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Biomedical subjects

Allyson Lipp

Publications and source records attributed to Allyson Lipp.

17 recordsLinked to original sources
PubMed2006

Implementation of an adaptation programme for Filipino nurses in a UK adult cancer hospice.

The UK has a history of recruiting international nurses successfully. This recruitment places a responsibility on healthcare providers to offer a suitable adaptation programme in order to prepare the internationally recruited nurses for registration with the regulatory body. This article outlines the organization and implementation of such an adaptation programme as a joint venture between a higher education provider and a local hospice which was designed specifically to meet the needs of palliative care patients.

Adaptation, Psychological↗
PubMed2005

Systematic review as an evidence-based tool for the operating room.

THIS ARTICLE DETAILS advantages of using systematic reviews (ie, meta-analyses) to determine evidence-based best practices. A NUMBER OF SYSTEMATIC REVIEWS relevant to the OR and produced under the auspices of the Cochrane Collaboration are explored with the aim of encouraging perioperative nurses to become familiar with, if not part of, the process of systematic review development.

Evidence-Based Medicine↗
PubMed2005

An evaluation of preoperative skin antiseptics.

An underpinning tenet of evidence-based practice is that all routine practices should be open to scrutiny. Questioning practice should not be limited to new, experimental procedures, but should also include examination of 'tried and trusted' techniques. Taking this perspective, the author recently contributed to a systematic review evaluating the use of antiseptics preoperatively.

2-Propanol↗
PubMed2005

Theatre nursing in post-SARS Hong Kong.

On a recent visit to Hong Kong the author visited an operating theatre in an effort to explore the differences and similarities with the U.K. She found that SARS has had a profound influence upon both public behaviour and the healthcare system. The author found the visit interesting and educational and she encourages others to make similar visits as a way of exchanging ideas and maintaining optimal practice.

Cross-Cultural Comparison↗
PubMed2005

Introducing an integrated care pathway for the last days of life.

Integrated care pathways (ICPs) are multiprofessional documents designed to enable the implementation of evidence-based care and support the practical delivery of clinical governance. However, the implementation of care pathways is resource intensive and few evaluations have been conducted with respect to these areas or to the efficacy of care pathways to change practice and improve outcomes in care. This project sought to address these issues and the report outlines the approach taken by a palliative care team in South Wales, UK, to implement a care pathway for the dying throughout a district general hospital and six community hospitals. Dying can be a complex area of care and changing practice can be challenging, therefore a PRINCE Project management approach was taken and a full-time project nurse employed for the life of the project. This paper describes the strategies used to approach implementing a care pathway and provides a template for other teams who may embark on similar projects. At the end of the project, the care pathway was successfully implemented and provided demonstrable outcomes of care for those dying from cancer and nonmalignant diseases. Strikingly, a large number of patients dying from nonmalignant disease were cared for via the pathway, which was not expected.

Analysis of Variance↗
PubMed2005

Disposable surgical face masks: a systematic review.

UNLABELLED: Surgical face masks were originally developed to contain and filter droplets of microorganisms expelled from the mouth and nasopharynx of healthcare workers during surgery, thereby providing protection for the patient. However, there are several ways in which surgical face masks could potentially contribute to contamination of the surgical wound. Surgical face masks have recently been advocated as a protective barrier between the surgical team and the patient, but the role of the surgical face mask as an effective measure in preventing surgical wound infections is questionable. The aim of the systematic review is to identify and review all randomised controlled trials evaluating disposable surgical face masks worn by the surgical team during clean surgery to prevent postoperative surgical wound infection. All relevant publications about disposable surgical face masks were sought through the Specialised Trials Register of the Cochrane Wounds Group (March 2001). Manufacturers and distributors of disposable surgical masks as well as professional organisations including the National Association of Theatre Nurses and the Association of Operating Room Nurses were contacted for details of unpublished and ongoing studies. Randomised controlled trials (RCTs) and quasi-randomised controlled trials comparing the use of disposable surgical masks with the use of no mask were included. MAIN RESULTS: Two randomised controlled trials were included involving a total of 1453 patients. In a small trial there was a trend towards masks being associated with fewer infections, whereas in a large trial there was no difference in infection rates between the masked and unmasked group. Neither trial accounted for cluster randomisation in the analysis. REVIEWERS' CONCLUSIONS: From the limited results it is unclear whether wearing surgical face masks results in any harm or benefit to the patient undergoing clean surgery.

Antisepsis↗
PubMed2004

New ways of working in anaesthesia.

Change and the NHS are synonymous; it is inevitable that new ways of working are explored to ensure an effective service. This article explores the possibility of using nonmedically trained anaesthetists in the operating theatre. It examines a current pilot being undertaken by the NHS Changing Workforce Programme (DoH 2002a) and discusses how much impact this is likely to have in theatre.

Allied Health Personnel↗
PubMed2003

A guide to developing a systematic review.

Systematic reviews are used to gather information from a variety of sources and distill information based on best evidence synthesis, while also excluding poor quality studies via explicit validity checks. This article provides a roadmap to conducting a systematic review with the Cochrane Collaboration and uses an example of a completed systematic review. The literature is drawn upon to provide rationale for the processes undertaken. The aim of the sample systematic review was to identify and review all randomized controlled trials evaluating disposable surgical face masks worn by surgical team members during clean surgery to prevent postoperative surgical wound infection.

Female↗
PubMed2003

Liberating clinical effectiveness: a model for consideration.

This paper explores Habermas' knowledge constitutive interests as a basis for clinical effectiveness. Clinical effectiveness and evidence based practice are clarified and Habermas interpretation of critical theory is introduced as an instrument which could arguably fulfil the needs of both concepts. The knowledge constitutive interests have the capacity to encompass science and evidence based practice via technical knowledge, the practical interests via interpretive knowledge and the freedom to change practice via emancipatory knowledge. This gives an opportunity for technical science and interpretive knowledge to facilitate the liberation of nurses via clinical effectiveness. The paper culminates in the presentation of a visual model to articulate this proposal.

Clinical Competence↗
PubMed2002

Theatre nursing in Portugal.

A recent opportunity to visit Porto, in Portugal, allowed Allyson Lipp to observe operating department nursing in that city. In this article, Allyson explains the background to her visit, identifies some of the practices observed and compares the operating department she visited in Portugal, and nursing in that country, with their counterparts in the UK.

Humans↗
PubMedDate not supplied

An exploration of Taylor's reflective framework.

Taylor's reflective framework has been in place for several years and as far as can be ascertained there has been no review of its utility. The aim of this paper is to explore Taylor's framework in an endeavour to encourage its critical use by nurses in both clinical and academic roles. In the spirit of critical theory, upon which Taylor's framework is based, the use of it as an instrument for reflecting practice will be scrutinised thoroughly.

Attitude of Health Personnel↗
PubMedDate not supplied

The effectiveness of surgical face masks: what the literature shows.

The use and withdrawal of surgical face masks in recent years has occurred in an ad hoc manner that is incompatible with evidence-based practice. Much of the literature on masks consists of anecdotal evidence or summaries of previous studies. The rationale for wearing masks has shifted from protection of the patient to protection of the health care professional wearing the mask. Currently there is little evidence that wearing a surgical mask provides sufficient protection from all the hazards likely to be encountered in an acute health care setting: the use of a respirator and face shield should be considered depending on the circumstances.

Cost-Benefit Analysis↗
PubMedDate not supplied

An assessment of the clinical effectiveness of surgical drapes.

Questioning whether a 'sterile' material is actually sterile is something that many clinicians may not have considered. The equipment that comprises a sterile field for a major surgical or invasive procedure may also be taken for granted as the sterile pack would normally include sterile drapes. Under discussion is whether using sterile drapes is more effective than not using them. In furthering the debate, examination of the literature is centred on the degree of effectiveness of sterile drapes.

Bedding and Linens↗