MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Clinical Nursing Research' source. Thu, 01 Dec 2011 10:46:17 +0100 http://www.medworm.com/index.php?rid=5287666&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F4%2F462%3Frss%3D1 The purpose of this qualitative systematic review was to explicate attributes of optimal therapeutic strategies for treating incarcerated women who have a history of substance abuse. An expansive search of electronic databases for qualitative research reports relating to substance abuse treatment for incarcerated women was conducted. Nine qualitative research reports comprised the sample for this review. Findings from these reports were extracted, placed into a data analysis matrix, coded, and categorized. Memos were written and strategies for treating incarcerated women with alcohol problems were identified. Therapeutic effects of treatment programs for incarcerated women with substance abuse problems appear to be enhanced when trust-based relationships are established, individualized and... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5287666 Tue, 04 Oct 2011 04:00:00 +0100 5287666 http://www.medworm.com/index.php?rid=5287665&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F4%2F448%3Frss%3D1 Nursing home communication is frequently limited and task-focused and fails to affirm resident personhood. We tested the feasibility and effects of automated digital displays of resident photographs to remind staff (N = 11) of resident (n = 6) personhood. Historical photographs were displayed in digital photo frames mounted in each resident’s room. To evaluate the intervention’s effects, staff–resident conversations were audio-recorded prior to displaying the frames and repeated 2 weeks and 3 months later. Conversations were transcribed and statements were topic coded (task-focused vs. interpersonal). Staff person-centered talk increased from 11% to 32% (z = 2.37, p = .02) after the intervention and task-talk decreased from 64% to 40%. Resident interpersonal topics increa... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5287665 Tue, 04 Oct 2011 04:00:00 +0100 5287665 http://www.medworm.com/index.php?rid=5287664&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F4%2F439%3Frss%3D1 Sudden speechlessness (SS) is commonly experienced by patients admitted to critical care units. Although literature findings document challenges associated with periods of SS, the prevalence is unknown. The purpose of this study is to determine the prevalence and characteristics of adult SS patients in four critical care units at a university-affiliated tertiary care hospital. Data are collected on 9 randomly selected days over a 4-month period. The daily prevalence of SS ranges from 16% to 24% in each unit. Characteristic data collected includes patient age, gender, medical diagnosis related to SS episode, type of speechlessness, days since SS began, and communication strategies in use. Respiratory intubation related to various clinical diagnoses is the main cause for SS. Use of multiple ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5287664 Tue, 04 Oct 2011 04:00:00 +0100 5287664 http://www.medworm.com/index.php?rid=5287663&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F4%2F422%3Frss%3D1 In conclusion, the findings support the existing literature with regards to low vaccination rates among health care providers. Furthermore, the identification of the predictors of influenza vaccination among nurses may assist administrators and policy makers with the implementation of evidence-based vaccination strategies. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5287663 Tue, 04 Oct 2011 04:00:00 +0100 5287663 http://www.medworm.com/index.php?rid=5287662&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F4%2F404%3Frss%3D1 This study used data from the Delirium Among the Elderly in Rural Long-Term Care Facilities Study and data from the National Death Index (NDI) to examine mortality among 320 individuals. Individuals were grouped into noncases, subsyndromal cases, hypoactive delirium, hyperactive delirium, and mixed delirium on the basis of scoring using the Confusion Assessment Method (CAM), NEECHAM Scale, Mini-Mental State Examination (MMSE), Clinical Assessment of Confusion-A (CAC-A), and Vigilance A instruments. Risk ratios of mortality using "days of survival" did not reach statistical significance (α = .05) for any subgroup. Underlying cause of death (UCD) using International Classification of Disease, 10th version (ICD-10), showed typical UCD among older adults. There appeared to be clinical di... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5287662 Tue, 04 Oct 2011 04:00:00 +0100 5287662 http://www.medworm.com/index.php?rid=5287661&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F4%2F366%3Frss%3D1 Little has been reported in the literature about self-management strategies of chronic conditions in Asian and Pacific Islanders (APIs). The purpose of this systematic review was to investigate randomized clinical trials (RCTs) of self-management strategies of chronic conditions in APIs. Twenty-one studies were included in the final review, published between 1997 and 2010. Initially, the Jadad Scoring of Quality of Reports of Randomized Clinical Trials (JSQRRC) was used to determine the quality of RCT studies. The researchers then did a systematic review of each of the RCTs based on the JSQRRC criteria. JSQRRC scores ranged from 8 to 12, M = 9.6. Descriptive analysis indicated cognitive behavioral interventions as an effective treatment methodology for APIs. The results underscore the impo... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5287661 Tue, 04 Oct 2011 04:00:00 +0100 5287661 http://www.medworm.com/index.php?rid=5287660&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F4%2F347%3Frss%3D1 This article provides an integrative review of factors that may influence self-management of hypertension among Hispanic adults. A detailed literature search of articles published between 1985 and 2010 was performed. Twelve articles based on quantitative studies (n = 9) and qualitative studies (n = 3) were reviewed. Barriers and facilitators to self-management of hypertension were identified. The findings in this review may help health care professionals in recognizing factors that need to be considered in the development of self-management interventions for Hispanic patients with hypertension. Future research is needed to further explore facilitators to self-management, and to implement and evaluate intervention studies aimed at blood pressure management in Hispanics with hypertension. (S... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5287660 Tue, 04 Oct 2011 04:00:00 +0100 5287660 http://www.medworm.com/index.php?rid=5022826&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F3%2F326%3Frss%3D1 This descriptive, correlational study was conducted to determine orthopedic patients’ night-time pain characteristics, their quality of sleep and the contributing factors to poor sleep experiences, and the relationship between pain and sleep. Data were collected by using the McGill Pain Questionnaire-SF (MPQ-SF) and Pittsburgh Sleep Quality Index (PSQI) on the second postoperative day. Data were analyzed using the SPSS version 10.0 for Windows. Mean age of the 75 patients was 49.55 ± 21.10 years and were hospitalized in the orthopedic wards for 10.56 ± 14.74 days. Of the sample, 65.3% were female and 36% had hip/knee arthroplasty surgery. Pain (45%) and noise (23%) were found to be the most cited factors affecting the sleep of patients in postoperative periods. They exp... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022826 Sun, 10 Jul 2011 23:00:00 +0100 5022826 http://www.medworm.com/index.php?rid=5022825&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F3%2F310%3Frss%3D1 Attitudes toward, familiarity with, and use of clinical guidelines in general and the national Hypertension Guideline were studied. A questionnaire study was conducted before and after an educational program (VALTIT) among primary and secondary care nurses in Päijät-Häme, Finland. The program included centralized training sessions and interactive local workshops. Prior to the program, a majority of nurses had a positive attitude toward guidelines but used guidelines seldom. Primary care nurses were better aware of the Hypertension Guideline than secondary care nurses, but the guideline was poorly used by both groups. At the follow-up, familiarity with the Hypertension Guideline and use of guidelines increased among primary care nurses. In future, primary care nurses will hav... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022825 Sun, 10 Jul 2011 23:00:00 +0100 5022825 http://www.medworm.com/index.php?rid=5022824&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F3%2F292%3Frss%3D1 The aim was to describe registered nurses’ perceptions of what the good work implies to them in municipal elderly care. A descriptive design and a structured questionnaire specifically designed for this study were used. Sixty housing units for older people and 213 nurses participated, with a response rate of 62%. The good work included the following aspects: intellectually stimulating without guilt feelings; freedom and independence with the possibility to influence; having appreciative and pleasant fellow workers and a fair and understanding manager; a good physical and risk-free environment; work security and a steady income with the possibility of improving salary through work effort; work effort should be beneficial to others; innovative thinking and initiative should be highly v... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022824 Sun, 10 Jul 2011 23:00:00 +0100 5022824 http://www.medworm.com/index.php?rid=5022823&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F3%2F276%3Frss%3D1 Overweight, obesity, and metabolic syndrome are increasing in South Korea dramatically. This review of the literature summarizes published studies on the prevalence of overweight, obesity, and metabolic syndrome in South Korean adults and children; summarizes studies related to obesity management and prevention in South Korean adults and children; and identifies gaps in the literature for further research. A PubMed, CINAHL, and Google Scholar search identified articles published between January 1, 2000, and June 30, 2010, using the following key search terms: overweight, obesity, adult, children, adolescent, metabolic syndrome, prevention, and South Korea. Inclusion criteria included articles published in English or Korean, and primary or secondary research that measured the prevalence and... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022823 Sun, 10 Jul 2011 23:00:00 +0100 5022823 http://www.medworm.com/index.php?rid=5022822&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F3%2F263%3Frss%3D1 Anxiety is shared by patients and family members (FMs) and can increase throughout the FMs waiting during invasive cardiac procedures (ICP). The purpose of this study was to measure the effects of an informational report (IR) and a postprocedure visit (PPV), on the anxiety of waiting FMs. There were 151 FMs assigned to 3 groups; Group 1 (50 FMs: standard of care [SOC]), Group 2 (50 FMs: SOC + IR), and Group 3 (51 FMs: SOC + IR + PPV). Pre/ postvariables measured were: blood pressure (BP), heart rate (HR), skin temperature (ST), and anxiety. When comparing the BP, HR, ST, and anxiety there were no differences between groups with either SOC or IR. There was a significant reduction in anxiety, from baseline to the PPV in Group 3 (F = 10.1; p < .000). A PPV had an impact on FMs and a PPV sh... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022822 Sun, 10 Jul 2011 23:00:00 +0100 5022822 http://www.medworm.com/index.php?rid=5022821&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F3%2F245%3Frss%3D1 This nonrandomized controlled study evaluated the effects of Family—Provider Alliance Program on nurses’ perception of therapeutic alliance, job satisfaction, and quality of care. A total of 275 nurses were included in the study: 206 nurses in the ICUs participated in the Program and 69 in the control group did not. Mean postinterventional Kim Alliance Scale-Provider score was improved not only in the experimental group (+0.87; p = .01), but also in the control group (+1.37; p = .016). However, Empowerment subscale mean score was improved in the experimental group alone (+0.34; p = .006). Hierarchical multiple regression analyses indicated that family—nurse therapeutic alliance explained 7.2% and 11.4% of the variance in nurses’ job satisfaction and perceived qualit... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022821 Sun, 10 Jul 2011 23:00:00 +0100 5022821 http://www.medworm.com/index.php?rid=5022820&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F20%2F3%2F241%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022820 Sun, 10 Jul 2011 23:00:00 +0100 5022820 http://www.medworm.com/index.php?rid=5022819&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F3%2F228%3Frss%3D1 Uncertainty is a significant barrier confronting surrogate decision makers (SDMs) who make treatment decisions for nursing home (NH) residents with dementia. The study purpose is to describe uncertainty among SDMs of NH residents with dementia and to identify factors associated with greater Uncertainty. We employed a nonexperimental, cross-sectional design using mailed survey and recruited 155 SDM participants from eight NHs in New England. The survey contained the Mishel Uncertainty in Illness Scale For Family Members. Independent variables included resident and SDM sociodemographic characteristics, Advance Directives, Credible Authority, Social Support, and Perceived Self-Efficacy for Surrogate Decision Making. Results of a simultaneous multiple regression analysis identified Perceived S... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022819 Sun, 10 Jul 2011 23:00:00 +0100 5022819 http://www.medworm.com/index.php?rid=5022818&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F20%2F3%2F223%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=5022818 Sun, 10 Jul 2011 23:00:00 +0100 5022818 http://www.medworm.com/index.php?rid=4688362&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F2%2F209%3Frss%3D1 The purpose of this study was to investigate the effects of patient education on human papillomavirus (HPV) infection and abnormal Pap smears for women scheduled for colposcopy and their compliance to treatment recommendations. A convenience sample of 60 women was included in the study. The experimental group included 30 women scheduled for colposcopy who received education prior to procedure. Thirty patients in the control group were women referred for colposcopy the year before the study. Both groups were similar in age, ethnicity, insurance status, and histological findings. Recall rates were analyzed between the two groups and results demonstrated a statistical difference in the return rate of the experimental group. Patient education increased compliance to treatment recommendations p... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4688362 Wed, 06 Apr 2011 23:00:00 +0100 4688362 http://www.medworm.com/index.php?rid=4688361&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F2%2F197%3Frss%3D1 The aim of this review was to examine health literature on the reliability and validity of the Waterlow pressure sore assessment scale. A systematic review of published studies relating to the topic was conducted and literature was examined for its relevancy to the topic under investigation. Findings suggest that despite the availability of over 40 assessment tools, the Waterlow assessment scale is the most frequently used by health care staff. Research suggests that the Waterlow Scale is an unreliable method of assessing individuals at risk of pressure sore development with all studies indicating a poor interrater reliability status. Its validity has also been criticized because of its high-sensitivity but low-specificity levels. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4688361 Wed, 06 Apr 2011 23:00:00 +0100 4688361 http://www.medworm.com/index.php?rid=4688360&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F2%2F181%3Frss%3D1 This study examined the practice and frequency of oral care among mechanically ventilated and nonventilated patients. A retrospective record review was conducted of patients admitted to an intensive care unit (ICU) between July 1, 2007 and December 31, 2007. Data were analyzed using bivariate and multivariate analyses to determine the variables related to patients receiving oral care. Frequency of oral care documentation was found to be performed, on average, every 3.17 to 3.51 hr with a range of 1 to 8 hr suggesting inconsistencies in nursing practice. This study found that although oral care is a Center for Disease Control and Prevention (CDC) recommendation for the prevention of hospital-associated infections like ventilator-associated pneumonia (VAP), indication of documentation of the... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4688360 Wed, 06 Apr 2011 23:00:00 +0100 4688360 http://www.medworm.com/index.php?rid=4688358&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F2%2F162%3Frss%3D1 This cross-sectional, descriptive study examined factors influencing healthy eating of Korean Americans in a convenience sample of 517 Korean adults in a Midwestern city. Participants completed a self-administered survey written in either English or Korean as their preferences, which measured health, acculturation, healthy eating benefits, barriers, and self-efficacy as well as healthy eating practice. Descriptive statistics, cluster analysis, and structural equation modeling were used for analysis. Participants reported retaining elements of the traditional Korean diet regardless of acculturation. The worst eating habits were seen in participants who were younger (t = 4.57), currently not married (t = 3.10), less educated (F = 5.03), and acculturated to American society (F = 5.93) at the ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4688358 Wed, 06 Apr 2011 23:00:00 +0100 4688358 http://www.medworm.com/index.php?rid=4688357&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F2%2F144%3Frss%3D1 Discussion: Findings from this study show that iron supplementation for persons with RLS not only improves motor and sensory symptoms but might also improve sleep, sleepiness, depression, fatigue, and QoL and should be considered by health care providers for treatment of RLS. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4688357 Wed, 06 Apr 2011 23:00:00 +0100 4688357 http://www.medworm.com/index.php?rid=4688356&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F2%2F135%3Frss%3D1 This study presents important foundational information which will help direct further development of theoretical hypothesis related to PAH symptomology, as well as help focus clinical research toward venues that will enhance nursing care of this complex disease. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4688356 Wed, 06 Apr 2011 23:00:00 +0100 4688356 http://www.medworm.com/index.php?rid=4688355&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F2%2F120%3Frss%3D1 Conclusion: This study revealed specific concerns related to the symptom experience of PAH patients and how they redefined their lives to accommodate these symptoms. These findings provide a basis for larger, quantitative studies to examine the extent of symptom impact as well as a framework for development of self management interventions to improve the symptom experience and QOL. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4688355 Wed, 06 Apr 2011 23:00:00 +0100 4688355 http://www.medworm.com/index.php?rid=4688354&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F20%2F2%2F115%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4688354 Wed, 06 Apr 2011 23:00:00 +0100 4688354 http://www.medworm.com/index.php?rid=4306594&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F1%2F101%3Frss%3D1 Fifty percent of catheter-related bloodstream infections (CR-BSI) caused by organism migration through the fluid pathway (intraluminal) via a connector can be colonized within 24 hr. With a mean hospital stay of 4.8 days, intraluminal contamination is a primary source of CR-BSI. Purpose of this research was to determine which antimicrobial needleless connector produced the least bacterial colony-forming units (CFUs) in vitro and to compare these CFUs to the leading nonantimicrobial connector shown in previous research to have the lowest CFUs. Independent laboratory tested 2 antimicrobial (Baxter V-LinkTM, RyMed-7001 Nano®) and 1 nonantimicrobial (RyMed-5001) connector, 20 connectors each, 3 controls, each of 4 days, 4 organisms, under the same laboratory conditions. Baxter V-LinkTM pro... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4306594 Tue, 04 Jan 2011 00:00:00 +0100 4306594 http://www.medworm.com/index.php?rid=4306593&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F1%2F81%3Frss%3D1 The purpose of this secondary study was to describe the mobility adaptations of community—living older adults. The primary study, designed to understand weakness and aging from the perspective of older adults, revealed that older adults viewed weakness as a progression from inability to an end point of ‘giving up,’ which prompted the use of adaptation strategies to preserve mobility and to counter a self-identity of being weak. A qualitative descriptive design guided the primary study of 15 community—living older adults, who participated in in-depth interviews. A systematic secondary analysis using Baltes and Baltes’ theory of Selective Optimization with Compensation (SOC) showed that older adults used selection, optimization, and compensation adaptations acro... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4306593 Tue, 04 Jan 2011 00:00:00 +0100 4306593 http://www.medworm.com/index.php?rid=4306592&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F1%2F64%3Frss%3D1 This ethnographic study examines the experiences of health care providers (HCPs) and advocates implementing intimate partner violence (IPV) screening and interventions in their health care organizations. Numerous policies and protocols have been developed to improve the response of HCPs to survivors of IPV. Typically studies have focused on HCPs with little attention to the role of organizations in providing care. The findings from this study highlight that even with IPV programs in place the organizational environment can contribute to suboptimal outcomes. Identified challenges included time constraints, organizational expectations for increased productivity, and dwindling organizational support and services for IPV. With the continuing debate regarding universal screening, this study ill... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4306592 Tue, 04 Jan 2011 00:00:00 +0100 4306592 http://www.medworm.com/index.php?rid=4306591&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F1%2F47%3Frss%3D1 Previous research has demonstrated the multidimensional challenges of living with psoriasis and dermatology wards provide a unique setting in which to reach people strongly affected by this disease. The aim of this study is to determine the components of care that psoriasis patients and dermatology nurses consider to be important during hospitalization. A purposeful sample of seven psoriasis inpatients and seven dermatology nurses were interviewed in depth during a 3-month period in 2006-2007. The data are analyzed with a modified version of Giorgi’s phenomenological method. Patients consider hospitalization a relief from everyday life with psoriasis and describe its treatment as the focus of nursing care. Despite their knowledge of the psychosocial aspects of psoriasis, nurses consi... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4306591 Tue, 04 Jan 2011 00:00:00 +0100 4306591 http://www.medworm.com/index.php?rid=4306590&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F1%2F29%3Frss%3D1 The purpose of this secondary analysis was to examine the nutritional symptoms and body composition outcomes of aerobic exercise in women with breast cancer. A single-blind clinical trial, randomized to tailored Pro-Self© exercise during and after chemotherapy, after chemotherapy only, or no Pro-Self (usual care). One hundred women, average age 49.9 years (SD = 9.6), participated. Mild taste changes, nausea, constipation, and anorexia were experienced by 47% to 55% at baseline and end of treatment but diminished post treatment. No group differences were found in total nutritional symptoms or symptom severity. Intervention group participants maintained lean body mass; control group participants had nonsignificant lean body mass loss. Issues related to self-report, protocol adherence, a... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4306590 Tue, 04 Jan 2011 00:00:00 +0100 4306590 http://www.medworm.com/index.php?rid=4306589&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F20%2F1%2F25%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4306589 Tue, 04 Jan 2011 00:00:00 +0100 4306589 http://www.medworm.com/index.php?rid=4306588&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F20%2F1%2F7%3Frss%3D1 The purpose of this study is to illustrate variations in caregiving trajectories as described by informal family caregivers providing end-of-life care. Instrumental case study methodology is used to contrast the nature, course, and duration of the phases of caregiving across three distinct end-of-life trajectories: expected death trajectory , mixed death trajectory, and unexpected death trajectory. The sample includes informal family caregivers (n = 46) providing unpaid end-of-life care to others suffering varied conditions (e.g., cancer, organ failure, amyotrophic lateral sclerosis). The unifying theme of end-of-life caregiving is "seeking normal" as family caregivers worked toward achieving a steady state, or sense of normal during their caregiving experiences. Distinct variations in the... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4306588 Tue, 04 Jan 2011 00:00:00 +0100 4306588 http://www.medworm.com/index.php?rid=4306587&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F20%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4306587 Tue, 04 Jan 2011 00:00:00 +0100 4306587 http://www.medworm.com/index.php?rid=4033748&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F4%2F416%3Frss%3D1 This study determines if there are differences in colony forming units (CFU) of bacteria between five different needleless intravenous connectors. CFUs create environments for bloodstream infections with 1 CFU to begin an infection and 15 to develop infection. Intraluminal pathway protection is a most significant way to eliminate 50% bloodstream infections. Five different connectors were evaluated by independent laboratory in vitro regarding ≥15 CFUs, 4 organisms over 4 days. Q-SyteTM had significantly higher mean number days CFUs ≥15 than all other devices, Rymed-5001® having the least (p < .0001). Q-SyteTM and TKO+Clave® had significantly more CFUs ≥15 on one or more days. Nonantimicrobial connectors differ on CFU counts in vitro. CFUs are ranked highest to lowest CFU... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4033748 Tue, 05 Oct 2010 21:32:42 +0100 4033748 http://www.medworm.com/index.php?rid=4033747&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F4%2F403%3Frss%3D1 Teenage pregnancy is an important public health issue in the world. However, little is known about the knowledge, attitudes, and behaviors related to contraception among pregnant teenagers in China. The aim of this study was to investigate the knowledge, attitudes, and behaviors related to contraception among pregnant teenagers. From April 2007 to June 2007, an investigator designed questionnaire was used to survey 53 pregnant teenagers about their knowledge, attitudes, and behaviors regarding contraception.The convenience sample was from four women and children health care hospitals in Beijing. Descriptive statistics were used. In the majority of the teenagers (73.6%, n = 39), this was their first pregnancy. The teenagers had limited knowledge regarding contraception (69.8%, n = 37) and s... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4033747 Tue, 05 Oct 2010 21:32:42 +0100 4033747 http://www.medworm.com/index.php?rid=4033746&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F4%2F387%3Frss%3D1 Healthy People 2010 cited walking as a major health indicator; however, adherence is challenging, especially among those with multiple chronic illnesses. Studies suggest that walking one’s own dog may motivate adherence. However, no research has studied whether walking a "loaner" dog may facilitate adherence. Using a pretest—posttest design, the authors studied adherence to and outcomes of a graduated walking program when 26 public housing residents walked certified therapy dogs with a handler. Participants walked 20 minutes, 5 days/week, for 26 or 50 weeks. In all, 13 participants in the 50-week group had a mean adherence rate of 72% and weight loss of 14.4 pounds (p = .013). Thirteen participants in the 26-week group had a mean adherence rate of 52% and weight loss of 5 pound... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4033746 Tue, 05 Oct 2010 21:32:42 +0100 4033746 http://www.medworm.com/index.php?rid=4033745&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F4%2F376%3Frss%3D1 Conclusions: Hospital accreditation reviews may increase perceived stress and appears to be related to emotional and physical well-being. Application: The implications include evidence there is a need for organizations to initiate corrective action to help nurses in administrative roles to cope with increased levels of job strain, minimize potential psychological and physiological consequences, and preserve job satisfaction. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4033745 Tue, 05 Oct 2010 21:32:42 +0100 4033745 http://www.medworm.com/index.php?rid=4033744&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F4%2F358%3Frss%3D1 African American (n = 7) and European American (n = 9) older adults newly relocated to a nursing home described the extent of their relocation decision-making participation via semistructured interviews. Additionally, the study identified whether sense of coherence, functional ability, and physical functioning were related to decision participation. Two themes emerged, "They put me in here" and "I/we made the decision (together with others)." Older adults whose decisions were in the "They" category were younger, were African American, had more children, had lower Mini Mental State Examination scores, and had less education than those in the "I/we" category. Findings suggest older adults’ participation in nursing home relocation decisions may be determined more by informal support tha... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4033744 Tue, 05 Oct 2010 21:32:42 +0100 4033744 http://www.medworm.com/index.php?rid=4033743&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F19%2F4%2F354%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4033743 Tue, 05 Oct 2010 21:32:42 +0100 4033743 http://www.medworm.com/index.php?rid=4033742&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F4%2F335%3Frss%3D1 Chinese immigrants in the United States experience a higher incidence of cancers of the oral cavity, pharynx, stomach, and liver and higher rates of tuberculosis and hepatitis B virus than other U.S. immigrant groups. Because of language and cultural barriers, many do not seek the health information they need, resulting in delayed diagnosis and inability to effectively manage health problems. The purpose of this study was to identify the cultural beliefs and meanings influencing the utilization behaviors and perceptions of how this group finds and uses the health information they need. Using an explorative qualitative descriptive design, 24 Chinese immigrants in two urban centers in the northwestern part of the United States were interviewed about their beliefs and perceptions of health in... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4033742 Tue, 05 Oct 2010 21:32:42 +0100 4033742 http://www.medworm.com/index.php?rid=4033741&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F19%2F4%2F331%3Frss%3D1 (No abstract is available for this citation) (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=4033741 Tue, 05 Oct 2010 21:32:42 +0100 4033741 http://www.medworm.com/index.php?rid=3770164&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F3%2F311%3Frss%3D1 This study uses focus group methodology to investigate how information about falls is identified, communicated, and responded to by licensed staff (registered nurses/registered practical nurses) and unlicensed staff (personal support workers) in four LTC facilities. The authors report on the major themes that emerged throughout the focus groups relating to falls management and report on similarities and differences in the communication processes between the two sampled groups. Results highlight communication of the resident’s fall risk, reporting procedures to staff and family members, care plan communication and adherence information, a falls quality improvement knowledge deficit, and barriers to falls quality improvement. Recommendations toward improved communication networks among... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3770164 Tue, 20 Jul 2010 16:45:50 +0100 3770164 http://www.medworm.com/index.php?rid=3770163&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F3%2F289%3Frss%3D1 Telephone advice nursing (TAN) is part of a current effort to improve patient access while reducing cost and encouraging self-care. However, the environment in which TAN occurs can significantly affect both nurse and patient outcomes. This research builds on findings from a large health maintenance organization study by Valanis et al. in which questionnaires and call descriptions were used to correlate TAN nurse and caller/patient perceptions of calls at three regional sites. The survey tools were used to identify nurse perceptions of their work environments (WEs) as well as caller perceptions of using the advice service. The sample included 88 nurse questionnaires and 865 caller questionnaires. Multivariate analysis of covariance revealed significant site perception differences in the WE ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3770163 Tue, 20 Jul 2010 16:45:50 +0100 3770163 http://www.medworm.com/index.php?rid=3770162&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F3%2F266%3Frss%3D1 Study purpose: The purpose of this study was to identify what motivates experienced nurses to continue working and to consider retirement. Method: A total of 16 intensive care nurses completed phenomenological interviews. The experienced nurses were split into two groups: 31 to 49 years old (younger nurses) and 50 to 65 years old (older nurses). Results: Both groups expressed that concern about changing benefits and financial security kept them working. The younger nurse group valued working for autonomy and respect, camaraderie with peers, providing for their families, and because their parents influenced retirement perceptions. The older nurse group valued working as a way to connect with patients and families. Experiences that provoked thoughts of retirement in the older group were chan... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3770162 Tue, 20 Jul 2010 16:45:50 +0100 3770162 http://www.medworm.com/index.php?rid=3770161&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F3%2F233%3Frss%3D1 An increasing number of people today live with chronic diseases that affect their quality of life and that of their families. Health professionals confirm this finding based on their clinical interventions targeting families of chronically ill patients. The aim of this study was to describe and evaluate these interventions. A systematic literature review was conducted, including previous reviews and controlled studies from 1997 to 2007 of interventions targeting caregivers of adults with stroke, diabetes, cardiovascular disease, and cancer.Ten out of the 32 studies included found the interventions to have no effect, whereas effects were found in the other 22 studies in one or more areas, including burden, knowledge level, mastering skills, and satisfaction. The literature review concludes ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3770161 Tue, 20 Jul 2010 16:45:50 +0100 3770161 http://www.medworm.com/index.php?rid=3770160&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F19%2F3%2F230%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3770160 Tue, 20 Jul 2010 16:45:50 +0100 3770160 http://www.medworm.com/index.php?rid=3770159&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F3%2F211%3Frss%3D1 The incidence of heart failure continues to rise as innovative treatments are developed. Despite life-prolonging interventions, morbidity and mortality in patients younger than 65 remain high. Few studies have focused on this younger cohort and/or their family caregivers as they navigate the complex illness trajectories manifested in heart failure. Instrumental case studies were employed to present exemplars for each of the five identified heart failure trajectories. Culling data from a longitudinal study of female spousal caregivers, each case study represents a wife’s discussion of caring for a husband (<65 years) in response to the husband’s changing heart failure trajectory. The goal of medical stability and the notion of uncertainty permeate throughout the case studies.... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3770159 Tue, 20 Jul 2010 16:45:50 +0100 3770159 http://www.medworm.com/index.php?rid=3770158&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F19%2F3%2F207%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3770158 Tue, 20 Jul 2010 16:45:50 +0100 3770158 http://www.medworm.com/index.php?rid=3521428&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F2%2F181%3Frss%3D1 This cohort study examined differences in perceived insomnia and daytime sleepiness in 67 adults residing in extended care facilities for chronic disease management who had varying levels of bed days. One bed day was defined as spending 24 hours in bed. Planned pairwise comparisons, using Bonferroni adjustment, were made between participants who spent 0 (n = 21), 2 to 4 (n = 23), and 5 to 7 (n = 23) days in bed during 1 week of monitoring. Participants who spent 5 to 7 days in bed had significantly greater insomnia than those who spent 2 to 4 days in bed. No group differences were found in daytime sleepiness. Based on the findings, nurses may assess subjective insomnia and explore sleep hygiene strategies, such as increasing time out of bed with patients who have high levels of 5 to 7 bed ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3521428 Fri, 30 Apr 2010 16:30:36 +0100 3521428 http://www.medworm.com/index.php?rid=3521427&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F2%2F165%3Frss%3D1 This study is clinically relevant to nurses involved in caring for pregnant and postpartum clients. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3521427 Fri, 30 Apr 2010 16:30:36 +0100 3521427 http://www.medworm.com/index.php?rid=3521426&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F2%2F144%3Frss%3D1 Introduction: Knowledge of the effects of the specific approach, mode of delivery, and dose of educational interventions is essential to develop and implement effective postoperative educational interventions. Understanding the relationships of patient characteristics to outcomes is important for educational interventions. Purpose and method: The purpose of this systematic review was to examine who would most benefit from postoperative education, given in what type of approach and mode, and at what dose? The sample included 58 studies involving 5,271 participants. Major results: Findings indicate that delivery of postoperative patient education through the individualization of content, use of combined media for delivery, provision of education on a one-on-one basis, and in multiple session... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3521426 Fri, 30 Apr 2010 16:30:36 +0100 3521426 http://www.medworm.com/index.php?rid=3521425&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F2%2F131%3Frss%3D1 The Arkansas method (AM) for isoniazid (INH) metabolite detection is a relatively inexpensive, simple, objective measure of adherence. The purpose of the study was to explore whether variations in urine sample handling and storage will produce accurate assay outcomes. Participants were a convenience sample of 28 adults and adolescents prescribed INH for latent tuberculosis infection. Participants provided one sample to test effects of the following: mixing processes; durations at room temperature, in a refrigerator, or frozen; and effects of freeze/thaw cycles on AM outcomes. No manipulations had a discernible impact on outcomes with concordant positive rates from 85% to 100%. Concordance rates of manipulated samples did not appear to differ from rates of norm samples. Results suggest that... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3521425 Fri, 30 Apr 2010 16:30:36 +0100 3521425 http://www.medworm.com/index.php?rid=3521424&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F2%2F113%3Frss%3D1 The purpose of this secondary data analysis was to describe the prevalence and treatment of anemia and test the impact of anemia on physical and psychosocial outcomes at baseline and following restorative care interventions. A total of 451 residents from 12 nursing homes participated in this study. The average age of the participants was 83.74 (SD = 8.24), the majority were female (79%), White (66%), and unmarried (90%). A total of 245 (54%) residents were anemic, and 66% were treated with at least one medication. Physical performance was worse in those with anemia, and those with anemia associated with chronic kidney disease had lower self-efficacy and outcome expectations for functional activities than those without anemia. There was no time by treatment interaction between those with an... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3521424 Fri, 30 Apr 2010 16:30:36 +0100 3521424 http://www.medworm.com/index.php?rid=3521423&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F2%2F95%3Frss%3D1 This project examined patterns, predictors, and outcomes of medication adherence in a convenience sample of 37 renal transplant recipients aged 55 years or older in a Mid-Southern U.S. facility using an exploratory, descriptive, longitudinal design. Electronic monitoring was conducted for 12 months using the Medication Event Monitoring System. An alarming 86% of the participants were nonadherent with medications. Four clusters of medication taking and timing patterns were identified with evening doses presenting particular challenges. Depression, self-efficacy, social support, and medication side effects did not predict medication adherence. There was no significant difference in medication adherence scores between those with and without infections. Medication adherence pattern data from e... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3521423 Fri, 30 Apr 2010 16:30:36 +0100 3521423 http://www.medworm.com/index.php?rid=3173975&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F89%3Frss%3D1 In the May 2009 issue of Clinical Nursing Research, Figure 1 on p. 124 was incorrectly labeled (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173975 Thu, 14 Jan 2010 19:51:30 +0100 3173975 http://www.medworm.com/index.php?rid=3173974&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F71%3Frss%3D1 The purpose of the research was to determine if an adult asthma self-management program could significantly improve psychological outcomes for participants. Small groups of adults met for 2 hours for 7 consecutive weeks. Intervention techniques included interactive discussions, problem solving, social support, and a behavior modification procedure. The behavior modification procedure consisted of homework assignments in which participants were asked to self-monitor and record asthma-specific behaviors (peak expiratory flow monitoring, avoidance/removal of asthma triggers, and controller medication adherence) and general lifestyle behaviors (drinking water, washing hands, and exercising). Paired sample t tests indicated statistically significant improvements for the outcomes of quality of l... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173974 Thu, 14 Jan 2010 19:51:30 +0100 3173974 http://www.medworm.com/index.php?rid=3173973&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F55%3Frss%3D1 This study determines if there are differences in circadian effects of myocardial infarctions (MIs) and MI type, non-ST elevation MI (NSTEMI) and ST elevation MI (STEMI), between females and males. A two-group, nonexperimental chart review was conducted. A total of 273 randomly selected patients with an acute MI were included. Data analysis included descriptive statistics, t test and chi square to determine differences between the groups. Of the 109 females, 26% had MI symptoms begin at night, 30% in the morning, 29% in the afternoon, and 15% in the evening (p = .067). In comparison, of the 164 males, 27% had MIs at night, 30% morning, 32% afternoon, and 11% evening (p < .001). There was no circadian difference between females and males and the time of day MI-related symptoms began (p =... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173973 Thu, 14 Jan 2010 19:51:30 +0100 3173973 http://www.medworm.com/index.php?rid=3173972&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F38%3Frss%3D1 In conclusion, the study findings highlight the importance of targeting cardiac symptom attribution and emotion-focused coping in interventions that are aimed at reducing AMI care-seeking delay. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173972 Thu, 14 Jan 2010 19:51:30 +0100 3173972 http://www.medworm.com/index.php?rid=3173971&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F21%3Frss%3D1 There is a significant body of research demonstrating that many hospitalized patients exhibit signs of clinical deterioration prior to experiencing a cardiopulmonary arrest (CPA).This qualitative study used the critical decision method to describe the cues and factors employed by nurses to identify and interrupt a potentially preventable CPA. The cues that nurses used in identifying a patient at risk for CPA were altered level of consciousness and other selected triggers from the Early Warning Scoring System (EWSS) combined with knowledge of the patient and the contextual features of the decision situation. Nurse characteristics that assisted in interrupting an adverse event included previous experiences in prearrest situations, and the ability to function as part of a team. Organizational... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173971 Thu, 14 Jan 2010 19:51:30 +0100 3173971 http://www.medworm.com/index.php?rid=3173970&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F19%2F1%2F6%3Frss%3D1 Conclusion: Adolescent health-seeking behaviors can be influenced positively by school programs that involve families in discussion, nurses in risk identification, and referrals to physicians for follow-up. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173970 Thu, 14 Jan 2010 19:51:30 +0100 3173970 http://www.medworm.com/index.php?rid=3173969&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F19%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=3173969 Thu, 14 Jan 2010 19:51:30 +0100 3173969 http://www.medworm.com/index.php?rid=2873980&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F348%3Frss%3D1 The purpose of this qualitative descriptive study was to examine reasons for participation in clinical research among older adults with mobility limitation. A purposive sample of 20 men and 20 women aged 70 years or older was recruited. Data were collected by audiotaped telephone interviews using a semistructured interview guide and transcribed verbatim. Participants expect privacy, professionalism by research staff, and respectful treatment. Benefits to protocol adherence include personal education, comparison of their health status with that of others, opportunity to maintain vitality, and altruism. Barriers to protocol adherence are apprehension, in particular a negative impact on their health care, randomization to the control group, and experimental drugs; and inconvenience. Factors p... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873980 Thu, 08 Oct 2009 20:41:38 +0100 2873980 http://www.medworm.com/index.php?rid=2873979&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F336%3Frss%3D1 The undertreatment of postoperative pain in older adults with delirium is attributed, in part, to the inability to complete self-report pain assessment instruments. Patients’ loss of verbal skills to self-report pain and the lack of reliable and valid postoperative pain assessment instruments for use in older adults with delirium prompted the design of a study to identify common and subtle behavioral indicators of pain. Sixteen experienced registered nurses participating in four focus groups identified behavioral indicators of pain.Transcript analysis resulted in 89 behaviors indicative of pain. Seven researchers with expertise in pain and cognitive impairment in older adults reached 80% agreement on 22 behavioral indicators. The behavioral indicators were classified within one of fo... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873979 Thu, 08 Oct 2009 20:41:38 +0100 2873979 http://www.medworm.com/index.php?rid=2873978&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F323%3Frss%3D1 This descriptive qualitative study examined the perspectives of women and their partners regarding the key roles of the labor and delivery nurse during labor and birth.Ten couples were interviewed separately.The data analysis, conducted through independent and team analysis, was both iterative and interpretive. Participants identified four key roles of the labor and delivery nurse: support person, educator, patient advocate, and provider of continuity. Nurses provided both physical and emotional support.As an educator, they normalized the birth experience and served as a coach for the couple. Nurses advocated on behalf of the woman in labor, particularly when there was an adverse event. The continuity of care provided by the nurses wove the above roles into a cohesive whole. Findings provi... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873978 Thu, 08 Oct 2009 20:41:38 +0100 2873978 http://www.medworm.com/index.php?rid=2873977&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F307%3Frss%3D1 Background: Limited research has examined differences in patients’ learning needs in relation to demographic characteristics, such as age, gender, level of education, and culture. Yet such knowledge is essential to develop postoperative educational interventions that are tailored to patients’ needs. Study purpose: The purpose of this study was to examine the relationship between learning needs and the demographic characteristics of patients who have undergone coronary artery bypass graft (CABG) surgery. Method: A descriptive design was used.The sample of convenience included 38 patients who met eligibility criteria. Major results: Statistically significant relationships were found between the patients’ age, gender, and cultural background, and learning needs (p < .05) ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873977 Thu, 08 Oct 2009 20:41:38 +0100 2873977 http://www.medworm.com/index.php?rid=2873976&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F4%2F291%3Frss%3D1 This study explored awareness of CHD symptoms, risks, and help-seeking behaviors among 12 PR women. Focus group methodology revealed that participants were unaware of their risk and had misconceptions about CHD symptoms and contributing factors. Barriers to early recognition and treatment included lack of knowledge, gender role conflict (caregiver vs. care recipient), and fears of falsely alarming family members or the embarrassment of feeling "dismissed" by health care providers. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2873976 Thu, 08 Oct 2009 20:41:38 +0100 2873976 http://www.medworm.com/index.php?rid=2604258&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F272%3Frss%3D1 Nurses' responses to aggression among patients with dementia or brain injury are not fully informed by evidence-based interventions. For this reason, the primary purpose of this investigation was to delineate a conceptual framework of optimal therapeutic interventions to manage verbal and behavioral aggression among these individuals. Meta-synthesis methods were used, and findings from seven reports of qualitative research were synthesized. Therapeutic management of aggression among patients with dementia or brain injury was captured by the metaphor entering the patient's world. This process involves getting to know the patient behind the aggression and normalizing their experiences. Nurses are encouraged to become a part of the patient's world and to strive for mutual understanding and ac... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604258 Tue, 14 Jul 2009 23:00:00 +0100 2604258 http://www.medworm.com/index.php?rid=2604257&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F253%3Frss%3D1 This study included ED staff nurses in a Level II Trauma Center who administered the RSQ to adolescent, adult, and geriatric patients, regardless of chief complaint or psychiatric history. Participants consisted of a convenience sample of 202 patients composed of 59 adolescents and 143 adults, including 36 geriatric patients. Psychometric analysis demonstrated a lower-than-expected degree of reliability and an adequate level of criterion-related validity for the RSQ in this sample. Interrater reliability was established. Approximately 42% of all patients who participated screened positive for suicide risk using the RSQ. Results support screening by nurses as part of the admission assessment to determine suicide risk in patients who present to the ED. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604257 Tue, 14 Jul 2009 23:00:00 +0100 2604257 http://www.medworm.com/index.php?rid=2604256&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F242%3Frss%3D1 The Geriatric Institutional Assessment Profile (GIAP) is a self-administered survey of hospital nurses designed to assess a hospital's readiness to implement geriatric programs. The GIAP measures nurses' knowledge and attitudes toward older adults as well as the organizational attributes that support or constrain geriatric best practices. Test—retest reliability estimates of the GIAP were conducted with a sample of 166 direct care nurses in three urban, university-affiliated hospitals over a 3-week time period. Intraclass correlation coefficients of GIAP scales and subscales ranged between .82 and .92, demonstrating good to very good reliability. The GIAP is a reliable measure of organizational attributes of the hospital relevant to geriatric care. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604256 Tue, 14 Jul 2009 23:00:00 +0100 2604256 http://www.medworm.com/index.php?rid=2604255&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F223%3Frss%3D1 The purposes of this study were to (a) develop a tool to assess statistical methods and (b) use the tool to evaluate recently published quantitative research. We rated the statistical approaches used in 152 studies published in the 5 top impact-factor nursing research journals from September 2005 to August 2007. Studies were generally of high quality; 45% scored between 80% and 100%, and 22% achieved a score of 100%. Predictors of high scores were interdisciplinary authorship, a statistician coauthor, and the number of aims. The authors conclude that studies published in high impact-factor nursing journals are statistically sound and provide a solid foundation for evidence-based practice. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604255 Tue, 14 Jul 2009 23:00:00 +0100 2604255 http://www.medworm.com/index.php?rid=2604254&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F18%2F3%2F218%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604254 Tue, 14 Jul 2009 23:00:00 +0100 2604254 http://www.medworm.com/index.php?rid=2604253&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F3%2F200%3Frss%3D1 The primary purposes of this descriptive and prospective pilot study was to test the feasibility of a nursing and dental hygiene team to measure specific oral health indices in a sample of older adults residing in nursing homes (NHs). The secondary purpose was to determine the relationship between plaque and dentate status. Oral health indicators, functional status scores, and behavioral scores were collected and analyzed from 38 female NH residents from two geographically, organizationally, and economically diverse NHs. Persons with dentures had significantly lower plaque scores than those with natural dentition. Rural NH residents and African American NH residents had fewer filled teeth, indicating a potential lack of access to dental care. Oral health indicators were collected safely an... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604253 Tue, 14 Jul 2009 23:00:00 +0100 2604253 http://www.medworm.com/index.php?rid=2604252&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F18%2F3%2F199%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2604252 Tue, 14 Jul 2009 23:00:00 +0100 2604252 http://www.medworm.com/index.php?rid=2361205&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F98%3Frss%3D1 In the November 2008 issue of Clinical Nursing Research, the sentence in the final paragraph on page 249 read: If the forearm is used as an alternate site for BPM, the technique recommended by the American Heart Association to place the forearm at heart level and auscultate at the brachial artery should be followed. The correct statement should be to auscultate at the radial artery (the wrist), not the brachial artery. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2361205 Thu, 23 Apr 2009 04:00:00 +0100 2361205 http://www.medworm.com/index.php?rid=2335552&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F172%3Frss%3D1 This study assesses the use of marijuana as a symptom management approach for six common symptoms for persons living with HIV/AIDS--anxiety, depression, fatigue, diarrhea, nausea, and peripheral neuropathy. This sub-analysis of the efficacy of a symptom management manual encompasses the experiences of participants from sites in the U.S., Africa, and Puerto Rico. Baseline data are analyzed to examine differences in the use and efficacy of marijuana as compared with prescribed and over-the-counter medications as well as the impact on adherence and quality of life. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335552 Fri, 17 Apr 2009 04:00:00 +0100 2335552 http://www.medworm.com/index.php?rid=2335551&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F153%3Frss%3D1 This was a cross-sectional study to investigate predisposing factors associated with delirium among demented long-term-care residents and to assess the cumulative effect of these factors on the likelihood of having delirium. Of the 155 participants, 109 (70.3%) were found delirious according to the confusion assessment method. Among these individuals, age (OR = 1.07; 95% CI = 1.05-1.10) and severity of dementia (OR = 1.05; 95% CI = 1.03-1.07) were the most associated factors of delirium. The likelihood of being in delirium increased with the number of associated predisposing factors present (OR = 1.67; 95% CI = 1.11-2.51). Associated factors identified were level of functional autonomy, pain, depression, behavioral disturbances, number of medications, dehydration, fever, and malnutrition. ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335551 Fri, 17 Apr 2009 04:00:00 +0100 2335551 http://www.medworm.com/index.php?rid=2335550&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F136%3Frss%3D1 By adopting more appropriate statistical methods to appraise data from a previously published randomized controlled trial, the statistical and clinical significance of an intervention on the 18-month neurodevelopmental outcome of infants with suspected brain injury is evaluated. The intervention group (n = 32) receives extensive, individualized cognitive/sensorimotor stimulation by public health nurses while the control group (n = 30) receives standard follow-up care. At 18 months, 43 infants remain in the study (22 intervention and 21 control). The results indicate that there is a significant statistical change within groups and a clinical significance whereby more infants in the intervention group improve in mental, motor, and neurological functioning at 18 months compared to the control... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335550 Fri, 17 Apr 2009 04:00:00 +0100 2335550 http://www.medworm.com/index.php?rid=2335549&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F119%3Frss%3D1 This study explores myocardial infarction patients' experiences of adaptation to illness consequences after one year, focusing on experiences of "the self." The study sample consisted of 19 respondents (10 women, 9 men) who have suffered a first-time myocardial infarction. They were interviewed 1 year after the acute heart attack. A constant comparative method for grounded theory provided the strategies used for data collection and analysis. Codes emerged and memos clarified theoretical reflections. The resulting model was able to illustrate possible mechanisms underlying two different behaviors: self-modifying and self-protecting behavior. Four different adaptation positions were identified: put up with current health, struggle for health, ignore illness , and struggle against illness. Th... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335549 Fri, 17 Apr 2009 04:00:00 +0100 2335549 http://www.medworm.com/index.php?rid=2335548&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F2%2F103%3Frss%3D1 A Danish version of the Stroke-Specific Quality of Life Scale (SSQOL-DK) has been developed for self-reporting; it contains 12 physical and psychosocial domains. The purpose of this study was (a) to assess the reliability of the proxy version of the SSQOL-DK and (b) to evaluate the influence of frequency of proxy contact on agreement. In all, 143 patients completed the SSQOL-DK 1 to 5 years post-stroke. A patient chosen proxy completed a proxy version of the same questionnaire. The proxy version showed satisfactory internal consistency (Cronbach's = .85-.95). Agreement was generally high. Proxies rated the amount of trouble significantly smaller (higher score) than the patients only in the domain Social Roles. The amount of trouble in the domain Family Roles received significantly higher r... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2335548 Fri, 17 Apr 2009 04:00:00 +0100 2335548 http://www.medworm.com/index.php?rid=2176859&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F80%3Frss%3D1 This study was undertaken to better understand family caregivers' perspectives of providing end-of-life (EOL) care to elders facing expected deaths from life-limiting, chronic illnesses, and the study involved understanding the nature of EOL caregiving using caregivers' own words. The study employed a cross-sectional, exploratory descriptive design. The data source was intensive interviews with 27 EOL caregivers. Eight themes were extracted from data that exemplify the core characteristics of EOL caregiving. The themes intersected at a central idea expressed in the voice of one caregiver as "jumping . . . into the abyss of someone else's dying." Data suggested that caregivers of elders with life-limiting illnesses needed nursing guidance about EOL care earlier than it is usually provided a... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176859 Tue, 10 Feb 2009 05:00:00 +0100 2176859 http://www.medworm.com/index.php?rid=2176858&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F68%3Frss%3D1 Parents of children with chronic illnesses face many challenges not faced by other parents. A family-centered parent support and education program, Building on Family Strengths (BFS), was designed to help parents meet these challenges by gaining new skills and learning new ways to support their children. BFS researchers involved potential participant families in the refinement of the BFS curriculum to make it truly family centered. The article reports major feedback received from parent focus groups, leaders in several cultural communities, and participants in a pilot class as BFS underwent final refinement. This feedback greatly influences the development of the BFS curriculum, as without it the final product going into a randomized clinical trial would be less attuned to the needs of par... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176858 Tue, 10 Feb 2009 05:00:00 +0100 2176858 http://www.medworm.com/index.php?rid=2176857&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F44%3Frss%3D1 The purpose of this qualitative study was to develop a pro-active psycho-educational intervention program for Alzheimer's family caregivers following diagnostic disclosure. Based on a theoretical model of role transitions and a participatory approach, the study comprised four steps: (a) exploring caregiver needs; (b) developing and validating a program proposal based on caregiver-expressed needs; (c) formalizing program through intervention mapping; and (d) testing and qualitatively evaluating the program. The psycho-educational program consisted of seven individual sessions aimed at fostering knowledge and skills required to ensure successful transition to the caregiver role. The approach used in this study can serve as a guide for the development of nursing intervention programs. Interve... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176857 Tue, 10 Feb 2009 05:00:00 +0100 2176857 http://www.medworm.com/index.php?rid=2176856&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F26%3Frss%3D1 The primary purpose of this pilot study was to examine the influence of maternal health status on health services use in children with the diagnosis of asthma. A secondary purpose was to assess both preventive and illness-related child health services use patterns. Fifty-two asthmatic children and 43 mothers met the inclusion criteria. The majority of mothers (72%, n = 31/43) rated their own overall health as good to excellent. Eighty-six percent (n = 38/44) of the children had a medical home, 20% had peak flow meters, 26% had been to see a specialist, and 4% were currently under the care of a specialist. This pilot study raises important questions about the influence of maternal health on child health services use patterns for asthmatic children from low-income families. Understanding the... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176856 Tue, 10 Feb 2009 05:00:00 +0100 2176856 http://www.medworm.com/index.php?rid=2176855&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F18%2F1%2F23%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176855 Tue, 10 Feb 2009 05:00:00 +0100 2176855 http://www.medworm.com/index.php?rid=2176854&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F18%2F1%2F6%3Frss%3D1 The purpose of this study is to evaluate collection, transport, and storage protocols of urine and air allergen samples from infants in a rural setting. Infant urine and aeroallergen samples (n = 21) are collected in the home setting in rural areas where time and distance to the central laboratory is a consideration. Urine samples are analyzed using ELISA tests after being transported using three different techniques: (a) ambient temperature, (b) dry ice, and (c) packaged on dry ice and shipped commercially. Following initial ELISA testing for levels of cytokines, urine samples are frozen at -70 degrees Celsius for 6 months. Samples are then reanalyzed for levels of cytokines. Dust samples are analyzed for levels of aeroallergens, stored at 4 degrees for 6 months, and reanalyzed. The integ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176854 Tue, 10 Feb 2009 05:00:00 +0100 2176854 http://www.medworm.com/index.php?rid=2176853&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F18%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=2176853 Tue, 10 Feb 2009 05:00:00 +0100 2176853 http://www.medworm.com/index.php?rid=1882814&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F297%3Frss%3D1 This descriptive, cross-sectional survey study illustrates the roles for and motives of being a family visitor to accompany a hospitalized loved one during hospitalization in a Taiwanese hospital. Family visitors were approached by research assistants on a random basis in acute inpatient units. Among the 1,034 participants, 91% were relatives. About 80.0% of them were present to attend to the patient's physical care, 61.0% to offer psychological support, and 63.5% to express their desire to learn more about the patient's medical condition and illness in time. Their primary motives included fulfilling one of their responsibilities, coming to help voluntarily, showing filial piety for their parent, and being afraid that the patient could not obtain appropriate care. The family involvement cu... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882814 Thu, 16 Oct 2008 04:00:00 +0100 1882814 http://www.medworm.com/index.php?rid=1882813&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F278%3Frss%3D1 Coping difficulties of 113 adults 3 weeks after hospital discharge were identified using the Post-Discharge Coping Difficulty Scale and a brief focused telephone interview (11-item guide). Overall, low difficulty scores were reported (M = 23.9, SD = 18.2, range = 0 to 100). Qualitative data reveal specific coping difficulties in the categories of stressors, specific difficulties, caring for self, managing the condition, family, advice needed, contact with the health care system, and what they wished they knew before discharge. A core theme of biographical reconstruction emerged. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882813 Thu, 16 Oct 2008 04:00:00 +0100 1882813 http://www.medworm.com/index.php?rid=1882812&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F262%3Frss%3D1 The effect of restricting the temperature of cardiac surgery patients' oral intake to room temperature or warmer, over the first 3 postoperative days, on gastrointestinal (GI) symptoms was examined. In all, 57 patients were randomly assigned to receive the intervention or usual care. GI symptoms were measured daily over the first 5 postoperative days. Following hospital discharge, GI symptoms and return to function data were collected over 4 postoperative weeks. On Postoperative Day 1, 41% of patients reported having GI symptoms, and they were significantly associated with higher cross-clamp time. Symptoms dissipated over time. There were no differences between the study groups in GI symptoms or return to function. Nearly 70% of patients who withdrew from the study were randomized to the i... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882812 Thu, 16 Oct 2008 04:00:00 +0100 1882812 http://www.medworm.com/index.php?rid=1882811&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F251%3Frss%3D1 This study determines if there are significant differences in blood glucose sampled at the earlobe relative to fingertip sites. A 50-participant cross-sectional comparative design was conducted at a 480-bed community hospital. Four trained data collectors obtained demographic information and blood glucose samples from both the fingertip and earlobe sites. Data analysis included descriptive statistics, paired t test, and the Bland Altman technique, assessing agreement between two methods of clinical measurements. Results indicate that the mean finger stick glucose result was statistically significantly greater than the mean earlobe glucose result. The Bland Altman plot did not demonstrate clinical significance. Results suggest that the earlobe may be a viable alternative to exclusive finger... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882811 Thu, 16 Oct 2008 04:00:00 +0100 1882811 http://www.medworm.com/index.php?rid=1882810&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F4%2F241%3Frss%3D1 This study determines if there is a significant difference between upper arm and forearm BPMs among adults and examines the relationship of participant characteristics to the BPM difference. A convenience sample was recruited from a low-income, independent-living, 104-apartment complex in the Midwest. Of the 106 participants, 64% were female and 89% were White. Ages ranged from 20 to 85 years (M = 50.7). The investigators calculated the BMIs (range = 18 to 42, M = 29.3, SD = 5.4) for the 89% (n = 94) of participants who reported their weight. The forearm tended to have higher BPMs than the upper arm (M difference = 4.0 mm Hg systolic, 2.3 mm Hg diastolic). However, site differences were greatest for men, obese adults, and middle aged (36 to 65) adults. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882810 Thu, 16 Oct 2008 04:00:00 +0100 1882810 http://www.medworm.com/index.php?rid=1882809&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F4%2F239%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1882809 Thu, 16 Oct 2008 04:00:00 +0100 1882809 http://www.medworm.com/index.php?rid=1604783&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F220%3Frss%3D1 The purpose of this study was to describe people's experiences of being dependent on others for care in their final stage of life, as well as what they felt made their experience of being dependent easier or more difficult. The phenomenological-hermeneutical method was chosen, where data collection consisted of open-ended interviews with nine people undergoing palliative care at a hospice unit or at home. The meaning of being care dependent is described via the following themes: changed relationship with oneself and with others, striving to adapt oneself to the situation, obstacles, and opportunities along the way while dependent. The result is described as an effort, a journey from independence to moments where it was possible to rest and recuperate while struggling with care dependency. ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604783 Thu, 10 Jul 2008 04:00:00 +0100 1604783 http://www.medworm.com/index.php?rid=1604782&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F200%3Frss%3D1 Ensuring that patients' informational needs have been met prior to hospital discharge sets the stage for successful self-management of recovery at home. This secondary analysis study aims to identify differences in the amount of discharge teaching content needed and received by adult medical-surgical patients on the basis of their sociodemographic characteristics and hospitalization-related factors. The Quality of Discharge Teaching Scale (QDTS) is used to measure patients' perceptions of the amount of discharge-related informational content they needed and received. Eighty-nine percent of patients receive more informational content than they perceived they needed. Nonwhite patients report more content needed than White patients. Patients with prior hospitalizations and cardiac patients re... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604782 Thu, 10 Jul 2008 04:00:00 +0100 1604782 http://www.medworm.com/index.php?rid=1604781&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F182%3Frss%3D1 The purpose of this randomized field study was to determine the effects of telehomecare on hospitalization, emergency department (ED) use, mortality, and symptoms related to sodium and fluid intake, medication use, and physical activity. The sample consists of 284 patients with heart failure. The authors used logistic regression to study the effects of telehomecare on health services utilization and mortality and a general linear model to analyze changes in self-reported symptoms. On average, patients in the telehomecare groups had a lower probability of hospitalizations and ED visits than did patients in the control group. Differences were statistically significant at 60 days but not 120 days. Results show a greater reduction in symptoms for patients using telehomecare compared to control... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604781 Thu, 10 Jul 2008 04:00:00 +0100 1604781 http://www.medworm.com/index.php?rid=1604780&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F174%3Frss%3D1 Asthma is one of the most common medical complications of pregnancy. Asthma control is associated with improved perinatal outcomes. Peak flow measures have been recommended to determine the status of asthma, yet norms for peak flow values in women with asthma are missing from the literature. The purpose of this study was to determine average peak flow values in pregnant women with asthma. Forty-three women were recruited into the study prior to the 20th week of pregnancy. Demographic data, including age, ethnic background, and number of pregnancies, were collected. Type and severity of asthma, medications used for asthma, and past hospitalizations for asthma were recorded. Peak flow values increased across the three trimesters. Significant differences were found in peak flow values between... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604780 Thu, 10 Jul 2008 04:00:00 +0100 1604780 http://www.medworm.com/index.php?rid=1604779&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F3%2F171%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604779 Thu, 10 Jul 2008 04:00:00 +0100 1604779 http://www.medworm.com/index.php?rid=1604778&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F3%2F151%3Frss%3D1 A descriptive study examining the relationship of denial of illness and compliance with inhaled controller asthma medications is conducted with 51 adults taking inhaled asthma controller medications. Affective and cognitive denial are assessed with the Levine Denial of Illness Scale. Severity is determined by portable spirometry; compliance is measured for 2 weeks with DOSER, a microelectronic monitor. The mean percent compliance rate for inhaled controller medications is 36%, with only 10.4% of the participants demonstrating optimal compliance (>80%). Although cognitive denial is not significantly associated with compliance, those in the suboptimal compliance group do have significantly higher information avoidance subscale scores (M = 1.88; p = .02). Affective denial is inversely correla... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604778 Thu, 10 Jul 2008 04:00:00 +0100 1604778 http://www.medworm.com/index.php?rid=1604777&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F3%2F147%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1604777 Thu, 10 Jul 2008 04:00:00 +0100 1604777 http://www.medworm.com/index.php?rid=1346809&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F133%3Frss%3D1 Health literacy—the ability to read, understand, and use health information to make health care decisions—affects health care outcomes, hospitalization costs, and readmission. The purpose of this exploratory mixed-methods study is to determine how two different parent groups (English speaking and Spanish speaking) understand medical care for their children and the procedural and research consent forms required by that care. Quantitative and qualitative data are gathered and compared concurrently. Differences between groups are found in age, grade completed, Short Test of Functional Health Literacy in Adults scores, and ways of understanding health information. Identifying how parents understand health information is the first step in providing effective family-centered health c... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346809 Wed, 02 Apr 2008 04:00:00 +0100 1346809 http://www.medworm.com/index.php?rid=1346808&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F118%3Frss%3D1 The purpose of this study was to describe how spirituality affected the lives of African American mothers with Human Immunodeficiency Virus (HIV) in the context of coping. This qualitative descriptive study used secondary data of interviews from a larger longitudinal study of parental caregiving of infants seropositive for HIV. Participants were 38 African American mothers with HIV. Data from longitudinal semi-structured interviews were analyzed using content analysis. The women dealt with the stresses of HIV through a relationship with God. Two domains explain this relationship: God in control and God requires participation. The benefits of their relationship with God were a decrease in stress and worry about their own health and that of their infants. It is important for nurses working w... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346808 Wed, 02 Apr 2008 04:00:00 +0100 1346808 http://www.medworm.com/index.php?rid=1346807&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F98%3Frss%3D1 The aims of this study were to (a) describe health stressors, health-related hardiness, perception of illness impact, self-perception of health status, and psychosocial adjustment to illness in individuals living with an inherited bleeding disorder; (b) determine relationships between health stressors, health-related hardiness, perception of illness impact, self-perception of health status, and psychosocial adjustment to illness; and (c) determine if perception of illness impact had a direct and/or mediating effect on the relationship between health stressors, health-related hardiness, and self-perception of health status and psychosocial adjustment to illness. A cross-sectional survey design was used. Sixty participants composed the sample. Participants completed five questionnaires. High... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346807 Wed, 02 Apr 2008 04:00:00 +0100 1346807 http://www.medworm.com/index.php?rid=1346806&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F89%3Frss%3D1 In the past decade, the introduction of electronic monitoring systems for monitoring medication adherence has contributed to the dialog about what works and what does not work in monitoring adherence. The purpose of this article is to describe the use of the Medication Event Monitoring System (MEMS) in a study of patients receiving isoniazid for latent tuberculosis infection. Three case examples from the study illustrate the data that are obtained from the electronic device compared to self-reports and point to the disparities that may occur in electronic monitoring. The strengths and limitations of using the MEMS and ethical issues in utilizing this technology are discussed. Nurses need to be aware of these challenges when using electronic measuring devices to monitor medication adherence... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346806 Wed, 02 Apr 2008 04:00:00 +0100 1346806 http://www.medworm.com/index.php?rid=1346805&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F2%2F74%3Frss%3D1 This quasi-experimental study tested an intervention to reduce sound levels in an acute care hospital. A parallel pre- and posttest design with control group was used; patients and employees completed the Topf Adapted Sound Disturbance Scales, and environmental sound levels were recorded on a Quest 2900 Sound Level Meter. Treatment interventions included an educational PowerPoint presentation for employees, minor environmental acoustical alterations, and the use of a Quest 261 Sound Detector/Controller for behavioral modification. None of these interventions produced statistically significant changes in sound levels. Patients and employees reported slightly less disturbance due to noise postintervention on the treatment unit. The findings of this study support Philbin and Gray's suggestion... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346805 Wed, 02 Apr 2008 04:00:00 +0100 1346805 http://www.medworm.com/index.php?rid=1346804&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F2%2F71%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1346804 Wed, 02 Apr 2008 04:00:00 +0100 1346804 http://www.medworm.com/index.php?rid=1139003&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F1%2F50%3Frss%3D1 This study examines the difference between LLL of frail nursing home residents and the height of their toilets and beds in the lowest position, compares the patient or environmental characteristics of those able to transfer from the bed or toilet to those who cannot, and determines the relationship of patient or environmental characteristics to bed-related falls. A retrospective observational design using secondary data from 263 nursing home residents finds that bed height of three fourths of participants was greater than 140% of LLL, whereas toilet height of more than half was 100% to 120% of LLL. Increased fall risk is associated with increased age, shorter length of stay, normal lower extremity range of motion, less cognitive impairment, more behavioral symptoms, and no complaints of pa... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1139003 Wed, 09 Jan 2008 05:00:00 +0100 1139003 http://www.medworm.com/index.php?rid=1139002&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F1%2F32%3Frss%3D1 The purpose of this descriptive, phenomenological qualitative study is to describe women's lived experiences of spirituality within end-stage renal disease (ESRD) and hemodialysis. The purposive volunteer sample of 16 women regularly attended two outpatient dialysis centers in a large Midwestern city. Audiotaped, transcribed interviews were analyzed using Colaizzi's method. These women affirmed that spirituality was extremely important in living with their illness and necessary treatment regime. Four major clusters of themes pertaining to the women's spiritual experience within their illness emerged: acceptance, understanding, fortification, and emotion modulation. Findings show that spirituality is of great importance in living with ESRD while receiving hemodialysis and suggest that spiri... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1139002 Wed, 09 Jan 2008 05:00:00 +0100 1139002 http://www.medworm.com/index.php?rid=1139001&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F1%2F20%3Frss%3D1 This exploratory study examines differences in health risk characteristics and perceived health by caregiver status in two groups of Black women, 37 informal caregivers and 20 noncaregivers, transitioning from welfare to work. Health risk characteristics were assessed with the Center for Epidemiologic Studies Depression Scale and Healthier People Network Health Risk Appraisal—Version 6. Body mass index (BMI) calculations were based on the standard Centers for Disease Control formula. Perceived health status was assessed using a single-item Cantril ladder. Results show no statistically significant between-group differences in perceived health status, depressive symptoms, frequency of lifestyle behaviors, or BMI. Clinically significant proportions of participants in both groups rated t... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1139001 Wed, 09 Jan 2008 05:00:00 +0100 1139001 http://www.medworm.com/index.php?rid=1139000&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F17%2F1%2F5%3Frss%3D1 We report baseline data collected from 128 human immunodeficiency virus (HIV)-positive individuals. The HIV-Related Fatigue Scale was used to measure several aspects of fatigue. Blood was drawn for the following physiological variables: hepatic function, thyroid function, HIV viral load, immunologic function, gonadal function, hematologic function, serum cortisol, and cellular injury. In bivariable analyses, free testosterone (p = 0.03) and CD8 (p = 0.07) were negatively correlated with fatigue intensity, and nonlinear relationships were observed between fatigue intensity and total testosterone (p = 0.02), thyroxine (p = 0.01), hematocrit (p = 0.06), and total bilirubin (p = 0.06). However, none of these associations persisted in multivariable models. It is possible that fatigue suffered b... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1139000 Wed, 09 Jan 2008 05:00:00 +0100 1139000 http://www.medworm.com/index.php?rid=1138999&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F17%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1138999 Wed, 09 Jan 2008 05:00:00 +0100 1138999 http://www.medworm.com/index.php?rid=1014474&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F350%3Frss%3D1 The aim of this study is to explore the experiences of relatives of nursing home residents receiving percutaneous endoscopic gastrostomy feeding. Qualitative methodology using semistructured interviews explores the experiences and perceptions of eight relatives. Data are analyzed using thematic analysis. Four themes are constructed from the data: dependence and resulting disempowerment, having minimal or no involvement in the decision-making process for PEG placement, betrayal, and the losses associated with the social aspects of eating. There is a need for professional education about the psychosocial implications of feeding and an increased level of support for relatives to assist them to develop coping strategies. This will require an expansion of current professional roles to include a... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014474 Thu, 08 Nov 2007 05:00:00 +0100 1014474 http://www.medworm.com/index.php?rid=1014473&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F336%3Frss%3D1 To give informed consent in research, persons must be mentally capable of understanding the study, risks, and benefits. An objective screening tool may assess cognitive capacity better than brief conversations or clinician input. The purpose is to explore the validity of the Mental Alternations Test (MAT) to assess the cognitive capacity of older (ages 50 years +) HIV+ persons (N = 81). Descriptive correlational quantitative method was used. About 12% of the sample was cognitively impaired. Contrary to expectations, primary language was the only variable with a significant relationship with the MAT (r = -.22, p = .02); there were no significant relationships between the MAT and age, education, alcohol, smoking, injection drug use, street or mind-altering drug use, physical functional statu... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014473 Thu, 08 Nov 2007 05:00:00 +0100 1014473 http://www.medworm.com/index.php?rid=1014472&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F317%3Frss%3D1 This project assessed the extent to which modern technology (Vigil) can augment or substitute for direct staff intervention in nonacute late-evening and nighttime situations in a nursing home setting. Vigil was implemented for dementia residents of a special care unit (SCU) in a large nursing home. An SCU matched in terms of unit-wide case mix and cognition was used for comparison. Results showed that there was no significant reduction in falls and injuries, but there was a significant improvement in affective disorder in the intervention group as contrasted with the comparison group. There was no significant increase in staff-perceived burden, despite the significant increase in the amount of direct care time logged. Additional time spent in staff care was significantly related to decreas... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014472 Thu, 08 Nov 2007 05:00:00 +0100 1014472 http://www.medworm.com/index.php?rid=1014471&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F302%3Frss%3D1 The purpose of this study was to examine the relationship between social support and positive health practices in early adolescents and to test two variables, depression and optimism, that mediate this relationship. The final sample included 128 adolescents, ages 12 to 14, who responded to instruments measuring social support, depression, optimism, and positive health practices in classroom settings. Correlational analysis supported the five hypothesized relationships. A series of regression analyses indicated that depression and optimism each were weak mediators of the relationship between social support and positive health practices. The application of findings to nursing is addressed, using the ACE Star Model for evidence-based practice. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014471 Thu, 08 Nov 2007 05:00:00 +0100 1014471 http://www.medworm.com/index.php?rid=1014470&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F4%2F298%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014470 Thu, 08 Nov 2007 05:00:00 +0100 1014470 http://www.medworm.com/index.php?rid=1014469&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F4%2F294%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014469 Thu, 08 Nov 2007 05:00:00 +0100 1014469 http://www.medworm.com/index.php?rid=1014468&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F4%2F278%3Frss%3D1 This study describes the information and support needs of women following breast cancer treatment. A semistructured interview guide designed by the research team was used to gather data. Major findings indicate that women continue to experience a variety of physical and psychological symptoms and have concrete information and support needs following therapy, including the need for information on persistent treatment effects, emotional distress, and lifestyle changes. Findings illustrate that there is need to provide comprehensive information and support to help women transition from breast cancer therapy. Additional research is needed to optimize approaches to providing posttreatment care. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014468 Thu, 08 Nov 2007 05:00:00 +0100 1014468 http://www.medworm.com/index.php?rid=1014467&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F4%2F275%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=1014467 Thu, 08 Nov 2007 05:00:00 +0100 1014467 http://www.medworm.com/index.php?rid=742267&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F251%3Frss%3D1 This article describes aspects of the advice call process and examines predictors of caller follow-through, using a conceptual model derived from the literature and the authors' preliminary work. Calls to call centers and medical offices of a large health maintenance organization were taped, then content was coded and matched with caller questionnaire (CQ) data. Out of 1,863 participants, 1,489 reported following all the advice. In the final multivariate predictive model, statistically significant predictors of follow-through were patient health status, caller's rating of nurse helpfulness, and the extent to which caller expectations for collaboration were met and the caller understood the advice given. Results suggest that nurses should receive continuous training on effective communicati... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742267 Wed, 18 Jul 2007 04:00:00 +0100 742267 http://www.medworm.com/index.php?rid=742266&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F231%3Frss%3D1 The purpose of this qualitative inquiry was to examine the meaning of prolonged mechanical ventilation from the perspective of the patient with a diagnosis of chronic obstructive pulmonary disease (COPD). Interviews were conducted with four individuals with a diagnosis of COPD who had experienced long-term ventilator dependence. Participants were asked to reflect on their experiences while they were ventilator dependent, and their narratives were utilized as text for hermeneutical analysis. The study's findings describe three distinct phases experienced by the participants, beginning with intubation and lasting until well after discharge from the hospital. The support of nurses was an important aspect of maintaining hope for the participants. The study revealed that prolonged mechanical ve... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742266 Wed, 18 Jul 2007 04:00:00 +0100 742266 http://www.medworm.com/index.php?rid=742265&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F212%3Frss%3D1 This study investigated parents' pre- and postoperative stressors and their coping strategies. Ninety-two parents identified their predominant stressor and completed the Ways of Coping Questionnaire during their adolescent's preoperative clinic visit and 77 completed this procedure 4 days postoperatively. Results showed that primary stressors were parental role loss (28.26%), possibility of poor surgical outcomes (28.26%), and uncertainty about successful recovery (27.17%) preoperatively, and concerns about pain (32.47%) and parental role loss (32.47%) postoperatively. The greatest increase from pre- to postoperative periods occurred in concerns about pain. Parents used both emotion-focused and problem-focused coping strategies with significant increases postoperatively in confrontive copi... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742265 Wed, 18 Jul 2007 04:00:00 +0100 742265 http://www.medworm.com/index.php?rid=742264&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F195%3Frss%3D1 The objective is to summarize the existing nursing literature on the concept of functional status after childbirth. Studies were selected by incorporating all existing published literature, including inquiry into functional status after childbirth as measured by the Inventory of Functional Status After Childbirth. The data were extracted from online nursing databases such as CINAHL (1982-present) and dissertation abstracts. Results of the literature review indicate the need for further development of functional status after childbirth and the instrument used to measure it, the Inventory of Functional Status after Childbirth. The author concludes that functional status after childbirth is a highly important nursing concept and further inquiry is needed to guide nursing practice. (Source: Cl... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742264 Wed, 18 Jul 2007 04:00:00 +0100 742264 http://www.medworm.com/index.php?rid=742263&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F3%2F193%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742263 Wed, 18 Jul 2007 04:00:00 +0100 742263 http://www.medworm.com/index.php?rid=742262&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F3%2F189%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742262 Wed, 18 Jul 2007 04:00:00 +0100 742262 http://www.medworm.com/index.php?rid=742261&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F3%2F170%3Frss%3D1 This is an exploratory, descriptive study based on a convenience sample from a rural nursing service and in-country area farmers from The Gambia. The purpose of the study was to provide descriptive information about agricultural-related injury and illness from area farmers and to obtain data from rural nurses about the time they spent caring for and treating farmers. Employees of the nursing service could read and write English fluently and thus completed a written questionnaire; the area farmers were unable to read and write English so they were interviewed by farm extension workers in their own tribal language. The most alarming findings were the nursing respondents' report of farm workers using pesticides in their homes, the poor condition of pesticide sprayers, and the lack of personal... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742261 Wed, 18 Jul 2007 04:00:00 +0100 742261 http://www.medworm.com/index.php?rid=742260&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F3%2F167%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=742260 Wed, 18 Jul 2007 04:00:00 +0100 742260 http://www.medworm.com/index.php?rid=566374&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F153%3Frss%3D1 This study provides empirical support for monitoring a single immunosuppressive medication electronically to estimate medication adherence with double or triple immunosuppressive drug therapy. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566374 Mon, 23 Apr 2007 04:00:00 +0100 566374 http://www.medworm.com/index.php?rid=566373&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F138%3Frss%3D1 Childhood overweight is increasing, yet limited information is available on children's perspectives of overweight. The purpose of this investigation was to identify children's perspective of their weight, exercise, and health status. Participants were 17 children, 8 to 12 years of age, with body mass indexes ≥ 95% for age and gender. A qualitative investigation using a phenomenological approach was conducted with a thematic analysis. Themes that emerged included intellectual disconnect, body image incongruence, social importance, and exercise perspectives . Children correctly identified healthy and unhealthy behaviors: dietary intake and physical activity. Children's knowledge about healthy dietary intake and physical activities disconnected from actual health practices. Children demons... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566373 Mon, 23 Apr 2007 04:00:00 +0100 566373 http://www.medworm.com/index.php?rid=566372&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F119%3Frss%3D1 This article examines predictors of patient satisfaction with telephone nursing services among a sample of 1,939 respondents, using a conceptual model derived from the literature and preliminary work. The study was conducted in medical offices and call centers of a large national health maintenance organization. Calls were taped and content coded and then matched with caller questionnaire data. In the final multivariate predictive models, patient health status; caller ratings of expectations met by the nurse for listening, clarity, and collaboration; and nurse competence were the strongest predictors of satisfaction. Consistent with the literature, findings suggest that nurses should expand interpersonal communication skills, and systems should reduce barriers to effective listening, clari... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566372 Mon, 23 Apr 2007 04:00:00 +0100 566372 http://www.medworm.com/index.php?rid=566371&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F103%3Frss%3D1 Although body piercing procurement continues to increase, 13% to 18% of them are removed. Reasons for piercing removal in college students were examined with three groups: (a) those who kept all their piercings, (b) those who removed some, or (c) those who removed all of their body piercings. Of the sample, 41% were still pierced; 50% in their lifetime. Their major purpose for the body piercing was "helped them feel unique." Females obtained more (in high school) and then removed more, usually as upperclassmen. Males and females reported themselves as risk takers at procedure time and currently; however, only 10% cited deviancy as a reason for the body piercing(s). Only removal elements of "I just got tired of it" and "I just decided to remove it" were present, especially with the Some Rem... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566371 Mon, 23 Apr 2007 04:00:00 +0100 566371 http://www.medworm.com/index.php?rid=566370&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F2%2F100%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566370 Mon, 23 Apr 2007 04:00:00 +0100 566370 http://www.medworm.com/index.php?rid=566369&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F2%2F85%3Frss%3D1 In conclusion, the findings of this study show that massage offered a retreat from uneasy, unwanted, negative feelings connected with chemotherapy treatment. It is a treatment that can be added to the arsenal of treatment choices available to the oncological staff. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566369 Mon, 23 Apr 2007 04:00:00 +0100 566369 http://www.medworm.com/index.php?rid=566368&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F2%2F83%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=566368 Mon, 23 Apr 2007 04:00:00 +0100 566368 http://www.medworm.com/index.php?rid=342412&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F72%3Frss%3D1 Providing safe nursing home care is both a clinical and fiscal challenge in many countries. The fiscal realities result in the addition of other workers, such as medication technicians or aides (CMT/A), to the health care team. The purpose of this study was to determine the impact of various levels of credentialing among nursing home staff who deliver medications (RN, LPN, or CMT/A) on medication error. In addition, the impact of distractions and interruptions was explored. Using naïve observation, 39 medication administrators representing various levels of credentialing were unobtrusively observed to determine the number of medication errors, distractions, and interruptions in five nursing homes. There were no differences in medication error rates by level of credential. However, RNs... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342412 Thu, 04 Jan 2007 07:00:00 +0100 342412 http://www.medworm.com/index.php?rid=342411&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F58%3Frss%3D1 This study examined the relationship between prescribed medication use and frequency and intensity of MVPS symptoms. A descriptive cross-sectional survey design was used. Descriptive statistics and Cramèr’s V correlational analysis were used to answer the research questions. Self-completed questionnaires were mailed to 2,282 MVPS individuals older than 21 years of age throughout the United States and Canada previously diagnosed with MVPS. Of the 837 participants, 337 (40%) were taking one or more medications. Although there were significant positive correlations between anxiety and calcium channel blockers, chest pain and digoxin, and mood swings and digoxin, the correlations were very weak. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342411 Thu, 04 Jan 2007 07:00:00 +0100 342411 http://www.medworm.com/index.php?rid=342410&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F44%3Frss%3D1 Nurses have been advised to encourage older persons to keep their doors locked, but there is little guidance about how home care providers should best gain access to the homes of clients. During a descriptive phenomenological study of the experience of home care (N = 25), 9 frail older women explained their strategies for allowing providers access to their homes. Women who typically left their doors open for their own reasons were not uncomfortable leaving the door open when a provider was expected. However, women who left the door unlocked at the request of a provider expressed misgivings about doing so. Older women need personalized counseling about ensuring access to care providers while maximizing safety. For practical, ethical, and legal reasons, home care providers who ask older wome... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342410 Thu, 04 Jan 2007 07:00:00 +0100 342410 http://www.medworm.com/index.php?rid=342409&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F29%3Frss%3D1 The specific aims of this study were to (a) identify relationships among care-giving stress, caregivers’ functional ability, and number of self-care behavior responses to physical and psychological symptoms in caregivers of persons with dementia and (b) examine the mediating function of functional ability in the relationship between caregiving stress and self-care behavior response to symptoms. A correlational, cross-sectional design was used, and a survey was mailed to 99 caregivers. The survey questionnaire contained items about demographics, caregiving stress, functional ability, and self-care behavior. The results indicate that caregivers who reported higher levels of caregiving stress had poorer self-rated health, poorer physical function, more symptoms, high levels of depressed... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342409 Thu, 04 Jan 2007 07:00:00 +0100 342409 http://www.medworm.com/index.php?rid=342408&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F1%2F25%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342408 Thu, 04 Jan 2007 07:00:00 +0100 342408 http://www.medworm.com/index.php?rid=342407&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F16%2F1%2F5%3Frss%3D1 The purpose of this study was to evaluate a strategy designed to permit early detection of anxiety disorders in adolescent asthmatics. Adolescents with asthma (N = 53) were screened for anxiety disorders using the Trait subscale of the State-Trait Anxiety Inventory for Children [STAI-C (Trait)] and the Multidimensional Anxiety Scale for Children (MASC). Adolescents and their parents were individually evaluated by a nurse trained in the administration of the Anxiety Disorders Interview Schedule-IV: Parent and Child Versions (ADIS-IV: P&C). Of the participants, 21 (40%) met the diagnostic criteria for one or more anxiety disorders. The STAI-C (Trait) was more effective than the MASC in screening adolescents for risk of coexisting anxiety disorders. Nurses trained to administer the ADIS-I... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342407 Thu, 04 Jan 2007 07:00:00 +0100 342407 http://www.medworm.com/index.php?rid=342406&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F16%2F1%2F3%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=342406 Thu, 04 Jan 2007 07:00:00 +0100 342406 http://www.medworm.com/index.php?rid=245596&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F306%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245596 Fri, 20 Oct 2006 06:00:00 +0100 245596 http://www.medworm.com/index.php?rid=245595&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F290%3Frss%3D1 In this study parental experiences of care of children with high and intermediate imperforate anus were evaluated. A group of 45 parents of children with high and intermediate imperforate anus and two control groups participated. Data collection with individual questionnaires concerning the child's hospital care, information to the parent and the child, and involvement in the care of the child were performed. Parents of children with imperforate anus reported being less satisfied with the care of their child, and they were less content with information about their child's treatment compared with the control groups. The parents had been extremely involved in the follow-up treatment. Constipation and fecal incontinence are common and involve suffering for the children and their parents. Pare... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245595 Fri, 20 Oct 2006 06:00:00 +0100 245595 http://www.medworm.com/index.php?rid=245594&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F274%3Frss%3D1 The purpose of this study was to describe patients’ experience during and after coronary angiography and percutaneous coronary intervention. Data were collected by interviews with 14 patients. A qualitative content analysis approach was used. Four main categories were identified that describe patients’ experience of the hours during and following intervention: emotional thoughts, bodily sensations, nursing intervention of importance, and personal strategies. All patients made a comment on staff conduct and pointed out that even minor nursing actions may be of great importance. Patients were most positive toward the transradial approach. Even though the approach via arteria radialis will increase, many patients will still have their procedure done via arteria femoralis. In spite... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245594 Fri, 20 Oct 2006 06:00:00 +0100 245594 http://www.medworm.com/index.php?rid=245593&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F258%3Frss%3D1 This study’s findings offer insights into the experience of living with and managing FM and identify social, policy, and health care issues that profoundly affect those suffering from it. Participants believe that people with FM would benefit if more health care professionals, as well as family and friends, would validate their condition and provide them with better support. More research could clarify ways in which health care providers may provide more effective interventions, appropriate care, and ongoing support for those affected with FM. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245593 Fri, 20 Oct 2006 06:00:00 +0100 245593 http://www.medworm.com/index.php?rid=245592&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F255%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245592 Fri, 20 Oct 2006 06:00:00 +0100 245592 http://www.medworm.com/index.php?rid=245591&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F4%2F231%3Frss%3D1 This study explores and describes the perceptions of nurses with respect to everyday client-centered care. A grounded theory study was conducted with 10 Dutch nurses and auxiliary nurses giving home care to chronically ill clients. Participatory observations and semistructured interviews were held. Nurses perceived roles and responsibilities competing with the role as a responsive professional to the client demand: a critical professional, developer of client competencies, individual, and employee. Strategies in balancing between competing responsibilities were distinguished: pleasing, dialoguing, directing, and detaching. Directing (related to impaired client competencies) and detaching (related to organizational barriers) were also used as second choice strategies. Effectively balancing ... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245591 Fri, 20 Oct 2006 06:00:00 +0100 245591 http://www.medworm.com/index.php?rid=245590&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Freprint%2F15%2F4%2F227%3Frss%3D1 (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=245590 Fri, 20 Oct 2006 06:00:00 +0100 245590 http://www.medworm.com/index.php?rid=78257&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F209%3Frss%3D1 The purpose of the article is to present one aspect of the findings of a descriptive, exploratory investigation of the self-care decision making of 33 adults diagnosed with chronic hepatitis C (Hep C), specifically how they experienced living with this disease as a chronic illness. The findings were interpreted from a social constructivist perspective in which Hep C was viewed as both a biomedical entity and a social construction. The authors will suggest that although Hep C is constructed by people with the disease as a chronic illness, the care of this disease is often based on an acute model that acknowledges its chronicity only in terms of the persistence of the virus. The article points to the need for a model of Hep C care that incorporates the dimensions of the chronic illness exper... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78257 Mon, 26 Jun 2006 06:00:00 +0100 78257 http://www.medworm.com/index.php?rid=78256&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F197%3Frss%3D1 In this study, we found that Japanese clinical nurses suffer a significant occupational burden from HD. As such, it is essential that hospital managers consider interventions to reduce this troublesome occupational disease among clinical nurses in Japan, as elsewhere. (Source: Clinical Nursing Research) Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78256 Mon, 26 Jun 2006 06:00:00 +0100 78256 http://www.medworm.com/index.php?rid=78255&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F177%3Frss%3D1 This research sought to elicit HIV/AIDS peer counselors’ perspectives about delivery formats for a counseling intervention. Peer counselors identified personal contact as the major advantage of the face-to-face format. Personal contact afforded counselors better opportunities to understand and assess clients’ physical, emotional, and environmental status and allowed them to connect with peers in more concrete and personal ways. Being physically present was also a very direct and effective way to role model for other HIV-positive women. Peer counselors identified a number of inherent barriers and challenges to telephone interventions but also recognized potential logistic and personal advantages. Despite the overwhelming preference for the face-to-face intervention format, couns... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78255 Mon, 26 Jun 2006 06:00:00 +0100 78255 http://www.medworm.com/index.php?rid=78254&cid=s_32313_27_f&fid=32313&url=http%3A%2F%2Fcnr.sagepub.com%2Fcgi%2Fcontent%2Fabstract%2F15%2F3%2F157%3Frss%3D1 Evaluation and prevention of falls begin with a thorough understanding of their occurrence. Post-fall assessment (PFA) tools should be available to sufficiently guide nursing staff in identification of all possible causes. Absence of empirically tested PFA tools led to the development of the Post-Fall Index (PFI). Developed and validated in three phases, a 76-item PFI was first tested for content validity by national experts. Next, it was tested for feasibility with registered nurses practicing in nursing homes. Last, it was piloted with a sample of 30 falls by older residents of a skilled nursing unit in a continuing care retirement community. Review of data from these 30 falls provided the item analysis. Reflective of evidenced-based guidelines, a 30-item PFI emerged, containing essentia... Clinical Nursing Research journals http://www.medworm.com/rss/comments.php?id=78254 Mon, 26 Jun 2006 06:00:00 +0100 78254