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Clinical Nursing Research

Michela Luciani, Paola Rebora, Emanuela Rossi, Luca Tonoli, Silvia Androni, Enrico Ballerini, Diletta Fabrizi, Barbara Riegel, Davide Ausili, Stefania Di Mauro
In type 2 diabetes mellitus (T2DM) patients, human values have been identified as having a possible impact on self-care. Despite this, basic human values have never been described in the T2DM population and the association between basic human values and self-care has not been assessed. The aims of this study were to describe basic human values and self-care, and investigate the associations between basic human values and self-care in adults with T2DM. The study was cross-sectional multicentre with T2DM patients ( n = 390)...
January 18, 2019: Clinical Nursing Research
Corrie Kangas, Lindsay Iverson, Dustin Pierce
Providing effective screening tools to nurses is necessary to improve patient outcomes and health care quality. This research examines if the modification of two electronic health record sepsis screening tools using a combined systemic inflammatory response syndrome (SIRS), modified early warning score (MEWS), and national early warning score (NEWS) criteria improves the recognition of sepsis by nurses. Medical-surgical/telemetry units at a medical center in the Midwest were examined using a quasiexperimental design...
January 17, 2019: Clinical Nursing Research
Yuan Xue, Xiao-Yan Zhang, Hui-Juan Zhou, Omorogieva Ojo, Qi Wang, Li-Li Wang, Qing Jiang, Ting Liu, Xiao-Hua Wang
This study aims to evaluate the levels of knowledge of different food categories and analyze the association between the levels of dietary knowledge and glycemia in Chinese adult patients with type 2 diabetes mellitus (T2DM). A cross-sectional study design was adopted. A total of 334 patients with T2DM were recruited from six hospitals from July to October 2014 in China. The Diabetes Dietary Knowledge Scale was utilized to obtain dietary knowledge. The results showed the item examining knowledge of carbohydrates received the highest score, whereas the item examining knowledge of healthy fats received the lowest score...
January 7, 2019: Clinical Nursing Research
Gülzade Uysal, Duygu Sönmez Düzkaya, Tülay Yakut, Gülçin Bozkurt
The aim of this study was to determine the effectiveness of a pressure injury prevention guide used in a pediatric intensive care unit (PICU) on the occurrence of pressure injuries. The design is a pre-post intervention with a control group and a prospective intervention group. Pressure injuries occurred on 9.4% of children in the nontreatment group, and in 3.6% of children in the treatment group. There was a statistically significant difference in the occurrence of pressure injuries between the nontreatment group and the treatment group ( p = ...
January 2, 2019: Clinical Nursing Research
Ashley Pasiorowski, Karin Olson, Sunita Ghosh, Lynne Ray
Pain is a complex symptom to assess properly and it is often poorly managed in the Emergency Department. The majority of research has focused on exploring oligoanalgesia in samples of patients with heterogeneous injuries. The occurrence of oligoanalgesia in a homogeneous injury, such as Colles fracture, has yet to be explored. A retrospective chart review was conducted to determine the incidence of oligoanalgesia in adults with Colles fractures admitted to two urban Emergency Departments in Western Canada. Data were collected from one hundred fifty charts from a 5-year period (2009-2014)...
December 26, 2018: Clinical Nursing Research
Lori L Popejoy, Amy A Vogelsmeier, Bonnie J Wakefield, Colleen M Galambos, Alexandria M Lewis, Diane Huneke, David R Mehr
This article describes our recommendation for adapting hospital-based RED (Reengineered Discharge) processes to skilled nursing facilities (SNFs). Using focus groups, the SNFs' discharge processes were assessed twice additionally, research staff then recorded field notes documenting discussions about facility discharge processes as they related to RED processes. Data were systematically analyzed using thematic analysis to identify recommendations for adapting RED to the SNF setting including (a) rapidly identifying, involving, and preparing family/caregivers to implement a patient focused SNF discharge plan; (b) reconnecting patients quickly to primary care providers; and (c) educating patients at discharge about their target health condition, medications, and impact of changes on other chronic health needs...
December 17, 2018: Clinical Nursing Research
Beth Fields, Rose L Turner, Maharsi Naidu, Richard Schulz, Everette James, Juleen Rodakowski
A systematic review was conducted to characterize assessments for caregivers of hospitalized older adults. Electronic literature searches of Medline, PsycINFO, and CINAHL of articles on caregiver assessments published in English between 2006 and present were completed. Thirty-three articles underwent full-text review; four included assessments designed to capture caregiver needs in hospital settings. Original articles on the development of these assessments were reviewed for quality appraisal. Four findings emerged from our review...
December 10, 2018: Clinical Nursing Research
Rita Doumit, Chant Kazandjian, Lisa K Militello
Lebanon has the highest per-capita concentration of refugees worldwide. There is an urgent need to offer psychosocial interventions to vulnerable groups such as Syrian refugee adolescents. To assess the feasibility, acceptability, and preliminary effects of a cognitive-behavioral intervention (Creating Opportunities for Patient Empowerment [COPE]) on depression, anxiety, and quality of life (QOL) in a sample of adolescent refugees (13-17 years) living in Lebanon. A preexperimental study design was used. COPE 7-Session was delivered to 31 adolescent Syrian refugees...
November 26, 2018: Clinical Nursing Research
Hamdiye Arda Sürücü, Gülbeyaz Baran Durmaz, Engin Turan
The purpose of this study was to investigate stigmatization, sociodemographic/diabetes-related characteristics and parents-related characteristics as predictors of a negative perception of insulin treatment in adolescents with type 1 diabetes in Turkey. The study was carried out using a cross-sectional correlation design. The research sample included 80 adolescents with type 1 diabetes who volunteered to take part. A positive perception of insulin treatment (β = -.38, p < .001), stigmatization (β = -.24, p = ...
November 25, 2018: Clinical Nursing Research
Amy E Moore, Rebecca L Trotta, Steven C Palmer, Regina S Cunningham, Rosemary C Polomano
Clinicians routinely perform bone marrow aspiration and biopsy (BMAB) to diagnose cancer and evaluate disease status; however, few studies address pain and distress with BMAB. A prospective descriptive-correlational design examined patients' ( N = 152) ratings of pain intensity (numeric rating scale, 0-10) and distress (distress thermometer) at baseline and 5 min and 1 hr postprocedure. Data were analyzed using descriptive statistics, chi-square, and linear regression models. Mean postprocedure pain intensity at 5 min was moderate, 5...
November 2, 2018: Clinical Nursing Research
Jungsun Lee, Insil Jang
The aim of this study is to investigate the differences in POAF (postoperative atrial fibrillation) and non-POAF patients using demographic and clinical characteristics and identify predictors affecting POAF after coronary artery bypass grafts in South Korea. This retrospective cohort study included 999 patients followed-up for at least 1 year after coronary artery bypass graft, between January 2011 and December 2015. Multivariate logistic regression was performed to assess risk factors based on demographics, as well as preoperative and postoperative characteristics...
October 31, 2018: Clinical Nursing Research
Elliane Irani
No abstract text is available yet for this article.
January 2019: Clinical Nursing Research
Thomas R Knapp
No abstract text is available yet for this article.
November 2018: Clinical Nursing Research
Mônica Hiromi Sato, Mavilde da Luz Gonçalves Pedreira, Ariane Ferreira Machado Avelar, Miriam Harumi Tsunemi, Kelly Cristina Sbampato Calado Orsi, Marcia Lurdes de Cacia Pradella-Hallinan, Marta José Avena, Eliana Moreira Pinheiro
The purpose of this study was to compare the effect of ear protectors on the sleep of preterm newborns during the "quiet" times in intermediate care nursery. This was a clinical, randomized, controlled crossover study conducted in two neonatal units in São Paulo, Brazil. The sample consisted of preterm infants who met the inclusion and exclusion criteria for the study. Polysomnography and unstructured observation were used for data collection. Twenty-four preterm infants with a mean gestational age of 33...
October 19, 2018: Clinical Nursing Research
Souraya Sidani, Sarah Ibrahim, Jana Lok, Hannah O'Rourke, Laura Collins, Mary Fox
The prevalence of chronic insomnia is on the rise among young, middle-aged, and older adults. This secondary data analysis examined age-group differences in the experience of and factors perpetuating insomnia severity. Pretest data, obtained from a trial of behavioral interventions, were collected from 742 participants, using psychometrically sound measures of perpetuating factors (sleep habits, unhelpful beliefs, presleep arousal), insomnia experience (symptoms, perceived severity), and consequences or impact on daytime functioning...
October 15, 2018: Clinical Nursing Research
Daniel A Hopgood, Richard J Czosek, Tamilyn Bakas, Nicole Garritano, Gordon L Gillespie
We aimed to compare salient characteristics and antecedents of quality of life (QOL) in adolescents and young adults with implantable cardioverter-defibrillators (ICDs) from qualitative methods with quantitative measurement of QOL and correlations between QOL (PedsQL) and measured participant characteristics. Concurrent parallel mixed methods design was used to collect survey data from the PedsQL electronic health record, demographic questionnaire, and semistructured interview data. A convenience sample of 16 individuals with ICDs, aged 13 to 25 years, was obtained from a tertiary pediatric facility...
October 7, 2018: Clinical Nursing Research
Zhongping Ai, Xiaolan Gao, Silin Zheng, Changbi Lu
Variability and factors influencing quality of life (QOL) in breast cancer patients having chemotherapy were examined in a longitudinal prospective cohort study in two teaching hospitals in China. Physical, mental, social/family, and functional QOL changed significantly over time with varying patterns. In addition, various factors influenced the QOL of breast cancer patients at each chemotherapy cycle. Health professionals should focus on critical time periods during chemotherapy, particularly at baseline and during the fourth and fifth cycles when the QOL in our sample was at the lowest point, and they should provide additional support to patients to ensure that chemotherapy is delivered in an optimal fashion...
October 3, 2018: Clinical Nursing Research
Malissa A Mulkey, Sonya R Hardin, Alexander M Schoemann
Feasibility studies are often the first attempt researchers use to test whether a new process or part of a process is practical for use in a clinical setting or a device will provide the desired information. When conducting a device feasibility study there are several unique considerations that must be addressed. This manuscript describes the processes and considerations.
September 28, 2018: Clinical Nursing Research
Faithe J X Poh, Shefaly Shorey
Falls pose substantial challenges to health care institutions. This review aims to provide a synthesis and critique of studies that investigated fall injury risk factors and to identify significant risk factors that predispose patients to injurious falls. A comprehensive literature search was conducted in PubMed, COCHRANE, Embase, Cumulative Index to Nursing and Allied Heath Literature, and Scopus. Additional records were searched through Google Scholar and bibliographies of the retrieved articles. Twenty-three primary research studies were included...
September 18, 2018: Clinical Nursing Research
Rachel Rui Qi Tan, Hui Jin Toh, Philip Lin Kiat Yap, Nana Jiao, Wenru Wang
The objective of the study is to examine the 90-day readmission rate and identify the predictors for 90-day readmissions at a geriatric ward in a tertiary hospital in Singapore. A secondary analysis of case-control data was performed. Data of patients discharged from a geriatric ward between January 2015 and January 2016 were retrieved from an existing data set. Out of 564 index admissions involving older adults, the 90-day geriatric readmission rate was 10.1%. Activities of daily living dependency (odds ratio [OR]: 0...
September 18, 2018: Clinical Nursing Research
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