lincoln and Pilgrim Staff Libraries)

Research News:
Designing Applied Health Research: From Idea to Bid Proposal
a research training course run by the National Institute for Health Research (NIHR) Research Design Service (RDS) for the East Midlands
13th – 14th September 2010, University of Nottingham
This new course, designed to help in the preparation of applications to the NIHR or other research funding body, is principally aimed at researchers and clinicians who have some experience of research but have not previously been principal investigators in this type of project.


Physios invited to take part in shoulder research work
Physiotherapists from around the UK are being given a ‘voice’ in a web-based research project.
The Cardiff University-led initiative will allow all physios who work with shoulder problems to contribute to developments in their field and shape everyday measurement tools

Modified intention to treat reporting in randomised controlled trials: systematic review
This systematic review, published in the British Medical Journal (BMJ), sought to evaluate the incidence and characteristics of randomised controlled trials (RCTs) that report using the modified intention to treat (modified-ITT) approach, how the approach is described, and its implications.
BMJ 2010;340:c2697
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This bulletin is brought to you by the Library and Knowledge Services. It aims to keep you up-to-date with Allied Health Professional issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover,
please let us know.
This bulletin is brought to you by Library and Knowledge Services. It aims to keep you up-to-date with therapeutic issues. At the beginning of each month, a librarian will update the bulletin with relevant information published in the preceding month. If there are areas you think we also need to cover, please let us know.