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Clinical Nursing Research

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https://www.readbyqxmd.com/read/30227728/a-literature-review-of-factors-influencing-injurious-falls
#1
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
https://www.readbyqxmd.com/read/30227723/90-day-hospital-readmissions-of-patients-in-a-geriatric-acute-care-ward-in-singapore
#2
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
https://www.readbyqxmd.com/read/30227722/development-of-the-care-environment-scale-long-term-care
#3
Marie Boltz, Kyung Hee Lee, Joseph Shuluk, Michelle Secic
A critical dimension of Quality Assurance and Performance Improvement (QAPI) activity in long-term care is an analysis of the care environment, that is, the way care and services are organized. The purpose of this study was to develop and pilot test a psychometrically sound tool that long-term care staff could use to assess the care environment and guide performance improvement activity. Focus groups with 57 interdisciplinary participants in five nursing homes developed initial items, with excellent content validity (item content validity index = 1...
September 18, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30215273/effects-of-mindfulness-based-psychoeducation-on-the-internalized-stigmatization-level-of-patients-with-schizophrenia
#4
Emine Yılmaz, Funda Kavak
The aim of this study was to determine the effects of mindfulness-based psychoeducation on internalized stigma in patients with schizophrenia. The patients were recruited from the community mental health centers. This quasiexperimental study was conducted using pretests and posttests with a control group. The participants were 69 patients with schizophrenia; 34 were part of the experimental group and 35 were part of the control group. The patients in the experimental group participated 2 days a week for 6 weeks in a total of 12 sessions which were given in the form of face-to-face group training...
September 14, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30188183/the-lived-experiences-of-adolescents-with-cancer-a-phenomenological-study
#5
Ching-Hui Chien, Yung-Ying Chang, Xuan-Yi Huang
This descriptive phenomenological study was conducted to explore the lived experiences of adolescents with cancer. Purposive sampling was used to recruit participants. In-depth, nonstructured interviews were conducted to collect data, and narratives were analyzed using Colaizzi's seven-step method. Data saturation was achieved after interviewing 16 participants. The study was divided into three main themes and 16 subthemes: suffering (caused by symptoms, therapy, cancer recurrence, the feeling of being trapped in hospital, the burden of food therapy, delayed education, the absence of peer relationships, and limited activities), emotional reactions (fear, worry, sadness, anger, and loneliness), and rebalancing (strong family relationships, optimistic thinking, and healthy lifestyles)...
September 6, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30188176/comparison-of-a-12-week-whole-body-exergaming-program-on-young-adults-differentiation-in-flexibility-muscle-strength-reaction-time-and-walking-speed-between-sexes
#6
Yeşim Bakar, Alper Tuğral, Alp Özel, Yasin D Altuntaş
This study aimed to investigate the effects of exergaming on flexibility, muscle strength, reaction time, and walking speed of adults within sex differences. Fifty-four individuals participated in a 12-week exergaming program. Three 30-min sessions were conducted each week. Baseline and post-intervention assessments were done using the sit-and-reach and bend-over tests for flexibility, hand-held dynamometer for muscle strength, auditory and visual reaction time machine for reaction time, and 5-meter walk test for walking speed...
September 6, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30168345/influence-of-calcium-and-vitamin-d-intakes-on-body-composition-in-children-and-adolescents
#7
María Correa-Rodríguez, Jacqueline Schmidt-RioValle, Robinson Ramírez-Vélez, Jorge Enrique Correa-Bautista, Emilio González-Jiménez, Blanca Rueda-Medina
Identifying nutritional strategies to maintain a healthy body weight and reduce the comorbidities associated with obesity is extremely important. We aimed to investigate whether calcium and vitamin D intakes are associated with body composition measurements in a population of children and adolescents. A cross-sectional study was conducted involving 1,060 children and adolescents (65.8% females; 34.2% males) aged 9 to 19 years. Fat mass, percentage of fat mass, and fat-free mass were measured using a body composition analyzer (TANITA BC-418MA® )...
August 31, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30126292/mhealth-applications-for-children-and-young-people-with-persistent-pain-a-scoping-review
#8
Jessica Schults, Marie Cooke, Julianne Richards, Joanne Theodoros, Elizabeth Andresen, Rebecca Paterson, Mark Alcock
Persistent pain is a global health care issue affecting more than 30% of children and young people. mHealth applications delivered using smartphones, are an innovative method to engage children in pain self-management. This article outlines the evidence concerning the development, implementation, and evaluation of mHealth apps for these children in terms of feasibility, acceptability, and impact on important pain outcomes such as quality of life and health care utilization.
August 21, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30094998/a-correlational-study-of-acute-stress-and-resilience-among-hospitalized-burn-victims-following-the-taiwan-formosa-fun-coast-explosion
#9
Ya-Lin Chen, Ming-Hsiu Lu, Ling-Tzu Weng, Chin Lin, Ping-Wei Huang, Chih-Hsin Wang, Hsueh-Hsing Pan
Although the survival rate of burn patients in the Formosa Fun Coast Explosion disaster increased significantly, for patients facing long-term rehabilitation, there remained great stress. Therefore, the aim of this study was to explore the predictors of resilience among burn patients in this major disaster. We conducted a cross-sectional, descriptive study in a medical center in northern Taiwan, with a total of 30 burn patients enrolled. Patients' demographics were collected, and the Resilience Scale and Perceived Stress Scale were administered...
August 10, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30081656/interventions-for-cardiovascular-disease-risk-reduction-in-korean-americans-a-systematic-review
#10
Cha-Nam Shin, Colleen Keller, Jeongha Sim, Eun-Ok Im, Michael Belyea, Barbara Ainsworth
This systematic review was to identify and synthesize literature that described the cultural appropriateness and effectiveness of interventions aimed at cardiovascular risk reduction in Korean Americans. We searched multiple electronic databases for studies published between January 2000 and August 2017 and identified 14 eligible research reports. All reviewed studies targeted first-generation Korean American adults. Most of the reviewed studies incorporated components of surface structure, and leveraged deep structure in those interventions...
August 6, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30079775/effect-of-a-diabetes-self-efficacy-enhancing-program-on-older-adults-with-type-2-diabetes-a-randomized-controlled-trial
#11
Cherry Chay Lee Tan, Karis Kin Fong Cheng, Siew Wai Hwang, Ning Zhang, Eleanor Holroyd, Wenru Wang
This randomized controlled trial examined the effect of a diabetes self-efficacy enhancing program (DSEEP) on older adults with type 2 diabetes. The 8-week DSEEP consisted of a guidebook on diabetes self-care, a 1-day workshop, and fortnightly follow-up telephone calls. In total, 113 participants (56 in intervention group and 57 in control group) completed the study. Data were collected at baseline and at 8 weeks from the baseline. Outcome measures included self-efficacy, diabetes self-care activities, health-related quality of life, glycated hemoglobin (HbA1c) and unplanned health care service usage...
August 5, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30079766/functional-outcomes-and-health-related-quality-of-life-after-severe-traumatic-brain-injury-a-review
#12
Salizar Mohamed Ludin, Nor'ain Abdul Rashid
Throughout recovery, patients with severe traumatic brain injury (TBI) show physical and functional improvement, but continue to have cognitive and psychosocial problems. The aim of this article was to review the literature regarding the functional and health-related quality of life (HRQOL) outcomes in severe TBI. There were 15 articles reviewed, 13 of them were quantitative studies and two were narrative review. Most of the articles showed an improvement occurs rapidly at 6 months post-injury. There were several factors that influence the outcome after TBI, most of it was the Glasgow Coma Scale (GCS) on admission, age, educational level, duration of posttraumatic amnesia (PTA), and length of stay (LOS) in the Intensive Care Unit (ICU)...
August 5, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30051736/living-with-rheumatoid-arthritis-in-spain-a-qualitative-study-of-patient-experience-and-the-role-of-health-professionals
#13
Azucena Pedraz-Marcos, Ana María Palmar-Santos, Claire Anne Hale, Juan Zarco-Colón, Milagros Ramasco-Gutiérrez, Eva García-Perea, Teresa Velasco-Ripoll, Josefina Martín-Alarcón, Nuria Sapena-Fortea
The aim of this study was to explore the experience of Spanish people living with rheumatoid arthritis (RA) and the support these people received from health professionals, particularly nurses. Nineteen patients with >1 year diagnosis, disease activity moderate or severe (DAS28 > 3.2), and already treated with disease-modifying antirheumatic drugs (DMARDs) were interviewed. A thematic analysis was performed to interpret the discourses. The difficulties of symptom management; the need for home-adaptations, the difficulties of living with a deteriorating self-image; and the reluctant reliance on medication to control their disease were the main themes that emerged from the discourse analysis of this study...
July 27, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30051734/immediate-staff-debriefing-following-seclusion-or-restraint-use-in-inpatient-mental-health-settings-a-scoping-review
#14
Remar A Mangaoil, Kristin Cleverley, Elizabeth Peter
The aim of this scoping review is to synthesize the academic and gray literature on the use of immediate staff debriefing following seclusion or restraint events in inpatient mental health settings. Multiple electronic databases were searched to identify literature on the topic of immediate staff debriefing. The analysis identified several core components of immediate staff debriefing: terminology, type, critical reflection, iterative process, training, documentation, and monitoring. While these components were regarded as vital to the implementation of debriefing, they remain inconsistently described in the literature...
July 27, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30041540/the-optimal-time-of-postoperative-feeding-after-total-hip-arthroplasty-a-prospective-randomized-controlled-trial
#15
Jin-Woo Kim, Yong-Gum Park, Jae-Hyung Kim, Eui-Chan Jang, Yong-Chan Ha
Whether early postoperative feeding (EPF) after total hip arthroplasty (THA) interferes with recovery of gastrointestinal motility is unclear. This randomized controlled trial compared the feasibility and patient tolerance to either EPF (at 4 hr postoperatively) or late postoperative feeding (LPF; ⩾8 hr postoperatively). One hundred forty patients were randomized to EPF (70 hips) or LPF (70 hips). Patient characteristics, surgical technique, intraoperative characteristics, and postoperative managements were similar between two groups...
July 24, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30032638/format-of-parent-education-material-preferred-by-new-mothers
#16
Deborah A Raines, Jenelle Robinson
A descriptive cohort study to determine new mothers' preferred modality for educational materials, and if the format impacted the mothers' perception of an evidenced-based practice safe sleep program. The sample included new mothers anticipating discharge from a mother-baby unit with their newborn. Participants responded to a four-item survey administered by a research assistant. Respondents' self-reported preferred format for patient education was technology-based materials in both cohorts. The video teaching material as compared with the paper handout was rated significantly higher by participants...
July 1, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30022689/functional-status-in-older-intensive-care-unit-survivors
#17
Hsin-Ju Tang, Hsin-Yi Jean Tang, Chia-Ming Chang, Pei-Fang Su, Ching-Huey Chen
Older ICU survivors are often challenged with clusters of geriatric syndromes and functional decline. The purpose of this study was (a) to assess patterns of geriatric syndromes and functional status from admission to 6 months post discharge and (b) to examine the predictors of longitudinal functional status. This is a prospective cohort study. Demographic information, clinical variables, geriatric syndromes, and functional status were collected longitudinally. A total of 192 medical ICU older adult survivors were included in the analysis...
July 1, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30019926/the-experiences-of-muslim-family-members-of-critically-ill-patients-during-end-of-life-care-in-saudi-arabia-a-qualitative-phenomenological-study
#18
Abbas Al Mutair, Abdulaziz Al Shaer, Fay Al Ghamdi, Arwa Al Ghamdi
The aim of this study was to identify the needs, beliefs, and practices of Muslim family members during the end-of-life care for a family member in the intensive care unit (ICU) in Saudi Arabia. This was a phenomenological study using in-depth individual interviews to gather data. Ten family members of adult ICU patients receiving end-of-life care were interviewed. The experiences of family members during end-of-life care were reflected in four major themes: (a) the spirituality of death, (b) family's need for information, (c) being there, and (d) the ICU environment...
July 1, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30019920/a-concept-analysis-of-resistiveness-to-care
#19
Pamela C Spigelmyer, Judith Hupcey, Lisa Kitko
People with cognitive impairment often require assistance with activities of daily living. It is when providing assistance with these activities that many caregivers experience behaviors that have been categorized as disruptive or problematic and called resistiveness to care. These behaviors are considered to be a source of burden and job burnout for caregivers. Nurses wanting to help caregivers, who manage these trying situations, need to understand the concept of resistiveness to care and communicate this knowledge clearly with health care providers...
July 1, 2018: Clinical Nursing Research
https://www.readbyqxmd.com/read/30019611/factors-associated-with-uncertainty-in-illness-among-people-with-parkinson-s-disease
#20
MoonKi Choi, JuHee Lee, Eui Geum Oh, Sang Hui Chu, Young H Sohn, Chang Gi Park
People with Parkinson's disease (PD) reported to experience uncertainty because of gradually progressive disease characteristics with no cure, and variably manifesting and unpredictable symptoms. This study was designed to identify illness-related variables influencing uncertainty in PD patients and to analyze direct and indirect paths between these variables. Data were collected from 206 participants using a structured questionnaire. Path analysis revealed the direct and/or indirect effects of economic status, disease severity, social support, and resilience on uncertainty in people with PD...
July 1, 2018: Clinical Nursing Research
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