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Journal of Clinical Nursing

Susanne Kristiansen, Hanne Konradsen, Malene Beck
AIMS AND OBJECTIVES: To investigate nurses' experiences of caring for older (65+ years) patients afflicted by delirium in a neurological department. BACKGROUND: Delirium is a frequent, acute and potentially fatal condition. Patients experience delirium as painful and stressful. The literature shows that nursing care is crucial in the prevention and treatment of delirium. The nurses' approach to the patient withdelirium is essential for the quality of care provided to the patient...
October 30, 2018: Journal of Clinical Nursing
Jenni Konttila, Heidi Siira, Helvi Kyngäs, Minna Lahtinen, Satu Elo, Maria Kääriäinen, Pirjo Kaakinen, Anne Oikarinen, Miyae Yamakawa, Sakiko Fukui, Momoe Utsumi, Yoko Higami, Akari Higuchi, Kristina Mikkonen
To identify key areas of competence for digitalization in healthcare settings, describe healthcare professionals' competencies in these areas, and identify factors related to their competence BACKGROUND: Digitalization requires changes in healthcare practices, policies and actions to revise job expectations and workflows. The aspects of patient safety and integration of digitalization into the professional context necessitate an assessment of healthcare professionals' competencies in digitalization DESIGN: SYSTEMATIC REVIEW: METHODS: A systematic review was conducted following Center of Reviews and Dissemination guidelines, including application of a PRISMA statement...
October 30, 2018: Journal of Clinical Nursing
Haiyan Xie, Elizabeth Johnston Taylor, Mengqi Li, Ying Wang, Tao Liang
AIMS AND OBJECTIVES: The aim of this study was to translate and validate the Nurse Spiritual Therapeutics Scale (NSTS) among cancer patients in Beijing, China. BACKGROUND: Spirituality is an essential and integrating facet of persons. However, spirituality is a new concept for most people in mainland China. METHODS: The NSTS was translated, adapted, and content-validated. The psychometric evaluation was performed with data collected from cancer patients hospitalized in one of two academic medical centers...
October 30, 2018: Journal of Clinical Nursing
Can Xiong, Xinglian Gao, Qiong Ma, Ying Yang, Zengyan Wang, Wenjing Yu, Lei Yu
AIM AND OBJECTIVE: To investigate the incidence of intraoperative blanchable erythema and pressure injuries in patients undergoing digestive surgery, and to explore potential risk factors. BACKGROUND: Pressure injuries pose significant economic and healthcare burden to patients and are used as one of the key indicators of nursing in the operation room with high incidence. DESIGN: A retrospective observational study. METHODS: Basic information and the results of 3S intraoperative risk assessment scale of pressure injury were obtained from the information system...
October 30, 2018: Journal of Clinical Nursing
Selda Mert Boğa, Seher Deniz Öztekin
AIMS AND OBJECTIVES: To determine the effect of position change that is applied after percutaneous coronary intervention on vital signs, back pain, and vascular complications. BACKGROUND: In order to minimize the post-procedure complications, patients are restricted to prolonged bed rest that is always accompanied by back pain and and hemodynamic instability. DESIGN: Randomized-controlled quasi-experimental study. METHODS: The study sample chosen for this study included 200 patients who visited a hospital in Turkey between July 2014 and November 2014...
October 26, 2018: Journal of Clinical Nursing
Sungho Jo, Youngji Kim, Jeong Sil Choi
AIMS AND OBJECTIVES: The purpose of this study was to identify Zika virus-related knowledge, attitudes to Zika virus, and health motivations of pregnant women, women preparing for pregnancy, and their partners, and to identify factors that influence preventive health behaviors for Zika virus infection. BACKGROUND: Prevention of Zika virus infection is becoming a major worldwide public health effort. The high-risk group for Zika virus infection comprises women who are pregnant or preparing for pregnancy...
October 26, 2018: Journal of Clinical Nursing
Subia Parveen Rasheed, Ahtisham Younas, Amara Sundus
AIMS AND OBJECTIVES: To outline and examine the literature about self-awareness in nursing and to identify areas for future research and practice. BACKGROUND: Self-awareness is important for the personal and professional development of nurses, for developing an effective nurse-patient relationship, and for improving nursing abilities. Despite its importance in nursing and therapeutic nurse-patient relationship and its evolving nature, the knowledge base for self-awareness in nursing remains under examined...
October 26, 2018: Journal of Clinical Nursing
Julia Menichetti, Giuliana Pitacco, Guendalina Graffigna
AIMS AND OBJECTIVES: This study aimed to explore: (a) the usual patient education in different care services of an integrated-care organization, (b) the healthcare professionals' experiences with adding a patient engagement support intervention called PHEinAction in the patient education practice, and (c) the co-designed activities to assist the implementation. BACKGROUND: Including individual support for engaging patients in care into patient education practice is a key effort of integrated-care organizations...
October 26, 2018: Journal of Clinical Nursing
Jacopo Fiorini, Giulia Venturini, Fabio Conti, Emanuele Funaro, Rosario Caruso, Mari Kangasniemi, Alessandro Sili
AIMS: To describe and synthesise current knowledge on the maintenance and preservation of vessels in patients who need the placement of a vascular access device (VAD). INTRODUCTION: To administer drugs, blood or intravenous fluids, nurses or doctors insert a peripheral VAD on the arm using the traditional approach. This approach implies that devices are blindly inserted until flow is satisfactory and all possible sites have been exhausted. A proactive approach would ensure at the outset that the best device is used for each patient, eliminating repeated attempts at cannulation...
October 25, 2018: Journal of Clinical Nursing
Lotta Wikström, Mats Nilsson, Anders Broström, Kerstin Eriksson
AIM AND OBJECTIVES: To validate the Numeric Rating Scale (NRS) for postoperative nausea assessments, and determine whether a central tendency, median, based on patients' self-rated nausea is a clinically applicable daily measure to describe patients' nausea after major surgery. BACKGROUND: Postoperative nausea causes major discomfort, risks for complications, and prolonged hospital stays. The NRS is recommended for the assessment of pain but is little explored for assessing nausea...
October 25, 2018: Journal of Clinical Nursing
Sastrawan Sastrawan, Jennifer Margaret Newton, Gulzar Malik
INTRODUCTION: Integrity is one of the core values in nursing that needs to be maintained by nurses in practice. However, the complexity in the nursing milieu can pose threats to integrity. An understanding of the common threats and coping strategies might assist nurses in preserving integrity in everyday practice. AIM: To review and synthesis the concept of integrity in nursing and identify common threats and coping strategies. METHODS: Whittemore and Knafl's integrative review method was implemented...
October 24, 2018: Journal of Clinical Nursing
Chao-An Hung, Pei-Ling Wu, Nai-Yu Liu, Wen-Yi Hsu, Bih-O Lee, Hsiang-Chu Pai
AIMS AND OBJECTIVES: We examined the relationships among nursing students' perceived nursing image, caring behaviours, and gender-friendliness barriers to determine whether gender-friendliness barriers affect nursing image and caring behaviour among male nursing students. BACKGROUND: Caring is typically seen as a feminine trait, male nurses face gender-role strains in the current nursing environment. gender-friendliness barriers may have an impact on the vital relationship between professional nursing image and caring behaviour...
October 24, 2018: Journal of Clinical Nursing
Yaqing Wang, Xin Liu, Yong Jia, Jiao Xie
AIMS AND OBJECTIVES: The aim of this review was to assess the effects of breathing exercises on postoperative pulmonary complications (PPCs), pulmonary function, 6-min walk distance (6MWD) and the length of hospital stay (LOS) in lung cancer patients undergoing lung surgery. BACKGROUND: Lung cancer patients undergoing lung resection have poor pulmonary function and multiple PPCs. Breathing exercises may improve these symptoms. DESIGN: Systematic literature review and meta-analysis was conducted...
October 24, 2018: Journal of Clinical Nursing
Anne Lunden, Marianne Teräs, Tarja Kvist, Arja Häggman-Laitila
AIM: The purpose of this study was to describe Finnish nurse leaders' perceptions of and experiences with knowledge management. BACKGROUND: Health science research has traditionally focused on knowledge transfer and research evidence instead of knowledge management, culture, and organizational learning. Systematic reviews indicate a lack of awareness about nurse leaders' activities in knowledge management. DESIGN: Qualitative interview study according to the consolidated criteria for reporting qualitative research (COREQ) (See Supplementary Table 1)...
October 24, 2018: Journal of Clinical Nursing
Rosalind Kelly, Valerie Wright-St Clair, Eleanor Holroyd
AIMS AND OBJECTIVES: The aim of this study was to answer the question "What is the lived experience of hospitality during a patient's hospital stay for elective surgery?" BACKGROUND: Hospitality centres on a host offering comfort to others, as in a personal care context. Caring constitutes the essence of what it is to be human, having a profound effect on wellbeing and recovery from surgery. Caring is one of the most elusive and diversely contested concepts in nursing, however, care provided by nurses seldom transcends as deep human connections and social utility...
October 24, 2018: Journal of Clinical Nursing
Magdalena Hoffmann, Gerald Sendlhofer, Gudrun Pregartner, Veronika Gombotz, Christa Tax, Renate Zierler, Gernot Brunner
AIMS AND OBJECTIVE: To explore if an iterative process of information and training paired with a feedback system to observed healthcare professionals and the respective management improves hand hygiene (HH) compliance. BACKGROUND: Healthcare-associated infections are a major risk for patient safety and adherence to the "My five Moments" (M5M) for HH vary significantly within organizations as well as within healthcare professional groups. Identified barriers in a baseline survey revealed the need of more information, training, repetitive compliance measurements and feedback to all healthcare professionals...
October 24, 2018: Journal of Clinical Nursing
Georgina A V Murphy, David Gathara, Ann Mwaniki, Grace Nabea, Jacintah Mwachiro, Nancy Abuya, Mike English
AIMS: To assess the knowledge of nurses of national guidelines for emergency maternity, routine newborn, and small and sick newborn care in Nairobi County, Kenya. BACKGROUND: The vast majority of women deliver in a health facility in Nairobi. Yet, maternal and neonatal mortality remain high. Ensuring competency of health workers, in providing essential maternal and newborn interventions in health facilities will be key if further progress is to be made in reducing maternal and neonatal mortality in low-resource settings...
October 24, 2018: Journal of Clinical Nursing
Majid Bagheri Hosseinabadi, Narges Khanjani, Siavash Etemadinezhad, Seyed Ehsan Samaei, Mehdi Raadabadi, Maryam Mostafaee
AIMS AND OBJECTIVES: The present study aimed to determine the prevalence and type of occupational injuries in nurses and their associations with workload, working shift, and nurses' individual and organizational factors. BACKGROUND: Nurses are vulnerable to occupational injuries due to the nature of their job. DESIGN: A cross-sectional correlational design (based on STROBE Statement) was conducted. METHODS: This study was conducted among 616 nurses of four public hospitals located in four different provinces in Iran...
October 24, 2018: Journal of Clinical Nursing
Hoang Nguyen, Daniel Terry, Hoang Phan, James Vickers, Fran McInerney
AIMS: To review communication interventions that aim to improve regular care interactions between people with dementia and their carers in various settings; and to examine the impact of such interventions on both carer and care-receiver outcomes. BACKGROUND: Effective communication is imperative to ensure quality of care for people living with dementia. Due to neurodegenerative changes, people with dementia encounter ongoing and progressive difficulties in both understanding and expressing themselves...
October 24, 2018: Journal of Clinical Nursing
Siv Tove Aunan, Gry Ciekals Wallgren, Britt Saetre Hansen
AIMS AND OBJECTIVES: To describe breast cancer (BC) survivors' experiences of participating in a 2-day educational program (Breast Cancer School, BCS) and their critical reflection on information received during and after adjuvant treatment. The following research questions guided the study. How do BC survivors experience their participation in an educational program? How do BC survivors experience the information trajectory during and after adjuvant treatment?. BACKGROUND: BC is the most prevalent cancer among women in Norway...
October 24, 2018: Journal of Clinical Nursing
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