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Clinical Nursing Research

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https://www.readbyqxmd.com/read/28817959/a-health-behavior-prediction-model-for-patients-with-coronary-artery-disease
#1
Jiyoung Kim, Oksoo Kim
The aim of this study was to determine the relationships among functional status, hostility, social support, illness perceptions, and health behaviors in patients with coronary artery disease using structural equation modeling. Participants comprised 215 patients with coronary artery disease who had received percutaneous coronary artery intervention or a coronary artery bypass graft in two general hospitals in Seoul, Korea. Using structured interviews with questionnaires, data accrued from July to August, 2015...
August 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28817952/professional-socialization-a-grounded-theory-of-the-clinical-reasoning-processes-that-rns-and-lpns-use-to-recognize-delirium
#2
Mohamed El Hussein, Sandra Hirst, Joseph Osuji
Delirium is an acute disorder of attention and cognition. It affects half of older adults in acute care settings and is a cause of increasing mortality and costs. Registered nurses (RNs) and licensed practical nurses (LPNs) frequently fail to recognize delirium. The goals of this research were to identify the reasoning processes that RNs and LPNs use to recognize delirium, to compare their reasoning processes, and to generate a theory that explains their clinical reasoning processes. Theoretical sampling was employed to elicit data from 28 participants using grounded theory methodology...
August 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28793784/factors-associated-with-preterm-infants-circadian-sleep-wake-patterns-at-the-hospital
#3
Hsiang-Yun Lan, Ti Yin, Jyu-Lin Chen, Yue-Cune Chang, Jen-Jiuan Liaw
This prospective repeated-measures study explored potential factors (postmenstrual age, body weight, gender, chronological age, illness severity, and circadian rhythm) related to preterm infants' circadian sleep/wake patterns. Circadian sleep/wake patterns were measured using an Actiwatch for 3 continuous days in preterm infants (gestational age of 28-36.4 weeks) in a neonatal intensive care unit and hospital nursery. Potential factors associated with circadian sleep/wake patterns were analyzed using the generalized estimating equation...
August 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28782381/association-between-body-mass-index-and-cardiometabolic-risks-among-malay-obese-adults
#4
Azlina Daud, Siti Zuhaidah Shahadan
Cardiometabolic risk (CMR) is a cluster of risk factors that may predict the occurrence of cardiovascular diseases and diabetes mellitus. This study investigated the association between CMR with body mass index (BMI) among obese adults. The CMRs, including waist circumference, systolic and diastolic blood pressure, blood glucose, total cholesterol, low-density and high-density lipoprotein, triglyceride, and high-sensitivity C-reactive protein (hs-CRP) level, were quantified in 82 obese adults. The findings indicate the highest correlation coefficient value ( r) was ...
August 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28754057/risk-assessments-of-epidural-analgesia-during-labor-and-delivery
#5
Antonio Herrera-Gómez, Elvira De Luna-Bertos, Javier Ramos-Torrecillas, Francisco M Ocaña-Peinado, Concepción Ruiz, Olga García-Martínez
Epidural analgesia (EA) is one of the methods of choice for labor pain relief, but its adverse effects on the mother and child remain controversial. The objective of this study was to determine whether there is an association between the use of EA and different aspects of labor. The author(s) analyzed the effect of EA on different aspects of labor in a retrospective cohort observational study of deliveries in a public Spanish hospital during a 3-year period. Women with EA administration were found to increase the risk of stimulated labor, reduce the percentage of spontaneous deliveries, increase the risk of instrumental labor due to stalled labor or loss of fetal well-being, and increase the percentage of episiotomies...
July 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28745067/participants-understanding-of-informed-consent-for-biobanking-a-systematic-review
#6
Elizabeth R Eisenhauer, Alan R Tait, Soo Young Rieh, Cynthia M Arslanian-Engoren
Nurses are increasingly asked to obtain consent from participants for biobanking studies. Biobanking has added unique complexities to informed consent. The purpose of this systematic review was to evaluate participants' level of understanding of the information presented during the informed consent process unique to the donation of biological specimens for research. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were utilized to conduct the review. PubMed, EMBASE, CINAHL, PsycINFO, Scopus, Web of Science, and ProQuest bibliographic databases were searched...
July 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28737064/the-effects-of-delirium-prevention-guidelines-on-elderly-stroke-patients
#7
Jihye Song, Minkyung Lee, Dukyoo Jung
This study aimed to evaluate the effectiveness of the delirium prevention interventions recommended by the Delirium Prevention Guidelines for Elderly Stroke Patients (DPGESP). The DPGESP comprises nine dimensions with 28 interventions, including risk factor assessment, orientation disorder prevention, sleeping pattern maintenance, sensory interventions, constipation, dehydration, hypoxia and infection prevention, pain management, and appropriate nutrition maintenance. This quasi-experimental study used a nonequivalent control group and a pretest-posttest design...
July 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28712307/deaf-a-concept-analysis-from-a-cultural-perspective-using-the-wilson-method-of-concept-analysis-development
#8
Kathy M Pendergrass, Susan D Newman, Elaine Jones, Carolyn H Jenkins
The purpose of this article is to provide an analysis of the concept Deaf to increase health care provider (HCP) understanding from a cultural perspective. Deaf signers, people with hearing loss who communicate primarily in American Sign Language (ASL), generally define the term Deaf as a cultural heritage. In the health care setting, the term deaf is most often defined as a pathological condition requiring medical intervention. When HCPs are unaware that there are both cultural and pathological views of hearing loss, significant barriers may exist between the HCP and the Deaf individual...
July 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28691509/content-of-orthopedic-patient-education-provided-by-nurses-in-seven-european-countries
#9
Andreas Charalambous, E Papastavrou, K Valkeapää, A Zabalegui, B Ingadóttir, C Lemonidou, N Fatkulina, K Jouko, H Leino-Kilpi
Patients' and their significant others' education during the perioperative phase is an important and challenging aspect of care. This study explored the content of education provided by nurses to arthroplasty patients and their significant others. Data were collected with the Education of Patients-NURSE content (EPNURSE-Content), Received Knowledge of Hospital Patient (RKhp), and Received Knowledge of Significant Other (RKso) scales. The results showed that the content of education emphasized biophysiological and functional needs, differed between countries, and was related to how physically demanding nurses found their job to be and the amount of education provided...
July 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28679284/comparison-of-glucose-values-of-blood-samples-taken-in-three-different-ways
#10
Tulay Sagkal Midilli, Eda Ergın, Ebru Baysal, Zeki Arı
The purpose of the study was to determine differences and correlations between the blood glucose values of venous blood and the first and second drops of capillary blood samples taken in three different ways. Blood samples were (a) venous blood, (b) the first and second drops of capillary blood from the middle finger of the right hand (only washed with soap and water), and (c) the first and second drops of capillary blood from the middle finger of the left hand (washed with soap and water and cleaned with alcohol)...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28658969/resilience-and-coping-strategies-influencing-the-quality-of-life-in-patients-with-brain-tumor
#11
Chiu-Ju Pan, Hui-Chun Liu, Shu-Yuan Liang, Chieh-Yu Liu, Wei-Wen Wu, Su-Fen Cheng
The study purpose was to evaluate how much of the variance in quality of life (QOL) among Taiwanese patients with brain tumor could be accounted for by resilience and coping strategy. This cross-sectional study included 95 patients who had undergone a treatment of operations or chemotherapy or radiotherapy relevant to brain tumor after at least 1 month and completed the European Organization for Research and Treatment of Cancer QOL Questionnaire-Brain Cancer Module (EORTC QLQ-BN20), Resilience Scale (RS), and Ways of Coping Checklist-Revised (WCC-R)...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28658962/scoping-review-of-nursing-case-management-in-the-united-states
#12
Jee Young Joo, Diane L Huber
The purpose of this study is to identify issues of case management (CM) interventions in the United States in recent studies and to identify implications for future research into CM. This study was guided by the following framework for a scoping review. Multiple electronic databases were searched to identify studies published between 2007 and 2016 in the United States and related to nursing CM. Five weaknesses were identified: no clear and consistent definition of CM, lack of theoretical frameworks, lack of standard guidelines in CM practice, lack of precise CM dosage and of process measures, and limited reports of explicit role of nurse case managers and role confusion by nurses...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28649855/quality-of-life-and-its-factors-in-korean-elderly-with-mild-cognitive-impairment
#13
Younhee Kang, Eliza Lee
Based on the secondary data analysis, this study aimed to identify quality of life and factors that affect quality of life among Korean elderly with mild cognitive impairment. Demographic characteristics, physical factors, and psychosocial factors as well as quality of life of the elderly with mild cognitive impairment were comprehensively measured. The research subjects consisted of 348 home-resident elderly and their quality of life scores were relatively high at 29.86. Their quality of life varied according to education and gender, and instrumental activities of daily living (actual, latent), somatic symptoms, sleep quality, depression, and social support affected their quality of life...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28627936/the-microorganisms-on-nurses-and-health-care-workers-uniforms-in-the-intensive-care-units
#14
Maha Abu Radwan, Muayyad Ahmad
The objective of this study was to identify the types of microorganisms present on uniforms of nurses, physicians, respiratory therapist, students, and housekeepers in intensive care units (ICUs). A convenience sampling was used to recruit the participants ( N = 115) who work at military hospital in Jordan. Environmental cultures ( N = 305) were taken from the participants who were nurses, physicians, students, respiratory therapists, and housekeepers. The number of participating nurses was 58 (50.43%). There were 24 types of microorganisms found on the participants' uniforms...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28627236/estrogen-receptor-1-esr1-gene-polymorphisms-and-obesity-phenotypes-in-a-population-of-young-adults
#15
María Correa-Rodríguez, Jacqueline Schmidt-RioValle, Emilio González-Jiménez, Blanca Rueda-Medina
Obesity is considered an increasingly serious health problem determined by multiple genetic and environmental factors. Estrogens have been found to play a major role in body weight and adiposity regulation through estrogen receptor 1 ( ESR1). The aim of this study was to determine whether genotype and haplotype frequencies of ESR1 polymorphisms are associated with body composition measures in a population of 572 young adults. A lack of significant association between genotypes of ESR1 gene polymorphisms and obesity phenotypes was seen after adjustment for confounding factors...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28627232/development-and-validation-of-the-self-awareness-of-falls-in-elderly-scale-among-elderly-inpatients
#16
Meei-Ling Shyu, Hui-Chuan Huang, Mei-Jung Wu, Hsiu-Ju Chang
The objectives of this study were to develop the Self-Awareness of Falls in Elderly (SAFE) scale and test its reliability and validity among elderly inpatients. A cross-sectional study design and convenience sampling were used to test the validity and reliability of the SAFE scale. Explanatory factor analysis and confirmatory factor analysis yielded an acceptable goodness of model fit, confirming the 21 items in the SAFE scale that were distributed among four factors: awareness of activity safety and environment, awareness of physical functions, awareness of medication, and awareness of cognitive behavior...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28621150/caregiving-burden-and-life-satisfaction-among-caregivers-of-cancer-patients-admitted-to-the-emergency-department
#17
Esra Danacı, Zeliha Koç
This descriptive and cross-sectional study aimed to determine caregiving burden and life satisfaction among caregivers of cancer patients admitted to the emergency department. The study included 272 caregivers. Data were collected using an information form, the Zarit Burden Interview (ZBI), and the Satisfaction With Life Scale (SWLS). Among the patients, 19.1% were diagnosed with lung cancer; 44.1% were in the fourth stage of their disease; and 52% had metastasis. The mean ZBI total score was 41.2 ± 9.7, while the mean SWLS total score of caregivers was 17...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28618835/effect-of-psychosocial-factors-on-eating-behaviors-and-bmi-among-african-american-women
#18
Stephanie Pickett, Thomas P McCoy
Psychosocial stress and negative emotions have been associated with the consumption of highly palatable foods and excess weight. Few studies have examined these variable relationships among young African American women. The purpose of this cross-sectional study was to examine the relationship of perceived stress, depressive symptoms, eating behaviors, and body mass index (BMI) among 191 African American women who were 18 to 40 years old. Multivariate analysis indicated that depressive symptoms had a greater impact on highly palatable eating behaviors compared with perceived stress...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28614953/forced-air-warming-for-rewarming-and-comfort-following-laparoscopy-a-randomized-controlled-trail
#19
Hsiao-Chi Nieh, Shu-Fen Su
We investigated the efficacy of a forced-air warming (FAW) system on postoperative rewarming and comfort in patients undergoing laparoscopic surgery. In this randomized controlled trial, a total of 127 participants were randomly divided into the FAW group ( n = 64) and control group ( n = 63). The esophageal temperature was measured every 30 min during surgery, and the tympanic temperature and comfort levels were measured preoperatively and in the postanesthesia care unit (PACU). Data analysis used the generalized estimating equation...
June 1, 2017: Clinical Nursing Research
https://www.readbyqxmd.com/read/28612622/pediatric-nurses-perception-of-support-for-families-with-children-with-congenital-heart-defects
#20
Elisabeth Bruce, Karin Sundin
The purpose of this study was to illuminate pediatric nurses' (PNs) perceptions of support for families with a child with a congenital heart defect. The study used a qualitative design with narrative interviews with eight PNs in Northern Sweden, and the interview data were analyzed with content analysis. The analysis revealed that the nurses perceive that letting the parents be involved in their child's care is of great importance in supporting the families. Although they have a paternalistic attitude to the families, they also stated that nurses should inform the parents about the care of the child, create a good relationship with the family, and build trust among all parties involved...
June 1, 2017: Clinical Nursing Research
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