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Journal of Clinical Nursing

Hsiu-Chin Lin, Lee-Ing Tsao
AIMS AND OBJECTIVES: To explore how patients adapt to their changed body and life within the first year of receiving bariatric surgery. BACKGROUND: Bariatric surgery is used to treat severely obese patients. Most studies investigating the post-surgery period are about weight loss-related issues. However, few studies have investigated these patients' subjective live experiences within the first-year after discharge. DESIGN: A qualitative research using grounded theory method was applied...
July 10, 2018: Journal of Clinical Nursing
Anne Sidenius, Lenore Manderson, Ole Mogensen, Martin Rudnicki, Lars Mikael Alling Møller, Helle Ploug Hansen
AIM: To explore endometrial cancer patients' perceptions of the disease and the influence of favorable prognoses on their experiences. BACKGROUND: Endometrial cancer is associated with favorable prognoses, which may imply that patients experience distress to a lesser extent than other cancer patients with less positive treatment outcomes. However, most people with cancer report reduced quality of life and, despite endometrial cancer being prevalent worldwide, experiences of the disease have been little explored...
July 10, 2018: Journal of Clinical Nursing
Juit Lin Heng, Emilia Fan, Ee-Yuee Chan
BACKGROUND: In societies with an aging population, foreign domestic workers are essential to provide care for older people in the community. Despite an increasing trend of employing foreign domestic workers as live-in caregivers to older people, limited research have been done to understand their caregiving experiences and coping strategies. AIMS AND OBJECTIVES: To explore the caregiving experiences and coping strategies of foreign domestic workers caring for older people in Singapore...
July 10, 2018: Journal of Clinical Nursing
Anna Carin Wahlberg, Annica Bjorkman
AIMS AND OBJECTIVE: to describe telenurses' reflections on their work environment and how it impacts on their nursing care. BACKGROUND: Telenursing is one of the largest healthcare settings in Sweden today; approximately 5.5 million care-seekers call the designated number - 1177 - each year. Telenursing is regarded as highly qualified nursing care, and providing care over the telephone is considered a complex form of nursing. Within other fields of nursing, the work environment has been shown to affect the outcome of care, patient safety, nurse job satisfaction and burnout...
July 10, 2018: Journal of Clinical Nursing
Birgitta Lehto, Jari Kylmä, Päivi Åstedt-Kurki
AIMS AND OBJECTIVES: To examine emotional support given by nurses to family members in the acute phase after a working-aged patient's stroke based on nurses' and family members' experiences. BACKGROUND: The number of patients with stroke is increasing globally. There is a lack of knowledge about the emotional support of family members during the acute phase of working aged stroke victims. To be able to provide high quality nursing care during this phase we need information about emotional support from family members' and nurses' perspective...
July 10, 2018: Journal of Clinical Nursing
Marianne Kjelsvik, Ragnhild J Tveit Sekse, Asgjerd Litlere Moi, Elin M Aasen, Eva Gjengedal
AIMS AND OBJECTIVES: To improve the understanding and competence of health personnel when caring for ambivalent pregnant women, the aim of this study is to explore the experiences of encountering women who are unsure whether to complete or terminate pregnancy. BACKGROUND: Feelings of ambivalence are present in a significant number of women preparing for abortions and may challenge the provision of healthcare. Health personnel have reported an ideal to be non-judgmental and supportive...
July 10, 2018: Journal of Clinical Nursing
Chun-Lan Zhou, Si-Qi Wang, Yan-Fang Wang, Jie-Xia Ou, Yan-Ni Wu
AIMS AND OBJECTIVES: To translate the Patient Perceptions of Patient-Empowering Nurse Behaviours Scale (PPPNBS) into Chinese, and to psychometrically test the Chinese version of PPPNBS (PPPNBS-C) in chronically ill patients. BACKGROUND: The growing prevalence and burden of chronic illnesses became the driving force for the need of empowerment as an approach to engage patients in self-management. The PPPNBS was developed to assess patient perceptions of the process of empowerment during hospitalization...
July 10, 2018: Journal of Clinical Nursing
Peter Vink, Zeliha Tulek, Katrin Gillis, Ann-Cathrin Jönsson, Jovanca Buhagiar, Cath Waterhouse, Ingrid Poulsen
AIM AND OBJECTIVES: To study practice in consciousness assessment among neuroscience nurses in Europe. BACKGROUND: Over the years, several instruments have been developed to assess the level of consciousness for patients with brain injury. It is unclear which instrument is being used by nurses in Europe and if they (and how) they are trained to use these tools adequately. DESIGN/METHODS: A cross-sectional questionnaire, created by the European Association of Neuroscience Nurses (EANN) Research Committee, was sent to neuroscience nurses in 13 European countries...
July 10, 2018: Journal of Clinical Nursing
Huiying Liu, Vivian W Q Lou
AIMS AND OBJECTIVES: To determine whether and how cognitive impairment interacts with therapy intensity to affect functional improvements in older stroke patients over an eight-week post-discharge intervention delivered in a community setting. BACKGROUND: Cognitive status is an important predictor of success of community-based rehabilitation, but little has been known as to how cognitive impairment may affect outcomes through its interaction with the rehabilitation process...
July 10, 2018: Journal of Clinical Nursing
Natalie Pattison, Jude Mclellan, Lara Roskelly, Kirsty Ainsworth, Theresa Wiseman
Rapid response teams, such as critical care outreach teams, have prominent roles in managing end-of-life transitions in critical illness, often questioning appropriateness of treatment escalation. Clinical uncertainty presents clinicians with dilemmas in how and when to escalate or de-escalate treatment. AIM: To explore how critical care outreach team decision-making processes affect the management of transition points for critically ill, ward-based patients with a life-limiting illness...
July 10, 2018: Journal of Clinical Nursing
Trude Furunes, Anita Kaltveit, Kristin Akerjordet
AIMS AND OBJECTIVES: To increase knowledge about experienced nurses' understanding of a health-promoting work environment, health-promoting leadership, and its role in retention of staff in the nursing workplace. BACKGROUND: The quality of leadership is imperative in creating supportive and health-promoting work environments to ensure workforce productivity and ethically sustainable caring cultures. More knowledge on how leaders can promote health and sustainable careers among nurses is needed...
July 10, 2018: Journal of Clinical Nursing
Katarzyna Sitnik-Warchulska, Bernadetta Izydorczyk
AIMS AND OBJECTIVES: To verify the existence of psychic readiness for destruction among adolescent girls, and to determine how psychic readiness for destruction is related to suicidal or violent behavior in adolescence. BACKGROUND: The psychic readiness for destruction can be treated as a generalized tendency (personality disposition) to behave in a way that increases the probability of negative consequences which directly and indirectly threaten one's life, health and its quality...
July 10, 2018: Journal of Clinical Nursing
Julián Rodríguez-Almagro, Álvaro García-Manzanares, Alfredo J Lucendo, Antonio Hernández-Martínez
AIMS AND OBJECTIVE: To investigate health-related quality of life in a representative sample of adults with diabetes mellitus in Spain, as well as its clinical and socio-demographic determinants. BACKGROUND: Diabetes Mellitus is a chronic disease causing considerable morbidity and mortality worldwide, resulting in an impaired quality of life in affected people. DESIGN: A nationwide cross-sectional study, based on an online survey and carried out between February and March 2016, was performed on diabetic subjects recruited through diabetic patients' organizations...
July 10, 2018: Journal of Clinical Nursing
Helena Lööf, Unn-Britt Johansson
AIMS: To gain a better understanding of fear-avoidance beliefs towards physical activity and body awareness in people experiencing moderate to severe rheumatic pain. BACKGROUND: Rheumatoid arthritis and psoriatic arthritis are long-term conditions with pain as the prominent symptom. Health-promoting physical activity is recommended, and can have an analgesic effect. High self-rated pain has previously been reported to be associated with increased fear-avoidance behaviour in relation to physical activity...
July 3, 2018: Journal of Clinical Nursing
Siobhan Tranter, Chris Gaul, Susannah McKenzie, Karen Graham
AIMS AND OBJECTIVES: An integrative review of the literature was performed to identify initiatives aimed at retaining ethnically diverse students in Bachelor / Baccalaureate undergraduate nursing programmes. The review focused on identifying strategies attempting to address this issue. BACKGROUND: There is a recognised shortage of ethnically diverse Registered Nurses (RN) worldwide. Multiple strategies have been implemented internationally to create a more linguistically and culturally diverse RN workforce...
July 3, 2018: Journal of Clinical Nursing
Rita Smith, Kate Frazer, Abbey Hyde, Laserina O'Connor, Patricia Davidson
AIMS AND OBJECTIVES: This study investigated experiences of women with a primary diagnosis of ACS (NSTEMI & Unstable Angina). The study explored how women interpreted their risk for Coronary Heart Disease (CHD) and how this influenced their treatment seeking decisions. BACKGROUND: Efforts to reduce the incidence of cardiovascular disease, the number one killer of women, require aggressive risk factor modification, risk assessment, and evidence-based treatments...
July 3, 2018: Journal of Clinical Nursing
Zhao Song-Xian, Qiang Wan-Min, Zheng Xiao-Na, Luo Zhi-Qin
AIMS AND OBJECTIVES: The aim of this mixed methods study was to develop science-based content for a systematic death education training system based on the needs of adult cancer patients. The study contained two parts: survey development and Delphi survey. First, a small sample test was conducted to check the reliability and validity of the questionnaire. Next, this questionnaire was applied to investigate adult cancer patients' needs for death education. Then, we invited experts in the fields of nursing management, clinical medicine, clinical nursing, and psychological care to carry out two rounds of Delphi consultations to revise the training content...
July 3, 2018: Journal of Clinical Nursing
John McKinnon
AIMS: This paper presents an enquiry into empathy as part of nursing ontology. The work aims to improve understanding of how empathy is developed and used in practice. BACKGROUND: Empathy is the ability to grasp the frame of reference of another. As such empathy is a key feature of nursing practice involving self awareness and the use of emotion in interpersonal understanding. METHOD: As part of a larger study into the commonality of emotion in nursing, thirty- three nurses across a range of settings talked exhaustively about their experiences with empathy in the context of their relationships with service users...
July 3, 2018: Journal of Clinical Nursing
Suad Mohammed Iddrisu, Julie Considine, Anastasia Hutchinson
AIMS AND OBJECTIVES: The study aim was to establish the frequency of clinical deterioration in the early post-operative period in patients who have undergone general or orthopaedic surgery. BACKGROUND: Worldwide, clinical deterioration is a significant problem in acute care settings. Early recognition and response to clinical deterioration is one of the ten National Safety and Quality Health Service Standards in Australia. However, there is limited understanding of the frequency of clinical deterioration in surgical patients...
July 3, 2018: Journal of Clinical Nursing
Mollie Rose Canzona, Deborah Love, Rolland Barrett, Joanne Henley, Sara Bridges, Adam Koontz, Sharon Nelson, Serena Daya
AIMS & OBJECTIVES: To (1) investigate challenges nurses face when providing care for oncology patients transitioning from curative to palliative care and (2) identify educational and support opportunities for nurses. BACKGROUND: Communicating with oncology patients/families transitioning from curative treatments to care focused on comfort can be problematic due to a variety of factors. Research suggests discrepancies exist between physicians' perspectives on patient probable length of life and patients' beliefs...
July 3, 2018: Journal of Clinical Nursing
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