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<title>Nursing RSS : Gourt</title>
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<dc:rights>Copyright 2007, Gourt.com</dc:rights>
<dc:date>2013-04-02T19:37+29:00
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<title>The Public Can Be Confident In The Care Nurses Provide, Comparable To That Of Doctors For Resolving Health Problems Of Low Complexity</title>
<link>http://www.medicalnewstoday.com/releases/258064.php</link>
<description><![CDATA[A new study has found that Spanish nurses trained specifically to resolve acute health problems of low complexity provide care of comparable quality to that of general practitioners. Published early online in the Journal of Advanced Nursing, the findings suggest that nurses may be able to take on some of the care generally provided by physicians...]]></description>
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<item rdf:about="http://www.medicalnewstoday.com/releases/258018.php">
<title>Study Suggests Nurse Understaffing Associated With NICU Infection Rates</title>
<link>http://www.medicalnewstoday.com/releases/258018.php</link>
<description><![CDATA[JAMA Pediatrics Study Highlights A study by Jeannette A. Rogowski, Ph.D., of the University of Medicine and Dentistry of New Jersey, Piscataway, and colleagues suggests nurse understaffing in US neonatal intensive care units (NICUs) is associated with higher rates of nosocomial infections among infants with very low birth weights (VLBW)...]]></description>
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<item rdf:about="http://www.medicalnewstoday.com/releases/257396.php">
<title>Employinjg Nurses With Baccalaureates In Nursing Leads To Fewer Patient Deaths</title>
<link>http://www.medicalnewstoday.com/releases/257396.php</link>
<description><![CDATA[When hospitals hire more nurses with four-year degrees, patient deaths following common surgeries decrease, according to new research by the University of Pennsylvania School of Nursing's Center for Health Outcomes and Policy Research as reported in the March issue of the prestigious policy journal Health Affairs...]]></description>
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<item rdf:about="http://www.medicalnewstoday.com/releases/257256.php">
<title>Nurse Migration In North And Central America Could Strengthen Health Systems</title>
<link>http://www.medicalnewstoday.com/releases/257256.php</link>
<description><![CDATA[International nurse migration is a multibillion-dollar global phenomenon. Historically, Mexicans and Central Americans have not played a significant part in the migration of nurses to the United States...]]></description>
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<item rdf:about="http://www.medicalnewstoday.com/releases/257135.php">
<title>Patient Satisfaction Starts At The Bedside</title>
<link>http://www.medicalnewstoday.com/releases/257135.php</link>
<description><![CDATA[Quality is a central component of any discussion around health care and one of the key dimensions and measurements of quality care is the patient experience.  However, many healthcare organizations struggle to become 'patient focused' and fail to score well on patient satisfaction surveys...]]></description>
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<item rdf:about="http://www.medicalnewstoday.com/releases/256928.php">
<title>Pregnant Women Infected With Syphilis Estimated At Over A Million World-Wide</title>
<link>http://www.medicalnewstoday.com/releases/256928.php</link>
<description><![CDATA[ Syphilis still affects large numbers of pregnant women world-wide, causing serious health problems and even death to their babies, yet this infection could be prevented by early testing and treatment, according to a study by international researchers published in this week's PLOS Medicine. Researchers, led by Lori Newman from the World Health Organization, estimate that in 2008, 1...]]></description>
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<title>Babies Of African Ancestry Get Less Prenatal Care In Brazil, More Likely To Be Born Prematurely</title>
<link>http://www.medicalnewstoday.com/releases/256945.php</link>
<description><![CDATA[Low birth weights are more prevalent among Brazilians with African ancestry and may be attributed to less use of prenatal care facilities and where those ethnic groups live, according to a new study...]]></description>
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<title>High Filtration Fitted Face Masks Protect Health Care Workers Who Work In High Risk Settings Or During A Pandemic</title>
<link>http://www.medicalnewstoday.com/releases/256908.php</link>
<description><![CDATA[ Health care workers who consistently wear special fitted face masks while on duty are much less likely to get clinical respiratory and bacterial infections, according to new research led by University of New South Wales (UNSW) academics...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/articles/256914.php">
<title>More Men Becoming Nurses</title>
<link>http://www.medicalnewstoday.com/articles/256914.php</link>
<description><![CDATA[The demand for nurses has significantly increased over the past few years and while the profession is mainly represented by females, more and more men have started to join the field as well.  According to a study by the U.S. Census Bureau, male nurses are becoming increasingly more commonplace.  In 1970, only 2.7 percent of nurses were male, compared to 9...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/256767.php">
<title>Should The NHS Operate Seven Day Healthcare?</title>
<link>http://www.medicalnewstoday.com/releases/256767.php</link>
<description><![CDATA[Head to Head: Should the NHS work at weekends as it does in the week? The NHS offers essential emergency care at weekends. Yet there is mounting evidence that patients are more likely to die if admitted to hospital on Saturday or Sunday. This has led to calls for greater consultant presence at the weekend and opened up a wider debate on whether regular routine services should also be available...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/256677.php">
<title>Quality Of Patient Care In Hospitals May Be Affected By Staff Satisfaction</title>
<link>http://www.medicalnewstoday.com/releases/256677.php</link>
<description><![CDATA[The satisfaction levels among a hospital's staff are closely linked to the quality of healthcare it provides, say a team of doctors from Imperial College London. In the first study of its kind, Dr Richard Pinder and colleagues at Imperial found that hospitals in England with lower mortality rates were more likely to have members of staff satisfied with the quality of care they provide...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/articles/256680.php">
<title>Better Hospitals Have Happier Staff</title>
<link>http://www.medicalnewstoday.com/articles/256680.php</link>
<description><![CDATA[ A new UK study suggests hospitals that perform better have happier staff.  Doctors at Imperial College London reviewed satisfaction  measures from NHS staff surveys and found hospitals in England with lower mortality rates were more likely to have staff who were happier with  the standard of care they provided...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/256602.php">
<title>Collaboration Agreement Between Johns Hopkins Medicine And Fundacion Santa Fe De Bogota To Focus On Research, Nursing</title>
<link>http://www.medicalnewstoday.com/releases/256602.php</link>
<description><![CDATA[ An expansion of collaborative projects involving Fundacion Santa Fe de Bogota (FSFB), one of Colombia's premier health care institutions, and Johns Hopkins Medicine International (JHI) will continue for another 10 years under an agreement signed Feb. 18, 2013, in Baltimore, USA. The collaboration agreement detailing joint efforts in research and nursing, among other areas, was signed by Steven J...]]></description>
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<item rdf:about="http://www.medicalnewstoday.com/releases/256247.php">
<title>Community Health Workers Improve Diabetes Outcomes And Related Behaviors</title>
<link>http://www.medicalnewstoday.com/releases/256247.php</link>
<description><![CDATA[ Researchers who conducted a clinical trial in American Samoa to test whether community health workers could help adults with type 2 diabetes found that the patients who received the intervention were twice as likely to make a clinically meaningful improvement as those who remained with care only in the clinic. The results appear in the journal Diabetes Care...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/256197.php">
<title>UK&#x27;s Largest Study Into The Quality Of Nursing Care To Be Launched</title>
<link>http://www.medicalnewstoday.com/releases/256197.php</link>
<description><![CDATA[The University of Stirling is to lead the UK's largest ever study into patient experience and the delivery of frontline health care.  Improving Patient Experience of Care (IPEC) will involve around 6000 patients and almost 1000 nurses and other health professionals over a two year period...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/255701.php">
<title>Medical Units Improved To Reduce Nursing Fatigue, Cut Costs</title>
<link>http://www.medicalnewstoday.com/releases/255701.php</link>
<description><![CDATA[ In hospitals, poor floor design, storage closet clutter and crowded corridors can contribute to nurse and medical staff fatigue. These distractions can hurt patient care quality and result in higher medical costs. Now, a new Cornell University study offers a spatial solution...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/255633.php">
<title>Nurses At Forefront Of Genomics In Healthcare</title>
<link>http://www.medicalnewstoday.com/releases/255633.php</link>
<description><![CDATA[NIH Stresses Importance of Genomics in Nursing Care in Medical Literature On April 14, 2003 a map of the human genome was completed, ushering in a new era of genetics in medicine with applications that include genetic testing; newborn screening; susceptibility to diseases such as cancer, cardiovascular disease, or psychiatric conditions; screening, diagnosis and monitoring of ...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/255263.php">
<title>Comprehensive Review Of Laws And Regulations Affecting Advanced Nursing Practice In Every State</title>
<link>http://www.medicalnewstoday.com/releases/255263.php</link>
<description><![CDATA[ The Nurse Practitioner marks 25th Annual Legislative Update The most comprehensive review of new legal and regulatory issues affecting advanced nursing practice across the United States is now available in the "25th Annual Legislative Update," presented exclusively by The Nurse Practitioner: The American Journal of Primary Healthcare...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/255161.php">
<title>Advanced Practice Nurses And Physician Assistants Can Safely Perform Abortions</title>
<link>http://www.medicalnewstoday.com/releases/255161.php</link>
<description><![CDATA[First trimester abortions are just as safe when performed by trained nurse practitioners, physician assistants and certified nurse midwives as when conducted by physicians, according to a new six-year study led by UCSF. The study posted online in the American Journal of Public Health in advance of the print edition. The publication comes a week before the 40th anniversary of the Roe vs...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/253113.php">
<title>Agreement To Publish The Journal Of Forensic Nursing</title>
<link>http://www.medicalnewstoday.com/releases/253113.php</link>
<description><![CDATA[ Wolters Kluwer Health and the International Association of Forensic Nurses (IAFN) are pleased to announce an agreement to publish Journal of Forensic Nursing, the official journal of IAFN. Lippincott Williams & Wilkins (LWW), part of Wolters Kluwer Health, will become the publisher for Journal of Forensic Nursing, beginning with the first Quarter 2013 issue...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/articles/253139.php">
<title>4D Scan Shows Fetus Yawning, A Sign That Could Help Identify Healthy Babies</title>
<link>http://www.medicalnewstoday.com/articles/253139.php</link>
<description><![CDATA[Using 4D ultrasound scans that distinguish between yawning and simple mouth opening, researchers in the UK show that contrary to some  views, fetuses do yawn, and suggest observing this behavior could be a useful way to monitor their developmental health...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/252736.php">
<title>A Prescription To Ease Doctor Shortage? Nurse Practitioners</title>
<link>http://www.medicalnewstoday.com/releases/252736.php</link>
<description><![CDATA[Reports indicate that Michigan faces a physician shortage much larger than the national average, and it will grow as millions of Americans qualify for insurance under the Affordable Care Act...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/252724.php">
<title>Improving Home Care While Reducing Hospital Admission</title>
<link>http://www.medicalnewstoday.com/releases/252724.php</link>
<description><![CDATA[ For elderly patients receiving home healthcare after a hospital stay, "social environmental factors" - particularly care provided by a family member or other informal caregiver - have a significant impact on the risk of repeated hospital admissions, reports a study in the October-December issue of Advances in Nursing Science...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/252674.php">
<title>Studies Link IV Connectors To Patient Safety</title>
<link>http://www.medicalnewstoday.com/releases/252674.php</link>
<description><![CDATA[Presentation at AVA Nursing Conference Outlines  Research in Comparative Effectiveness of Vascular Devices The type of IV connector used in vascular access is closely linked to a patient's chance of getting a dangerous bloodstream infection, according to two new studies...]]></description>
</item>
<item rdf:about="http://www.medicalnewstoday.com/releases/252503.php">
<title>Relationship Between Nurse Shift Length, Burnout And Patient Dissatisfaction</title>
<link>http://www.medicalnewstoday.com/releases/252503.php</link>
<description><![CDATA[Extended work shifts of twelve hours or longer are common and popular among hospital staff nurses, but a new study reports that nurses working longer shifts were more likely to experience burnout, job dissatisfaction, and patients were more dissatisfied with their care...]]></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/reprint/18/2/89?rss=1">
<title>Board editorial: Psychological therapies and or as transformational research?</title>
<link>http://jrn.sagepub.com/cgi/reprint/18/2/89?rss=1</link>
<description></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/reprint/18/2/93?rss=1">
<title>Guest editorial: Money talks: understanding the value of talking therapies and other nursing services</title>
<link>http://jrn.sagepub.com/cgi/reprint/18/2/93?rss=1</link>
<description></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/18/2/97?rss=1">
<title>Clinically representative research in the psychological therapies: an emerging paradigm</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/18/2/97?rss=1</link>
<description><![CDATA[
This paper considers the tension between the &lsquo;biology&rsquo; and the &lsquo;therapeutic relationship&rsquo; camps within mental health nursing, which is focussed on differing conceptualisations of what it is that constitutes evidence and appropriate lines of inquiry. I argue that the struggle that mental health nurses have experienced in delivering evidence-based practice also resides in the thorny issue of methodological inquiry and how it is written into nursing practice. I would suggest that what is alienating to practitioners is the way in which evidence and evidence-based enquiry is generated. This paper offers a line of methodological inquiry that is based in clinical representativeness, a way of conducting and evaluating research to produce an evidence base that is informed from the &lsquo;bottom up&rsquo; by &lsquo;practice&rsquo;. This paper not only contributes to the knowledge base of clinically representative research (CRR) but examines the ways in which this knowledge base has been produced and is currently perpetuated. The following themes are addressed:  Processes and outcomes in CRR: I identify key treatment outcomes and processes operating in practice settings and consider with what confidence we can make conclusions on observed outcomes in these settings. I also examine key moderating and mediating processes influencing such outcomes.

Practice of CRR: I reflect on the paradigm of CRR giving particular attention to how the paradigm has developed and is maintained. I look at how the relationship of CRR to effifficacy research has influenced paradigm development.

Future directions of CRR: I summarise the conclusions of CRR to date and identify points of consensus, disagreement and clarity suggesting in what areas the field has moved forward and whether there are instances where points of conflict have contributed to growth.
              ]]></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/reprint/18/2/112?rss=1">
<title>Review: Clinically representative research in the psychological therapies: an emerging paradigm</title>
<link>http://jrn.sagepub.com/cgi/reprint/18/2/112?rss=1</link>
<description></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/18/2/114?rss=1">
<title>Service user involvement in the evaluation of psycho-social intervention for self-harm: a systematic literature review</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/18/2/114?rss=1</link>
<description><![CDATA[
Background
The efficacy of interventions and treatments for self-harm is well researched. Previous reviews of the literature have highlighted the lack of definitively effective interventions for self-harm and have highlighted the need for future research. These recommendations are also reflected in clinical guidelines published by the National Institute for Health and Clinical Excellence (NICE, 2004) which also call for service user involvement in studies of treatment efficacy.

Aims
A systematic review was undertaken to determine: a) what contributions service users have made to the evaluation of psycho-social interventions; b) by what methods have service users been involved; c) in what ways could service user involvement supplement empirical evidence for interventions.

Methodology
Electronic searches were completed on the 28th January 2011 of the Medline (1950&ndash;present), Web of Science (1898&ndash;Present), Web of Science (including Science Citation Index and the Social Science Citation Index), the Cochrane database of systematic reviews, and Psychinfo (1979&ndash;present) databases using a combination of 13 search terms. References were independently sifted according to set criteria by two of the authors to ensure inter-rater reliability.

Results
Sixty-five references were included in the review. Of these, 59% of studies were empirically based, and 26% used qualitative data collection methods to gather service user narratives. Only 8% of studies used a mixed-methodology to combined qualitative and quantitative data collection. No studies featured service user involvement.

Conclusion
Service user involvement is a rarity in the evaluation of psycho-social interventions, despite its use being mandated by the National Institute for Health and Clinical Excellence and evidenced as effective in other areas of mental health (Leader, 1998). The authors make a number of recommendations for future involvement in future self-harm research.

]]></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/reprint/18/2/131?rss=1">
<title>Review: Service user involvement in the evaluation of psycho-social intervention for self-harm: a systematic literature review</title>
<link>http://jrn.sagepub.com/cgi/reprint/18/2/131?rss=1</link>
<description></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/18/2/133?rss=1">
<title>Effects of mindfulness-based cognitive therapy on mental disorders: a systematic review and meta-analysis of randomised controlled trials</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/18/2/133?rss=1</link>
<description><![CDATA[
Objective
Mindfulness-based cognitive therapy (MBCT) is a programme developed to prevent depression relapse, but has been applied for other disorders. Our objective was to systematically review and meta-analyse the evidence on the effectiveness and safety of MBCT for the treatment of mental disorders.

Methods
Searches were completed in CENTRAL, MEDLINE, EMBASE, LILACS, PsychINFO, and PsycEXTRA in March 2011 using a search strategy with the terms &lsquo;mindfulness-based cognitive therapy&rsquo;, &lsquo;mindfulness&rsquo;, and &lsquo;randomised controlled trials&rsquo; without time restrictions. Selection criteria of having a randomised controlled trial design, including patients diagnosed with mental disorders, using MBCT according to the authors who developed MBCT and providing outcomes that included changes in mental health were used to assess 608 reports. Two reviewers applied the pre-determined selection criteria and extracted the data into structured tables. Meta-analyses and sensitivity analyses were completed.

Results
Eleven studies were included. Most of them evaluated depression and compared additive MBCT against usual treatment. After 1 year of follow-up MBCT reduced the rate of relapse in patients with three or more previous episodes of depression by 40% (5 studies, relative risk [95% confidence interval]: 0.61 [0.48, 0.79]). Other meta-analysed outcomes were depression and anxiety, both with significant results but unstable in sensitivity analyses. Methodological quality of the reports was moderate.

Conclusion
Based on this review and meta-analyses, MBCT is an effective intervention for patients with three or more previous episodes of major depression.

]]></description>
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<item rdf:about="http://jrn.sagepub.com/cgi/reprint/18/2/156?rss=1">
<title>Review: Effects of mindfulness-based cognitive therapy on mental disorders: a systematic review and meta-analysis of randomised controlled trials</title>
<link>http://jrn.sagepub.com/cgi/reprint/18/2/156?rss=1</link>
<description></description>
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<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/18/2/158?rss=1">
<title>Caring for prisoners: towards mindful practice</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/18/2/158?rss=1</link>
<description><![CDATA[
Those caring for prisoners are subject to the influences of the dominant custodial discourses of security and risk management that prevail in a prison environment. The conflicting caring and custodial roles adopted by nurses working in prisons and by prison officers constitute the foundation for further exploration of prisoner care in the wider healthcare literature. In this discussion paper, we argue that the identities and practices of those working in prison care are significantly shaped by organisational and societal discourses and that these generate rigidities and defensive mechanisms that limit the development of practice. We argue that a greater emphasis on mindfulness in professional development and clinical supervision may be helpful in enabling prison workers involved in caring roles to enter a professional dialogue characterised by openness, inclusion and engagement. This, we argue, would facilitate the development of newer and richer understandings of practice and to a revitalisation of professional engagement.
]]></description>
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<item rdf:about="http://jrn.sagepub.com/cgi/reprint/18/2/169?rss=1">
<title>Review: Caring for prisoners: towards mindful practice</title>
<link>http://jrn.sagepub.com/cgi/reprint/18/2/169?rss=1</link>
<description></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/18/2/171?rss=1">
<title>An overview of the effectiveness of psychological therapy for depression and stepped care service delivery models</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/18/2/171?rss=1</link>
<description><![CDATA[
Depression is one of the most prevalent health disorders globally and causes significant distress and cost to the sufferer and society. Psychological therapy for depression has been recommended over a number of decades; however, access to these treatments remains limited. Cognitive behaviour therapy, behavioural activation, self-help approaches, interpersonal therapy and non-directive therapy all demonstrate moderate to large effect sizes when compared to treatment as usual. Differences between psychological interventions however are small and unstable when reviewed in meta-analyses suggesting that for most people adding complexity to treatment does not result in improved outcomes. Stepped care is one system used to organise delivery of psychological therapy that stratifies interventions across several levels of symptom severity. There is debate regarding the ideal design and operation of this complex system resulting in considerable variability in its use in clinical settings. Further research is needed to identify the most cost effective approach to the delivery of psychological therapies for depression as we need to continue to reduce the gap between demand and access to therapy.
]]></description>
</item>
<item rdf:about="http://jrn.sagepub.com/cgi/reprint/18/2/185?rss=1">
<title>Review: An overview of the effectiveness of psychological therapy for depression and stepped care service delivery models</title>
<link>http://jrn.sagepub.com/cgi/reprint/18/2/185?rss=1</link>
<description></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/35?rss=1">
<title>Exciting times ahead for EBN</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/35?rss=1</link>
<description><![CDATA[  It's an exciting time here at EBN. For the second year we are sponsoring the Marjorie Simpson Award at the Royal College of Nursing's International Nursing Research Society Conference. Marjorie Simpson (1924&ndash;1992) was one of the founder members of the research discussion group for nurses in the UK that eventually became the Royal College of Nursing's Research Advisory Group. Marjorie endeavoured to foster research-mindedness among nurses and it is a fitting tribute to her commitment to research within nursing that this award for new researchers is named in her honour. Continuing Marjorie's desire to ensure nursing care is based on the best available evidence, it is right that Evidence-Based Nursing sponsors this award given the journal's role in promoting research awareness among nurses. At EBN we continue to strive to achieve in a range of ways. Some of our activities are described in the following sections.  <sec...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/36?rss=1">
<title>Hypothesis testing and p values: how to interpret results and reach the right conclusions</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/36?rss=1</link>
<description><![CDATA[  Whenever we encounter a research finding based on the interpretation of a p value from a statistical test, whether we realise it or not, we are discussing the result of a formal hypothesis test. This is true irrespective of whether the test involves comparisons of means, Odds Ratios (ORs), regression results or other types of statistical tests. As readers of research, it is important to understand the underlying principles of hypothesis testing, so that when faced with statistical results, we reach the right conclusions and make good decisions about which findings are robust enough to be translated into clinical practice. The article by Yinon et al1 featured in a recent EBN commentary, will be used to illustrate four simple steps involved in hypothesis testing.2 The authors of this paper explored the possible benefits of antenatal steroid administration in the context of late preterm birth...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/38?rss=1">
<title>Overweight and obese middle-aged women have increased risk of venous thromboembolism, particularly following surgery</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/38?rss=1</link>
<description><![CDATA[ Commentary on Parkin L, Sweetland S, Balkwill A, et al.. for the Million Women Study Collaborators. Body mass index, surgery and risk of venous thromboembolism in middle-aged women: a cohort study. Circulation 2012;125:1897&ndash;904.  Implications for practice and research Obesity is associated with an increased risk of venous thromboembolism (VTE) including both spontaneous and postoperative events.  Further research is needed regarding factors responsible for the increase in postoperative VTE in overweight patients, and whether management should be altered (eg, increased focus on postoperative mobilisation, altered doses of prophylactic anticoagulants, lower threshold for starting prophylactic anticoagulation for minor surgical procedures).  Weight loss prior to surgery may reduce risk of venous thrombosis.  Context About 0.1% of individuals develop VTE each year.1 Previous case&ndash;control studies, suggest that being overweight (body mass index (BMI) &gt;25&ndash;29.9&nbsp;kg/m2) or obese (BMI&gt;30&nbsp;kg/m2) results in an approximate twofold increase in...]]></description>
</item>
<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/40?rss=1">
<title>Women who receive continuous support during labour have reduced risk of caesarean, instrumental delivery or need for analgesia compared to usual care</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/40?rss=1</link>
<description><![CDATA[  Commentary on: Hodnett ED, Gates S, Hofmeyr GJ, et al. Continuous support for women during childbirth. Cochrane Database Syst Rev 2011;2:CD003766.  Implications for practice Models of care supporting continuous support during labour were shown to be more likely to result in a spontaneous vaginal birth.  Women receiving continuous support required less analgesia and were less likely to report negative feelings about the birth experience.  Women receiving continuous support experienced shorter labours and their babies were less likely to have low 5-min Agpar scores. Therefore, such models of care should be considered for more extensive implementation in clinical practice settings.  Implications for nursing research There is a need for further research in models of care which provide continuity of care and support to women during labour and birth.  Future studies should compare outcomes between different types of continuous support (eg,...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/41?rss=1">
<title>Diet and physical activity interventions reduce pregnancy weight gain compared with control, with dietary interventions having the greatest effect</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/41?rss=1</link>
<description><![CDATA[ Commentary on: Thangaratinam S, Rogozinska E, Jolly K, et al.. Effects of interventions in pregnancy on maternal weight and obstetric outcomes: meta-analysis of randomised evidence. BMJ 2012;344:e2088.  Implications for practice and research Behavioural interventions can reduce maternal, fetal and neonatal obstetric and weight-related risks.  Good-quality research is required to inform the development of behavioural interventions to determine effectiveness and cost-effectiveness for short-term and long-term health outcomes.  Context There has been a rapid development of international maternal obesity and gestational weight gain (GWG) guidelines due to increasing evidence of risk.1&ndash;3 Maternal obesity has doubled over two decades with significant UK regional variation.4 5 The majority of published GWG research is among non-UK populations.2 This systematic review aimed to determine the effectiveness of behavioural interventions in pregnancy at reducing obstetric and weight-related risk....]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/43?rss=1">
<title>Excess maternal weight gain during pregnancy is associated with overweight/obesity in offspring at age 16 years, but maternal pre-pregnancy obesity has a greater effect</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/43?rss=1</link>
<description><![CDATA[ Commentary on: Laitinen J, J&auml;&auml;skel&auml;inen A, Hartikainen AL, et al.. Maternal weight gain during the first half of pregnancy and offspring obesity at 16&nbsp;years: a prospective cohort study. BJOG 2012; 119:716&ndash;23.  Implications for practice and research Children of mothers who are obese prior to pregnancy, and/or gain excessive weight in early pregnancy, carry increased risk for obesity in adolescence.  Obese women of childbearing age should be actively supported to achieve lifestyle modification prior to conception or in early pregnancy.  Research is needed to identify strategies for optimal gestational weight gain (GWG) and lifestyle modification before and during pregnancy.  Studies need to identify women at highest risk of excess GWG plus potential benefits of intense dietary and lifestyle counselling.  Context In the last two decades, UK rates of obesity in pregnancy have doubled, and currently one in five women are obese at...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/45?rss=1">
<title>Tailoring and targeting interventions for women with heart disease: the need for gender-based approaches</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/45?rss=1</link>
<description><![CDATA[ Commentary on: Beckie TM, Beckstead JW, Schocken DD, et al.. The effects of a tailored cardiac rehabilitation program on depressive symptoms in women: a randomized clinical trial. Int J Nurs Stud 2011;48:3&ndash;12.  Implications for practice and research Increasingly, there is recognition that women with heart disease have greater psychological morbidity than men.  Owing to increased rates of depression and other factors, such as older age, women are less likely to adhere to behaviour change strategies and attend cardiac rehabilitation (CR).  A tailored and targeted approach, using a gender-based framework and a theoretically derived behaviour change strategy, can improve depressive symptoms in women following an acute cardiac event.  The worth of tailoring and targeting strategies to women's readiness to change behaviours as well as the likely benefit of providing a gender-based approach to care delivery.  The need to replicate this study in other...]]></description>
</item>
<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/47?rss=1">
<title>A depression screening tool finds that 54% of acute cardiac patients are at risk of depression; use of the tool improves documentation and referral</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/47?rss=1</link>
<description><![CDATA[ Commentary on: Ski CF, Page K, Thompson DR, et al. Clinical outcomes associated with screening and referral for depression in an acute cardiac ward. J Clin Nurs 2012;21:2228&ndash;34. Implications for practice and research This study found that nurses on cardiovascular care units were able to administer depression screening tools and document referral activities for positive screens.  It is not known whether depression screening improved depression outcomes.  Evidence of benefits in excess of harms, established by well-conducted randomised controlled trials (RCTs) of depression screening interventions, is needed before depression screening is implemented in cardiovascular care settings.  Context Major depressive disorder (MDD) may be present in up to 20% of heart disease patients and has been associated with poorer cardiac prognosis, reduced quality of life, less favourable self-care behaviours and higher healthcare costs.1 A 2008 American Heart Association (AHA) Science Advisory recommended that...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/48?rss=1">
<title>A three-step critical pathway for community-acquired pneumonia reduces duration of hospital stay and intravenous antibiotic use by 2 days</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/48?rss=1</link>
<description><![CDATA[ Commentary on: Carratal&agrave; J, Garcia-Vidal C, Ortega L, et al.. Effect of a 3-step critical pathway to reduce duration of intravenous antibiotic therapy and length of stay in community-acquired pneumonia: a randomized controlled trial: a 3-step critical pathway for CAP. Arch Intern Med 2012;172:922&ndash;8.  Implications for practice and research Although early switch therapy and hospital discharge are well-recognised processes, current practices show that these practices are not well established worldwide.  Pathways are useful tools to remind treating physicians about criteria for early switch and discharge.  A behavioural change may be necessary in order to decrease the gap between national recommendations and current management of hospitalised patients with community-acquired pneumonia.  Context Community-acquired pneumonia (CAP) remains within the 10 leading causes of death.1 Although the majority of patients with CAP are treated in the ambulatory setting, hospitalisations due to CAP remain as...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/50?rss=1">
<title>Essential information about patterns of victimisation among children with disabilities</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/50?rss=1</link>
<description><![CDATA[ Commentary on: Jones L, Bellis MA, Wood S, et al. Prevalence and risk of violence against children with disabilities: a systematic review and meta-analysis of observational studies. Lancet 2012;380:899&ndash;907. Implications for practice and research Children with disabilities are at increased risk for virtually every type of violence that has been measured in this population.  Healthcare providers and researchers need to take a more comprehensive, person-centered approach that focuses on the vulnerability to polyvictimisation and the interconnection among forms of violence for children with disabilities.  Context Many forms of violence against children are all too common1 and the health consequences are dramatic. One in ten children experience a violence-Many forms of violence against children are all too common1 and the health consequences are dramatic. One in ten experience a violence-related injury every year.2 Violence is a leading cause of...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/51?rss=1">
<title>Sleep position does not appear to influence the risk of extreme cardiorespiratory events in vulnerable infants</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/51?rss=1</link>
<description><![CDATA[ Commentary on: Lister G, Rybin DV, Colton T, et al. Collaborative Home Infant Monitoring Evaluation (CHIME) Study Group. Relationship between sleep position and risk of extreme cardiorespiratory events. J Pediatr 2012;161:22&ndash;5. Implications for practice and research Extreme cardiorespiratory events can be documented during sleep and are more common in immature preterm infants.  The supine sleep position does not appear to decrease the risk of Sudden Infant Death Syndrome (SIDS) by decreasing the risk of extreme cardiorespiratory events in vulnerable infants.  Reasons for the physiological advantage of the supine sleep position remain speculative and require ongoing study despite decreases in SIDS death rates in recent years.  Context Despite the successful worldwide introduction of preventative measures to decrease the risk of infants dying of SIDS the final mechanism of death in these infants has not been fully elucidated. While it has been established that placing...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/53?rss=1">
<title>In smokers who lapse during nicotine patch treatment, continued patch use increases the likelihood of recovering abstinence</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/53?rss=1</link>
<description><![CDATA[ Commentary on Ferguson SG, Gitchell JG, Shiffman S. Continuing to wear nicotine patches after smoking lapses promotes recovery of abstinence. Addiction 2012;107:1349&ndash;53. Implications for practice and research Quitting smokers who use nicotine replacement therapy (NRT) are often advised to stop using this if they restart smoking; quitters often discontinue NRT after brief smoking lapses.  Quitters who continue using NRT during brief lapses may be more likely to return to abstinence.  Treating lapses with NRT probably encourages short-term cessation; research should investigate this further and test the impact on smokers&rsquo; long-term abstinence and health gain.  Context Smoking is the greatest reversible cause of morbidity and mortality; cessation is the most important lifestyle change for improving future health. NRT is the most widely used cessation treatment, but 75% of those who attempt cessation will restart smoking within 1&nbsp;year.1 Treatments which stop brief lapses...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/55?rss=1">
<title>Low-dose aspirin is associated with an increased risk of haemorrhage; but not in people with diabetes who have a high baseline rate of bleeding</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/55?rss=1</link>
<description><![CDATA[ Commentary on: De Berardis G, Lucisano G, D'Ettorre A, et al. Association of aspirin use with major bleeding in patients with and without diabetes. JAMA 2012;307:2286&ndash;94. Implications for practice and research Low-dose aspirin (&le;300&nbsp;mg/day) increases the risk of major bleeding.  Individuals with diabetes have a higher risk of bleeding independent of aspirin exposure.  Future work should include comparative effectiveness studies to help inform treatment strategies based on individual risks, benefits, patient preferences and values.  Context Aspirin has a proven role in the secondary prevention of cardiovascular disease.1 Further interest has emerged on extending its use for primary prevention. However, the desired benefits of aspirin need to be carefully balanced against the potential harms.1 Although the cardioprotective benefit of aspirin has been well defined, the general risk of haemorrhage remains uncertain as existing data are mostly limited to highly selected...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/56?rss=1">
<title>Orlistat reduces weight but its cost-effectiveness remains unclear</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/56?rss=1</link>
<description><![CDATA[ Commentary on: Ara R, Blake L, Gray L, et al. What is the clinical effectiveness and cost-effectiveness of using drugs in treating obese patients in primary care? A systematic review. Health Technol Assess 2012;16:1&ndash;195. Implications for practise and research Ara and colleagues studied the effectiveness and cost effectiveness of weight-reducing drugs and found that they provide statistically significant weight loss and are worth the investment.  The analysis contains several unwarranted assumptions, notably around the amount of weight lost, subsequent weight regained and the permanency of weight loss. Definitive conclusions cannot be drawn from this study.  Context Obesity is a large and growing health problem. For patients unable to achieve sufficient weight loss by improving their lifestyle, weight-reducing drugs are a treatment option. This study aimed to evaluate the effectiveness and cost effectiveness of three pharmacological interventions (orlistat, sibutramine and rimonabant) in obese patients in...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/58?rss=1">
<title>Intravenous analgesia for out-of-hospital traumatic pain in adults: ketamine gives a greater reduction in pain than morphine but causes more adverse effects</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/58?rss=1</link>
<description><![CDATA[ Commentary on: Jennings PA, Cameron P, Bernard S, et al.. Morphine and ketamine is superior to morphine alone for out-of-hospital trauma analgesia: a randomized controlled trial. Ann Emerg Med 2012;59:497&ndash;503.  Implications for practice and research Intravenous ketamine has been shown to be useful for acute pain in a variety of settings.1  The present study shows that it provides a greater reduction in pain than morphine but causes more adverse effects in out-of-hospital care.  Context Conscious trauma patients often suffer severe pain. In general, once a head injury has been ruled out, it is safe to give analgesics as promptly as possible.2 Analgesics are often given in the initial out-of-hospital setting, but are often not as effective as they might be. Thus, it is important to investigate methods of improving out-of-hospital analgesia for trauma patients. Too much opioid can result...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/60?rss=1">
<title>Study of 23 advanced-practice nurses suggest that their ability to facilitate evidence-based practice among frontline nurses is influenced by their personal attributes, relationships with stakeholders, responsibility and workload and organisational context</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/60?rss=1</link>
<description><![CDATA[  Commentary on: Gerrish K, Nolan M, McDonnell A, et al.. Factors influencing advanced-practice nurses&rsquo; ability to promote evidence-based practice among frontline nurses. Worldviews Evid Based Nurs 2012;9:30&ndash;9.   Implications for practice and research Role development of advance practice nurses (APNs) and organisational culture are important contributing factors for the adoption of evidence-based practice (EBP) by nurses.  Nursing and APN workload were factors limiting adoption of EBPs.  Education on EBP, leadership and facilitation should be part of all APN education.  Further research across a range of settings is needed to determine additional factors that may influence adoption of EBP.  Context The importance of utilising EBP to enhance patient care is known, yet front line nurses (FLN) remain slow to adopt.1 APNs have been noted to utilise EBP within their own practices2 and promote such practices among teams.<cross-ref...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/61?rss=1">
<title>One-on-one education and client reminders increase uptake of colorectal, breast and cervical cancer screening</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/61?rss=1</link>
<description><![CDATA[ Commentary on: Sabatino SA, Lawrence B, Elder R, et al.. Community Preventive Services Task Force. Effectiveness of interventions to increase screening for breast, cervical and colorectal cancers: nine updated systematic reviews for the guide to community preventive services. Am J Prev Med 2012;43:97&ndash;118.  Implications for practice and research Client reminders and one-on-one education are effective community-based interventions for improving screening rates for colorectal cancer (CRC), breast and cervical cancers.  Group education is now shown to be an effective approach for improving breast cancer screening rates.  Needs particular to the target population should be considered in conjunction with published recommendations when choosing interventions to improve screening rates.  Studies which address interventions for increasing CRC screening other than with faecal occult blood test are needed.  An important area to address in future research is the effectiveness of electronic communications in improving screening rates. ...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/62?rss=1">
<title>Higher nurse staffing levels associated with reductions in unplanned readmissions to intensive care or operating theatre, and in postoperative in-hospital mortality in heart surgery patients</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/62?rss=1</link>
<description><![CDATA[ Commentary on: Diya L, Van den Heede K, Sermeus W, Lesaffre E. The relationship between in-hospital mortality, readmission into the intensive care nursing unit and/or operating theatre and nurse staffing levels. J Adv Nurs 2012;68:1073&ndash;81. Implications for practice and research Higher nurse staffing levels for postoperative care of cardiac surgery patients reduces the risk of unplanned re-admission to the intensive care or operating theatre and in-hospital mortality.  Larger international studies are needed to assess the effect of nurse staffing levels and risk of hospital-wide adverse events.  Context The effect of nurse staffing levels associated with adverse events in the hospital setting has been an important area of patient safety research. Market forces, in particular in North America, have resulted in efforts to reduce costs in all sectors of the healthcare setting.1 Throughout the world, nurse staffing levels have been shown to be...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/64?rss=1">
<title>Asking next-of-kin of recently deceased cancer patients to take part in research: 11 of 20 surveyed found it a positive experience</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/64?rss=1</link>
<description><![CDATA[ Commentary on: Koffman J, Higginson IJ, Hall S, et al. Bereaved relatives&rsquo; views about participating in cancer research. Palliat Med 2012;26:379&ndash;83. Implications for practice and research These results will aid the development of protocols for screening bereaved individuals who are eligible for study participation.  These results provide insight into bereaved participants&rsquo; preferences for data collection methods (eg, face-to-face, phone and self-completion postal surveys).  The needs of non-cancer-related deaths and paediatric populations (eg, bereaved child participants; childhood deaths) need consideration in future studies.  Context In 2008, the Department of Health in England called for a better understanding of bereaved relatives&rsquo; views of end-of-life care. However, ethical concerns exist regarding whether the vulnerable population of bereaved relatives should be involved as research study participants. With little research evidence addressing this ethical debate, Koffman and colleagues explored the appropriateness and acceptability of an end-of-life-care survey instrument...]]></description>
</item>
<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/66?rss=1">
<title>Among elderly men, feelings of loneliness are associated with increased 10-year mortality risk, independent of social isolation and medical and psychiatric conditions</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/66?rss=1</link>
<description><![CDATA[ Commentary on: Holwerda TJ, Beekman AT, Deeg DJ, et al. Increased risk of mortality associated with social isolation in older men: only when feeling lonely? Results from the Amsterdam Study of the Elderly (AMSTEL). Psychol Med 2012;42:843&ndash;53. Implications for practice and research Clinicians should have heightened awareness and inquire about feelings of loneliness when providing care for older adults.  More studies are needed to further elucidate gender-based differences on the relationship between loneliness and mortality.  Context The demographic imperative indicates aging of the western hemisphere. Whereas some older adults would prefer continued employments until late in life, chronic-health conditions1 would force many into premature retirements. Without an efficient coping mechanism, related-social isolation and loneliness could emerge. Loneliness is defined broadly as a distressing feeling of individuals&rsquo; subjective experience about lack of satisfying relationships which can only be evaluated and quantified by the...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/67?rss=1">
<title>Community-based non-pharmacological interventions delivered by family caregivers reduce behavioural and psychological symptoms of dementia</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/67?rss=1</link>
<description><![CDATA[ Commentary on: Brodaty H, Arasaratnam C. Meta-analysis of nonpharmacological interventions for neuropsychiatric symptoms of dementia. Am J Psychiatry 2012;169:946&ndash;53. Implications for practice and research Non-pharmacological interventions (NPIs) should be the first line of treatment for the behavioural and psychological symptoms of dementia (BPSD).  Multicomponent NPIs tailored to individual and caregiver needs can reduce BPSD in community settings.  Current instruments that measure BPSD lack precision, diluting the observed effect of NPIs; more precise outcome measures are needed.  Quality-of-life indicators may be more sensitive measures of NPI benefits than reduction in negative behaviours.  Context Behavioural and psychological symptoms of dementia (BPSD) are prevalent, impose a high burden on caregivers and greatly increase the cost of care. The use of pharmacological treatments is a common practice, but these drugs have not demonstrated efficacy and they carry a substantial risk for increased mortality in frail older...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/16/2/68?rss=1">
<title>Correction</title>
<link>http://ebn.bmj.com/cgi/content/short/16/2/68?rss=1</link>
<description><![CDATA[

Brown L, de Bruin N. A music-based multitask exercise programme is a promising intervention for improving gait, balance and fall risk in older adults. Evid Based Nurs 2011;14:108&ndash;9. doi:10.1136/ebn-2011-100095. This article was published in print with an incorrect DOI. The DOI should be 10.1136/ebn.2011-100095 as this is the DOI it was published Online First with.

]]></description>
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