Category Archives: public health

ZIKA: Evidence-based clinical guidelines to prevent sexual transmission

As  you probably know Zika is already causing problems in an area outside of Miami, FL. CDC has taken the unusual step of issuing a travel warning there. 16743-close-up-of-a-mosquito-feeding-on-blood-pv

Accurate clinician and patient information in the U.S. will become more critical, and your advice to others could save lives as the disease spreads.

imagesCALQ0QK9Some of the best evidence on what to teach is from CDC.  These experts have reviewed the best available literature and developed these clear  evidence-based clinical guidelines to
prevent sexual transmission of Zika
.  Such evidence-based guidelines are considered very STRONG evidence--some of the strongest out there!! (For more see: “I like my “I like my coffee (and my evidence) strong!”)

Note that I point out, as do they, that these guidelines are based on the best available evidence which continues to evolve.  (It wasn’t that long ago when experts denied that Zika could be sexually transmitted.  Now we know better.)

what so what what nextScientific evidence is not static. It is dynamic and ever evolving.  This is not a problem with science, but is part of its very nature–that of discovery.

Why this matters: Clinicians should continue to educate all patients about ZIKV sexual transmission risk, to conduct testing for all persons with possible sexual exposure, and to report all cases of ZIKV to local health authorities” (CDC, 2016).

Critical thinking: How might you use this information at work or with the broader public?question

For more information: Check out CDC Zika Virus webpage 

 

Zika Virus: What we know and do not know (O’Malley, 2016)

The public and lots of nurses have lots of questions.   Our evidence-based knowledge is evolving.  Here’s some of the latest (Aug/July 2016).

You can set up a free account with Lippincott to access this 3 page article that translates current research into practice for you.

O’Malley – Zika virus: What we know and do not know: 16743-close-up-of-a-mosquito-feeding-on-blood-pvhttp://www.nursingcenter.com/pdfjournal?AID=3570052&an=00002800-201607000-00005&Journal_ID=54033&Issue_ID=3569996

!!Don’t Go Pokemon Go!! Privacy, malware, safety, and infringement dangers

Don’t Go Pokemon Go ….& if you must, watch out!  New privacy and safety dangers are being recorded almost every day.  The game is full of health and computer hazards, and has potential to distract workers from their life-saving care.

What is the evidence?  At this point mostly anecdotal reports and the anticipated possibility that healthcare workers could be distracted from life-saving work.  You need to translate this evidence into action.  Why would you do this with such relatively weak research evidence?  Because the risks are far higher to ignore it, & essentially NO risks if you use the evidence.   The BBB lists these problems & makes some suggestions based on incoming reports:

Translating this evidence into practice?  Think before you  Pokemon Go, if at all.  Talk to your patients–when people don’t feel well they are even more likely to be distracted.

Critical thinking?  1) List specific actions that you will do to promote privacy, safety and fight malware and infringement.  These can range from “never download;never play” to…..?    When developing this list specifically address the challenges above. 2) What about patient players?  staff players?  visitor players?  How should you help them to be safe?question