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International Journal of Nursing Studies

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https://www.readbyqxmd.com/read/28095347/using-experience-based-co-design-with-older-patients-their-families-and-staff-to-improve-palliative-care-experiences-in-the-emergency-department-a-reflective-critique-on-the-process-and-outcomes
#1
Rebecca Wright Née Blackwell, Karen Lowton, Glenn Robert, Corita Grudzen, Patricia Grocott
BACKGROUND: Increasing use of emergency departments among older patients with palliative needs has led to the development of several service-level interventions intended to improve care quality. There is little evidence of patient and family involvement in developmental processes, and little is known about the experiences of - and preferences for - palliative care delivery in this setting. Participatory action research seeking to enable collaborative working between patients and staff should enhance the impact of local quality improvement work but has not been widely implemented in such a complex setting...
January 11, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28088008/instruments-evaluating-the-quality-of-the-clinical-learning-environment-in-nursing-education-a-systematic-review-of-psychometric-properties
#2
REVIEW
Irene Mansutti, Luisa Saiani, Luca Grassetti, Alvisa Palese
BACKGROUND: The clinical learning environment is fundamental to nursing education paths, capable of affecting learning processes and outcomes. Several instruments have been developed in nursing education, aimed at evaluating the quality of the clinical learning environments; however, no systematic review of the psychometric properties and methodological quality of these studies has been performed to date. OBJECTIVES: The aims of the study were: 1) to identify validated instruments evaluating the clinical learning environments in nursing education; 2) to evaluate critically the methodological quality of the psychometric property estimation used; and 3) to compare psychometric properties across the instruments available...
January 4, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28086112/the-little-schmidy-pediatric-hospital-fall-risk-assessment-index-a-diagnostic-accuracy-study
#3
Linda S Franck, Caryl L Gay, Bruce Cooper, Suzanne Ezrre, Barbette Murphy, June Shu-Ling Chan, Maureen Buick, Carrie R Meer
BACKGROUND: Falls are among the most common potentially preventable adverse events. Current pediatric falls risk assessment methods have poor precision and accuracy. OBJECTIVE: To evaluate an inpatient pediatric fall risk assessment index, known as the Little Schmidy, and describe characteristics of pediatric falls. DESIGN: Retrospective case control and descriptive study. The dataset included 114 reported falls and 151,678 Little Schmidy scores documented in medical records during the 5-year study period (2007-2011)...
January 4, 2017: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28092800/effect-of-venepuncture-process-design-on-efficiency-and-failure-rates-a-simulation-model-study-for-secondary-care
#4
Sean Reed, Rasa Remenyte-Prescott, Ben Rees
BACKGROUND: Healthcare aims to deliver good patient outcomes. For many clinical procedures there are multiple alternative task sequences that can be performed. These deviations can influence procedure reliability, efficiency of usage of hospital resources and risk to staff and patient safety. Venepuncture is one of the most common invasive procedures in healthcare. Literature of clinical practice shows evidence of wide variability in the procedure order and the duration of each step, which can depend on attributes, such as patient health, sampling method and staff skills...
December 29, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28063339/the-experiences-and-needs-of-healthcare-professionals-facing-perinatal-death-a-scoping-review
#5
REVIEW
Shefaly Shorey, Beate André, Violeta Lopez
BACKGROUND: Globally, perinatal death is on a decline. However, its impact on the healthcare profession is huge. The existing literature focuses on examining perinatal death from parents' perspectives and patient death from the perspectives of nurses and a few doctors in critical care, oncology, and neonatology in the West. Due to the unique setting of maternity units where death is not routinely anticipated, as well as distinctive socio-cultural views surrounding death, there is a need to comprehensively review literature examining the impact of perinatal death on the perspectives of healthcare professionals working in maternity units...
December 28, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28073051/older-peoples-strategies-for-coping-with-chronic-non-malignant-pain-a-qualitative-meta-synthesis
#6
REVIEW
Marie Crowe, Deborah Gillon, Jennifer Jordan, Cate McCall
BACKGROUND: There is evidence that chronic pain is not recognised or managed effectively in older people. It is important to examine how older people cope with this because of the impact it can have on their quality of life and mortality. It will also enable nurses to work with older people to support effective coping skills and provide information on other useful coping strategies. OBJECTIVES: To examine how older people cope with non-malignant chronic pain. DESIGN: This is a qualitative meta-synthesis using Confidence in the Evidence from Reviews of Qualitative Research developed by Grading of Recommendations Assessment Development and Evaluation working group to evaluate the strength of the evidence...
December 23, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28043015/comparison-of-the-effectiveness-of-two-styles-of-case-based-learning-implemented-in-lectures-for-developing-nursing-students-critical-thinking-ability-a-randomized-controlled-trial
#7
Shaohua Hong, Ping Yu
PURPOSE: To explore and compare the effectiveness of two styles of case-based learning methods, unfolding nursing case and usual nursing case, implemented in lectures for developing nursing students' critical thinking ability. METHODS: 122 undergraduate nursing students in four classes were taught the subject of medical nursing for one year. Two classes were randomly assigned as the experimental group and the other two the control group. The experimental group received the lectures presenting unfolding nursing cases and the control group was taught the usual cases...
December 23, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28012433/breastfeeding-attitude-health-related-quality-of-life-and-maternal-obesity-among-multi-ethnic-pregnant-women-a-multi-group-structural-equation-approach
#8
Ying Lau, Tha Pyai Htun, Peng Im Lim, Sarah Su Tin Ho-Lim, Claudia Chi, Cammy Tsai, Kai Wen Ong, Piyanee Klainin-Yobas
BACKGROUND: Identifying the factors influencing breastfeeding attitude is significant for the implementation of effective promotion policies and counselling activities. To our best knowledge, no previous studies have modelled the relationships among breastfeeding attitude, health-related quality of life and maternal obesity among multi-ethnic pregnant women; the current study attempts to fill this research gap. OBJECTIVES: This study investigated the relationships among maternal characteristics, health-related quality of life and breastfeeding attitude amidst normal weight and overweight/obese pregnant women using a multi-group structural equation modelling approach...
December 16, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28033524/advance-directives-and-mortality-rates-among-nursing-home-residents-in-taiwan-a-retrospective-longitudinal-study
#9
Hsiu-Hsin Tsai, Yun-Fang Tsai, Chia-Yih Liu
BACKGROUND: No data-based evidence is available regarding the best time for nursing home nurses to obtain residents' signatures on advance directives, especially for do-not-resuscitate directives, the most common type of advance directive. This information is needed to enhance the low prevalence of advance directives in Asian countries. OBJECTIVES: The purposes of this study were to understand (1) the timing between nursing home admission and signing a do-not-resuscitate directive, (2) the factors related to having a do-not-resuscitate directive, and (3) the association between having a do-not-resuscitate directive and nursing home residents' mortality in Taiwan...
December 15, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28017895/mobbing-among-care-workers-in-nursing-homes-a-cross-sectional-secondary-analysis-of-the-swiss-nursing-homes-human-resources-project
#10
Myriam Tong, René Schwendimann, Franziska Zúñiga
BACKGROUND: As a category of bullying, mobbing is a form of violence in the workplace that damages the employing organization as well as the targeted employee. In Europe, the overall prevalence of mobbing in healthcare is estimated at 4%. However, few studies have explored mobbing among long-term care workers. OBJECTIVES: This study aims to examine the frequency of mobbing in Swiss nursing homes and its relationships with care workers' (i.e. registered nurse, licensed practical nurse, assistant nurse, nurse aide) health status, job satisfaction, and intention to leave, and to explore the work environment as a contributing factor to mobbing...
December 15, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28013104/the-impact-of-nursing-delirium-preventive-innterventions-in-the-intensive-care-unit-underpin-icu-a-study-protocol-for-a-multi-centre-stepped-wedge-randomized-controlled-trial
#11
Annelies Wassenaar, Paul Rood, Lisette Schoonhoven, Steven Teerenstra, Marieke Zegers, Peter Pickkers, Mark van den Boogaard
BACKGROUND: Delirium is a common disorder in Intensive Care Unit (ICU) patients and is associated with serious short- and long-term consequences, including re-intubations, ICU readmissions, prolonged ICU and hospital stay, persistent cognitive problems, and higher mortality rates. Considering the high incidence of delirium and its consequences, prevention of delirium is imperative. This study focuses on a program of standardized nursing and physical therapy interventions to prevent delirium in the ICU, called UNDERPIN-ICU (nUrsiNg DEliRium Preventive INterventions in the ICU)...
December 8, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27987411/preconditions-for-successful-advance-care-planning-in-nursing-homes-a-systematic-review
#12
REVIEW
Joni Gilissen, Lara Pivodic, Tinne Smets, Chris Gastmans, Robert Vander Stichele, Luc Deliens, Lieve Van den Block
OBJECTIVES: There is growing evidence of the potential effectiveness of advance care planning. Yet important knowledge gaps remain regarding the preconditions for successful implementation of advance care planning in the nursing home setting. We aim to identify the preconditions related to successful advance care planning in the nursing home setting. By specifying those, we would be able to make well-founded choices for the future design and planning of advance care planning intervention programs...
December 8, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27940368/work-environment-characteristics-associated-with-quality-of-care-in-dutch-nursing-homes-a-cross-sectional-study
#13
Ramona Backhaus, Erik van Rossum, Hilde Verbeek, Ruud J G Halfens, Frans E S Tan, Elizabeth Capezuti, Jan P H Hamers
BACKGROUND: A lack of relationship between direct care staffing levels and quality of care, as found in prior studies, underscores the importance of considering the quality of the work environment instead of only considering staff ratios. Only a few studies, however, have combined direct care staffing with work environment characteristics when assessing the relationship with quality of care in nursing homes. OBJECTIVES: To examine the relationship between direct care staffing levels, work environment characteristics and perceived quality of care in Dutch nursing homes...
December 6, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27940275/nurses-experiences-of-working-in-organizations-undergoing-restructuring-a-metasynthesis-of-qualitative-research-studies
#14
Anne Sofie Bøtcher Jensen, Dorthe Sørensen
BACKGROUND: Health care organizations worldwide undergo continual reconfiguration and structural changes in order to optimize the use of resources, reduce costs, and improve the quality of treatment. OBJECTIVE: The objective of this study was to synthesize qualitative studies of how nurses experience working in organizations undergoing structural changes. DESIGN: The review is designed as a metasynthesis and follows the guidelines put forth by Sandelowski and Barroso for synthesizing qualitative research...
December 5, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27951433/interventions-to-improve-communication-between-people-with-dementia-and-nursing-staff-during-daily-nursing-care-a-systematic-review
#15
REVIEW
Mariska Machiels, Silke F Metzelthin, Jan P H Hamers, Sandra M G Zwakhalen
BACKGROUND: To provide adequate nursing care it is important for nursing staff to communicate effectively with people with dementia. Due to their limited communication skills, people with dementia have difficulties in understanding communication and expressing themselves verbally. Nursing staff members often report communication difficulties with people with dementia, which emphasises the urgent need for interventions to improve their communication with people in this specific target group...
November 30, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27915088/exploring-awareness-and-help-seeking-intentions-for-testicular-symptoms-among-heterosexual-gay-and-bisexual-men-in-ireland-a-qualitative-descriptive-study
#16
Mohamad M Saab, Margaret Landers, Josephine Hegarty
BACKGROUND: The incidence of malignant and benign testicular disorders among young men is on the rise. Evidence from three reviews suggest that men's knowledge of these disorders is lacking and their help-seeking intention for testicular symptoms is suboptimal. Qualitative studies have addressed men's awareness of testicular cancer, with none exploring their awareness of non-malignant diseases such as epididymitis, testicular torsion, and varicocele and none including sexual minorities...
November 28, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/28012311/supportive-care-for-older-people-with-frailty-in-hospital-an-integrative-review
#17
REVIEW
Caroline Nicholson, Elizabeth M Morrow, Allan Hicks, Joanne Fitzpatrick
BACKGROUND: Growing numbers of older people living with frailty and chronic health conditions are being referred to hospitals with acute care needs. Supportive care is a potentially highly relevant and clinically important approach which could bridge the practice gap between curative models of care and palliative care. However, future interventions need to be informed and underpinned by existing knowledge of supportive care. AIM: To identify and build upon existing theories and evidence about supportive care, specifically in relation to the hospital care of older people with frailty, to inform future interventions and their evaluation...
November 24, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27918931/effectiveness-of-an-educational-intervention-the-encourage-autonomous-self-enrichment-program-in-patients-with-chronic-kidney-disease-a-randomized-controlled-trial
#18
Hiroko Joboshi, Michiyo Oka
BACKGROUND: Self-management is an important step toward preventing and impeding the progression of chronic kidney disease. However, patients with chronic kidney disease may have few or no subjective symptoms and therefore might consider self-management to be unnecessary. Effective support and encouragement of self-management in patients with chronic kidney disease is therefore required. OBJECTIVES: This study tested the effectiveness of the Encourage Autonomous Self-Enrichment patient education program, which supports patient autonomy and intrinsic motivations with the aim of improving self-efficacy and sustaining self-management, on perceived self-efficacy, self-management behaviors, and physiological endpoints (blood pressure and renal function parameters) in patients with chronic kidney disease...
November 22, 2016: International Journal of Nursing Studies
https://www.readbyqxmd.com/read/27914276/author-s-response-to-from-the-struggle-of-defining-to-the-understanding-of-dignity-a-commentary-on-barclay-2016-in-sickness-and-in-dignity-a-philosophical-account-of-the-meaning-of-dignity-in-health-care
#19
https://www.readbyqxmd.com/read/27894030/fatigue-in-hospital-nurses-supernurse-culture-is-a-barrier-to-addressing-problems-a-qualitative-interview-study
#20
Linsey M Steege, Jessica G Rainbow
BACKGROUND: Fatigue in hospital nurses is associated with decreased nurse satisfaction, increased turnover and negative patient outcomes. Addressing fatigue in nurses has been identified as a priority by many organizations worldwide in an effort to promote both a culture of patient safety and a healthy nursing workforce. OBJECTIVES: The overall aim of this study was to explore barriers and facilitators within the hospital nurse work system to nurse coping and fatigue...
November 21, 2016: International Journal of Nursing Studies
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