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Clinical Nursing Research

Junxin Li, Binbin Yang, Miranda Varrasse, Kun Li
The objective of this study is to synthesize and evaluate the current body of sleep research among long-term care (LTC) residents in China and provide insights for future research. Systematic searches identified 15 studies that examined sleep in LTC residents in China. Sleep disturbances and poor sleep quality were prevalent in Chinese LTC residents. Eight cross-sectional studies reported that demographics, comorbidities, lifestyle, and environment were associated with sleep quality in Chinese LTC residents...
October 10, 2016: Clinical Nursing Research
Veysel Karani Baris, Seyda Seren Intepeler, Emine Yasemin Yeginboy
Patient falls cause economic loss in hospitals, as well as patient injuries. This study aimed to calculate the additional hospital cost and length of stay (LOS) due to fall-related serious injuries and to identify the determining factors for both outcomes. A matched case-control design was used in the study. It was conducted with a case group of 39 patients and a control group of 39 patients in 28 hospitals in İzmir, Turkey. The additional hospital cost and LOS due to fall-related serious injuries were calculated to be US$3,302...
September 29, 2016: Clinical Nursing Research
Andrea S Wallace, Yelena Perkhounkova, Nicole L Bohr
Identifying those at risk of poor outcomes after hospital discharge is a central focus of health care systems. Our purpose was to better understand whether and how patient- and nurse-assessed readiness for discharge (Pt- and RN-RHDS) is related to patient experiences after discharge. We conducted a prospective survey of 70 Veterans and their assigned nurses on the day of, and again with Veterans 2 weeks after, hospital discharge. The predictive model for post-discharge coping difficulty included educational level (p = ...
September 15, 2016: Clinical Nursing Research
Cha-Nam Shin, Erica Soltero, Scherezade K Mama, Christopher Sunseri, Rebecca E Lee
Psychological stressors can contribute to adverse health outcomes and lead to health disparities. To examine associations among psychological stressors, coping, blood pressure, body mass index, and body fat in ethnic minority women, we conducted a secondary analysis using data from 178 African American and Hispanic/Latina women who completed measures of perceived racial discrimination and stress, coping, blood pressure, and body composition. The mean age of participants was 45.3 (±9.3 years), and most were obese (74...
September 13, 2016: Clinical Nursing Research
Ahmed Mohammad Al-Smadi, Loai Issa Tawalbeh, Omar Salem Gammoh, Ala Ashour, Fatmeh Ahmad Alzoubi, Paul Slater
The purpose of this study was to examine coping strategies used by Iraqi refugees in Jordan based on their demographic details. A cross-sectional design was used. A representative sample of 333 refugees living in Jordan participated in the study. The Cope inventory and the demographic details were compiled to produce and collate the relevant data. Being older, female, educated, single, and living with more than three family members was associated with greater use of the problem solving coping strategy. Being female, educated, and unemployed was associated with greater use of the active emotional coping strategy...
August 13, 2016: Clinical Nursing Research
Elif Sozeri, Sevinc Kutluturkan
The study was aimed to assess the validity and reliability of the Turkish version of the Chemotherapy-induced Taste Alteration Scale (CiTAS), and was conducted on adult patients receiving chemotherapy (N = 184) in the Chemotherapy Unit and Hematology Clinic (Outpatient) of a university hospital between December 2013 and May 2014. The results showed that the Cronbach's alpha coefficient (.869) was satisfactory. The alpha value was .89 for the Decline in Basic Taste subscale, .70 for Discomfort subscale, .82 for Phantogeusia and Parageusia subscale, and ...
August 11, 2016: Clinical Nursing Research
Thomas R Knapp
The one-group pretest-posttest pre-experimental design has been widely criticized, yet continues to be used in some clinical nursing research studies. This editorial explains what is wrong with the design, suggests reasons for its continued use, and gives some recommendations regarding what can be done about it.
October 2016: Clinical Nursing Research
Patricia S Groves, Kirstin A Manges, Jill Scott-Cawiezell
The study purpose was to describe how bedside nurses can use nursing bedside shift report (NBSR) to keep patients safe. NBSR has been recommended as a means of increasing patient safety, but little is known about how or whether it does so. Grounded theory methods were used. Data were collected from 2014 to 2015 with bedside nurses in a pediatric unit with an established NBSR process. The primary process by which bedside nurses use NBSR to keep patients safe is reducing risk of harm through conveying the patient story from shift to shift...
October 2016: Clinical Nursing Research
Andrea S Wallace, Yelena Perkhounkova, Nicole L Bohr, Sophia Jihey Chung
Patient characteristics and lack of preparedness are associated with poor outcomes after hospital discharge. Our purpose was to explore the association between patient characteristics and patient- and nurse-completed Readiness for Hospital Discharge Scale (RHDS). We conducted a prospective study of 70 Veterans being discharged from medical and surgical units. Differences in RHDS knowledge subscale scores were found among literacy levels, with lower perceived knowledge reported for those with marginal or inadequate literacy (p = ...
October 2016: Clinical Nursing Research
Pamela K Newland, Rebecca Lorenz, Chakra Budhathoki, Mark P Jensen
Individuals with multiple sclerosis (MS) may experience symptoms that impact comorbid conditions and quality of life (QOL). There is some evidence that symptom severity may vary in certain common health conditions in this population. We aimed to examine symptom severity in light of comorbid conditions commonly seen in individuals with MS (N = 339). Using a cross-sectional Internet survey, we found there was a significant increase in symptom severity of common symptoms of fatigue, imbalance, and weakness, specifically with presence or absence of certain comorbid conditions (depression, arthritis, migraine headaches, coronary artery disease [CAD])...
October 2016: Clinical Nursing Research
Wen Chang, Suzanne Goopy, Chun-Chih Lin, Alan Barnard, Hsueh-Erh Liu, Chin-Yen Han
Published research on discharge planning is written from the perspective of hospital wards and community services. Limited research focuses on discharge planning in the emergency department (ED). The objective of this study was to identify ED nurses' perceptions of factors influencing the implementation of discharge planning. This qualitative study collected data from 25 ED nurses through in-depth interviews and a drawing task in which participants were asked to depict on paper the implementation of discharge planning in their practice...
October 2016: Clinical Nursing Research
Christine M Thomas, Megan Mraz, Lois Rajcan
The World Health Organization and Centers for Disease Control and Prevention no longer recommend aspiration during intramuscular (IM) injections. The purpose of this study was to investigate the technique registered nurses (RNs) use during IM injections and incidence of blood aspiration. This descriptive study surveyed 164 RNs. Results noted that 74% of the sample continue to aspirate at least 90% of the time. Of the participants who continue to aspirate, only 3% aspirate for the recommended 5 to 10 s. Forty percent reported having aspirated blood at least once, whereas 6 RNs (4%) noted blood aspiration ≥13 times...
October 2016: Clinical Nursing Research
Åsa Dorell, Britt Bäckström, Marie Ericsson, Maria Johansson, Ulrika Östlund, Karin Sundin
The aim of this study was to highlight family members' experiences of participating in Family Health Conversation (FamHC), based on families in which a family member was living in a residential home for older people. A total of 10 families and 22 family members participated in evaluating family interviews 1 month after participating in FamHC. The interviews were analyzed by qualitative content analysis. The main finding was being a part of FamHC increased family members' insights, understanding, and communication within the family...
October 2016: Clinical Nursing Research
Pamela Z Cacchione
No abstract text is available yet for this article.
August 2016: Clinical Nursing Research
Suzanne Fredericks, Sepali Guruge
The purpose of this scoping review is to identify cardiovascular interventions that are designed to address the needs of immigrant women across North America and Europe. The articles retrieved were reviewed independently by both the first author and a trained research assistant. Although the search revealed many articles and resources related to supporting cardiovascular self-management behaviors among individuals, few focused on interventions designed for immigrant women who were diagnosed and living with cardiovascular disease...
August 2016: Clinical Nursing Research
Adriana Perez, Julie Fleury, Michael Belyea
This study examined differences in weekly time spent in physical activity by level of perceived environmental resources, 6 months following graduation from cardiac rehabilitation. A descriptive, longitudinal design used standardized measures to evaluate perceived environmental resources and physical activity levels. Repeated measures analysis of variance was used to examine mean differences in weekly time spent in physical activity by level of perceived environmental resources. Adults 51 to 86 years old (N = 150) diagnosed with coronary heart disease were included...
August 2016: Clinical Nursing Research
Barbara Riegel, Ruth Masterson Creber, Julia Hill, Jesse Chittams, Linda Hoke
Hospitalizations are common in heart failure (HF). Multimorbidity, defined as ≥2 comorbid conditions, drives many readmissions. The purpose of this pilot study was to test the effectiveness of motivational interviewing (MI) in decreasing these hospital readmissions. We enrolled 100 hospitalized HF patients into a randomized controlled trial, randomizing in a 2:1 ratio: intervention (n = 70) and control (n = 30). The intervention group received MI tailored to reports of self-care during one home visit and three to four follow-up phone calls...
August 2016: Clinical Nursing Research
Joan A Cebrick Grossman
A randomized experimental design was used to determine the most effective intervention for enhancing cardiac rehabilitation (CR) enrollment for postmyocardial infarction and stent patients. The 104 subjects (70 males and 34 females; 23-87 years old) were patients with a discharge diagnosis of a myocardial infarction followed by a percutaneous coronary intervention, which included a percutaneous transluminal coronary angioplasty and the placement of one or more coronary stents. Regardless of the intervention, patients who received face-to-face nursing interventions were more likely to enroll in CR than were patients who had indirect interventions, χ(2)(3) = 32...
August 2016: Clinical Nursing Research
Hsi-Ling Peng, Rebecca A Lorenz, Yu-Ping Chang
Poor sleep quality in family caregivers may impact their health status and cause quality of life to decline. Nurses are conducting an increasing number of studies that use sleep quality or related concepts as a main indicator to assess caregiver's sleep. Therefore, a clear understanding of sleep quality and how it is different from other relevant sleep domains is essential. This article aimed to analyze the concept of sleep quality using the steps outlined by Walker and Avant. Findings include (a) attributes of sleep quality including subjective perception of sleep, sleep hours, and evaluation of activity after awaking; (b) antecedents of sleep quality including the ability to get naturally into the sleep cycle and status of conscious state; and (c) consequences of sleep quality including bio-psycho-social and global dimensions of health...
August 2016: Clinical Nursing Research
Lucia Dignani, Andrea Toccaceli, Carla Lucertini, Cristina Petrucci, Loreto Lancia
Sleep disorders are very common in patients with chronic obstructive pulmonary disease (COPD). However, it is not clear how sleep disorders and quality of life (QoL) affect each other in the different stages of disease progression. This descriptive-correlational study investigated the relationship between QoL, quality of sleep, and degree of disease progression in 102 outpatients with COPD. The results showed that the QoL in patients with COPD is compromised and worsens with disease progression, and the quality of sleep is significantly associated with QoL and worsened as the disease progressed...
August 2016: Clinical Nursing Research
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