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Journal of Clinical Nursing

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https://www.readbyqxmd.com/read/28071870/accessing-new-understandings-of-trauma-informed-care-with-queer-birthing-women-in-a-rural-context
#1
Jennifer Searle, Lisa Goldberg, Megan Aston, Sylvia Burrow
AIMS AND OBJECTIVES: Participant narratives from a feminist and queer phenomenological study aim to broaden current understandings of trauma. Examining structural marginalization within perinatal care relationships provides insights into the impact of dominant models of care on queer birthing women. More specifically, validation of queer experience as a key finding from the study offers trauma-informed strategies that reconstruct formerly disempowering perinatal relationships. BACKGROUND: Heteronormativity governs birthing spaces and presents considerable challenges for queer birthing women who may also have an increased risk of trauma due to structurally marginalizing processes that create and maintain socially constructed differences...
January 10, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28071866/exploration-of-the-psychosocial-issues-associated-with-gastroparesis-a-qualitative-investigation
#2
Sally Woodhouse, Geoff Hebbard, Simon R Knowles
AIMS AND OBJECTIVES: To build on the understanding of how individuals experience gastroparesis, how gastroparesis impacts on their lives, and how they adapt to living with gastroparesis. BACKGROUND: Gastroparesis is a neurogastroenterological disorder associated with increased psychological distress and reduced quality of life. Research shows that gastroparesis poses a significant burden across many facets of life, however less is known about how individuals cope and adapt to living with the condition...
January 10, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28071865/the-impact-of-evidence-based-sepsis-guidelines-on-emergency-department-clinical-practice-a-pre-post-medical-record-audit
#3
Bernadine Romero, Margaret Fry, Michael Roche
AIMS AND OBJECTIVES: The aim of this study was to explore the number of patients presenting with sepsis before and after guideline implementation; the impact of sepsis guidelines on triage assessment, Emergency Department management and time to antibiotics. BACKGROUND: Sepsis remains one of the leading causes of mortality and morbidity within hospitals. Globally, strategies have been implemented to reduce morbidity and mortality rates, which rely on the early recognition and management of sepsis...
January 10, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28071843/automated-measurement-of-pressure-injury-through-image-processing
#4
Dan Li, Carol Mathews
AIMS AND OBJECTIVES: Develop an image processing algorithm to automatically measure pressure injuries using electronic pressure injury images stored in nursing documentation. BACKGROUND: Photographing pressure injuries and storing the images in the electronic health record is standard practice in many hospitals. However, the manual measurement of pressure injury is time-consuming, challenging, and subject to intra-inter-reader variability with complexities of the pressure injury and the clinical environment...
January 10, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28071839/life-after-a-lung-transplant-a-balance-of-joy-and-challenges
#5
Jytte Graarup, Elin Lindberg Mogensen, Malene Missel, Selina Kikkenborg Berg
PURPOSE: To describe patients' experiences throughout the first four months post lung transplant. BACKGROUND: Health professionals are familiar with the fact that patients' average survival after a lung transplant is about seven years and that 74% of these patients reject new organs within the first two years. By contrast, knowledge of these patients' perspectives after lung transplantation is scant. DESIGN/METHOD: A qualitative study was conducted between May, 2013 and May, 2014 in which 26 interviewees participated - four months post-transplant - based on a semi-structured interview guide...
January 10, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28071836/violated-and-vulnerable-women-s-experiences-of-contracting-a-sexually-transmitted-infection-from-a-male-partner
#6
Leah East, Debra Jackson, Kath Peters
AIMS AND OBJECTIVES: The aim of this paper is to explore women's stories of contracting a sexually transmitted infection from a male partner and elucidate the gendered constructs and violence experienced that made the women vulnerable to these infections. BACKGROUND: Violence against women can result in both physical and psychological consequences and expose women to multiple health risks including sexual health adversity. DESIGN: Feminist storytelling approach...
January 10, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28054410/betwixt-and-between-health-and-illness-women-s-narratives-following-acute-coronary-syndrome
#7
Rita Smith, Kate Frazer, Patricia Hall, Abbey Hyde, Laserina O'Connor
BACKGROUND: Cardiovascular is the main cause of mortality in women. Treatment modalities have improved health outcomes and survival rates, however, quality of life and ongoing morbidity after discharge is not clearly understood from a gender specific perspective. This study investigated experiences of women with a diagnosis of ACS in the 6 to 8 week period following discharge from hospital. The aim was to report their experiences of the mediating impact of a newly-diagnosed disease. METHODS AND DESIGN: Thirty women participated in this case study; a within-case analysis followed by a cross-case analysis provided meticulous knowledge of each case...
January 5, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042922/patient-readmission-for-orthopedic-surgical-site-infection-an-hermeneutic-phenomenological-approach
#8
Lilian Machado Torres, Ruth Natalia Teresa Turrini, Miriam Aparecida Barbosa Merighi
AIM: To explore the individual experience of being readmitted for SSI resulting from orthopedic surgery. BACKGROUND: Surgical site infection has been a cause of concern worldwide and contributes to the greatest number of hospital readmission occurrences. Health professionals must understand the meaning of these readmissions for the individual, as an understanding of these exclusive experiences improve the quality of surgical care. DESIGN: Qualitative research based on the existential phenomenology of Martin Heidegger...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042921/impact-of-nursing-diagnoses-on-patient-and-organisational-outcomes-a-systematic-literature-review
#9
REVIEW
Gianfranco Sanson, Ercole Vellone, Mari Kangasniemi, Rosaria Alvaro, Fabio D'agostino
AIM AND OBJECTIVES: To investigate the impact of nursing diagnoses on patient and organisational outcomes in any field of healthcare where nurses are involved. BACKGROUND: In healthcare systems, descriptions of patient complexity and outcomes and payment criteria are primarily based on medical diagnoses and procedures. Other aspects of patient care are rarely considered. Nursing diagnoses are believed to be related to healthcare outcomes, but comprehensive evidence for this association is missing...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042920/being-a-close-family-member-of-a-person-with-dementia-living-in-a-nursing-home
#10
Berit Seiger Cronfalk, Britt-Marie Ternestedt, Astrid Norberg
AIM: The objectives of this study were to illuminate how family members of persons with dementia describe their own experiences, before and after placing the relative in a nursing home. Background In the western world and with a growing population of older people, the number of persons with dementia increase. Family members often become carers in their own homes creating stressful and exhausting situation that eventually leads to re-locating the person to a 6 nursing home. This may lead to troubled conscience among family members...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042919/trajectories-of-depressive-symptoms-for-bereaved-family-members-of-chronically-ill-patients-a-systematic-review
#11
REVIEW
Su Ching Kuo, Jia Ling Sun, Siew Tzuh Tang
AIMS/OBJECTIVES: To synthesise concepts of distinct depressive-symptom trajectories in published studies by establishing a measurable standard and estimate the prevalence of recategorised trajectories for bereaved families of chronically ill patients. BACKGROUND: Grieving is a dynamic/individualised process. In studies treating depressive-symptom trajectories as heterogeneous, different criteria were used to identify distinct trajectories, resulting in inconsistent findings...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042893/the-experiences-of-myocardial-infarction-patients-readmitted-within-six-months-of-primary-percutaneous-coronary-intervention
#12
H Iles-Smith, C Deaton, M Campbell, C Mercer, L McGowan
AIM AND OBJECTIVES: This study explored the experiences of patients readmitted due to potential ischaemic heart disease (p-IHD) symptoms within 6 months of Primary Percutaneous Coronary Intervention (PPCI). BACKGROUND: Following myocardial infarction (MI) and PPCI, some patients experience p-IHD symptoms that may lead to readmission. Symptoms may be related to cardiac ischaemia, reduced psychological health or a comorbid condition. DESIGN: A qualitative study involving semi-structured, in-depth interviews conducted once, mean 196 (50 to 384) days following readmission (at least 6 months following original STEMI and PPCI)...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042891/screening-tools-for-identification-of-elder-abuse-a-systematic-review
#13
REVIEW
Chiara Gallione, Alberto Dal Molin, FabioV B Cristina, Hilary Ferns, Mark Mattioli, Barbara Suardi
BACKGROUND: The mistreatment of older people represents a widespread problem, with exponential growth risk, especially considering the progressive ageing of the world population. It could have serious consequences for the victim's health if not recognised early, denounced and stopped. Abuse is often undetected by service providers because there is a lack of awareness surrounding the magnitude of the problem. Education and formal training in the signs of abuse are also generally poorly developed, as are reporting procedures which would lead to further investigation...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042887/-just-not-for-me-contributing-factors-to-non-attendance-non-completion-at-phase-iii-cardiac-rehabilitation-in-acute-coronary-syndrome-patients-a-qualitative-enquiry
#14
Oliver Rudolf Herber, Karen Smith, Myra White, Martyn C Jones
AIMS AND OBJECTIVES: To explore what reasons do non-attenders and non-completers give for their patterns of participation or non-participation in cardiac rehabilitation programmes and how future uptake could be enhanced. BACKGROUND: Cardiac rehabilitation is a cost effective clinical intervention designed for adults with acute coronary syndrome. Despite evidence from meta-analyses demonstrating that cardiac rehabilitation programmes facilitate physical and psychological recovery from acute coronary syndrome, only 20 to 50% of eligible patients attend Phase III outpatient programmes...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042882/systematic-review-describing-the-effect-of-early-mobilization-after-dysvascular-major-lower-limb-amputations
#15
REVIEW
Ulla Riis Madsen, Ami Hommel, Connie Bøttcher Berthelsen, Carina Bååth
AIMS AND OBJECTIVES: To assess the effect of early mobilization of patients after dysvascular lower limb amputation and to compare the effectiveness of different mobilization regimens. BACKGROUND: Patients who have undergone dysvascular major lower limb amputations are at high risk of postoperative complications, which include loss of basic functions, and early mobilization interventions might prevent these complications. DESIGN: Systematic review...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042880/postoperative-pain-knowledge-and-beliefs-of-patients-and-nurses
#16
Jacqueline F M van Dijk, Marieke J Schuurmans, Eva E Alblas, Cor J Kalkman, Albert J M van Wijck
AIMS AND OBJECTIVES: To describe patients' and nurses' knowledge and beliefs regarding pain management. Moreover, to explore the effect of information and education on patients' and nurses' knowledge and beliefs regarding pain management. BACKGROUND: In the treatment of postoperative pain, patients' and nurses' inadequate knowledge and erroneous beliefs may hamper the appropriate use of analgesics. DESIGN: A randomized controlled trial and a cross-sectional study...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28042673/using-incident-reports-to-inform-the-prevention-of-medication-administration-errors
#17
Marja Härkänen, Susanna Saano, Katri Vehviläinen-Julkunen
AIMS AND OBJECTIVES: The aim of this study is to describe ways of preventing medication administration errors based on reporters' views expressed in medication administration incident reports. BACKGROUND: Medication administration errors are very common, and nurses play important roles in committing and in preventing such errors. Thus far, incident reporters' perceptions of how to prevent medication administration errors have rarely been analysed. DESIGN AND METHODS: This is a qualitative, descriptive study using an inductive content analysis of the incident reports related to medication administration errors (n=1012)...
January 2, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28032918/illness-management-and-recovery-program-for-mental-health-problems-reducing-symptoms-and-increasing-social-functioning
#18
Chay Huang Sharon Tan, Rohaida Binte Ishak, Tan Xiong Gentatsu Lim, Palaniappan Marimuthusamy, Kuldip Kaurss, Jern-Yi Joseph Leong
AIMS AND OBJECTIVES: To evaluate the effectiveness of the Illness-Management and Recovery Program in comparison to the current standard of care in terms of reduction of symptoms, re-hospitalization rates and social functioning in Asia. BACKGROUND: Focus of treatment for Mental Health had been shifted from mere management of symptoms to that of achievement of recovery. In the recovery process, strategies to achieve higher level of functioning were utilized (McGuire et al...
December 29, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28032387/action-learning-an-effective-intervention-to-improve-cancer-related-pain-management
#19
Mohammed Ali Mohammed Kasasbeh, Catherine Mccabe, Sheila Payne
PURPOSE: To evaluate the efficacy of action learning for improving cancer related pain management in the acute healthcare settings. Despite the prevalent use of action learning in private, public, clinical and non-clinical settings, no studies were found in the literature that either examined cancer pain management or used action learning as an approach to improve patient care in acute healthcare settings. METHODS: An intervention pre - posttest design was adopted using an action learning programme (ALP) as the intervention...
December 29, 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28032385/multisource-feedback-to-graduate-nurses-a-multi-method-study
#20
Samantha McPhee, Nicole M Phillips, Cherene Ockerby, Alison M Hutchinson
AIMS AND OBJECTIVES: 1) to explore graduate nurses' perceptions of the influence of multisource feedback on their performance and 2) to explore perceptions of Clinical Nurse Educators involved in providing feedback regarding feasibility and benefit of the approach. BACKGROUND: Graduate Registered Nurses are expected to provide high quality care for patients in demanding and unpredictable clinical environments. Receiving feedback is essential to their development...
December 29, 2016: Journal of Clinical Nursing
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