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Evidence-Based Practice Guidelines
There are currently 38 evidence-based nursing practice guidelines. These are available for a nominal fee (not-for-profit) to defray copying and postage expense. Quick reference guides and consumer information sheets accompany some of our guidelines. Also, CD ROMs are now available for most guidelines.
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Acute Confusion/Delirium*
Provide direction for identifying risk factors, conducting appropriate assessments, and implementing effective strategies for the prevention and treatment of delirium. This guideline is intended for use by nurses and other healthcare disciplines that provide care for elderly hospitalized patients on general medical/surgical units. Some of the recommended interventions require physician management and interdisciplinary collaboration, while other interventions are independent nursing actions. 66 pages. Written 1999; Revised 2009. $22.00.
Acute Pain Management in the Elderly Available with or without Quick Reference Guide
Helps providers manage acute pain in elderly patients. Outcomes of effective management include reduced pain levels, minimization or elimination of complications of pain treatment, and increased patient satisfaction with pain management. Includes guides for baseline pain assessment, patient/family education, acute pain monitoring, and pharmacological and nonpharmacological treatments. 83 pages. Written 2000; Reviewed 2003; Revised 2006. $25.00 without Quick Reference Guide. $40.00 with Quick Reference Guide.
Assessing Heart Failure in Long Term Care Facilities
Outlines a systematic approach for the assessment of heart failure in long term care facilities with the goal of preventing hospitalization of nursing home residents by using direct caregivers in the early identification of heart failure. Contains information on assessment methods and interventions needed to prevent unnecessary hospitalizations. Several tools are provided including the Long Term Care Heart Failure Assessment tool, Heart failure weight assessment chart, and the NEW LEAF pocket screening tool for direct caregivers. 37 Pages. Written 2006. $20.00.
Bathing Persons with Dementia
Provides strategies for minimizing fear, agitation, combative behavior, and development of secondary behavioral symptoms during and/or after personal hygiene. The goal is to reduce frequency and severity of negative bathing episodes in patients with chronic dementing illness. Includes guides for personal hygiene standards for peole withdementia and helpful communication techniques along with instructions for thermal bathing and towel or bed baths. 36 pages. Written 1995; Revised 2004. $18.00.
* Detection and Assessment of Late Life Anxiety
Improves the detection and assessment of anxiety symptoms among older adults. The simplicity of the guideline and associated assessment methods makes the guideline appropriate for use by all levels of health care practitioners, including advanced practice and generalist nurses, as well as nursing assistants; physician, physician assistants and medical assistants; social workers; and occupational, recreational, activity and physical therapists and their assistants. Contains examples of the Hospital Anxiety and Depression Scale, Rating Anxiety in Dementia, Mini-Mental State Examination, and the Short Geriatric Depression Scale. 51 pages. Written 2008. $25.00.
Changing the Practice of Physical Restraint Use in Acute Care
Assists nurses and other healthcare professionals in changing the practice of physical restraint use for the elderly in acute care settings to the current standard of restraint-free care. Identifies individual patient characteristics as well as characteristics of staff and facilities associated with restraint use. Provides alternative strategies and approaches to restraint-free care. Also includes a decision algorithm for behavior management and restraint-free care as well as information on monitoring and documenting the use of physical restraints when necessary. 47 pages. Written 1996 (originally titled Restraints) Revised 2005. $22.00.
Detection of Depression in the Cognitively Intact Older Adult --with Quick Reference Guide and Consumer Information Sheet
Improves detection of depression in medically compromised, cognitively intact, older adults. Contains examples of the Mini Mental State Examination and the Geriatric Depression Scale. Also includes a Quick Reference Guide and Consumer Information Sheet. 33 pages. Written 1998; Revised 2005. $20.00.
* Detecting Depression in Older Adults with Dementia
Assists nurses and other healthcare professionals in a variety of settings to assess for depression in the older adult with dementia. Includes easy to administer tools including the mini-mental state examination (MMSE), the Short Geriatric Depression Scale, and the Cornell Scale for Depression in Dementia. 39 pages. Written in 2007. $20.00
Elder Abuse Prevention
Provides information to facilitate assessment of older persons in domestic and institutional settings who are at risk for elder abuse and recommends interventions to reduce the incidence of mistreatment. Contains thirteen assessment tools, instruments, and forms to use in patient assessment of elder abuse. Also included is one relevant Nursing Outcome Classification (NOC), and relevant labels and definitions of NOC and Nursing Interventions. 69 pages. Written 2004. $22.00.
Elderly Suicide: Secondary Prevention
Provides information that will assist the nurse or other health care provider in recognizing at-risk suicidal behavior in the elderly and providing appropriate and effective crisis intervention. The goal is to decrease the occurrence of suicide among elderly individuals who have contact with nurses or other health care providers. Includes risk factors, warning signs and a psychosocial assessment form. 55 pages. Written 2002. $22.00.
* Exercise Promotion: Walking in Elders -- with Consumer Information Sheet
Assists health care providers in all settings to enhance or maintain exercise behavior of elders. Contains tools to assess readiness to change, exercise self-efficacy, balance, and includes exercise tips for walking and pedestrian safely, weight bearing exercises. Consumer information sheet included. 57 pages. Written 2001; Revised 2007. $25.00.
Fall Prevention For Older Adults
Aims to describe strategies for identifying persons at risk for falling and for preventing falls in older adults, while maintaining autonomy and independence. Includes information regarding risk factors, assessment tools, interventions, and outcome evaluations. 60 pages. Written 1996; Revised 2004. $22.00.
Family Bereavement Support Before and After the Death of a Nursing Home Resident
Provides an intervention guideline designed to assist family members before and after the death of their loved one in nursing home settings. Intended for front-line staff (registered nurses, care attendants, social workers, chaplains) who care for the elderly, and provide support to the elders’ families in nursing homes. Also intended for care managers who develop policy and procedures in nursing home settings. Includes the Family Bereavement Support Policy and Family Bereavement Survey along with other assessment tools and helpful materials. 46 pages. Written 2002. $22.00.
Family Involvement in Care for Persons with Dementia (FIC)
Focuses on a program to involve family members in the care of their relative with dementia through partnerships with other, both formal and informal, care providers. Successful care partnerships result in the establishment of meaningful and satisfactory caregiving roles regardless of the care setting. Includes many helpful tools and guides such as the Instruments Acitivities of Daily Living Scale and the Physical Self-Maintenance Scale. 50 pages. Written 1999; Reviewed 2001. $22.00.
Guideline for Conducting Effectiveness Research in Nursing and Other Health Care Services
Directed toward researchers, health care providers, and administrators who are implementing standardized nursing language, evaluating clinical information systems, or involved in constructing or using a clinical documentation system for effectiveness research. Results most directly from the authors experiences during a funded NINR/AHRQ research study that required the use of several large electronic data repositories that included standardized nursing data. Content includes the identification of research questions, factors to consider in selecting database variables for analysis, data definitions of clinical variables, potential data sources, methods of requesting data, developing a relational database and a large section on data analysis, plus much more. 49 pages. Written 2004. $25.00.
Hydration Management -- with Quick Reference Guide and Consumer Information Sheet
Helps health care providers determine adequate oral fluid intake for elders and provides strategies to maintain hydration and to prevent conditions associated with dehydration, such as acute confusion/delirium.Includes a hydration assessment form, comparison of common oral fluids chart, and more. Quick Reference Guide includes the Urine Color Chart. 46 pages. Written 1998; Revised 2004. $25.00.
Identification, Referral, and Support of Elders with Genetic Conditions
Describes assessment and management practices related to the genetic aspects of health conditions in elders. Meant for non-genetic specialist gerontological nurses as the integration of new genetic information into clinical nursing care of the elderly evolves. Includes descriptions of those experiencing or at risk for genetic conditions, referral for diagnosis or services, and supportive care such as advocacy, teaching, and counseling. 32 pages. Written 1999; Reviewed 2001. $18.00. Not available in electronic format.
Improving Medication Management for Older Adult Clients
Helps RNs, Nurse Practitioners, and Pharmacists to improve medication management practices for older adults. Older adults who take many medications are at high risk of getting sicker and losing function. Goals: To reduce inappropriate prescribing, decrease polypharmacy, avoid adverse events, and maintain function. Includes Beers List of Potentially Inappropriate Medications, the Drug Regimen Unassisted Grading Scale, and more. 60 pages. Written 2004. $22.00.
* Individualized Music for Elders with Dementia -- Quick Reference Guide and Consumer Information Sheet
Describes strategies for alleviating agitation in chronically confused, elderly persons through the use of individualized music. The goal is to reduce and prevent the frequency and severity of agitation episodes in chronically confused, elderly patients by assessing music preferences and playing music for the elder at designated times. Includes the Assessment of Personal Music Preference, the Agitation Quality Improvement Monitor, along with a Consumer Information Sheet that contains information that may be helpful for consumers to use in conjunction with the Individualized Music guideline. 40 pages. Written 1996; Revised 2007. $20.00.
Interpreter Facilitation for Persons with Limited English Proficiency
Provides information to assist in the effective use of interpreter services in health care settings. The goal is to increase the use of interpreters, enhance the communication process between clients and providers, and improve the satisfaction of clients and providers with health care encounters. Includes methods of interpretation and a need for interpreter risk factor assessment. Does not address the use of sign language interpretation for hearing impaired clients. 32 pages. Written 2001. $18.00.
Management of Constipation with Quick Reference Guide -- with Quick Reference Guide & Consumer Information Sheet
Describes strategies to reduce the frequency and severity of constipation among older adults. Is applicable to older adults who are hospitalized, residing in long-term care or skilled care facilities, or living in the community. Not intended for populations of enterally fed, paraplegic, or quadriplegic individuals. Includes Management of Constipation Assessment Inventory, Bowel Pattern Assessment Form, Foods High in Fiber chart, and more. 48 pages. Written 1996; Reviewed 2001. $25.00.
Management of Relocation in Cognitively Intact Older Adults
Provides strategies to help cognitively intact older adults plan for and adapt to relocation from one residence or home to another. Includes: risk factors indicating the need for relocation, risk factors for maladjustment after relocation, interventions for both pre-relocation and post-relocation management, assessment tools and outcome evaluations. 62 pages. Written 2005. $22.00.
Non-pharmacologic Management of Agitated Behaviors in Persons with Alzheimer Disease and other Chronic Dementing Conditions
Discusses non-pharmacologic interventions to decrease the frequency of agitated behaviors, thereby supporting functional ability and enhancing quality of life for persons experiencing Alzheimer's disease and other chronic dementing conditions. Includes examples of the Mini Mental State Examination and the Cohen-Mansfield Agitation Inventory. 59 pages. Written 1995; Revised 2004. $22.00.
* Nursing Management of Hearing Impairment in Nursing Facility Residents
Provides guidelines for nursing care of nursing facility residents with hearing impairments. Intended for front-line nursing staff (registered nurses, licensed practical nurses, and certified nursing assistants) caring for older adults who are hearing impaired. Also useful for directors of nursing, nurse managers, and nursing faculty responsible for gerontological nursing competency evaluations and education on standards of nursing care of hearing impairment in older adults in nursing facilities. Includes detailed information on caring for hearing devices and identifying residents in need of referral for further assessment of hearing. 51 pages. Written 2007. $22.00
Nurse Retention
Retaining expert nurses has a positive effect on quality patient care. Nurse managers are critical to promoting job satisfaction and diminishing turnover of nurses working in their area. This administrative guideline is a helpful guide for nurse managers who are striving to improve retention of staff in various health care settings. Includes a Nursing Turnover Measurement Form, a satisfaction scale, a communication assessment questionnaire, and more. 56 pages. Written 2002. $22.00.
Oral Hygiene Care for Functionally Dependent and Cognitively Impaired Older Adults -- with Quick Reference Guide and Consumer Information Sheet
Provides practical information to assist healthcare providers with the provision and documentation of oral hygiene care for functionally dependent and cognitively impaired older adults to prevent plaque-related oral diseases. Includes the oral hygiene Quick Reference Guide, two assessment tools, and communication techniques for oral hygiene when working with cognitively impaired and behaviorally difficult older adults. 48 pages. Written 2002. $25.00.
Persistent Pain Management
Assists nurses and other health care providers in the management of persistent pain in older adults through assessment and treatment strategies. Assessment tools include the Brief Pain Inventory, Verbal Numeric Rating Scale, and the Faces Pain Scale. Discusses pain management strategies, both non-pharmacological and pharmacologic and includes an algorithm for assessing pain in the cognitively impaired older adult. 57 pages. Written 2005. $22.00.
Prevention of Deep Vein Thrombosis
Describes a standard method for the assessment of risk for development of deep vein thrombosis in elderly surgical patients. List of suggestions and options regarding modes of prophylaxis are described as applicable in the acute care setting. Includes a Thrombosis Risk Factor Assessment along with Deep Vein Thrombosis Prevention Outcomes Montor, and more. 40 pages. Written 1999; Revised 2006. $18.00.
Prevention of Pressure Ulcers
Assists health care providers in determining those patients at risk for development of pressure ulcers, and describes prevention activities that will reduce patients’ risk for pressure ulcers. Evidence-based prevention activities are intended for use in the care of patients who have been identified as “at risk” for pressure ulcers. Included is the Braden Scale for Predicting Pressure Sore Risk and Pressure Ulcers Management Monitor. 21 pages. Written 1997; Revised 2002. $18.00.
Progressive Resistance Training
Describes a training program to improve and maintain the functional fitness of older adults through Progressive Resistance Training (PRT), with the intent of improving their prospects for independent living, reducing fall risk, and enhancing commitment to regular exercise. Also includes the screening process, development of an exercise plan, and outcome evaluation. 28 pages. Written 1998; Revised 2004. $18.00.
Promoting Spirituality in the Older Adult
Provides guidelines for promoting spirituality for health care providers working with older adults in community and institutional settings. Developed from a holistic perspective that views humans as having integrated physical, emotional, social and spiritual dimensions; and alterations of well-being in one dimension affects the other dimensions. Contains assessment tools for evaluating spiritual well-being and guideline practice. 50 pages. Written 2004. $22.00.
Prompted Voiding For Persons With Urinary Incontinence -- with Quick Reference Guide and Consumer Information Sheet
Provides information for implementing a treatment program of prompted voiding (PV) for elderly persons with urinary incontinence. Use of this guideline will help care providers reduce the frequency and severity of incontinence episodes, increase self-initiated toileting, and prevent the complications associated with incontinence. Included among the assessment tools and materials are Urinary Incontinence Assessment Factors and UI Risk Factor Checklist. 49 pages. Written 1999; Reviewed 2001. $25.00.
Providing Spiritual Care to the Terminally Ill Older Adult
Gives health care providers evidence-based guidelines for providing spiritual care for terminally ill older adults who are at risk for spiritual distress. The guideline is developed from the authors' whole-person perspective which views people as having integrated physical, emotional, social, and spiritual dimensions, with spirituality at the core of human being; and the belief that alterations of well-being in one dimension affect the other dimensions. The ultimate goal for providing spiritual care to both ill and well older adults is to support and enhance quality of life, as well as prevent and relieve spiritual distress. Includes helpful assessment tools, scales, and indexes. 46 pages. Written 2006. $22.00
Quality Improvement in Nursing Homes
Aimed to provide knowledge and evidence-based strategies for quality and performance improvement in nursing homes. Departments can use this administrative guideline as a team to develop, define, implement, and evaluate their own quality improvement program. 71 pages. Written 2003. $22.00. Not available in electronic format.
Treatment of Pressure Ulcers
Provides guidelines for the treatment of pressure ulcers among elderly patients. Assists in the assessment of patients for skin alterations and describes interventions to aid in the healing of ulcers. Included is the Pressure Ulcer Scale for Healing, along with the Pressure Ulcer Assessment Guide and more. 30 pages. Written 1997; Revised 2002. $18.00.
* Wandering -- with Consumer Information Sheet
Assists formal caregivers of older adults with dementia in dealing with problem wandering behavior. Includes 5 tools to assess risk of wandering behavior, including the Algase Wandering Scale and the Memory and Behavior Problems Checklist. Interventions include environmental modifications, physical and psychosocial interventions, technology and safety information and caregiver support and education tools including a consumer information sheet. 51 pages. Written 2002; Revised 2008 $20.00.
Wheelchair Biking for the Treatment of Depression
Introduces a specific recreation therapy program, wheelchair biking, for the treatment of depression in older adults with and without cognitive impairments. The goal is to reduce depressive mood in older adults and to provide a complimentary or alternative treatment to medications. Geriatric Depression Scale included. Provides information on the steps for setting up a program, including Duet wheelchair bike purchase information and selection of residents to participate. 53 pages. Written 2003. $22.00.
NEW GUIDELINES FOR SCHOOL-AGED CHILDREN!
* Abrasion and Laceration Wound Care: Preschool through Grade Twelve
Provides school nurses and school personnel with the most current and effective evidence-based interventions for the management of abrasions and lacerations in children from pre-school to grade 12. Appropriate cleansing methods and dressing types for various wounds are discussed. This guideline may be used by school nurses and other school personnel, such as health aides, teachers, and office personnel who are involved with managing health issues for children in the school. Also included in the guideline is the adapted Bates-Jensen Wound Assessment Tool to be used for initial and follow-up wound assessments. 27 pages. Written 2006. $18.00.
Increasing Physical Activity in Schools: Kindergarten through Eighth Grade
The purpose of this guideline is to provide school-based strategies to increase the level of physical activity and reduce sedentary behavior in the Kindergarten through 8th grade population. Specific interventions are included to increase time spent in moderate to vigorous physical activity during recess and physical education classes. The SOFIT and SOPLAY tools to measure outcomes are included. 42 pages. Written 2005. $18.00.
* Management of HeadLice
Coming Soon!
THESE HELPFUL RESOURCES ARE ALSO AVAILABLE
Guidelines for Writing Evidence-Based Practice Guidelines
A three-ring notebook with step-by-step directions on how to write a clinical, evidence-based practice guideline. Describes the process of developing a guideline, from identification of the clinical topic, to database searching, to the evaluation and grading of evidence. Included in the manual is a templated on CD-ROM to assist informatting the guideline in an easy-to-read style, while prompting the author to include pertinent information according to accepted guideline standards. Written 1999; Revised 2005. $35.00.
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Ordering Information for GNIRC Evidence-Based Guidelines
(Prices subject to change)
Download the Guidelines Order Form:
Checks should be made payable to:
College of Nursing
Checks/requests should be mailed to:
University of Iowa, College of Nursing
Research Translation and Dissemination Core
4118 Westlawn
The University of Iowa
Iowa City, IA 52242-1100
Included with your order will be a letter which will serve as your invoice. Remittance fees are subject to change without notice. Allow 10-14 days for delivery if address is in the continental United States.
If you have any questions, please call us at (319) 384-4429, or by email at research-dissemination-core@uiowa.edu .
The University of Iowa Gerontological Nursing Interventions Research Center Research Translation and Dissemination Core disseminates materials on a not-for-profit basis under grant #P30 NR03979, National Institutes of Nursing Research, NIH.
