Factors Related to the Implementation of Evidenced-based Practice (EBP) of Nursing Staffing Levels in Hospitals: A Literature Review

The implementation of Evidenced-based practice (EBP) was one of the factors in increasing the quality of health services as an ideal problem-solving approach. The ability of nurses to appliance EBP was influenced by many factors, not only on individual nurses consisting by the support of unit leader and colleague. The purpose of this study was to determine the factors associated with the implementation of EBP at the care room level establishing on the support of coworkers and nursing managers. This writing used a literature review study, from several databases namely PubMed, ProQuest, Google Scholar, and ScienceDirect with a limitation of the last 5 years. 17 journals met the inclusion criteria and the results of a literature review study show: eight journals conclude that the support of colleagues and authority in changing practices affects the implementation of EBP, 13 journals concluded the role of managerial nurses affects the implementation of EBP consisting of leadership support and mentorship including the lack of knowledge and skills of nursing leaders regarding EBP. Data from the collected and identified literature study clearly showed that EBP knowledge and skills of nursing leaders related to EBP are important factors in increasing the implementation of EBP but co-worker factors can be a supporter and also an obstacle to the implementation of EBP if it is not well managed.

Bioaccumulation of Heavy Metals in Earthworms in Industrial, Forest, Agricultural and Urban Areas of District Kasur Punjab Pakistan

Metal contamination of urban and agricultural soil is a potential threat for human health. With increasing population, human activities like rapid industrialization, unchecked urbanization and agricultural activities significantly contribute to the heavy metal pollution. Metal contaminants present in environment can enter into the food web so cause harmful effects on living organisms. The present proposal aims to address the heavy metals pollution like Lead (Pb), Cadmium (Cd), Chromium (Cr) and Arsenic (As) in soil, and bioaccumulation of these metals in soil dwelling organisms ?earthworms?. For this purpose, 40 sites were selected including urban, agricultural, industrial land forest areas. Briefly, soil samples and earthworms were collected from selected sites and stored under standardize conditions. Soil digests, diethylenetriaminepentaacetic acid (DTPA) extracts and earthworms? digests were prepared using acids under standard lab conditions. The digests and extracts were assessed for heavy metal contamination by the use of atomic absorption spectrophotometer following the standard protocols. We found that high levels of metal contaminant were present in selected samples of soil of industrial and urban areas. The highest concentration of Chromium was found in industrial soil samples (mean 2352 ?g/g). Additionally, the bioaccumulation of these metals in earthworms also showed significant concentrations. However, the soil and earthworm samples from agricultural and forest areas had comparatively low level of heavy metals. These results indicate that industrial and urban areas of district Kasur are affected in terms of heavy metal pollution due to excessive anthropogenic activities. Furthermore, bio-accumulation of these heavy metals in earthworms serves as a useful bio-indicator of soil pollution. . The average range of heavy metals in soil of industrial areas were; Cd (26.931?g/g), Cr (2352.3?g/g), As (21.62?g/g) and Pb (6.64?g/g) whereas in earthworms from industrial areas were; Cd (33.43?g/g), Cr (31.085?g/g), As (0.30?g/g) and Pb (11.45?g/g). Similarly the average range of heavy metals in soil in urban areas were; Cd (18.153?g/g), Cr (1354.9?g/g), As (22.824?g/g) and Pb (30.612?g/g), whereas in earthworms from urban areas were; Cd (23.206?g/g), Cr (17.215?g/g), As (0.27?g/g) and Pb (11.89?g/g).The total accumulation rate of cadmium, lead, chromium and arsenic in the biomass of the earthworms was significantly higher in industrial and urban areas of Kasur rather than agricultural and forests.