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Journal of Clinical Nursing

Pauline Wong, Pranee Liamputtong, Susan Koch, Helen Rawson
AIM: This study explored families' experiences of their interactions in an Australian adult intensive care unit (ICU) to develop a grounded theory that can be used by critical care nurses to improve patient- and family-centred care (PFCC). BACKGROUND: Families in ICU play an important role in the patient's recovery and outcomes. However, families are at risk of significant psychological morbidity due to their experiences in ICU. Although many ICU patients can make their own decisions, a large proportion are unconscious or chemically sedated and unable to contribute to decisions about their care, leaving the decision-making role to the family...
September 12, 2018: Journal of Clinical Nursing
Danielle R Dunwoody, Carla R Jungquist, Yu-Ping Chang, Suzanne Dickerson
AIMS AND OBJECTIVES: This phenomenological study examined the common meanings of opioid-induced sedation and shared practices in the context of postoperative pain management in expert Post-Anesthetic Care Unit (PACU) nurses during patient's pain management with opioids. BACKGROUND: Within the clinical setting, linear pain and sedation scales are not enough to support clinical judgment with acute pain management. Because sedation measurement rests along a fluctuating continuum, it is possible for a patient to be sedated and then shift to increasing alertness, and then to drift back to a sedated state...
September 12, 2018: Journal of Clinical Nursing
Zofia Stojak, Jacek Jamiolkowski, Ludmila Marcinowicz
AIMS AND OBJECTIVES: The overall goal of the study was to evaluate the influence of long-term at-home nursing care (LTHNC) on patient functional status. The specific aims were: (1) To analyze the influence of LTHNC on patient functional status in terms of activities of daily living; (2) To evaluate the risk of pressure sores and pressure sore prevention in patients receiving LTHNC. BACKGROUND: LTHNC is a form of care for chronically ill persons staying at home who do not need hospitalization, but due to their health problems they require regular nursing care that can be provided at home...
September 11, 2018: Journal of Clinical Nursing
Sunna Rannikko, Minna Stolt, Riitta Suhonen, Helena Leino-Kilpi
AIMS AND OBJECTIVES: The aim was to identify and analyze the ethical issues in the care of patients with stroke (PwS). The goal was to understand the nature of the existing knowledge on the topic and to identify whether there are ethical issues specific to the care of PwS. BACKGROUND: Stroke is a disease with possible multiple effects on the patient's overall condition and experienced ethical issues in the care. Additionally, stroke impacts the life of the significant other...
September 5, 2018: Journal of Clinical Nursing
Andrea Gilmore-Bykovskyi, Laura Block, Rachel Johnson, Emilie Dykstra Goris
AIMS AND OBJECTIVES: The objective of this analysis was to clarify the concepts of apathy and passivity in the context of dementia by identifying distinguishing and overlapping attributes for both concepts simultaneously. BACKGROUND: Apathy is among the most common and persistent symptoms in dementia. The concept of apathy is often used interchangeably with passivity. Understanding similarities and differences between these concepts is of critical importance in clarifying clinical diagnostic criteria, developing consistent measurement in research, and translating research evidence into nursing practice...
September 5, 2018: Journal of Clinical Nursing
Diene Monique Carlos, Lygia Maria Pereira da Silva, Maria Aparecida Beserra, Ailton de Souza Aragão, Alison Gregory, Maria das Graças Carvalho Ferriani
AIMS AND OBJECTIVES: Analyse the network of care and social support from the perspectives of family members of children and adolescents who have been abused. BACKGROUND: The theoretical-methodological background of the ecological model for understanding violence and the Paradigm of Complexity provide a broad perspective of violence. The paradigm considers all aspects that constitute a phenomenon as well as particular features. DESIGN: Qualitative research based on the Paradigm of Complexity, which Edgar Morin is the primary philosopher...
September 5, 2018: Journal of Clinical Nursing
Kristina Eiskjaer Sørensen, Pia Dreyer, Mads Rasmussen, Claus Z Simonsen, Grethe Andersen
AIMS AND OBJECTIVES: To explore the experiences and needs of relatives being part of the endovascular therapy (EVT) pathway. BACKGROUND: Ischaemic stroke is the third leading cause of death and the most common cause of acquired disability among adults in the western world. The most recently approved treatment for major stroke is EVT. Removing the arterial occlusion has proven to be the best predictor of outcome. While patients are treated, relatives are left waiting...
September 5, 2018: Journal of Clinical Nursing
Dawn Warren, Bridie Kent
BACKGROUND: Bowel management protocols standardise care and, potentially, improve the incidence of diarrhoea and constipation in intensive care. However, little research exists reporting compliance to such protocols in intensive care throughout patients' stay. Furthermore, there is limited exploration of the barriers and enablers to bowel management protocols following their implementation, an important aspect of improving compliance. AIM: To investigate the impact of a bowel management protocol on the incidence of constipation and diarrhoea, levels of compliance, and to explore the enablers and barriers associated with its use in intensive care...
September 5, 2018: Journal of Clinical Nursing
Jennifer Darcy
AIMS AND OBJECTIVES: The aims of the study are (1) to explore the lived experience of mothers of children who have survived Hodgkin Lymphoma,from diagnosis, through treatment and recovery as she has lived it and in her own words and (2) to discuss the self-reported experiences in the context of the theoretical propositions of Attachment Theory and birth order as it applies to the mother child dyad with this life experience. BACKGROUND: While much has been written about childhood cancer survivors and their parents independently, there are unique struggles that a mother and a childhood cancer survivor face as a dyad...
September 5, 2018: Journal of Clinical Nursing
Kárla Mára Fátima de Souza Magalhães Pereira, Caroline Shihara de Assis, Haulcionne Nilbe Watanabe Lacerda Cintra, Renata Eloah de Lucena Ferretti-Rebustini, Vilanice Alves de Araújo Püschel, Eduesley Santana Santos, Adriano Rogério Baldacin Rodrigues, Larissa Bertacchini de Oliveira
AIMS AND OBJECTIVES: To identify factors associated with the increased bleeding in patients during the postoperative period after cardiac surgery. BACKGROUND: Bleeding is among the most frequent complications that occur in the postoperative period after cardiac surgery, representing one of the major factors in morbidity and mortality. Understanding the factors associated with the increased bleeding may allow nurses to anticipate and prioritize care, thus reducing the mortality associated with this complication...
September 5, 2018: Journal of Clinical Nursing
Elizabeth Reine, Tone Rustøen, Johan Raeder, Karina Aase
AIMS AND OBJECTIVES: The aims of the study were; 1) To explore the factors affecting quality in postoperative handovers as perceived by the different professional groups of clinicians involved. 2) To explore possible differences in perceptions of postoperative handover quality across professional groups and level of experience. BACKGROUND: High quality patient handovers after surgery and anaesthesia are important to ensure patient safety. There is a paucity of research describing contextual factors related to handover quality and the perspectives of different professional groups involved...
September 5, 2018: Journal of Clinical Nursing
Karen Margaret Matthews, Alastair MacGilchrist, Margaret Coulter Smith, Jacklyn Jones, Roseanne Cetnarskyj
AIMS AND OBJECTIVES: To determine if a portable FibroScan® device can be an acceptable screening tool for chronic liver disease (CLD) in a community alcohol support service, through recording uptake, determining apparent prevalence of undiagnosed fibrosis/cirrhosis in participants and report engagement following referral to specialist liver services of those individuals referred because of a FibroScan® reading ≥ 7.1kilopascals (kPa). BACKGROUND: Alcohol related liver disease, including cirrhosis, is a major cause of death in the UK...
September 5, 2018: Journal of Clinical Nursing
Swee Leong Ong, Khatijah Lim Abdullah, Mahmoud Danaee, Kim Lam Soh, Kim Geok Soh, Daphne Sk Lee, Emni Omar Daw Hussin
AIM AND OBJECTIVES: The aim of this study was to investigate the effectiveness of a structured nursing intervention program on maternal stress and NICU-related maternal ability after the admission of premature infants to a neonatal intensive care unit (NICU). BACKGROUND: Mothers' of premature infants may face stress having premature infants, and their infants may be admitted to the NICU for a few weeks or months. The mothers' experience of stress would be worse if they have low knowledge and poor NICU-related maternal ability...
September 5, 2018: Journal of Clinical Nursing
P M Davidson, M A Abshire, G Paull, S L Szanton
Internationally, there are growing numbers of unpaid caregivers, with increasing numbers leaving paid work to provide care (National Academies of Sciences & Medicine 2016). Nomenclature for this role includes family, informal and unpaid caregivers as well as terms such as medical visit companion. This terminology in itself fails to encompass the importance of the role given the critical contribution to healthcare This article is protected by copyright. All rights reserved.
September 4, 2018: Journal of Clinical Nursing
Jingying Huang, Lili Yang, Yiyu Zhuang, Haiou Qi, Xiangpin Chen, Kai Lv
AIMS AND OBJECTIVES: This study aims to investigate the barriers in administering enteral feeding to critically ill patients from the nursing perspective. Our objectives are to provide tailored interventions for addressing identified barriers and propose an optimal enteral nutrition (EN) practice in intensive care unit (ICU). BACKGROUND: Despite the availability of numerous verified clinical practice guidelines focusing on enteral feeding of critically ill patients, a wide gap remains between the guideline recommendations and actual nutrition performances...
September 4, 2018: Journal of Clinical Nursing
Gillian Stockwell-Smith, Wendy Moyle, Ursula Kellett
AIMS AND OBJECTIVES: To explore the impact of early-stage dementia on care recipient/carer dyads' confidence or belief in their capacity to manage the behavioural and functional changes associated with dementia, and access appropriate support networks. BACKGROUND: Living with dementia has predominantly been explored from the carer perspective and focused on the stress and burden of supporting a person with dementia. There has been a shift towards a more positive discourse to accommodate the role of self-efficacy in supporting self-management by people living with dementia...
September 4, 2018: Journal of Clinical Nursing
Veysel Karani Baris, Seyda Seren Intepeler
AIMS AND OBJECTIVES: This study aimed to examine the views and suggestions of healthcare professionals, patients, and family members on the causes of inpatient falls and fall-prevention practices. BACKGROUND: Patient falls are one of the most prevalent medical errors in the hospitals. In order to prevent patient falls, it is necessary to identify and classify the situations causing falls in detail and preventive interventions for these situations need to be developed...
September 4, 2018: Journal of Clinical Nursing
Pamela Page, Alan Simpson, Lisa Reynolds
AIM OF THE STUDY: To understand the critical illness trajectory from patient and relative perspectives. BACKGROUND: In the context of increasing survivorship from critical illness it is important to enhance our understanding of the subjective experience of survivors and their families. The need to consider the legacy of critical care beyond physiological survival is imperative. METHODS: Utilising a constructivist grounded theory methodology, in-depth interviews were undertaken with survivors of critical illness (n=16) and family members (n=15)...
September 4, 2018: Journal of Clinical Nursing
Åsa Engström, Angelica Forsberg
OBJECTIVES: To describe the characteristics, problems, and interventions associated with performing peripheral intravenous catheterisation (PIVC) in difficult situations when registered nurses (RNs) need support from critical care nurses (CCNs). BACKGROUND: Only a few studies have focused on PIVC problems or interventions to promote success. There is limited research on the education, knowledge, confidence, and skills of RNs associated with successful PIVCs. Design A descriptive cross-sectional survey design was used...
September 4, 2018: Journal of Clinical Nursing
Fidelma Hackett, Maura Dowling
AIMS AND OBJECTIVES: The aim of this study was to explore lymphoma survivors' experiences on their end of treatment and follow-up care at a large urban haematology centre in Ireland. METHODS: This was a qualitative study using semi-structured interviews with lymphoma patients post treatment (n=14). Thematic analysis guided the analysis of interview data. The study adhered to the consolidated criteria for reporting qualitative research (COREQ) guidelines. FINDINGS: Five main themes were identified following analysis of the interview data: dealing with uncertainty, changed relationships, returning to work, extended recovery time and concerns for the future...
September 4, 2018: Journal of Clinical Nursing
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