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Journal of Clinical Nursing

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https://www.readbyqxmd.com/read/28631875/nursing-assessment-as-an-effective-tool-for-the-identification-of-delirium-risk-in-older-in-patients-a-case-control-study
#1
Elena Solà-Miravete, Carlos López, Estrella Martínez-Segura, Mireia Adell-Lleixà, Maria Eulàlia Juvé-Udina, Mar Lleixà-Fortuño
AIMS: To evaluate the usefulness of comprehensive nursing assessment as a strategy for determining the risk of delirium in older in-patients from a model of care needs based on variables easily measured by nurses. BACKGROUND: There are many scales of assessment and prediction of risk of delirium, but they are little known and infrequently used by professionals. Recognition of delirium by doctors and nurses continues to be limited. DESIGN AND METHODS: A case-control study...
June 20, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618208/experiences-of-registered-nurses-transitioning-from-employment-in-acute-care-to-primary-health-care-quantitative-findings-from-a-mixed-methods-study
#2
Christine Ashley, Elizabeth Halcomb, Angela Brown, Kath Peters
AIM: To describe the experiences of registered nurses who transition from acute to primary health care (PHC) employment. BACKGROUND: Internationally the provision of health care in PHC settings is increasing. Nurses are moving from acute care employment to meet the growing demand for a PHC workforce. However, little is known about the transition experiences of these nurses. DESIGN: A sequential mixed methods study comprising a survey, and semi-structured interviews...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618137/the-impact-of-aspiration-pneumonia-and-nasogastric-feeding-on-clinical-outcomes-in-stroke-patients-a-retrospective-cohort-study
#3
Maria Schwarz, Anne Coccetti, Allison Murdoch, Elizabeth Cardell
AIMS AND OBJECTIVES: To determine presence of clinical complications related to dysphagia and to explore their operational outcomes. BACKGROUND: Dysphagia is a common complication of stroke. The management of post stroke dysphagia is multi-disciplinary with nurses playing a key role in screening for dysphagia risk, monitoring tolerance of food and fluids and checking for the development of complications such as fever, dehydration and change in medical status. Dysphagia often results in further complications including aspiration pneumonia and the need for nasogastric feeding...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618123/-pain-relieved-but-still-struggling-critically-ill-patients-experiences-of-pain-and-other-discomforts-during-analgosedation
#4
Helene Berntzen, Ida Torunn Bjørk, Hilde Wøien
AIM & OBJECTIVE: To explore how critically ill patients treated according to a strategy of analgosedation experience and handle pain, other discomforts, and wakefulness. BACKGROUND: Patients experience both pain and discomfort while in the intensive care unit (ICU). International guidelines recommend focused pain treatment and light sedation. An analgosedation protocol favoring pain management, light sedation and early mobilization was implemented in our university hospital medical and surgical ICU in Norway in 2014...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618112/older-patients-with-late-stage-copd-their-illness-experiences-and-involvement-in-decision-making-regarding-mechanical-ventilation-and-noninvasive-ventilation
#5
Heidi Jerpseth, Vegard Dahl, Per Nortvedt, Kristin Halvorsen
Older patients with late-stage COPD: their illness experiences and involvement in decision-making regarding mechanical ventilation and noninvasive ventilation AIMS AND OBJECTIVES: The aim of this study was twofold: first, to explore the illness experiences of older patients' with late-stage chronic obstructive pulmonary disease; and second, to develop knowledge about how patients perceive their preferences to be taken into account in decision-making processes concerning mechanical ventilation and /or non-invasive ventilation...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618109/vaccination-timeliness-in-preterm-infants-an-integrative-review-of-the-literature
#6
REVIEW
Helen Sisson, Eric Gardiner, Roger Watson
AIMS AND OBJECTIVES: To take a systematic approach to reviewing the scientific literature examining the timeliness of vaccination in preterm infants and to identify any factors associated with timeliness. BACKGROUND: Preterm infants are vulnerable to infection and guidance advocates they are vaccinated in accordance with their full term peers. Vaccination is well tolerated and protective immune responses are observed, yet some early enquiries suggest that preterm infants experience unwarranted delays...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618105/factors-influencing-medication-adherence-in-patients-with-gout-a-descriptive-correlational-study
#7
Xin Hui Jasmine Chua, Siriwan Lim, Fui Ping Lim, Yee Nah Anita Lim, Hong-Gu He, Gim Gee Teng
AIMS AND OBJECTIVES: To examine the factors influencing adherence to urate-lowering therapy in patients with gout in Singapore. BACKGROUND: Gout is the most common type of chronic inflammatory arthritis. Urate-lowering therapy (ULT) is used to treat gout by reducing serum uric acid levels. However, adherence to ULT among patients remains poor. To date, there have been no available studies based on a conceptual framework that examined factors influencing medication adherence in patients with gout...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618102/factors-contributing-to-serious-adverse-events-in-nursing-homes
#8
Åsa Andersson, Catharina Frank, Ania M L Willman, Per-Olof Sandman, Görel Hansebo
AIMS AND OBJECTIVES: The aim of this study was to identify the most common serious adverse events that occurred in nursing homes and their most frequent contributing factors to contribute to improvement of safe nursing care. BACKGROUND: There is a need to improve safe nursing care in nursing homes. Residents are often frail and vulnerable with extensive needs for nursing care. A relatively minor adverse event in nursing care can cause serious injury that could have been preventable...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618101/understanding-nurses-concerns-when-caring-for-patients-from-diverse-cultural-and-ethnic-backgrounds
#9
Kathleen Markey, Mary Tilki, Georgina Taylor
AIMS AND OBJECTIVES: This study aimed to explore the experiences of both student and qualified nurses of caring for patients from diverse cultural, ethnic and linguistic backgrounds, in one region of Ireland. Hearing the stories, experiences and attitudes of nurses has the potential to influence future clinical practice and has implications for nurses, nurse educators and nurse managers and leaders. BACKGROUND: There is a wealth of international literature highlighting the importance of providing culturally sensitive care...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618100/characteristics-of-an-effective-nursing-clinical-instructor-the-state-of-the-science
#10
Angela Dawn Collier
AIM AND OBJECTIVES: The aim of this paper is to analyze the perceived characteristics of an effective nursing clinical instructor and methods for measure instructor effectiveness. This review also examined importance of characteristics based on student age. BACKGROUND: The clinical instructor has a vital role in clinical education. While the role may be well defined, the characteristics these instructors need to do their jobs effectively are not. DESIGN: An integrative review from 1985 to present using four key terms: nursing, clinical, teaching, and effectiveness...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618093/influence-of-gender-bmi-and-body-shape-on-theoretical-injection-outcome-at-the-ventrogluteal-and-dorsogluteal-sites
#11
Theresa A Larkin, Elfriede Ashcroft, Blake A Hickey, Asmahan Elgellaie
AIMS AND OBJECTIVES: This study aimed to determine the influences of gender, BMI and observed body shape (OBS) on subcutaneous fat and muscle thicknesses, and theoretical injection outcome, at the ventrogluteal and dorsogluteal intramuscular injection sites. BACKGROUND: Debate continues as to whether the dorsogluteal or ventrogluteal injection site is more reliable for a successful intramuscular injection outcome. Subcutaneous fat and muscle thicknesses at the injection site are direct determinants of intramuscular injection outcome...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618086/jordanian-nurses-perception-and-interventions-related-to-promoting-smoking-cessation
#12
Inaam A Khalaf, Fathieh Abu-Moghli, Susan A LaRocco, Dua' Yousef Al-Maharma
AIMS AND OBJECTIVES: This research aims to determine nurses' perceptions related to smoking cessation, health promotion, and interventions provided to hospitalized patients. BACKGROUND: Smoking is a major health problem in Jordan. The cost for treating smoking- related health conditions is a significant strain on the health care system. Nurses are in an ideal position to encourage smoking cessation. Little is known about Jordanian nurses' perceptions related to smoking cessation issues...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618072/to-break-the-weight-gain-a-qualitative-study-on-the-experience-of-school-nurses-working-with-overweight-children-in-elementary-school
#13
Stina Thorstensson, Carola Blomgren, Annelie J Sundler, Margaretha Larsson
AIMS AND OBJECTIVES: This article describes the experiences of school nurses working with overweight school children. BACKGROUND: School nurses play an important role in health promotion of overweight children. Lifestyle changes and interventions to address being overweight can improve health outcomes and decrease the risk for future health problems. DESIGN: A descriptive and qualitative design with a phenomenological approach was used. Data were gathered through interviews with school nurses working with overweight school children in Swedish elementary school; the data were subsequently analysed for meanings...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618060/clinical-validation-of-the-nursing-diagnosis-of-ineffective-protection-in-hemodialysis-patients
#14
Jéssica Dantas de Sá Tinôco, Maria das Graças Mariano Nunes de Paiva, Cecília Maria Farias de Queiroz Frazão, Kadyjina Daiane Batista Lucio, Maria Isabel da Conceição Dias Fernandes, Marcos Venicios de Oliveira Lopes, Ana Luisa Brandão de Carvalho Lira
AIMS AND OBJECTIVES: The aim of this study was to evaluate the clinical validity of indicators of the nursing diagnosis of "ineffective protection" in hemodialysis patients. BACKGROUND: Hemodialysis patients have reduced protection. Studies on the nursing diagnosis of "ineffective protection" are scarce in the literature. The use of indicators to diagnose "ineffective protection" could improve the care of hemodialysis patients. The clinical usefulness of the indicators requires clinical validation...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618052/comparison-between-swinging-and-playing-of-white-noise-among-colicky-babies-a-paired-randomized-controlled-trial
#15
Emel Sezici, Deniz Yigit
AIMS AND OBJECTIVE: This study aimed to compare the effects of swinging and playing of white noise on the crying and sleeping durations of colicky babies. BACKGROUND: Infantile colic (IC) is one of the most common reasons for doctor visits among babies younger than 3 months. One out of five babies older than 3 months also experiences IC. IC, unlike gastrointestinal problems, is regarded as an individual differentiation and maturation of the central nervous system...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618046/open-label-randomized-controlled-trial-about-application-of-bundle-care-in-prevention-of-unplanned-extubation-of-nasobiliary-drainage-catheter-after-endoscopic-retrograde-cholangiopancreatography
#16
Chun-Mei Zhao, Jun-Bo Qian, Chun-Mei Zhang, Gang Lin
OBJECTS: To observe the effects of bundle care on preventing unplanned extubation (UEX) of nasobiliary drainage catheter after endoscopic retrograde cholangiopancreatography (ERCP). BACKGROUND: Preventing UEX has become a difficult problem for nursing staff because the catheter is stiff, fine and long. DESIGN: A total of 114 cases that experienced nasobiliary drainage after ERCP for the first time in our hospital from April 2015 to July 2016, were enrolled in this study...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618043/nurses-knowledge-on-diabetic-foot-ulcer-disease-and-their-attitudes-towards-patients-affected-a-cross-sectional-institution-based-study
#17
Sriyani A Kumarasinghe, Priyadarshika Hettiarachchi, Sudharshani Wasalathanthri
AIMS AND OBJECTIVES: To assess nurses' knowledge on diabetic ulcer disease and their attitudes towards patients suffering from it and to identify factors which influence them. BACKGROUND: Diabetic wound care is an evolving specialty with the rising prevalence of diabetes foot complications. As nurses play a key role in wound care, their knowledge and attitudes are important in providing optimum care to patients. DESIGN: Descriptive cross sectional survey design...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618040/optimising-implementation-of-a-patient-assessment-framework-for-emergency-nurses-a-mixed-method-study
#18
Belinda Munroe, Kate Curtis, Thomas Buckley, Melinda Lewis, Lou Atkins
AIMS AND OBJECTIVES: To determine potential facilitators and barriers and tailor interventions to optimise future implementation of a patient-assessment framework into emergency nursing practice. BACKGROUND: An evidence-informed patient-assessment framework HIRAID (History, Identify Red flags, Assessment, Interventions, Diagnostics, communication and reassessment) improves the quality of patient assessments performed by emergency nurses. Facilitators and barriers must be understood and tailored interventions selected to optimise implementation...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28618038/open-visitation-and-nurse-job-satisfaction-an-integrative-review
#19
Marissa Monroe, Linda Wofford
AIMS AND OBJECTIVES: To explore the effect of open visitation on critical care nurse job satisfaction. BACKGROUND: Open visitation has many benefits for ICU patients and families. However, ICU open visitation affects nurses' work environment too. Because nurse satisfaction is crucial to overall patient satisfaction, nurses' perceptions, experiences, and opinions about open visitation should be considered. DESIGN: A literature search was performed through CINAHL Complete, MEDLINE Complete, PubMed, ScienceDirect, Academic Search Premier and PsychINFO...
June 15, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/28597989/discrimination-and-resilience-and-the-needs-of-people-who-identify-as-transgender-a-narrative-review-of-quantitative-research-studies
#20
REVIEW
Edward McCann, Michael Brown
AIMS AND OBJECTIVES: To examine discrimination and resilience experiences of people who identify as transgender and establish potential health service responses. BACKGROUND: People who identify as transgender face many challenges in society in terms of the knowledge, understanding and acceptance of a person's gender identity. DESIGN: A narrative review of quantitative empirical research. METHODS: A comprehensive search of CINAHL, MEDLINE, PsycINFO and Sociological Abstracts electronic databases from 2006 to 2016 was conducted...
June 9, 2017: Journal of Clinical Nursing
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