The latest evidence and resources for nurses and clinical support staff. You can either scroll through this page or click on any of the links below to jump to the relevant section.
- Cardiovascular health
- Care of the newborn, including preterm infants
- Children – virtual reality to distract from pain in healthcare settings
- Critical and emergency care
- Mental health
- Organization of care
- Perioperative care
- Pressure injury
- Research participation
- Respiratory disease
- School-based interventions
- Skin and soft tissue infection
- Smoking cessation
- Stroke rehabilitation
- Wound care
- Coming up…
Cochrane is producing reviews and resources for the COVID-19 pandemic. We have blogged about many of them and this blog COVID-19 evidence: a Cochrane round-up brings together a large collection of evidence and resources, starting from when this evidence was first being produced in spring 2020. Like the reviews themselves, all our blogs are updated to reflect new evidence.
Cochrane’s response to the pandemic had to meet the needs of evidence users and decision‐makers as it developed and how this is being done is discussed in an Editorial COVID-19: working together and making a difference for decision-makers. Cochrane has also signed on to the World Health Organization’s call for action about managing infodemics and WHO’s Vaccine Equity Declaration.
You may also be interested to know about iHealthFacts, an online resource where anyone can ask for the evidence behind health claims. Read more in Cochrane Ireland vs COVID-19: iHealthFacts.ie ‘fact checking’ claims in a pandemic.
Cochrane Special Collections
Cochrane Special Collections assemble Cochrane Reviews are systematic reviews. In systematic reviews we search for and summarize studies that answer a specific research question (e.g. is paracetamol effective and safe for treating back pain?). The studies are identified, assessed, and summarized by using a systematic and predefined approach. They inform recommendations for healthcare and research. on important topics for the prevention and Something done with the aim of improving health or relieving suffering. For example, medicines, surgery, psychological and physical therapies, diet and exercise changes. of COVID-19. They are developed with experts from our global Cochrane network. They are based on World Health Organization interim guidance, and continuously updated. You can find Coronavirus (COVID-19) Special Collections here. Among them is Coronavirus (COVID-19): evidence relevant to critical care, most recently updated in March 2021.
Cochrane COVID-19 Podcasts offer short summaries of Cochrane COVID-19 reviews from the authors themselves. A good way to hear the latest Cochrane Reviews are systematic reviews. In systematic reviews we search for and summarize studies that answer a specific research question (e.g. is paracetamol effective and safe for treating back pain?). The studies are identified, assessed, and summarized by using a systematic and predefined approach. They inform recommendations for healthcare and research. in under 5 minutes each.
Cochrane Clinical Answers
Cochrane Clinical Answers (CCAs) provide a readable, digestible, clinically-focused entry point to rigorous research from Cochrane Reviews. They are designed to be actionable and to inform point-of-care decision-making.
Each CCA contains a clinical question, a short answer, and Data is the information collected through research. for the Outcomes are measures of health (for example quality of life, pain, blood sugar levels) that can be used to assess the effectiveness and safety of a treatment or other intervention (for example a drug, surgery, or exercise). In research, the outcomes considered most important are ‘primary outcomes’ and those considered less important are ‘secondary outcomes’. from the Cochrane Review deemed most relevant to practising healthcare professionals. The evidence is displayed in a user-friendly tabulated format that includes narratives, data, and links to graphics.
Best of the Cochrane Library
Brain tumour diagnosis and management
The Evidently Cochrane blog Diagnosing and treating brain tumours: reflections on the latest Cochrane evidence has been written for people living with a brain tumour, healthcare practitioners and anyone with an interest in brain tumours. In it, Helen Bulbeck, Cochrane consumer representative and director of policy and services for brainstrust, looks at the latest Cochrane evidence on brain tumours and reflects on what this special collection means for the brain tumour community and why collaboration has been key to the success of this work.
Exercise for cachexia
Cochrane Review: Exercise for cancer cachexia in adults (March 2021).
Preventing bladder dysfunction after radical hysterectomy
Specialist breast care nurses
Cochrane Review: Specialist breast care nurses for support of women with breast cancer (February 2021)
Cochrane Clinical Answers:
Blood pressure targets
Discontinuing antihypertensive medication
In the blog Exercise for intermittent claudication: does the type of exercise make a difference? Dr Rebecca Gould, Sport and Exercise Medicine Registrar and Cochrane UK Fellow, looks at the latest Cochrane evidence on exercise for intermittent claudication (lower leg pain that comes on during exercise) and explores if the type of exercise undertaken makes a difference.
There’s also a Cochrane Clinical Answer: How do alternative modes of exercise training compare with supervised walking for people with intermittent claudication?
Walking and blood pressure
Featured Review: The effect of walking on blood pressure control (February 2021)
Care of the newborn, including preterm infants
Diet – preterm infants
Cochrane Clinical Answers:
Head position during nursing
Cochrane Clinical Answer: How do different head positions during nursing compare for improving outcomes for preterm infants?
Indomethacin for symptomatic patent ductus arteriosus
Cochrane Review: Indomethacin for symptomatic patent ductus arteriosus in preterm infants (January 2021)
Interventions to prevent cerebral palsy
Cochrane Clinical Answer: What are the effects of interventions to prevent cerebral palsy in preterm or low birth weight infants?
Lung recruitment manoeuvres in mechanically ventilated neonates
Cochrane Review: Lung recruitment manoeuvres for reducing mortality and respiratory morbidity in mechanically ventilated neonates (March 2021)
Management of transient tachypnoea of the newborn
Cochrane Review: Fluid restriction in the management of transient tachypnea of the newborn (February 2021)
Cochrane Review: Salbutamol for transient tachypnea of the newborn (February 2021)
Opioids for newborn infants receiving mechanical ventilation
Cochrane Review: Opioids for newborn infants receiving mechanical ventilation (March 2021)
Probiotics for prevention of necrotising enterocolitis
Skin care to prevent eczema and food allergies
Featured Review: Does moisturising baby skin prevent eczema or food allergies?
Children – virtual reality to distract from pain in healthcare settings
Critical and emergency care
High-flow nasal cannulae
Cochrane Review: High‐flow nasal cannulae for respiratory support in adult intensive care patients (March 2021)
Oral care for mechanically ventilated patients
Featured Review: What are healthcare stakeholders’ perceptions and experiences of factors affecting the implementation of critical care telemedicine? (February 2021)
Support for informal carers
Withdrawal or continuation of cholinesterase inhibitors or memantine or both
Cochrane Review: Withdrawal or continuation of cholinesterase inhibitors or memantine or both, in people with dementia (February 2021)
March was Endometriosis Awareness Month and we had a special series on Evidently Cochrane and on social media, in partnership with Cochrane Gynaecology and Fertility and a panel of clinical and patient experts. The series is introduced in this blog – Endometriosis: #MyEndometriosisQuestion – a special series. You can see all the Evidently Cochrane blogs in our endometriosis series here.
Cochrane news item: Endometriosis Awareness Month
Cochrane Review: Antidepressant treatment for postnatal depression (February 2021)
Organization of care
Patient access to electronic health records
Multimorbidity – organizational interventions
Cochrane Clinical Answer: What are the effects of organizational interventions directed toward people with multimorbidity?
Melatonin for anxiety
Cochrane Clinical Answer: For adults with preoperative and postoperative anxiety, what are the effects of melatonin?
Cochrane Review: Patient and lay carer education for preventing pressure ulceration in at‐risk populations (February 2021)
Anti-IL5 therapies for COPD
Featured review: Anti-IL5 therapies for chronic obstructive pulmonary disease
Chronic respiratory disease and telemedicine
Cochrane Review: Telerehabilitation for chronic respiratory disease (January 2021)
Exercise training for bronchiectasis
Cochrane Review: Exercise training for bronchiectasis (April 2021)
Pulmonary rehabilitation for interstitial lung disease
Cochrane Review: Pulmonary rehabilitation for interstitial lung disease (February 2021)
Cochrane Clinical Answer: How do physical activity interventions with or without healthy lifestyle education tools compare with a standard physical education curriculum for promoting school achievement and cognition among children and adolescents classified as overweight and obese?
Skin and soft tissue infection
Cochrane Clinical Answer: For people with skin and soft tissue infection, how do different systemic antibiotics compare?
Featured Review: Does behavioural support help people to stop smoking?
Cochrane Clinical Answers:
Cochrane Podcast: Let’s talk e-cigarettes
Eight ways to quit
Smoking cessation and mental health
Cochrane Review: Smoking cessation for improving mental health (March 2021)
Cochrane Podcast: Smoking cessation for improving mental health
Cochrane Clinical Answer: What are the effects of smoking cessation on anxiety and depression?
Type of provider
Cochrane Clinical Answers:
Cochrane Podcast: Vitamins and minerals for subfertility in women
Cochrane Clinical Answer: For women undergoing assisted reproduction for subfertility, what are the effects of antioxidants?
Cleansing venous leg ulcers
Featured review: Does cleaning venous leg ulcers help them to heal?
Negative-pressure wound therapy for surgical wounds
Virtually Cochrane: an online event
Registration is now open for ‘Virtually Cochrane’, an online event for all those involved with, or interested in, planning, doing, sharing and using health and healthcare evidence. It will take place on 20 – 22 April 2021. You can read all about it, and register, here.
The next collection of evidence will be published here in July 2021. We may have new blogs and blogshots on individual reviews meanwhile. You can find all our blogs relevant to nursing here and blogshots here.
Join in the conversation on Twitter with @CochraneUK or leave a comment on the blog. Please note, we cannot give specific medical advice and do not publish comments that link to individual pages requesting donations or to commercial sites, or appear to endorse commercial products. We welcome diverse views and encourage discussion but we ask that comments are respectful and reserve the right to not publish any we consider offensive. Cochrane UK does not fact check – or endorse – readers’ comments, including any treatments mentioned.
Sarah Chapman and Selena Ryan-Vig have nothing to disclose.