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 'Journal of Advanced Nursing' source. Wed, 08 Feb 2012 21:54:41 +0100 http://www.medworm.com/index.php?rid=5668937&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2012.05942.x Conclusions.  Researcher health and safety should be carefully considered at all stages of the research process. Research focusing on sensitive data and vulnerable populations need to consider risk minimization through strategies such as appropriate researcher preparation, safety during data collection, and debriefing if required. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5668937 Tue, 07 Feb 2012 05:00:00 +0100 5668937 http://www.medworm.com/index.php?rid=5668938&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2012.05944.x Conclusion.  Patients and family members appreciate ‘best fit relationships’ where nurses seek to enter into the older person’s world of disability to form a partnership which enhances their motivation to achieve independence. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5668938 Sun, 05 Feb 2012 05:00:00 +0100 5668938 http://www.medworm.com/index.php?rid=5668936&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2012.05945.x Conclusion.  As fidelity of simulation increased, both novice and experienced nurses’ were less likely to be able to separate important clinical risk from clinical noise in a simulated clinical environment. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5668936 Wed, 01 Feb 2012 05:00:00 +0100 5668936 http://www.medworm.com/index.php?rid=5650368&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2012.05943.x Conclusion.  Pre‐dialysis stress levels predicted dialysis modality. Interventional studies are recommended to address chronic kidney disease stressors with the outcome of improving home‐dialysis usage. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5650368 Wed, 01 Feb 2012 05:00:00 +0100 5650368 http://www.medworm.com/index.php?rid=5630697&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05928.x Conclusion.  Their specialist knowledge about the condition and local services, flexibility, co‐ordinating role, and their holistic and collaborative approach to practice, are key factors in nurse specialists promoting continuity of care. Nurse specialists exist in many different clinical areas and in many countries. Findings about the importance of their role in promoting continuity of care have important implications for UK and international policy and practice. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5630697 Fri, 27 Jan 2012 02:32:28 +0100 5630697 http://www.medworm.com/index.php?rid=5630701&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05929.x Conclusion.  Because people with worsening Alzheimer’s disease have fewer pain behaviours, assessing pain using behavioural indicators can be a challenge. Improving methods to assess for pain in people with Alzheimer’s disease is of critical public health importance. Moreover, future studies are urgently needed to further examine the sensory, emotional, and behavioural responses to pain in people with Alzheimer’s disease. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5630701 Wed, 25 Jan 2012 05:00:00 +0100 5630701 http://www.medworm.com/index.php?rid=5630700&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05934.x Conclusions.  The low loss‐to‐follow‐up‐rate cannot be attributed to the network tracing activities alone. Phoning before appointments may result in fewer delayed appointments and prevent loss‐to‐follow‐up. Home visits should be a last resort method of patient tracing because of the risk of HIV‐status disclosure and the opportunity of discrimination from family and neighbours. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5630700 Wed, 25 Jan 2012 05:00:00 +0100 5630700 http://www.medworm.com/index.php?rid=5630699&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05937.x Conclusions.  This exploratory study shows that providing mental health practitioners and people with personal experience of mental health problems with a systematic education and training in recovery principles using the Wellness Recovery Action Planning approach leads to positive changes in people’s knowledge, skills and attitudes towards recovery. This education appeared to inspire, invigorate and empower people, and for many, it was a life changing experience. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5630699 Wed, 25 Jan 2012 05:00:00 +0100 5630699 http://www.medworm.com/index.php?rid=5630698&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05840.x Conclusion.  The theoretical definition for this concept helps to differentiate it from other types of career development relationships and will give a basis for nurse managers to understand what skills and attributes are necessary to establish an effective managerial coaching relationship with staff nurses. Conceptualization will also assist in developing empirical studies examining managerial coaching behaviours in the work environment. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5630698 Wed, 25 Jan 2012 05:00:00 +0100 5630698 http://www.medworm.com/index.php?rid=5611339&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05927.x Conclusion.  Increased understanding of the causal influences on nurses’ intent to stay should lead to strategies that may result in higher retention rates and numbers of nurses willing to work in the health sector. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5611339 Sat, 21 Jan 2012 02:02:00 +0100 5611339 http://www.medworm.com/index.php?rid=5584942&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05930.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5584942 Sat, 14 Jan 2012 11:33:20 +0100 5584942 http://www.medworm.com/index.php?rid=5584941&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05926.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5584941 Sat, 14 Jan 2012 11:32:39 +0100 5584941 http://www.medworm.com/index.php?rid=5584935&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05933.x Conclusion.  Perceived control, but not persistent anxiety, prior to acute coronary syndrome was an important predictor of in‐hospital complications after acute coronary syndrome. Interventions to increase cardiac patients’ perceived control of their cardiac illness may reduce in‐hospital complications after acute coronary syndrome. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5584935 Sat, 14 Jan 2012 11:28:47 +0100 5584935 http://www.medworm.com/index.php?rid=5584936&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05936.x This study will be the largest trial to date examining the effect of music therapy on young people experiencing social, emotional or behavioural difficulties and will provide empirical evidence for the use of music therapy among this population.Trial registration.  This study is registered in the ISRCTN Register, ISRCTN96352204. Ethical approval was gained in October 2010. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5584936 Wed, 11 Jan 2012 05:00:00 +0100 5584936 http://www.medworm.com/index.php?rid=5584939&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05920.x Conclusion.  The angina management programme produced some superior benefits when compared to advice from a specialist nurse. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5584939 Tue, 10 Jan 2012 05:00:00 +0100 5584939 http://www.medworm.com/index.php?rid=5584938&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05922.x Conclusion.  The present study supports the use of an extended psychosocial theory for identifying the determinants of nurses’ intention to integrate research evidence into their clinical decision‐making. Interventions that focus on increasing nurses’ perceptions that using research is their responsibility for ensuring good patient care and providing a supportive environment could promote an evidence‐based nursing practice. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5584938 Tue, 10 Jan 2012 05:00:00 +0100 5584938 http://www.medworm.com/index.php?rid=5584937&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05925.x Conclusion.  Further larger and more rigorously designed clinical trials with proper outcome measures are needed to confirm the findings. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5584937 Tue, 10 Jan 2012 05:00:00 +0100 5584937 http://www.medworm.com/index.php?rid=5584940&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05908.x This article is a report of a protocol for studying the development and evaluation of an online parent information and support package for home‐based care of children with chronic kidney disease stages 3–5. The study is funded by a National Institute of Health Research, Research for Patient Benefit Grant awarded (December 2010). Approval to undetake the study was obtained from the Department of Health National Research Ethics Service (June 2011).Background.  Children with chronic kidney disease require skilled, home‐based care by parents, supported by professionals. Parents have identified a need for continuously available online resources to supplement professional support, and structured resources tailored to parents’ needs are highlighted by policy makers as key to optimizing ... Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5584940 Sun, 08 Jan 2012 05:00:00 +0100 5584940 http://www.medworm.com/index.php?rid=5562218&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05901.x Conclusions.  Paediatric nurse practitioner managed cardiology clinics are a strategic solution for improving patient access and facilitating high quality patient care while earning high levels of patient satisfaction. This healthcare delivery model illustrates the potential for expanded utilization of advanced practice nurses. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5562218 Wed, 04 Jan 2012 05:00:00 +0100 5562218 http://www.medworm.com/index.php?rid=5562217&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05918.x Conclusion.  When low income Latinas of Mexican descent report sleep problems, clinicians should probe for environmental sleep factors associated with low income, such as noise, over‐crowding and exposure to trauma and violence, and refer the woman to psychotherapy and counselling rather than merely prescribing a sleep medication. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5562217 Wed, 04 Jan 2012 05:00:00 +0100 5562217 http://www.medworm.com/index.php?rid=5562220&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05916.x This report describes the challenges of developing a systematic review in an area that potentially involves many drugs and considers outcomes other than effectiveness. In particular, searches required the use of non‐specific terms and the iterative development of a complex search strategy. The development of quality assessment criteria is also described. Funding commenced in April 2009.Discussion.  The systematic review described here will capture a broad selection of research about drug manipulations and may also be of interest to those conducting reviews in broad remit subject areas that are not easy to define using accepted terminology. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5562220 Tue, 03 Jan 2012 05:00:00 +0100 5562220 http://www.medworm.com/index.php?rid=5562219&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05919.x Conclusions.  The concept of hope may differ for older adults vs. younger adults in its interaction with suffering. Resources for hope are both internal and external. Finding meaning and positive reappraisal are important strategies to help older adults with chronic illness maintain their hope. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5562219 Tue, 03 Jan 2012 05:00:00 +0100 5562219 http://www.medworm.com/index.php?rid=5562216&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05923.x Conclusion.  Nurses, nurse practitioners and midwives will increasingly be caring for midlife mothers and need to understand the unique issues of older mothers to offer education and health promotion that support healthy transitions to menopause. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5562216 Sun, 01 Jan 2012 05:00:00 +0100 5562216 http://www.medworm.com/index.php?rid=5553407&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05924.x Conclusion.  The initiation of an end‐of‐life care pathway is contingent on the outcome of a complex decision‐making process which is rarely explored and poorly understood. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5553407 Sun, 01 Jan 2012 00:47:03 +0100 5553407 http://www.medworm.com/index.php?rid=5553410&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05900.x Conclusion.  Little evidence exists about physical hospital environments for end of life care of older adults and their families. More research is required in this field. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5553410 Thu, 29 Dec 2011 05:00:00 +0100 5553410 http://www.medworm.com/index.php?rid=5553409&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05917.x Conclusion.  To further demonstrate the relevance of this proposed shared theory in palliative care nursing contexts, empirical studies are recommended. This shared theory has the potential to provide a solid theoretical framework for evaluating nursing training programmes and, eventually, to improve quality of care and quality of life for patients with life‐limiting illness. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5553409 Thu, 29 Dec 2011 05:00:00 +0100 5553409 http://www.medworm.com/index.php?rid=5553408&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05921.x Conclusions.  ‘Knowing the patient’ in the endoscopic outpatient clinic was understood in a very practical sense. Conversation and the use of the eyes and physical touch enabled a situational awareness. It helped tailor nursing to the patient’s needs and allowed the nurse to treat every patient as a unique individual. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5553408 Thu, 29 Dec 2011 05:00:00 +0100 5553408 http://www.medworm.com/index.php?rid=5545760&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05915.x Conclusion.  The study findings provide nurses with an empathic insight into mothers’ feelings and the enduring demands of caring for children with atopic eczema, and help nurses to develop culturally sensitive interventions, reinforce positive coping strategies, increase family function and improve health outcomes. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5545760 Wed, 28 Dec 2011 18:28:24 +0100 5545760 http://www.medworm.com/index.php?rid=5545765&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05907.x This article is a report of a study protocol designed to explore the experience of home peritoneal dialysis from the perspectives of individuals, their families and healthcare professionals in the United Kingdom.Background.  Peritoneal dialysis is an established life‐saving treatment for end‐stage renal disease. This daily treatment is undertaken at home, and nurses play a key role in supporting people with their dialysis and monitoring their condition. Although peritoneal dialysis is known to have an impact on peoples’ quality of life, few studies have explored peoples’ experiences of undertaking this treatment at home, nor investigated their families’ and health professionals’ perspectives.Design.  An ethnographic study is proposed, which will use in‐depth interviews an... Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5545765 Wed, 28 Dec 2011 05:00:00 +0100 5545765 http://www.medworm.com/index.php?rid=5545764&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05909.x Conclusions.  This review provides a deeper understanding of nurses’ decision‐making process on the use of physical restraints. Context‐ and nurse‐related factors can hinder nurses from making an ethical decision on the appropriate use of physical restraints. There is an urgent need to stimulate and educate nurses to arrive at an appropriate decision about the use of physical restraints. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5545764 Wed, 28 Dec 2011 05:00:00 +0100 5545764 http://www.medworm.com/index.php?rid=5545763&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05910.x Conclusion.  Re‐establishing equilibrium and consistency in health visiting identity is a priority. This study’s findings have significance for other nurses and health professionals working in complex systems, affected by role change and challenges to role identity. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5545763 Wed, 28 Dec 2011 05:00:00 +0100 5545763 http://www.medworm.com/index.php?rid=5545762&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05911.x Conclusions.  The value of placing nursing students in critical care areas for more than 1 week during undergraduate clinical placements is affirmed. Whilst most final year students report feeling prepared to work in critical care areas, the next step is to explore the transition of students as new graduates in critical care to identify professional and educational issues that impact on their retention. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5545762 Wed, 28 Dec 2011 05:00:00 +0100 5545762 http://www.medworm.com/index.php?rid=5545761&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05912.x Conclusion.  People with dementia can give assessments of their quality of life. However, discrepancy in ratings, with greater activity limitation affecting proxy ratings but not those made by the person with dementia, indicates the importance of including both self‐report and proxy measures in research and care planning. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5545761 Wed, 28 Dec 2011 05:00:00 +0100 5545761 http://www.medworm.com/index.php?rid=5527252&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05906.x Conclusions.  This study provides new knowledge about telephone interactions between first‐time mothers and midwives around labour onset. This is important in a changing healthcare context in which face‐to‐face interactions are likely to become less routine. Being made to feel welcome to attend the maternity unit might appear counter to the Pathway philosophy, but appeared to reduce women’s anxieties about ‘being allowed in’ or getting to hospital in time, and gave them confidence to remain at home longer. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5527252 Thu, 22 Dec 2011 14:28:57 +0100 5527252 http://www.medworm.com/index.php?rid=5506939&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05914.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5506939 Fri, 16 Dec 2011 14:46:01 +0100 5506939 http://www.medworm.com/index.php?rid=5506938&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05913.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5506938 Fri, 16 Dec 2011 14:45:22 +0100 5506938 http://www.medworm.com/index.php?rid=5506937&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05879.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5506937 Fri, 16 Dec 2011 14:45:20 +0100 5506937 http://www.medworm.com/index.php?rid=5506931&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05898.x Conclusion.  We have developed an assessment tool for appraisal of qualitative research studies. Nurses with a range of formal education and experience in reading research articles are able to appraise, relatively consistently, articles based on different qualitative research designs. We hope that VAKS will be used and further developed. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5506931 Fri, 16 Dec 2011 14:41:18 +0100 5506931 http://www.medworm.com/index.php?rid=5496127&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05905.x Conclusion.  Increased understanding of how dementia is experienced by partners of people from specific ethnic groups with dementia can equip nurses to give culturally appropriate advice and support. The study findings suggest that ethnicity alone cannot account for individual responses to dementia in a partner, and therefore awareness of cultural factors needs to be balanced with sensitivity to the unique life experience and relationships of the individuals. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5496127 Sun, 11 Dec 2011 05:00:00 +0100 5496127 http://www.medworm.com/index.php?rid=5496126&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05902.x Conclusion.  Results suggest enhancing nurses’ capacity to negotiate more effectively the contradictory clinical tasks of fighting disease and preparing patients for the end of life. In this regard, nurses may minimize patients’ distress by providing opportunities for them to share their fears and have them validated. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5496126 Sun, 11 Dec 2011 05:00:00 +0100 5496126 http://www.medworm.com/index.php?rid=5478179&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05888.x Conclusion.  Precede–Proceed provides a robust framework for nursing researchers investigating health promotion in cancer survivors; however, additional theoretical lenses to those embedded in the model can enhance data interpretation. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5478179 Tue, 06 Dec 2011 05:00:00 +0100 5478179 http://www.medworm.com/index.php?rid=5478178&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05890.x Conclusion.  The 6‐week pelvic floor muscle exercise programme was able to decrease the severity of symptoms in pregnant women with stress urinary incontinence. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5478178 Tue, 06 Dec 2011 05:00:00 +0100 5478178 http://www.medworm.com/index.php?rid=5478177&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05893.x Conclusion.  Care closer to home services are an established part of care for children and young people who are ill. They deal with complex and technical care and can prevent or reduce the length of acute hospital admission. Lack of readily available information about caseloads, case mix and costs may hamper their further development. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5478177 Tue, 06 Dec 2011 05:00:00 +0100 5478177 http://www.medworm.com/index.php?rid=5478176&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05897.x Conclusions.  Levels of ethical dilemma frequency were higher than intensity. Nurses tended to be satisfied with their level of quality of care. Increased frequency of ethical dilemmas was associated with some aspects of perceived quality of care.Relevance to clinical practice.  Quality of care is related to ethical dilemmas and moral distress among surgical nurses. Therefore, efforts should be made to decrease the frequency of these feelings to improve the quality of patient care. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5478176 Tue, 06 Dec 2011 05:00:00 +0100 5478176 http://www.medworm.com/index.php?rid=5496125&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05899.x Conclusion.  Hope is placed within the emotional challenges of suffering and struggle inherent in recovery from stroke. The staff work with patients’ hopes but offer realistic hopefulness as a practical strategy for recovery. Further interventions are required for working with feelings of despair or no hope. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5496125 Thu, 01 Dec 2011 05:00:00 +0100 5496125 http://www.medworm.com/index.php?rid=5488686&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05896.x Conclusion.  Our finding that the adverse outcomes are differently and uniquely affected by the three domains of frailty (physical, psychological, social), and life‐course determinants and disease(s), emphasizes the importance of an integral conceptual model of frailty. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5488686 Thu, 01 Dec 2011 05:00:00 +0100 5488686 http://www.medworm.com/index.php?rid=5478175&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05903.x Conclusion.  Important associations were found between profession, attitude, social norms and satisfaction, and the intention to adopt the new smoking cessation intervention. Practice nurses who do not intend to adopt need to be persuaded of the advantages of adopting. Perceived social norms need to be restructured and before presenting the intervention to a general practice current smoking cessation activities should be determined to increase the intervention’s compatibility with these current practices. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5478175 Thu, 01 Dec 2011 05:00:00 +0100 5478175 http://www.medworm.com/index.php?rid=5459771&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05904.x Conclusion.  It is vital for nurses not only to assess patients’ activities of daily living, but also to assess family carers’ knowledge of caregiving and the patient’s existing family support in developing a plan of care that reduces negative impact on family carers. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5459771 Thu, 01 Dec 2011 05:00:00 +0100 5459771 http://www.medworm.com/index.php?rid=5450379&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05892.x Conclusion.  An advance care planning model is feasible for community palliative care services. Quality audit processes are an essential component of the Model with documentation of advance care planning discussion established as an important outcome measure. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5450379 Mon, 28 Nov 2011 14:46:01 +0100 5450379 http://www.medworm.com/index.php?rid=5459772&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05883.x Conclusions.  Changing the current negative perceptions of family presence at resuscitation requires (a) establishing a new national policy, (b) educating healthcare staff to the benefits of the presence of close relatives and (c) training staff to support relatives who want to be present. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5459772 Mon, 28 Nov 2011 05:00:00 +0100 5459772 http://www.medworm.com/index.php?rid=5450382&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05868.x Conclusion.  The six elements may be applied as audit criteria for evaluation of advanced nursing practice in nurse‐led clinics, and the proposed model provides directions for expanding such practice in Hong Kong and beyond. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5450382 Sun, 27 Nov 2011 05:00:00 +0100 5450382 http://www.medworm.com/index.php?rid=5450381&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05889.x Conclusion.  The new nurse retention and patient outcome model increases our understanding of nurse retention. An understanding of the relationship among these variables will guide future research and the development of interventions to create and maintain nursing work environments that contribute to nurse affective agency commitment, nurse retention and quality of patient outcomes. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5450381 Sun, 27 Nov 2011 05:00:00 +0100 5450381 http://www.medworm.com/index.php?rid=5450380&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05895.x Conclusion.  The micro‐level processes of boundary work in healthcare teams have important implications for the development of full scope of practice for acute care nurse practitioners, effective inter‐professional teamwork and the integration of new roles in healthcare systems. Future research needs to be undertaken in different contexts, and with patients and families. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5450380 Sun, 27 Nov 2011 05:00:00 +0100 5450380 http://www.medworm.com/index.php?rid=5443144&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05880.x Conclusion.  Task uncertainty and its relationship with functions and topics of handover should be taken into account during the design of handover procedures. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5443144 Fri, 25 Nov 2011 14:35:39 +0100 5443144 http://www.medworm.com/index.php?rid=5443150&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05874.x Conclusion.  Resistance to care is not confined to aged care settings, and risk management of resistance to care can increase safety in the workplace. Preventive strategies such as increased staff, training and security should be focused on high risk clinical areas; and appropriate support, follow‐up and organizational change instituted in response to these episodes. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5443150 Wed, 23 Nov 2011 05:00:00 +0100 5443150 http://www.medworm.com/index.php?rid=5443149&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05881.x Conclusion.  This concept analysis described current significance, uses, and applications of women‐controlled safe sex in the scientific literature. The authors clarified its limited nature and conclude that additional conceptual refinement in nursing is necessary to influence women’s health. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5443149 Wed, 23 Nov 2011 05:00:00 +0100 5443149 http://www.medworm.com/index.php?rid=5443148&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05885.x Conclusion.  This study provides useful policy guidance for nurse educators worldwide for improving doctoral programmes and faculty’s role in educating students. Further study is recommended that examines contributing factors to quality doctoral education. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5443148 Wed, 23 Nov 2011 05:00:00 +0100 5443148 http://www.medworm.com/index.php?rid=5443147&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05886.x Conclusion.  Fathers’ opportunities for Kangaroo Mother Care helped them to attain their paternal role and to cope with the unexpected situation. The physical environment and conflicting staff statements influenced their opportunity for, and experience of, caring for their preterm infants. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5443147 Wed, 23 Nov 2011 05:00:00 +0100 5443147 http://www.medworm.com/index.php?rid=5443146&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05887.x Conclusion.  Results suggest that the newly translated scale can be used as a self‐report assessment tool in assessing the level of hope in Hong Kong Chinese patients with heart failure. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5443146 Wed, 23 Nov 2011 05:00:00 +0100 5443146 http://www.medworm.com/index.php?rid=5443145&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05891.x Conclusion.  The apprehension‐confidence continuum model provides a framework for nursing assessment of mothers’ needs following their infants’ discharge from a neonatal unit. Factors such as infant health, medical procedures, and family or health professional support may influence the degree of apprehension or confidence. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5443145 Wed, 23 Nov 2011 05:00:00 +0100 5443145 http://www.medworm.com/index.php?rid=5432983&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05894.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5432983 Tue, 22 Nov 2011 14:38:34 +0100 5432983 http://www.medworm.com/index.php?rid=5432982&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05863.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5432982 Tue, 22 Nov 2011 14:38:32 +0100 5432982 http://www.medworm.com/index.php?rid=5432981&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05878.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5432981 Tue, 22 Nov 2011 14:37:44 +0100 5432981 http://www.medworm.com/index.php?rid=5432980&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05882.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5432980 Tue, 22 Nov 2011 14:37:42 +0100 5432980 http://www.medworm.com/index.php?rid=5432979&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05884.x Conclusion.  Fear of death, maintaining self‐dignity and family related concerns are similar to reasons for living found in western studies, but not comparatively better health and concerns for staff. These differences may be due to our sample being veterans’ home residents rather than community‐dwelling elders and residents’ perceived social support from staff. Since most healthcare providers are nurses and nurses’ aides, they may consider promoting/maintaining older people’s health, promoting their self‐dignity, and strengthening relationships with family members and staff to strengthen protective factors against suicide in older Chinese/Asians. Given the aging population worldwide, nurses should become aware of protective factors related to suicide among older people to ... Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5432979 Tue, 22 Nov 2011 14:33:50 +0100 5432979 http://www.medworm.com/index.php?rid=5410811&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05760.x Conclusion.  Continuous low‐pressure suction of 50 mmHg is not more effective than the higher aspiration pressure system to diminish the blood loss in total knee arthroplasty. The results do not support any change in current nursing practice relating to the use of this drain system. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5410811 Mon, 14 Nov 2011 05:00:00 +0100 5410811 http://www.medworm.com/index.php?rid=5410810&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05869.x Conclusion.  No clear fit with any existing theoretical framework was identified. However, nurses in the highest grade banding, in particular, demonstrated practices associated with transformational leadership. Nurses expressed the very clear need to be acknowledged, respected and valued, and that those who provided this support were regarded as good leaders. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5410810 Mon, 14 Nov 2011 05:00:00 +0100 5410810 http://www.medworm.com/index.php?rid=5410809&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05871.x Conclusion.  The findings suggest that hospital administrators should foster group trust and initiate a common vision among Registered Nurses. In addition, administrators and chief knowledge officers of hospitals should encourage positive intentions towards knowledge sharing. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5410809 Mon, 14 Nov 2011 05:00:00 +0100 5410809 http://www.medworm.com/index.php?rid=5410808&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05873.x Conclusion.  The study provided insights into how women utilize an experiential reasoning process to manage the health and lifestyle risks associated with taking menopausal hormone therapy. Nurses need to be aware of how this process influences women’s reasoning processes when working with women following surgical menopause. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5410808 Mon, 14 Nov 2011 05:00:00 +0100 5410808 http://www.medworm.com/index.php?rid=5410807&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05875.x Conclusions.  Neuman Systems Model may provide guidance for educators to strengthen student nurses’ management of stressors in the workplace. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5410807 Mon, 14 Nov 2011 05:00:00 +0100 5410807 http://www.medworm.com/index.php?rid=5390256&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05866.x Discussion.  The concepts of discourse analysis and power relations are explored and discussed in a clear manner so that nurses can easily apply this framework to their practice as they observe, question, analyse, critique and assess the care experienced by clients who are obese. The concepts of personal and social beliefs, values and stereotypes are also discussed and examples of how to apply them in practice are provided.Implications.  It is imperative that we continue to question our everyday nursing practices as we work to support clients, especially those who feel marginalized. This focus on power relations and reflective practice can give direction to new possibilities for change in obesity management. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390256 Wed, 09 Nov 2011 05:00:00 +0100 5390256 http://www.medworm.com/index.php?rid=5390255&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05867.x Conclusions.  There is still a great deal of progress to be made until non‐medical roles in emergency care can truly be encompassed under the umbrella of interprofessional working and that a more robust critical mass of evidence is required to substantiate the theory that interprofessional working within teams contributes to effective, cost‐effective care and better patient outcomes.Relevance to clinical practice.  It is essential to understand the underlying motivation, policy context and key drivers for the development of new nursing and non‐medical roles. This allows services to be established successfully, by understanding and addressing the key predicable barriers to implementation and change. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390255 Wed, 09 Nov 2011 05:00:00 +0100 5390255 http://www.medworm.com/index.php?rid=5390254&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05870.x Conclusion.  New Zealand and Australia lag behind the United Kingdom in practice nurse development. Implementation of clinical governance was fundamental to the development of nurse‐led care in the UK. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390254 Wed, 09 Nov 2011 05:00:00 +0100 5390254 http://www.medworm.com/index.php?rid=5390253&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05872.x Conclusion.  Nursing identities recoverable from the texts of YouTube images propagate both favourable and derogatory nursing stereotypes. To mitigate the effects of unfavourable nursing stereotypes in such areas as interprofessional working and clinical decision‐making, nursing professional bodies need to act to protect the profession from unduly immoderate representations of the nurse and to support nurses in their efforts to maximize opportunities afforded by YouTube to promote a counter discourse. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390253 Wed, 09 Nov 2011 05:00:00 +0100 5390253 http://www.medworm.com/index.php?rid=5390262&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05810.x Conclusion.  These results are consistent with the ultimate goal of Cognitive Behavioural Therapy approaches, which is to help patients with chronic pain to cope more effectively and to improve their health‐related quality of life and functioning. To maintain treatment improvements and advance nursing, there is a clear need for research that tests the efficacy of follow‐up interventions that are designed to prevent drop out and relapse. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390262 Thu, 03 Nov 2011 04:00:00 +0100 5390262 http://www.medworm.com/index.php?rid=5390261&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05847.x Conclusion.  Therapeutic emplotment may be used by a broader range of health professionals, including nurses, for clinical and research purposes. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390261 Thu, 03 Nov 2011 04:00:00 +0100 5390261 http://www.medworm.com/index.php?rid=5390260&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05853.x Conclusion.  Psychological resistance to insulin therapy can result from a range of personal viewpoints involving cognitive appraisal and/or emotional reactions. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390260 Thu, 03 Nov 2011 04:00:00 +0100 5390260 http://www.medworm.com/index.php?rid=5390259&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05861.x Conclusions.  Results do not support a benefit of ‘M’ technique® massage with or without mandarin oil in these young postoperative patients. Several reasons may account for this: massage given too soon after general anaesthesia, young patients’ fear of strangers touching them, patients not used to massage. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390259 Thu, 03 Nov 2011 04:00:00 +0100 5390259 http://www.medworm.com/index.php?rid=5390258&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05864.x Conclusion.  Circumstances of understaffing and patients having psycho‐geriatric conditions are associated with high sitter use costs. Improving staffing and providing additional resources to support the care of psycho‐geriatric patients may lower these expenses. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390258 Thu, 03 Nov 2011 04:00:00 +0100 5390258 http://www.medworm.com/index.php?rid=5390257&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05865.x Conclusion.  Neonatal nurses report unexpected difficulties in upholding their professionally defined role through highly complex and ever varied decision‐making processes. Recognition of individual attitudes to the care of extremely preterm infants and the role of the family in the face of difficult decisions should facilitate more open communication between the nurse and the parents and improve the experience of both the nurse and the family during these emotional situations. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390257 Thu, 03 Nov 2011 04:00:00 +0100 5390257 http://www.medworm.com/index.php?rid=5410805&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05877.x Conclusions.  Findings reveal the power of drama as a vibrant and meaningful means of shifting understandings, images and intended actions of healthcare professions which have the potential to affect the lived experiences, relationships and quality of life of persons with dementia. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5410805 Tue, 01 Nov 2011 04:00:00 +0100 5410805 http://www.medworm.com/index.php?rid=5390252&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05876.x Conclusion.  The patient’s spiritual challenge is to re‐conceptualize the self (as one who is known and loved by God) in the context of a particular health challenge. Spiritual care helps them find a new equilibrium in faith. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5390252 Tue, 01 Nov 2011 04:00:00 +0100 5390252 http://www.medworm.com/index.php?rid=5365833&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05851.x Conclusion.  The results are indicative of the professional commitment of nursing staff to support the next generation of nurses. The findings also give a mechanism to communicate outcomes of undergraduate support to nurses in practice, and highlight steps which can be taken to ensure high quality clinical placement continues. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365833 Tue, 01 Nov 2011 04:00:00 +0100 5365833 http://www.medworm.com/index.php?rid=5365832&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05855.x Conclusion.  The participants confirmed suffering from depressive symptoms, but depression was not seen as meaningful on its own. They related their experiences of post‐stroke depression in the acute phase to the losses they experienced. Nurses ought to take into account the depth of the life changes that stroke survivors may experience. There is a need for continued empirical research on how nurses may help and support stroke survivors dealing with depressive symptoms in the acute phase after stroke and how depressive symptoms develop over time. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365832 Tue, 01 Nov 2011 04:00:00 +0100 5365832 http://www.medworm.com/index.php?rid=5365831&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05858.x Conclusion.  This concept analysis clarified the complexities surrounding nurse migration. A nursing‐specific middle‐range theory was proposed to guide the understanding and study of nurse migration. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365831 Tue, 01 Nov 2011 04:00:00 +0100 5365831 http://www.medworm.com/index.php?rid=5365830&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05859.x Conclusion.  When work engagement is conceptually removed from a transactional job demands‐resources model, the relational antecedents of trust and autonomy have greater explanatory power for work engagement in nurses. Untangling the antecedents, attributes and outcomes of work engagement is important to future research efforts. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365830 Tue, 01 Nov 2011 04:00:00 +0100 5365830 http://www.medworm.com/index.php?rid=5365829&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05839.x Conclusion.  This study contributes to our understanding of the impact of malignant fungating wounds and how correct assessment and management is necessary to improve quality of life. Educational intervention research is needed for patients and caregivers in countries where this has not yet been performed. Further research should also identify whether nursing competence has a direct impact on quality of life. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365829 Tue, 01 Nov 2011 04:00:00 +0100 5365829 http://www.medworm.com/index.php?rid=5365828&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05857.x Conclusion.  Results suggest an association between light and activity patterns and that increasing duration of exposure to moderate light levels may be a simple and economical nursing intervention during the early postnatal weeks. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365828 Tue, 01 Nov 2011 04:00:00 +0100 5365828 http://www.medworm.com/index.php?rid=5365838&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05829.x Conclusion.  Fertility nurses can play a key role in the provision of preconceptional care. Patients with a fertility problem can be motivated to address lifestyle issues before embarking on in‐vitro fertilization treatment. The integration of preconceptional care and lifestyle interventions was shown to be feasible in our clinical setting. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365838 Thu, 27 Oct 2011 04:00:00 +0100 5365838 http://www.medworm.com/index.php?rid=5365837&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05850.x Conclusion.  Exploratory factor analysis of the modified tool supports validity of the five domains of the original tool. Further investigation will identify use of the tool in a broader healthcare environment. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365837 Thu, 27 Oct 2011 04:00:00 +0100 5365837 http://www.medworm.com/index.php?rid=5365836&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05852.x Conclusions.  The findings suggest the need for a more differentiated tailored style – sensitive to varying needs of the generations. Improving supervisor–nurse relationships is also critical, because of their impact upon nurses’ use of intuition, perceptions of empowerment and affective commitment. Poor relationships lead to increased nurse replacement costs. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365836 Thu, 27 Oct 2011 04:00:00 +0100 5365836 http://www.medworm.com/index.php?rid=5365835&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05833.x Conclusions.  Intensive nursing care reduced the seasonal variation of blood pressure in patients on peritoneal dialysis. These data provided an evidence for implementing nurse‐centred interventions in this population. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365835 Thu, 27 Oct 2011 04:00:00 +0100 5365835 http://www.medworm.com/index.php?rid=5365834&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05856.x Conclusion.  Nurses can have an important influence on the health of people globally by reinvesting in social justice. Implications for research, education, practice and policy, such as development of a social justice framework and educational competencies are presented. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5365834 Thu, 27 Oct 2011 04:00:00 +0100 5365834 http://www.medworm.com/index.php?rid=5338368&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05849.x Conclusions.  Having a transient ischaemic attack permanently changes people’s quality of life and their perception of their health, despite the transience of the symptoms. The ability of people to make positive health changes after a transient ischaemic attack to some extent ameliorates the negative effects of being aware of their heightened stroke risk. Their appreciation of their quality of life may also be enhanced. The transience of the symptoms and lack of knowledge of transient ischaemic attacks lead to delays in seeking medical advice. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5338368 Sun, 23 Oct 2011 03:21:22 +0100 5338368 http://www.medworm.com/index.php?rid=5338369&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05844.x Conclusion.  Constant special observation is usually used in combination with other forms of containment, irrespective of when it is initiated. Placing patients considered at risk of suicide under constant special observation on admission may have a protective effect. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5338369 Fri, 21 Oct 2011 04:00:00 +0100 5338369 http://www.medworm.com/index.php?rid=5338370&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05860.x Conclusion.  When cost and resource utilization is taken into consideration, tailored interventions may not be more effective than standard interventions in improving self‐management behaviours in individuals with long‐term conditions. Future research should explore the effect of robust and resource‐optimized tailored interventions on self‐management outcomes for long‐term conditions with high‐quality trials. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5338370 Thu, 20 Oct 2011 04:00:00 +0100 5338370 http://www.medworm.com/index.php?rid=5325584&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05797.x Conclusion.  Nurse specialists give diabetes care that is similar to care provided by physicians in terms of quality of life and economic value. Instigating a nurse specialist as central carer yields opportunities to generate cost savings. Developing interventions which also focus on prevention of complications is recommended when aiming for long‐term organisational cost savings. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5325584 Wed, 19 Oct 2011 00:22:42 +0100 5325584 http://www.medworm.com/index.php?rid=5325589&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05838.x Conclusion.  Implications for practice included: exploring new and effective methods of education based on behavioural theories; involving staff in updating policies and procedures; formal assessment of staff during intravenous preparation and administration. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5325589 Mon, 17 Oct 2011 04:00:00 +0100 5325589 http://www.medworm.com/index.php?rid=5325588&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05841.x Conclusions.  Pain and quality of life are complex matters, and quality of life might not be a sensitive indicator of the effectiveness of pain education. To improve quality of life and reduce the severity of pain in cancer patients, individualized care, recognition of variations in patient experience, and a multi‐disciplinary approach are required. Further research is recommended into patients’ preferences of any educational intervention, and into the quality of existing education programmes and the expertise of the healthcare professionals concerned. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5325588 Mon, 17 Oct 2011 04:00:00 +0100 5325588 http://www.medworm.com/index.php?rid=5325587&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05843.x Conclusion.  This method has the potential to enable nurses to include vulnerable and relatively inaccessible participants in ‘sensitive’ research. In‐depth email interviews may generate rich data through a process participants deem to be of personal value. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5325587 Mon, 17 Oct 2011 04:00:00 +0100 5325587 http://www.medworm.com/index.php?rid=5325586&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05845.x Conclusion.  The findings of this study highlight that while online resources add to education opportunities, the ongoing nursing assessment required to determine online information needs is not always incorporated into nursing practice. Patient misunderstandings of online material were also identified; developing patient competency in evaluating open access health information should now be recognized as an integral aspect of illness management education. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5325586 Mon, 17 Oct 2011 04:00:00 +0100 5325586 http://www.medworm.com/index.php?rid=5325585&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05854.x Conclusion.  The dominant part of the discourse as expressed by the next of kin seems to be a paternalistic ideology. Thus, finding ways to enable the next of kin to participate in the decision‐making process seems to be a major challenge for the healthcare team in the dialysis units. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5325585 Mon, 17 Oct 2011 04:00:00 +0100 5325585 http://www.medworm.com/index.php?rid=5306178&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05862.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5306178 Wed, 12 Oct 2011 14:34:40 +0100 5306178 http://www.medworm.com/index.php?rid=5306177&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05831.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5306177 Wed, 12 Oct 2011 14:34:07 +0100 5306177 http://www.medworm.com/index.php?rid=5306173&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05846.x Conclusions.  The preliminary psychometric properties of the measure showed acceptable results. The measure should be further explored in different cultural settings and for its ability to link between caregiving attributes, as captured by the measure, and hospitalization outcomes in older adults. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5306173 Wed, 12 Oct 2011 14:30:35 +0100 5306173 http://www.medworm.com/index.php?rid=5306175&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05837.x Conclusion.  Clinicians were knowledgeable about neonatal pain, but gaps between knowledge and practice remain. This hiatus could be bridged by providing research evidence for the efficacy of guidelines incorporating validated pain assessment instruments. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5306175 Tue, 11 Oct 2011 04:00:00 +0100 5306175 http://www.medworm.com/index.php?rid=5306174&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05842.x Conclusion.  Our cognitive‐stimulation intervention benefited global cognitive function among older patients undergoing elective hip and/or knee replacement. The benefit persisted at 1 month after discharge. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5306174 Tue, 11 Oct 2011 04:00:00 +0100 5306174 http://www.medworm.com/index.php?rid=5306176&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05848.x Conclusions.  Mental health nurses must be alerted to the fact that holding negative attitudes may adversely affect the therapeutic relationship and ultimately lead to stigmatization and its negative consequences. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5306176 Sun, 09 Oct 2011 04:00:00 +0100 5306176 http://www.medworm.com/index.php?rid=5298322&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05824.x Conclusion.  Music therapy is found to have positive effects on decreasing state anxiety score. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5298322 Sat, 01 Oct 2011 04:00:00 +0100 5298322 http://www.medworm.com/index.php?rid=5262842&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05835.x Conclusions.  The questionnaire was a brief and psychometrically sound instrument to evaluate hypertensive patients’ treatment adherence and to be applied in the research and clinical fields. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5262842 Thu, 29 Sep 2011 15:04:10 +0100 5262842 http://www.medworm.com/index.php?rid=5262843&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05791.x Conclusions.  On the basis of the study, it was hypothesised that a prejudice‐free, individually accepting and supporting intervention must be provided for each family over time to ensure successful weight loss. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5262843 Thu, 29 Sep 2011 04:00:00 +0100 5262843 http://www.medworm.com/index.php?rid=5262845&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05811.x Conclusion.  Further robust research is required to explore nurse consultants’ impact on patient and professional outcomes. The proposed framework for assessing impact could be used to guide future research and assist nurse consultants assess their impact. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5262845 Mon, 26 Sep 2011 04:00:00 +0100 5262845 http://www.medworm.com/index.php?rid=5262844&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05825.x Conclusion.  The proposed intervention can be used to increase nurses’ skills in family centred nursing care. Although designed for use in paediatric critical care, it can, with modifications, be used in other nursing specialty areas. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5262844 Mon, 26 Sep 2011 04:00:00 +0100 5262844 http://www.medworm.com/index.php?rid=5252225&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05832.x Conclusion.  More than half of the Chinese nurses had depressive symptoms. As depressive symptoms may adversely affect quality of life and quality of care, consultation for the nurses with healthy life styles, work stress coping techniques and advice to administrator to improve social aspects of the work environment might be helpful to reduce the depressive symptoms in nurses. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5252225 Mon, 26 Sep 2011 02:25:34 +0100 5252225 http://www.medworm.com/index.php?rid=5252227&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05792.x Conclusion.  The identified differences between universities concerning the students’ perceived support for research utilization and their capability beliefs regarding evidence‐based practice skills have implications for curricula, pedagogical perspectives in nursing education and the potential to implement evidence‐based practice in healthcare settings. Further studies are warranted to investigate students’ individual characteristics and organizational characteristics as determinants of research utilization support and capability beliefs regarding evidence‐based practice skills. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5252227 Fri, 23 Sep 2011 04:00:00 +0100 5252227 http://www.medworm.com/index.php?rid=5252226&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05816.x Conclusion.  Preliminary data suggest that the national survey is reliable and valid. Data have contributed to better understanding the knowledge and skills of cancer clinical trials nurse in Australia and development of a postgraduate course in clinical trials. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5252226 Fri, 23 Sep 2011 04:00:00 +0100 5252226 http://www.medworm.com/index.php?rid=5228296&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05834.x Conclusion.  The research is pioneering in demonstrating a close relation between ward service climate and patient‐centred care. In practice, to improve patient‐centred care managers should invest in facilitating ward service climate, highlighting the importance of service to the organization through appropriate rewards, guidance and administrative practices. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5228296 Mon, 19 Sep 2011 05:54:11 +0100 5228296 http://www.medworm.com/index.php?rid=5212011&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05821.x Conclusion.  Nurse educators and practitioners should embrace theory‐based practice as well as evidence‐based practice. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5212011 Tue, 13 Sep 2011 05:32:59 +0100 5212011 http://www.medworm.com/index.php?rid=5228297&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05827.x Conclusions.  The results of this study indicate that complementary and alternative medicine use in people with type 2 diabetes is influenced by people’s experience, beliefs, attitudes towards complementary and alternative medicine, and their behaviour towards disease management rather than their demographic characteristics. Nurses and healthcare professionals should consider the patient’s background, health history, health beliefs and cultural background when planning specific strategies designed to modify lifestyle. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5228297 Tue, 13 Sep 2011 04:00:00 +0100 5228297 http://www.medworm.com/index.php?rid=5212014&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05823.x Conclusion.  Nurse practitioners and physician assistants have wide ranging but different responsibilities in public hospitals. By performing medical procedures and new tasks or tasks for which there was not enough capacity, they function as substitutes and supplements for doctors. However, barriers are affecting the extent of substitution. The challenge ahead is to remove the barriers experienced by nurse practitioners and physician assistants. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5212014 Thu, 08 Sep 2011 04:00:00 +0100 5212014 http://www.medworm.com/index.php?rid=5212013&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05828.x Conclusion.  The challenges for nursing education development in China are echoed and encountered in many parts of the world. The experience in China and the lessons learned would be relevant to developing countries. Nursing in China must continue to develop in parallel to international trends. Promoting communication and maintaining international links are important for the global development of nursing practice. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5212013 Thu, 08 Sep 2011 04:00:00 +0100 5212013 http://www.medworm.com/index.php?rid=5212012&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05830.x Conclusion.  If health professionals focus on age and its concomitant effects, rather than a woman’s long‐term condition, they are at risk of delivering inappropriate care. They need to be prepared to advocate for the special needs of older women who live with a long‐term condition and remain cognizant of the women’s resourcefulness and expertise developed over time. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5212012 Thu, 08 Sep 2011 04:00:00 +0100 5212012 http://www.medworm.com/index.php?rid=5198081&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05836.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5198081 Wed, 07 Sep 2011 23:16:16 +0100 5198081 http://www.medworm.com/index.php?rid=5198080&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05818.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5198080 Wed, 07 Sep 2011 23:16:05 +0100 5198080 http://www.medworm.com/index.php?rid=5198078&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05822.x Conclusion.  Nurses can care for ethnic minorities by using resources that target health literacy deficits and by increasing their own cultural competence. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5198078 Wed, 07 Sep 2011 23:14:40 +0100 5198078 http://www.medworm.com/index.php?rid=5198079&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05820.x Conclusion.  Recovery takes time and energy, particularly when the individual is at home and in relative isolation from health professionals. Opportunities exist for nurses to provide information and support to facilitate the individual in their progress towards achieving a sense of wellness. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5198079 Sun, 04 Sep 2011 23:00:00 +0100 5198079 http://www.medworm.com/index.php?rid=5164541&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05819.x Conclusion.  Clinicians need to support, adapt or develop a philosophy of cancer care that is inclusive of partnerships, drawing on beliefs of patients and caregivers that controlling lung cancer is a team effort which in turn is tentatively linked to patient smoking cessation, positive emotions and caregiver helping. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5164541 Sat, 27 Aug 2011 18:51:06 +0100 5164541 http://www.medworm.com/index.php?rid=5164543&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05808.x Conclusion.  The theory and practice issue is best addressed as a triadic paradigm in a community of practice with the collaboration among academics, practitioners and students. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5164543 Wed, 24 Aug 2011 23:00:00 +0100 5164543 http://www.medworm.com/index.php?rid=5164542&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05812.x Conclusion.  Higher nurse staffing levels on postoperative general nursing cardiac surgery units protected patients from unplanned readmission to intensive care units or operating theatre and in‐hospital mortality. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5164542 Wed, 24 Aug 2011 23:00:00 +0100 5164542 http://www.medworm.com/index.php?rid=5148059&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05815.x Conclusion.  The results of this study demonstrate that a one‐time breast health class provided by trained breast cancer survivors can be useful in motivating young women to adopt behaviours that help to prevent breast cancer morbidity and mortality. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5148059 Wed, 24 Aug 2011 17:04:07 +0100 5148059 http://www.medworm.com/index.php?rid=5148063&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05793.x Conclusion.  Not only is empathy a safe and permissible emotion, it is the linchpin to a caring patient–nurse relationship and we must embrace this. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5148063 Wed, 17 Aug 2011 23:00:00 +0100 5148063 http://www.medworm.com/index.php?rid=5148062&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05813.x Conclusion.  Inconsistent or ambiguous documentation was problematic in this sample. This may reflect confounding behaviours and concomitant safety priorities. Developing a lexicon of pain assessment descriptors of critically ill patients unable to self‐report for use in combination with valid and reliable measures may improve documentation facilitating appropriate analgesic management. Protocols or unit guidelines that prioritize a trial of analgesia before administration of sedatives may decrease decisional uncertainty when patients exhibit ambiguous behaviours such as agitation or restlessness. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5148062 Wed, 17 Aug 2011 23:00:00 +0100 5148062 http://www.medworm.com/index.php?rid=5148061&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05814.x Conclusions.  The findings influence the public awareness of depression in older people, and provide the foundational information to influence the policy makers of Taiwan to evaluate the foreign caregiver policy. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5148061 Wed, 17 Aug 2011 23:00:00 +0100 5148061 http://www.medworm.com/index.php?rid=5148060&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05826.x Conclusion.  In Iran, as in some other developing countries intentional abortion, except for some special cases, is illegal because of social and religious beliefs. In these countries, offering services and support to women with unwanted pregnancies seems to be the best solution for reducing or preventing illegal abortion. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5148060 Wed, 17 Aug 2011 23:00:00 +0100 5148060 http://www.medworm.com/index.php?rid=5133881&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05809.x Conclusion.  We have reported that high levels of anxiety and depression in an older population of patients with congenital heart disease are associated with poorer quality of life. This highlights the need to routinely assess anxiety and depression in this patient group and to provide psychological support appropriately. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5133881 Wed, 17 Aug 2011 04:59:51 +0100 5133881 http://www.medworm.com/index.php?rid=5133884&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05733.x Discussion.  Organisational and attitudinal interventions are needed in order to implement evidence‐based clinical practice that improves the quality of patient care. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5133884 Mon, 15 Aug 2011 23:00:00 +0100 5133884 http://www.medworm.com/index.php?rid=5133883&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05753.x Conclusion.  Turnover problems are complex, which means that there is no one solution to decreasing turnover. Multiple points of intervention exist. One specific approach that may improve turnover rates is hospital policies that reduce strains and sprains. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5133883 Mon, 15 Aug 2011 23:00:00 +0100 5133883 http://www.medworm.com/index.php?rid=5133882&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05802.x Conclusion.  Nurse leaders need guidance and knowledge of what is expected of them during a structural change process. They play different roles by directing, guiding, motivating, supporting and communicating without losing their cultural ethos of caring and use various leadership styles to bring about actual change, which, in turn, requires learning so that the thought patterns, values and attitudes of personnel can be changed. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5133882 Mon, 15 Aug 2011 23:00:00 +0100 5133882 http://www.medworm.com/index.php?rid=5121296&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05807.x Conclusions.  Important differences were observed between patient–nurse perceptions in the participating countries. The results form a foundation for future research into the development of a common international perspective about caring behaviours between patients and their nurses. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121296 Fri, 12 Aug 2011 22:43:05 +0100 5121296 http://www.medworm.com/index.php?rid=5111735&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05817.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5111735 Wed, 10 Aug 2011 23:28:47 +0100 5111735 http://www.medworm.com/index.php?rid=5111734&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05806.x (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5111734 Wed, 10 Aug 2011 23:28:36 +0100 5111734 http://www.medworm.com/index.php?rid=5121302&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05775.x Conclusion.  The cultures and traditions of African countries vary widely; this study provides a snapshot of the views of a Sudanese African community about death and dying in Australia. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121302 Wed, 10 Aug 2011 23:00:00 +0100 5121302 http://www.medworm.com/index.php?rid=5121301&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05757.x Conclusion.  The participants in this study described emotional distress when recovering from meningioma surgery. It is essential for nurses to be aware of the various meanings people ascribe to events that disrupt their lives and the transition process in connection with meningioma treatment. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121301 Wed, 10 Aug 2011 23:00:00 +0100 5121301 http://www.medworm.com/index.php?rid=5121300&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05767.x Conclusions.  Providing training workshops for community leaders is a useful strategy for increasing their capabilities and confidence in planning health programmes. Nurses have a responsibility to advocate and provide training programmes for community leaders. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121300 Wed, 10 Aug 2011 23:00:00 +0100 5121300 http://www.medworm.com/index.php?rid=5121299&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05798.x Conclusion.  The possibility that walk‐in centres create demand highlights the need for clearer evidence of the drivers of demand for health care in walk‐in centres. Innovations in healthcare provision need to be matched with adaptation to nursing education to ensure an adequately prepared nursing workforce. Improvement in access to primary healthcare needs to be measured in terms of equity and the capacity this access has to fill identified gaps in primary healthcare provision in the community. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121299 Wed, 10 Aug 2011 23:00:00 +0100 5121299 http://www.medworm.com/index.php?rid=5121298&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05799.x Conclusion.  The findings increase understanding about the adjustments which women undergoing cardiac surgery make as part of living with a long‐term condition and support the need to develop innovative gender‐sensitive health education and services. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121298 Wed, 10 Aug 2011 23:00:00 +0100 5121298 http://www.medworm.com/index.php?rid=5121297&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05803.x Discussion.  The results of the review can put the timing of dressing removal for wounds which are healing by primary intention into perspective. Because of the widespread use of surgical dressings, clinical practice could be changed in various settings. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121297 Wed, 10 Aug 2011 23:00:00 +0100 5121297 http://www.medworm.com/index.php?rid=5121305&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05696.x Conclusion.  The results indicate that internal marketing has an impact on both organizational commitment and service quality. Internal marketing should be emphasized to influence frontline nursing staff, thereby helping to create better organizational commitment and service quality. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121305 Tue, 09 Aug 2011 23:00:00 +0100 5121305 http://www.medworm.com/index.php?rid=5121304&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05722.x Conclusions.  Time is perceived by nurses as both an enemy and friend for improving communication. Nurses who perceive that communication takes too long may avoid communication and miss opportunities to improve communication through increased familiarity with the person’s communication methods. Those who take time to communicate narrate applying a range of strategies to achieve success in basic needs communication. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121304 Tue, 09 Aug 2011 23:00:00 +0100 5121304 http://www.medworm.com/index.php?rid=5121303&cid=s_32347_27_f&fid=32347&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2648.2011.05800.x Conclusions.  In the absence of other avenues to treatment and based on health profile and diagnostic category, older people’s attendance at the emergency department was appropriate. The hospital emergency department remains a major arm of the Irish health service in dealing with the morbidity associated with enduring illness. (Source: Journal of Advanced Nursing) Journal of Advanced Nursing journals http://www.medworm.com/rss/comments.php?id=5121303 Tue, 09 Aug 2011 23:00:00 +0100 5121303