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Journal of Clinical Nursing

Deborah Edwards, Sally Anstey, Daniel Kelly, Jessica Ballie, Jane Hopkinson
AIMS AND OBJECTIVES: To explore the views of student nurses' and stakeholders of what is important for student nurses to know about cancer treatment and care. BACKGROUND: Worldwide, the number of people living with cancer is increasing because the population is aging and effective cancer treatments are prolonging survival. All nurses need knowledge, skills, confidence and competence to support people living with cancer. Education is an important tool in preparing a nursing workforce that can support people affected by cancer...
October 18, 2016: Journal of Clinical Nursing
Vildan Kaya, Aynur Aytekin
AIMS AND OBJECTIVES: To determine the effects of pacifier use on transition to full breastfeeding and sucking skills in preterm infants. BACKGROUND: Feeding problems in preterm infants cause delays in hospital discharge, extend mother-infant reunification, and increase medical cost. Nutritive sucking skills of preterm infants may develop by improving non-nutritive sucking skills and increasing sucking experiences. DESIGN: A prospective, randomised controlled trial conducted in the Eastern Turkey...
October 18, 2016: Journal of Clinical Nursing
Helen Walthall, Crispin Jenkinson, Mary Boulton
AIMS: To explore how patients with CHF describe their experiences of breathlessness, the pattern of their breathlessness, how daily life is affected and how they adjust to and manage these symptoms. BACKGROUND: Chronic Heart Failure (CHF) is a highly prevalent syndrome often with poor outcomes and in a patient group who are predominately elderly. Breathlessness is the main symptom experienced by patients and often relates to decompensation and hospitalisation, yet subtle changes described by patients are often not discussed with health care professionals...
October 12, 2016: Journal of Clinical Nursing
Anahita Brown, Katherine Sewell, Caroline A Fisher
AIMS AND OBJECTIVES: A systematic review of aggression in an inpatient Huntington's cohort examining rates, types and antecedents. BACKGROUND: Although the prevalence of aggression in Huntington's disease is high, research into this problematic behaviour has been limited. Few studies have investigated the nature of aggressive behaviour in Huntington's or antecedents that may contribute to its occurrence. DESIGN: A systematic, double coded, electronic medical file audit...
October 12, 2016: Journal of Clinical Nursing
Oanh Tran Thi Hoang, Pornchai Jullamate, Naiyana Piphatvanitcha, Edwin Rosenberg
AIMS AND OBJECTIVES: To investigate the relationship between age, gender, history of falls, balance and gait status, general health perception, activities of daily living and depression to fear of falling in community-dwelling older people in Danang, Vietnam. BACKGROUND: Fear of falling is a common and consequential psychosocial problem for older people and can lead to decreased quality of life. There is only limited research on fear of falling in Vietnam. DESIGN: This is a cross-sectional descriptive study...
October 9, 2016: Journal of Clinical Nursing
Mary Raleigh, Helen Allan
AIM: To explore multiple perspectives on the use of physical assessment skills by Advanced Nurse Practitioners in the UK BACKGROUND: Physical assessment skills practices are embedded in advanced nursing practice roles in the UK. There is little evidence on how these skills are used by Advanced Nurse Practitioners' on the community. DESIGN: Case study METHODOLOGY AND METHODS: A qualitative interpretative single-embedded case study of 22 participants from South of England...
October 7, 2016: Journal of Clinical Nursing
Narelle Borrott, Sharon Kinney, Fiona Newall, Allison Williams, Noel Cranswick, Ian Wong, Elizabeth Manias
AIMS AND OBJECTIVES: To examine how communication between nurses and doctors occurred for managing medications in inpatient paediatric settings. BACKGROUND: Communication between health professionals influences medication incidents' occurrence and safe care. DESIGN: An ethnographic study was undertaken. METHODS: Semi-structured interviews, observations and focus groups were conducted in three clinical areas of an Australian tertiary paediatric hospital...
October 5, 2016: Journal of Clinical Nursing
Lynn Welsh
AIM: To analyse current evidence on the efficacy of bandage systems containing both elastic and inelastic components (Mixed Component Systems MCSs). BACKGROUND: International consensus on the efficacy of types of compression systems is difficult to achieve; however MCSs are being promoted as combining the best properties of both elastic and inelastic bandage systems and increasingly being used to treat venous leg ulcers (VLUs) in practice. DESIGN: Systematic Literature Review...
October 5, 2016: Journal of Clinical Nursing
R I Bjarnadottir, W Bockting, D Dowding
AIMS AND OBJECTIVES: To examine patients' perceptions of being asked about their sexual orientation and gender identity in the health care setting. BACKGROUND: Health disparities exist in the lesbian, gay, bisexual and transgender (LGBT) population but further research is needed to better understand these disparities. To address this issue experts recommend the routine collection of sexual orientation and gender identity data in healthcare. Nurses on the front line of patient care play a key role in the collection of this data...
October 5, 2016: Journal of Clinical Nursing
Ingrid Ølfarnes Røysland, Febe Friberg, Berit Støre Brinchmann, Sunniva Nordeide Svello, Torstein Valborgland, Alf Inge Larsen
AIMS AND OBJECTIVES: To explain the transitional process that individuals with unexplained chest pain undergo while participating in an exercise training programme over time. BACKGROUND: Angina-like chest pain in patients with no obstructive coronary artery disease is a growing problem. Functional limitations, restricted daily activities and reduced quality of life are reported. In addition, physical activity is avoided in this population. DESIGN: The study follows a qualitative classic grounded theory (Glaser 1967)...
October 5, 2016: Journal of Clinical Nursing
Ann Malley, Gary J Young
AIMS: To explore the issues and challenges of care transitions in the preoperative environment. BACKGROUND: Ineffective transitions play a role in a majority of serious medical errors. There is a paucity of research related to the preoperative arena and the multiple inherent transitions in care that occur there. DESIGN: Qualitative descriptive design was used. METHODS: Semi-structured interviews were conducted in a 975 bed academic medical center...
October 5, 2016: Journal of Clinical Nursing
Linda L Coventry, Johanna W van Schalkwyk, Peter Thompson, Scott Hawkins, Desley Hegney
AIMS AND OBJECTIVES: To explore patient decision delay, the symptom experience, and factors that motivated the patient experiencing myocardial infarction (MI) to go to the emergency department (ED). BACKGROUND: Reperfusion for MI is more effective if performed as soon as possible after the onset of symptoms. Multiple studies show that prehospital delay is long and can average several hours. DESIGN: A qualitative descriptive design using semi-structured interviews...
October 5, 2016: Journal of Clinical Nursing
Liqing Yue, Virginia Plummer, Wendy Cross
AIM: To identify the effectiveness of education interventions provided for nurses for clinical alarm response and management. BACKGROUND: Some education has been undertaken to improve clinical alarm response, but the evidence for evaluating effectiveness for nurse education interventions is limited. DESIGN: Systematic review METHOD: A systematic review of experimental studies published in English from 2005 to 2015 was conducted in four computerised databases (MEDLINE, EMBASE, CINAHL, Scopus)...
September 29, 2016: Journal of Clinical Nursing
M Prenkert, E Carlsson, M Svantesson, A Anderzén-Carlsson
AIMS AND OBJECTIVES: To describe the variation of conceptions of being ill and hospitalised, from the perspective of health-care-professional-patients. BACKGROUND: Previous literature focuses on either physicians' or nurses' experiences of being a patient, without aiming at determining a variation of ways of understanding that phenomena. Nor have we been able to identify any study reporting other health-care-professionals' experiences. DESIGN: This study has an inductive descriptive design...
September 29, 2016: Journal of Clinical Nursing
Katherine Lambe, Judy Currey, Julie Considine
AIMS AND OBJECTIVES: To explore the factors emergency nurses use to inform their decisions regarding frequency and nature of vital sign assessment. BACKGROUND: Research related to clinical deterioration and vital sign assessment in the emergency department is in its infancy. Studies to date have explored the frequency of vital sign assessment in the emergency department; however, there are no published studies that have examined factors that emergency nurses use to inform their decisions regarding frequency and nature of ongoing vital sign assessment...
September 29, 2016: Journal of Clinical Nursing
Calvin Moorley, Stephen Neville, Joy Johnson
In the past decade there has been considerable positive change regarding the civil rights and liberties of those from lesbian, gay, bisexual, transgender and intersex (LGBTI) communities. For example, the decriminalisation of homosexuality, the recent recognition of marriage and civil partnerships in some European, American and North and South American and Australasian countries, as well as the passing of anti-discriminatory laws that support equality. While these positive changes are welcomed there are areas that remain a challenge for LGBTI individuals and communities...
September 29, 2016: Journal of Clinical Nursing
Elaine Bennett, Karen Berry, Theophilus I Emeto, Oliver K Burmeister, Jeanine Young, Linda Shields
AIM: to examine the attitudes to and knowledge and beliefs about homosexuality, of nurses and allied professionals in two early parenting services in Australia. BACKGROUND: Early parenting services employ nurses and allied professionals. Access and inclusion policies are important in community health and early childhood service settings. However, little is known about the perceptions of professionals who work within early parenting services in relation to lesbian, gay, bisexual and transgender families...
September 29, 2016: Journal of Clinical Nursing
Wayne Varndell, Margaret Fry, Doug Elliott
AIM: This systematic review examined the psychometric properties and suitability of the available observational pain instruments for potential use with nonverbal critically ill adult patients in the emergency department. BACKGROUND: In the emergency department assessing pain in critically ill patients is challenging, especially those unable to communicate the presence of pain. Critically ill patients are commonly unable to verbally communicate pain due to altered oral communication (e...
September 29, 2016: Journal of Clinical Nursing
Karen Strickland, Allison Worth, Catriona Kennedy
AIM: to explore the lived experience of the meaning of being diagnosed with Multiple Sclerosis on the individual's sense of self. BACKGROUND: The time of leading up to and immediately following the diagnosis of Multiple Sclerosis has been identified as a time period shrouded by uncertainty and one where individuals have a heightened desire to seek accurate information and support. The diagnosis brings changes to the way one views the self which has consequences for biographical construction...
September 29, 2016: Journal of Clinical Nursing
Anders Broström, Bengt Fridlund, Berith Hedberg, Per Nilsen, Martin Ulander
AIMS AND OBJECTIVES: The aim of this study was to describe facilitators and barriers from a patient perspective in communications between patients with obstructive sleep apnea syndrome and health care personnel during the first meeting when continuous positive airway pressure is initiated. BACKGROUND: Adherence to continuous positive airway pressure treatment tends to be poor, especially at the initial phase of treatment. Communication between the patient and health care personnel has not been studied from the patient perspective, either as a barrier or facilitator for adherence...
September 29, 2016: Journal of Clinical Nursing
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