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Journal of Advanced Nursing

Van N B Nguyen, Helen Forbes, Mohammadreza Mohebbi, Maxine Duke
AIMS: To describe how clinical nurse educators in Vietnam are prepared for their role; to identify which preparation strategies assist development of confidence in clinical teaching; and to measure the effect of educational qualifications and professional background on perceived confidence levels. BACKGROUND: The quality of clinical teaching can directly affect the quality of the student learning experience. The role of the clinical educator is complex and dynamic and requires a period of adjustment for successful role transition to occur...
June 12, 2018: Journal of Advanced Nursing
Therese Avallin, Åsa Muntlin Athlin, Erik Elgaard Sorensen, Alison Kitson, Martin Björck, Eva Jangland
AIMS: To explore and describe the impact of the organizational culture on and the patient-practitioner patterns of actions that contribute to or detract from successful pain management for the patient with acute abdominal pain across the acute care pathway. BACKGROUND: Although pain management is a recognised human right, unmanaged pain continues to cause suffering and prolong hospital care. Unanswered questions about how to successfully manage pain relate to both organizational culture and individual practitioners' performance...
June 12, 2018: Journal of Advanced Nursing
Eman Tawash, Seamus Cowman
AIM: To identify factors influencing high school students' choice of nursing and explore strategic interventions to promote nursing as a career in the Arab region. BACKGROUND: This study forms part of a PhD thesis, conducted in Bahrain, in a healthcare environment with a high dependence on expatriate nurses to maintain nursing services. However, in attracting local candidates to study nursing, the public image of nursing in the Middle East must be improved by implementing strategies that are sensitive to the Arabic culture...
June 12, 2018: Journal of Advanced Nursing
Josephine M E Gibson
In the first half of 2018, two healthcare initiatives to address entrenched problems in fundamental nursing care in the British NHS were heavily promoted and adopted via official channels, the nursing and lay press, and on social media, with little serious critique or apparent evaluation. "Team Hydr8" was instigated by a group of preregistration nursing students in Wales who sought to address some of the challenges of providing and monitoring oral hydration in hospital patients. The intervention entailed providing water jugs with yellow lids to vulnerable patients, as a visual cue to all staff in contact with them which would replace the need for other bedside prompts...
June 12, 2018: Journal of Advanced Nursing
Kyung Suk Shin, Eun-Hyun Lee
AIM: To examine the relationships of health literacy to diabetes self-care behaviors (diet, physical exercise, foot care and blood glucose monitoring) through empowerment controlling for diabetes education. BACKGROUND: Potential mechanisms of how health literacy links to health outcomes have not clearly elucidated. DESIGN: A cross-sectional study design was used. METHODS: Participants were recruited from three community health centers in South Korea from September 2016 - April 2017 using a convenience sampling method...
June 11, 2018: Journal of Advanced Nursing
Hyejin Kim, Ji-Su Kim, Kwisoon Choe, Yeunhee Kwak, Jae-Seok Song
AIMS: To test a model of the relationship between nurses' burnout and emotional labour using structural equation modelling to identify the mediating effects of workplace violence. BACKGROUND: Nurses are a group that experiences high emotional labour and are exposed to various types of violence in the clinical setting. Burnout is related to emotional labour as well as exposure of workplace violence, but alternatives to reduce burnout in the context of emotional labour (e...
June 5, 2018: Journal of Advanced Nursing
Vinita Agarwal
AIMS: The study aim was to understand the patient description of the therapeutic relationship with their CAM provider in the context of pain self-management. BACKGROUND: Because pain is a subjective state, its assessment depends on patient perception of and response to pain. For nurses to provide empathetic and compassionate care, there is a need to explicate patient perceptions of the therapeutic relationship to (re)conceptualize models of patient-centered care...
June 5, 2018: Journal of Advanced Nursing
Kristiina Juntunen, Anna-Liisa Salminen, Timo Törmäkangas, Päivi Tillman, Kirsi Leinonen, Riku Nikander
AIMS: To identify what factors are associated with the caregiver burden of spouse caregivers, adult child caregivers and parent caregivers. BACKGROUND: Caregivers often feel stressed and perceive caregiving as a burden. The caregiver burden has been little studied from the perspective of the personal relationship between caregiver and care recipient. DESIGN: Cross-sectional study. METHODS: A random sample of 4 000 caregivers in Finland was drawn in 2014 and those who remained either spouse, adult child or parent caregivers at data collection were included in the analysis (N=1 062)...
June 5, 2018: Journal of Advanced Nursing
Janet M J Been-Dahmen, Jan Willem Grijpma, Erwin Ista, Jolanda Dwarswaard, Louise Maasdam, Willem Weimar, AnneLoes Van Staa, Emma K Massey
AIMS: This study investigated self-management challenges and support needs experienced by kidney transplant recipients. BACKGROUND: After kidney transplantation, recipients are expected to take an active role in self-management. However, evidence suggests that nurses experience difficulties operationalizing self-management support. Greater insight into the recipients' perspective could help to improve the adequacy and efficacy of nurse-led self-management support...
June 5, 2018: Journal of Advanced Nursing
Elisabeth Jacob, Christine Duffield, Darren Jacob
AIM: To develop a critical thinking assessment tool for Australian undergraduate nurses. BACKGROUND: Critical thinking is an important skill but difficult to assess in nursing practice. There are often many responses a nurse can make to a clinical problem or situation. Some responses are more correct than others and these decisions have an impact on a patient's care and safety. Differences in a response can relate to the depth of knowledge, experience and critical thinking ability of the individual nurse...
June 4, 2018: Journal of Advanced Nursing
Stephanie Daigle, France Talbot, Douglas J French
AIMS: This pilot study aims to further document MBSR's effect on wellbeing while exploring its impact on errors among hospital nurses. BACKGROUND: The concept of mindfulness has been found to be highly relevant to holistic nursing practices but remains understudied and under used. Preliminary evidence suggests that Mindfulness-Based Stress Reduction can reduce stress among nurses. As stress and mental processes such as inattention are potential sources of error, mindfulness-based stress reduction may also help to improve patient safety...
June 4, 2018: Journal of Advanced Nursing
Anat Drach-Zahavy, Marina Leonenko, Einav Srulovici
AIMS: To develop and psychometrically evaluate a three-dimensional questionnaire suitable for evaluating personal and organizational accountability in nurses. BACKGROUND: Accountability is defined as a three-dimensional value, directing professionals to take responsibility for their decisions and actions, to be willing to explain them (transparency) and to be judged according to society's accepted values (answerability). Despite the relatively clear definition, measurement of accountability lags well behind...
June 4, 2018: Journal of Advanced Nursing
M Suely Alves Costa, José Cunha Machado, M Graça Pereira
AIMS: To explore changes in the burden of caregivers of patients with type 2 diabetes experiencing lower limb amputation after surgery. BACKGROUND: literature suggests the burden overload experienced by the caregivers of new amputees is related to an imbalance between the demands and the resources available to these caregivers. THE STUDY: In this longitudinal study, data were collected regarding caregiver burden at 1 (T1), 7 (T2) and 10 (T3) months after the patient's surgery...
May 30, 2018: Journal of Advanced Nursing
Yu-Yun Hsu, Wei-Ming Wang, Susan Jane Fetzer, Ya-Min Cheng, Keng-Fu Hsu
AIM: The aim of this study was to examine the psychosocial adjustment trajectory, focusing on psychological distress, sexual relationships and health care information, as well as factors which have an impact on adjustment on receiving a positive diagnosis of human papillomavirus infection. BACKGROUND: Human papillomavirus is a common sexually transmitted infection in females. To date, knowledge of the longitudinal psychosocial response to the diagnosis of human papillomavirus is limited...
May 29, 2018: Journal of Advanced Nursing
Lynn Rew, Ashley Saenz, Lorraine O Walker
AIM: A discussion of a proposed method for analyzing the quality of consumer-oriented websites that provide health-related information. BACKGROUND: The quality of health information available to consumers online varies widely in quality. In an effort to improve the quality of online information, experts have undertaken systematic reviews on selected health topics; however, no standardized comprehensive methodology currently exists for such review. DESIGN: An eight-step method is recommended embracing the following steps: (1) select topic; (2) determine the purpose of the analysis; (3) select search terms and engines; (4) develop and apply website inclusion and exclusion criteria; (5) develop processes and tools to manage search results; (6) specify measures of quality; (7) compute readability; (8) evaluate websites...
May 29, 2018: Journal of Advanced Nursing
Eva Timonet-Andreu, José Carlos Canca-Sanchez, Juana Sepulveda-Sanchez, Celia Ortiz-Tomé, Francisco Rivas-Ruiz, Juan Carlos Toribio-Toribio, Ana Mora-Banderas, José Miguel Morales-Asencio
AIMS: The aim of this study is to profile the family caregivers of people living with heart failure, to determine the perceived and real time devoted to daily care and to identify the factors associated with caregivers' overestimation of time dedicated to care. BACKGROUND: The time spent by family caregivers on daily care is related to overload, but there are differences between real and perceived time spent. The reason for this difference is unknown, as is its impact on the caregiver...
May 29, 2018: Journal of Advanced Nursing
Elisabeth Clark, Jan Draper, Ruth Taylor
With global demand for healthcare services increasing exponentially, it has never been more important to demonstrate clinical effectiveness to achieve the best outcomes for patients, clients, service users and carers, while also ensuring value for money. The role of research is to inform these outcomes and identify the efficacy of specific interventions. A range of hierarchies of evidence has been developed to characterise the strength of this evidence and, therefore, by implication, its usefulness for evidence-based/evidence-informed policy, decision-making and practice...
May 24, 2018: Journal of Advanced Nursing
Sam Porter
AIMS: To analyse published ranking tables on academics' h-index scores to establish whether male nursing academics are disproportionately represented in these tables compared with their representation across the whole profession. BACKGROUND: Previous studies have identified a disproportionate representation of UK male nursing academics in publishing in comparison to their US counterparts. DESIGN: Secondary statistical analysis, which involved comparative correlation of proportions...
May 24, 2018: Journal of Advanced Nursing
Suzanne Nightingale, Helen Spiby, Kayleigh Sheen, Pauline Slade
AIMS: To explore factors associated with, and predictors of, post-traumatic stress symptoms in midwives. To explore factors associated with, and potential moderating effects of, trait emotional intelligence. Secondary analysis explored predictors of resilience. BACKGROUND: Midwives may experience vicarious trauma responses due to exposure to certain perinatal events in their professional lives. This may have adverse psychological outcomes for midwives, and women and children in their care...
May 23, 2018: Journal of Advanced Nursing
Hikaru Oba, Teruyuki Matsuoka, Yuka Kato, Jin Narumoto
AIMS: To examine the direct and indirect relationships between the characteristics of patients and caregivers associated with caregivers' quality of life. BACKGROUND: Complex relationships exist among the factors associated with caregivers' quality of life. DESIGN: This study was a retrospective cross-sectional design. METHODS: The data were retrospectively extracted from participants who had visited the Center for Diagnosis of Dementia at Kyoto Prefectural University of Medicine from April 2013 - March 2016...
May 23, 2018: Journal of Advanced Nursing
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