A summary of the best evidence on ultrasound-guided autologous arteriovenous fistula cannulation in maintenance hemodialysis patients: A systematic review.

To systematically search and integrate the best evidence for early rehabilitation of ICU-acquired swallowing dysfunction (ICU-ASD) using evidence-based medicine methods, providing high-quality evidence-based support for intensive care unit (ICU) healthcare professionals in implementing early rehabilitation assessment and intervention strategies for ICU-ASD. The systematic search was conducted according to the "6S" pyramid evidence model. Multiple authoritative databases and resources were comprehensively searched, including: National Guideline Clearinghouse (NGC), National Institute for Health and Care Excellence (NICE), Canadian Medical Association Clinical Practice Guidelines Library (CMACPGL), New Zealand Guidelines Group (NZGG), Guidelines International Network (GIN), Registered Nurses' Association of Ontario (RNAO), Scottish Intercollegiate Guidelines Network (SIGN), PubMed/Medline, Cochrane Library, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Web of Science, JBI Evidence-Based Health Care Database, Physiotherapy Evidence Database (PEDro), Chinese Medical Pulse Guidelines Website, SinoMed, CNKI, Wanfang Data, UpToDate, BMJ Best Practice, and professional association websites. The search encompassed guidelines, expert consensus statements, original studies [including cohort studies, quasi-experimental studies, and randomized controlled trials (RCT)], systematic reviews, and evidence summaries related to the prevention and management of ICU-ASD. The search period was limited from the inception of each database to November 30, 2024. The best evidence for early rehabilitation of ICU-ASD was summarized. The quality assessment of the literature and the extraction and synthesis of evidence were independently performed by two researchers with expertise in evidence-based medicine methodology. A total of 16 articles were included, consisting of 1 clinical decision-making study, 1 cohort study, 2 guidelines, 2 RCTs, 6 systematic reviews, 1 evidence summary, 2 expert consensuses, and 1 expert opinion. Following quality assessment, all 16 articles were incorporated into the analysis. For the early rehabilitation of ICU-ASD, five major themes were ultimately identified and 25 best evidence items were summarized, focusing on: multidisciplinary collaboration, swallowing screening and assessment, rehabilitation interventions, dietary and nutritional management, and oral hygiene. The evidence summary provides individualized rehabilitation strategies for ICU-ASD patients, but their implementation still needs to be adapted to China's clinical practice context and patient preferences.

Intracranial infection is one of the most serious complications after pituitary neoplasm resection. However, the quality of the evidence for existing preventive measures varies significantly, and the related content is scattered, and the scope is broad. Nurses lack the specificity and targeted guidance for preventing intracranial infections after endoscopic endonasal transsphenoidal surgery (EETS), and nurses find that evidence necessitates screening and identification during its application, and it is challenging to utilize current tool for guiding clinical practice. Thus, the protocols for preventing intracranial infection after EETS required further refinement. The aim of this study is to summarize the relevant evidence for preventing postoperative intracranial infections after endoscopic endonasal transsphenoidal pituitary neoplasm resection, in order to reduce the incidence of postoperative intracranial infection and provide a reference for clinical medical staff. We systematically searched a variety of platforms, including British Medical Journal Best Practice, UpToDate, DynaMed, Guidelines International Network, Registered Nurses' Association of Ontario, Scottish Intercollegiate Guidelines Network, Australian Joanna Briggs Institute Evidence based Healthcare Center Database, National Institute for Health and Clinical Excellence, Medlive, Wanfang Data, China National Knowledge Infrastructure (CNKI), China Science and Technology Journal Database (VIP), Cochrane Library, Embase, PubMed, Web of Science, and Chinese biomedical literature service system (Sinomed) to collect clinical decisions, relevant guidelines, evidence summaries, systematic reviews, and expert consensus documents on the prevention of intracranial infection in this context according to the 6S evidence model. The search included literature published up to December, 2023. Then conduct literature screening and evaluation, extract and summarize relevant evidence on perioperative prevention of intracranial infection after EETS from the selected literature. Two researchers applied the JBI levels of evidence preappraisal system (2014 version) to categorize the included evidence into five levels (level 1a being the highest and level 5c being the lowest). A total of 16 pieces of literature were reviewed, including 6 clinical decision-makings, 2 guidelines, 2 systematic reviews, and 6 expert consensus documents. Ultimately, 24 pieces of best evidence for preventing intracranial infections after EETS for pituitary adenomas were formed, and they will be divided into four categories: multidisciplinary collaboration, preoperative evaluation and informed consent, intraoperative prevention and control, and postoperative observation and prevention. This summarized the best evidence for preventing intracranial infection after endoscopic endonasal transsphenoidal pituitary neoplasms resection. Summary of the best evidence for preventing intracranial infections following EETS plays a critical role in enhancing surgical success, optimizing patient management, fostering multidisciplinary collaboration, advancing research, and improving patient satisfaction. It is recommended that medical staff select and apply the evidence in clinical practice in order to avoid the occurrence of intracranial infections.

AimTo evaluate and summarize the best available evidence regarding the efficacy of cognitive behavioral therapy for insomnia (CBT-I) in improving sleep quality in patients with chronic insomnia and to provide structured, evidence-based recommendations for clinical nursing practice.DesignThis evidence summary was conducted using the PIPOST model from the Center for Evidence-Based Nursing at Fudan University, which guided the development of structured evidence-based questions.MethodsA systematic search was performed across multiple databases and guideline repositories for literature published from inception to December 10, 2024. Literature types included clinical guidelines, best practice information sheets, expert consensuses, systematic reviews, evidence summaries, and meta-analyses. Databases searched included UpToDate, BMJ Best Practice, Joanna Briggs Institute, Guidelines International Network, National Institute for Health and Care Excellence, Embase, PubMed, Web of Science, MEDLINE, CNKI, and WanFang.Data sourcesThe following sources were utilized: UpToDate, BMJ Best Practice, Joanna Briggs Institute, Guidelines International Network, National Institute for Health and Care Excellence, Registered Nurses’ Association of Ontario, Scottish Intercollegiate Guidelines Network, Embase, PubMed, Sinomed, Web of Science, DynaMed, MEDLINE, CNKI, WanFang database, and Chinese Medical Journal Full-text Database. The search period was from database inception to December 10, 2024.ResultsA total of 28 papers were included, comprising five guidelines, three expert consensus papers, 12 systematic reviews, and eight meta-analyses. The overall quality of the included literature was high. Forty-one pieces of best evidence were summarized across nine domains: diagnostic criteria for chronic insomnia, assessment conditions, the timing of CBT-I initiation, treatment formats, components of CBT-I, assessment metrics and tools, symptom improvement indicators, comparisons of implementers, and adverse effects.ConclusionThis study synthesized the best available evidence supporting CBT-I as an effective intervention for improving sleep quality in patients with chronic insomnia. Clinical staff should conduct comprehensive assessments before implementing CBT-I and should develop personalized treatment plans based on individual patient characteristics. The evidence supports CBT-I as a first-line treatment with minimal adverse effects compared to pharmacological interventions.

Background and ObjectiveChildren with cleft lip and palate face more complex stressful situations in the perioperative period due to their underdeveloped systems and relatively weaker resistance to various injurious stimuli. The concept of enhanced recovery after surgery (ERAS) offers a novel perspective on the perioperative management of pediatric patients with cleft lip and palate. This narrative review aimed to search, evaluate, and summarize the best evidence for ERAS in children with cleft lip and palate, and provide reference for clinical perioperative nursing practice.MethodsWe searched the databases of The British Medical Journal (BMJ), UpToDate, The Cochrane Library, Guidelines International Network (GIN), Scottish Intercollegiate Guidelines Network (SIGN), Joanna Briggs Institute (JBI), Medlive, American Cleft Palate-Craniofacial Association (ACPA), Enhanced Recovery After Surgery Society, Chinese Stomatological Association (CSA), PubMed, Web of Science, Embase, Scopus, SinoMed, China National Knowledge Infrastructure (CNKI), Wanfang, and China Science and Technology Journal (VIP). The search covered the period from the database’s inception to December 2024. This study included children undergoing congenital cleft lip and palate surgery who received perioperative ERAS interventions with evidence derived from guidelines, evidence summary, expert consensus, systematic reviews, or randomized controlled trials (RCTs), while excluding non-English/Chinese literature, incomplete methodological details or low-quality appraisal ratings, and studies with unavailable data. Quality was assessed using Clinical Guidelines Research and Evaluation System for guidelines, Critical Appraisal for Summaries of Evidence for evidence summaries, the JBI Critical Appraisal Tool for Systematic Reviews, the JBI Critical Appraisal Checklists for expert consensus, and the Cochrane Risk of Bias Tool for randomized trials. Evidence synthesis was performed using the JBI Evidence Pre-grading System (2014) to classify evidence levels (1–5), followed by recommendation grading (grade A/B).Key Content and FindingsA total of 14 articles were included, including four guidelines, one technical report, two expert consensus articles, three systematic reviews, and four RCTs (covering 342 patients). The publication or update dates of these studies spanned 2019–2024, with their sources predominantly originating from the United States and China, and they covered the entire perioperative period. Through a comprehensive analysis of these studies, 17 themes and 34 recommendations were identified in total. These recommendations cover preoperative preparation (health education, nutrition, fasting), intraoperative care (anesthesia, temperature), postoperative management (pain, feeding, wound care), and discharge follow-up.ConclusionsThis study synthesizes 34 key evidence-based recommendations for perioperative ERAS management in pediatric cleft lip and palate surgery, providing structured guidance to accelerate postoperative recovery and standardize clinical practice. Since these findings originated from several nations, institution-specific factors must be assessed prior to adoption of ERAS protocols. These factors include resource availability, local healthcare policies, multidisciplinary team engagement, and existing clinical workflows.

This study aims to systematically search, screen, evaluate, and summarize the best evidence related to the prevention and management of febrile seizures in children, with the goal of providing evidence-based guidance for clinical practice in this field. A comprehensive search was conducted across multiple databases, including UpToDate, Joanna Briggs Institute (JBI), Guidelines International Network, Agency for Healthcare Research and Quality, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, the Cochrane Library, Embase, PubMed, Web of Science, China National Knowledge Internet (CNKI), SinoMed, and WanFang database. The search deadline was from database establishment to July, 2025. Two researchers independently evaluated the quality of the included literature and extracted and summarized the evidence. Twenty literature sources were included, comprising 3 clinical decision, 7 guidelines, 4 expert consensus, 1 best practice, and 5 systematic reviews. Through integration of these sources, 29 best evidence statements were ultimately developed, covering 6 major themes: Clinical assessment and diagnosis, Indications of hospitalization, risk assessment, non-pharmacological treatment, pharmacological treatment, as well as caregiver support and follow-up. This study summarizes the best evidence for the prevention and management of febrile seizures in children. In clinical application, healthcare professionals should make professional judgment and select evidence based on clinical circumstances and the preferences of the child, thereby providing a more scientifically grounded basis for clinical nursing practice. This study was based on the evidence summary reporting specifications of the Fudan University Center for the Evidence-based Nursing, the register name is "Evidence summary for prevention and management of febrile seizures in children", the registration number is "ES20246803".

BackgroundVasopressors are critical for maintaining hemodynamic stability in critically ill patients, traditionally administered via central venous catheters (CVCs). However, CVCs carry risks of complications and insertion delays. Peripheral intravenous catheters (PIVCs) offer a rapid alternative but pose risks of extravasation and phlebitis. This study aimed to evaluate and summarize the evidence for the safe management of vasopressors through peripheral intravenous catheters, providing reference for clinical practice.MethodsThis evidence summary utilized the standard evidence summary report of Fudan University Center for Evidence-based Nursing, which includes problem establishment, evidence retrieval, literature screening, quality evaluation of the literature, the summary and grading of evidence. The registration number is “ES20246694”. Current literatures were systematically searched for the best evidence for safe management of vasopressors through PIVCs. BMJ Best Practice, UpToDate, DynaMed, Joanna Briggs Institute, Cochrane Library, Guidelines International Network, National Institute for Health and Clinical Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses’ Association of Ontario, Intravenous Nurses Society, Chinese Nursing Association, PubMed, Embase, CINHAL, Web of Science, Chinese Medical Journal Full-text Database, Sinomed, CNKI, Wanfang, and VIP were searched from database establishment to 27 June 2025. Literature types included clinical practice guidelines, clinical decisions, expert consensuses, systematic reviews, and evidence summaries.ResultsOur systematic search retrieved 1,925 publications, and finally identified 12 articles that had high-quality results. The evidence synthesis comprised three clinical decisions, four guidelines, one expert consensus, and four systematic reviews. We summarized the 29 pieces of best evidence from these articles, covering five aspects: training and education, infusion site selection, vascular access placement, infusion regimen optimization, and complication management. Of these pieces of evidence, 23 were ‘strong’ and 6 were ‘weak’, 9 pieces of evidence were recommended in level one.ConclusionThe following 29 pieces of evidence for safe management of vasopressors through peripheral intravenous catheters were finally recommended. However, due to the multinational origin of the evidence, feasibility, appropriateness, clinical significance, and effectiveness must be evaluated within institutional contexts prior to implementation.Supplementary InformationThe online version contains supplementary material available at 10.1186/s12912-025-03635-3.

ObjectivesTo appraise the quality of clinical practice guidelines (CPGs) and expert consensus statements on rehabilitation for patients with COVID-19, summarise recommendations of rehabilitation assessments and interventions and evaluate the heterogeneity...

This study aims to systematically search, screen, evaluate, and summarize the best evidence related to the dietary management of patients with high-output ileostomy, providing an evidence-based reference for the dietary management tailored to this specific demographic. A comprehensive search was conducted across multiple databases, including BMJ best practice, Up to Date, Guidelines International Network, Medlive, National Institute for Health and Care Excellence, Scottish Intercollegiate Guidelines Network, Registered Nurses Association of Ontario, JBI, Cochrane Library, PubMed, CNKI, Wanfang, and VIP databases. Additional searches included websites of professional organizations such as the European Society for Clinical Nutrition and Metabolism, Chinese Society for Parenteral and Enteral Nutrition, American Society for Parenteral and Enteral Nutrition, World Council of Enterostomal Therapists, United Ostomy Associations of America, and International Ostomy Association. Two researchers independently evaluated the quality of the included literature and extracted and summarized the evidence. Eighteen articles were included: 2 clinical decision documents, 5 guidelines, 3 expert consensus statements, 6 expert opinions, and 2 evidence summaries. Thirty pieces of evidence were synthesized, covering nutritional risk screening, dietary guidance, dietary behavior guidance, health education, and follow-up care. The summarized best evidence is scientific and comprehensive, offering an evidence-based guide for healthcare professionals managing the dietary needs of patients with high-output ileostomy.

Comparison of SVS and ESVS Carotid Disease Management Guidelines

Nonpharmacological Management of Preoperative Anxiety in Adults: A Systematic Review.

The purpose of this study is to systematically explore and summarize the best evidence of home-based self-management in patients with permanent pacemaker implantation, providing comprehensive references and guidance for improving the self-management ability of such patients. Using the "6S" model, a systematic literature search was conducted on home-based self-management in patients with permanent pacemaker implantation. The types of literature included best practice, clinical decision-making, guidelines, expert consensus, systematic review and evidence summary. According to the inclusion and exclusion criteria, two researchers screened the literature, evaluated the quality, extracted the data, synthesized the evidence. BMJ Best Practice, Up To Date, Joanna Briggs Institute (JBI), the World Health Organization (WHO), the Guidelines International Network (GIN), the National Institute for Health and Care Excellence (NICE), the Registered Nurses Association of Ontario (RNAO), the Scottish Intercollegiate Guidelines Network (SIGN), the American Heart Association (AHA), the Cochrane Library, PubMed, CINAHL, Web of Science, Medlive, CNKI Database, SinoMed (China Biomedical Literature Database), Wanfang Database and VIP Database. The retrieval period spanned from the establishment of these databases until January 31, 2025. A total of 21 articles were included, 1 best practice, 9 clinical decision-making, 5 guidelines, 3 expert consensus, 1 systematic review, and 2 evidence summaries. Thirty-five pieces of the best evidence from 7 aspects were summarized, including complication management, electromagnetic interference management, sports rehabilitation management, operative limb management, postoperative follow-up management, role management, and emotional management. This review comprehensively summarized the best evidence home-based self-management in patients with permanent pacemaker implantation. These findings are scientific and referential, and provide evidence-based support for nursing and management of patients during home-based rehabilitation.

To evaluate and summarize the available evidence on the prevention and management of nasogastric aspiration in critically ill patients to inform the development of evidence-based clinical practice. This study was an evidence summary according to the evidence summary reporting standard of the Fudan University Center for Evidence-Based Nursing. According to the '6S' model of evidence resources, evidence on the prevention and management of aspiration in critically ill patients on nasogastric feeding was retrieved, including clinical decision-making, best practices, guidelines, evidence summaries, expert consensus and systematic evaluations. UpToDate, BMJ Best Practice, JBI, National Guideline Clearing-house, Guidelines International Network, Scottish Intercollegiate Guidelines Network, National Institute for Health and Care Excellence, Registered Nurses Association of Ontario, Yi Mai tong Guidelines Network, the Cochrane Library, PubMed, Web of Science, Embase, OVID, Sinomed, CNKI, Wan Fang database. The search period was from January 2013 to June 2023. We included a total of 30 high-quality articles and summarized 36 pieces of evidence from them. These pieces of evidence covered 11 dimensions of multidisciplinary management, aspiration risk assessment, tube location, nutritional infusion management, position management, airway management, and oral hygiene. The level of evidence in the study was predominantly level 1 and level 5, with 27 pieces of evidence recommended as 'strong' and 9 pieces of evidence recommended as 'weak'. This study summarizes 36 pieces of evidence on preventing and managing aspiration in critically ill patients with nasogastric feeding. But the characteristics of hospitals should be considered in the application of future evidence. Aspiration is the most serious complication during nasogastric feeding, which seriously affects the prognosis of patients. Preventing and managing aspiration in nasogastric patients has proven to be a challenging clinical problem. This study summarized 36 pieces of best evidence in 11 dimensions, including multidisciplinary team, assessment and identification, line position, feeding management, and so on. The implementation of these evidences is conducive to standardizing the operation behaviour of nasogastric feeding in clinical medical staff and reducing the occurrence of aspiration. This research followed the evidence summary reporting specifications of the Fudan University Center for Evidence-based Nursing. The registration number is 'ES20221368'.

To retrieve, evaluate and summarise the best evidence for non-pharmacological management of sleep disturbances in ICU patients, and to provide basis for clinical nursing practice. This study was an evidence summary followed by the evidence summary reporting standard of Fudan University Center for Evidence-based Nursing. All evidence on non-pharmacological management of sleep disturbances in ICU patients from both domestic and international databases and relevant websites was systematically searched, including guidelines, expert consensuses, best practice, clinical decision-making, evidence summaries and systematic review. UpToDate, BMJ Best Practice, Joanna Briggs Institute, Scottish Intercollegiate Guidelines Network, National Guideline Clearinghouse, National Institute for Health and Clinical Excellence, Yi Maitong Guidelines Network, Registered Nurses Association of Ontario, Canadian Medical Association: Clinical Practice Guideline, Guidelines International Network, WHO, the Cochrane Library, CINAHL, Embase, PubMed, Web of Science, CNKI, WanFang database, VIP database, SinoMed, The American Psychological Association, European Sleep Research Society, American Academy of Sleep Medicine and National Sleep Foundation were searched from the establishment of the databases to June 1, 2024. A total of 18 pieces of literature were included, involving 4 guidelines, 2 expert consensuses, 1 best practice and 11 systematic reviews. 25 pieces of evidence covering 4 categories of risk factors, sleep monitoring, non-pharmaceutical intervention, education and training were summarised. This study summarises the best evidence for non-pharmacological management of sleep disturbances in ICU patients. In clinical application, medical staff should make professional judgements and fully combine clinical situations and patient preferences to select evidence, laying a theoretical foundation for later empirical research to reduce the incidence of sleep disturbances in ICU patients and improve the sleep quality of critically ill patients. Medical staff can refer to the best evidence to provide reasonable non-pharmacological management plans for sleep disturbances in ICU patients, improving their sleep quality and life satisfaction. The management of sleep disturbances in critically ill patients has not received sufficient attention and standardisation. This study summarises 25 pieces of the best evidence for non-pharmacological management of sleep disturbances in critically ill patients. Accurate and standardised evaluation and monitoring are the foundation of sleep management for ICU patients. This summary of evidence can help ICU nurses enhance their clinical practice. This evidence summary followed the evidence summary reporting specifications of Fudan University Center for Evidence-based Nursing, which were based on the methodological process for the summary of the evidence produced by the Joanna Briggs Institute. This study was based on the evidence summary reporting specifications of the Fudan University Center for the Evidence-based Nursing; the registration number is 'ES20231708'. No Patient or Public Contribution.

PONV Management in Adult Patients: Evidence-based Summary

Pre-pregnancy fertility guidance for women of childbearing age with epilepsy: A scoping review.