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 Clinical Nursing' source. Wed, 08 Feb 2012 21:54:42 +0100 http://www.medworm.com/index.php?rid=5660975&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03971.x Conclusions.  Physical restraint is still prevalent in Japanese long‐term care hospitals, and nurses need to develop effective intervention approach to redesigning practice related to physical restraints. Specialised intervention approach seems needed depending on the types of restraint.Relevance to clinical practice.  Specific approach should be developed to minimise the physical restraint in long‐term care hospitals in Japan. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5660975 Fri, 03 Feb 2012 05:00:00 +0100 5660975 http://www.medworm.com/index.php?rid=5660974&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03973.x Conclusions.  Preoperative preparation was more efficient on parent than child. Although the preoperative preparation had limited effect on child anxiety, it permitted to decrease pain experience in the postoperative period.Relevance to clinical practice.  Parents should be actively involved in their child preoperative preparation. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5660974 Wed, 01 Feb 2012 05:00:00 +0100 5660974 http://www.medworm.com/index.php?rid=5650369&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03960.x Conclusions.  The findings demonstrated the necessity of providing continuous education and support for family caregivers of persons with Alzheimer’s disease.Relevance to clinical practice.  Nurses are among front‐line professionals who are in a position to support and provide information for family caregivers of persons with Alzheimer’s disease. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5650369 Wed, 01 Feb 2012 05:00:00 +0100 5650369 http://www.medworm.com/index.php?rid=5650371&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03939.x Conclusion.  Many health professionals lack the skill or knowledge to meet the needs of lesbian, gay and transgender families. Health services are required to ensure that all policies and procedures are inclusive of all family constellations and that staff receive relevant and up‐to‐date sensitivity training and create an environment that is respectful of all family groups.Relevance to clinical practice.  Adopting a philosophy of family centred care can enable health providers and health professionals to provide lesbian, gay and transgender families with inclusive non‐discriminatory care. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5650371 Tue, 31 Jan 2012 05:00:00 +0100 5650371 http://www.medworm.com/index.php?rid=5650370&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03944.x Conclusion.  In failing to actively engage with caregivers, our current approaches to supporting persons with advanced chronic obstructive pulmonary disease may compound the care and illness burden experienced by family caregivers.Relevance to practice.  This study illustrates the potential for nursing to increase or lessen the caregiver burden through understanding the illness experience as one that is shared by both caregiver and care recipient. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5650370 Tue, 31 Jan 2012 05:00:00 +0100 5650370 http://www.medworm.com/index.php?rid=5639581&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03986.x Conclusion.  Teletriage callers were confident in the advice provided and were willing to continue to use the service.Relevance to clinical practice.  This study indicates that teletriage programmes are a cost‐effective way of addressing self‐care needs of individuals who might otherwise visit an emergency department. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5639581 Mon, 30 Jan 2012 03:39:58 +0100 5639581 http://www.medworm.com/index.php?rid=5639582&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03969.x Conclusion.  A nurse can play a critical role in the examination, preventive services and referrals for dental care for older individuals with intellectual and developmental disabilities.Relevance to clinical practice.  The specific oral health needs of older individuals with intellectual and developmental disabilities should be an integral component of the preventive and general health care provided by nurses. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5639582 Fri, 27 Jan 2012 05:00:00 +0100 5639582 http://www.medworm.com/index.php?rid=5621418&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03934.x Conclusions.  By providing a formalised mechanism for detecting depression, documented screening and referral rates improved for those with comorbid depression and heart disease affording an opportunity for early intervention. These findings support a move towards integrated approaches to screening of depression to become standard practice in the acute cardiac setting.Relevance to clinical practice.  Such mechanisms also have the potential to initiate the development of new models of care that acknowledge the complexity of comorbid depression and heart disease and provide pathways from speciality to primary care which integrate the physical and psychosocial domains inclusive of screening, referral, systematic monitoring and streamlined behavioural and physical care. (Source: Journal of... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5621418 Tue, 24 Jan 2012 02:19:40 +0100 5621418 http://www.medworm.com/index.php?rid=5611340&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03932.x Conclusions.  Depression symptoms contribute to emotional and social loneliness. Independent of sense of coherence, depression symptoms are associated with emotional loneliness, sense of coherence influence emotional and social loneliness.Relevance to clinical practice.  Clinical nurses should observe residents closely for signs of depression and loneliness and support their sense of coherence to reduce emotional and social loneliness. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5611340 Sat, 21 Jan 2012 02:06:45 +0100 5611340 http://www.medworm.com/index.php?rid=5584943&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03949.x Conclusion.  The electronic patient record did not provide accurate data on peripheral venous catheters in paediatric care neither before nor after the intervention.Relevance to clinical practice.  Further efforts to increase the documentation of catheter‐related complications are needed. Integrated decision support systems in electronic patient records that remind nurses to inspect peripheral venous catheters regularly could be one solution. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5584943 Sat, 14 Jan 2012 11:33:23 +0100 5584943 http://www.medworm.com/index.php?rid=5584944&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03937.x Conclusion.  We have identified barriers and opportunities to improve the efficiency of nursing vital signs documentation. Changes in technology, workflows and environmental design allow for significant improvements and deserve further exploration.Relevance to clinical practice.  Attention to clinical practice and environments can improve the workflow of prompt vital signs documentation and increase clinical productivity and timeliness of information for clinical decisions, as well as minimising transcription errors leading to safer patient care. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5584944 Sat, 14 Jan 2012 05:00:00 +0100 5584944 http://www.medworm.com/index.php?rid=5584947&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03933.x This study employed a cross‐sectional design. A convenience sample of 172 on‐the‐job nursing students in a college of technology in Taiwan was recruited.Methods.  Based on previous literature, the Nurse Cultural Competence Scale comprising 41 items was developed to measure the concept of cultural awareness, cultural knowledge, cultural sensitivity and cultural skill. Mokken scaling analysis was conducted to investigate the unidimensionality and hierarchical nature of the scale.Results.  From the 41 items entered into the Mokken scaling procedure, 20 form a strong Mokken scale. The 20 items form a reliable and statistically significant scale which is negatively skewed. The ordering of the items from lowest to highest difficulty shows a hierarchy.Relevance to clinical practice.  ... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5584947 Fri, 13 Jan 2012 05:00:00 +0100 5584947 http://www.medworm.com/index.php?rid=5584946&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03935.x Conclusion.  When comparing nurses in three competence groups, it was established that the groups with extensive experience and specialist education reasoned differently than the other groups. Between the novice and experienced groups, no obvious differences were found. Thus, the importance of experience alone for the development of competence is still an open question. Experience combined with further education appears important for developing professional competence in paediatric care.Relevance to clinical practice.  Nurses’ reasoning in clinical paediatric care is related to experience and training. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5584946 Fri, 13 Jan 2012 05:00:00 +0100 5584946 http://www.medworm.com/index.php?rid=5584945&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03951.x Conclusion.  Intervention using short message services of cellular phones and nurse‐led‐telephone follow‐up improved HbA1c levels and adherence to diabetes therapeutic regimen for three months in type 2 diabetic patients.Relevance to clinical practice.  Both of follow‐up intervention uses in this study can decrease HbA1c levels and escalate adherence to diabetes control recommendations in people with type 2 diabetes for three months. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5584945 Fri, 13 Jan 2012 05:00:00 +0100 5584945 http://www.medworm.com/index.php?rid=5584948&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03880.x Conclusion.  Black and minority ethnic residents form a small but growing minority of nursing home residents. Predicted increases in this resident group mean that managers must consider the delivery of culturally sensitive services. Future research is needed to explore the perspectives of black and minority ethnic residents.Relevance to clinical practice.  Nursing homes in England are increasingly diverse communities, and staff training needs must be addressed to promote quality care for all residents. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5584948 Mon, 09 Jan 2012 05:00:00 +0100 5584948 http://www.medworm.com/index.php?rid=5562229&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.04038.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5562229 Fri, 06 Jan 2012 02:13:09 +0100 5562229 http://www.medworm.com/index.php?rid=5562228&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03978.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5562228 Fri, 06 Jan 2012 02:13:07 +0100 5562228 http://www.medworm.com/index.php?rid=5562227&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03902.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5562227 Fri, 06 Jan 2012 02:13:06 +0100 5562227 http://www.medworm.com/index.php?rid=5562226&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03808.x Conclusions.  The screening of risk for suicide was useful in alerting the general nurses to high‐risk patients and the nurse’ screening collected more in‐depth data than patients’ self‐rating. It is suggested that this suicide risk‐screening training should incorporate into continuing education in general hospital and the use of Screening of Risk for Suicide incorporating into new patient nursing assessment.Relevance to clinical practice.  The two‐hour suicide risk‐screening training could renew the general nurse skill of risk screening for the hospitalised patients. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5562226 Fri, 06 Jan 2012 02:12:35 +0100 5562226 http://www.medworm.com/index.php?rid=5562225&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2010.03679.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5562225 Fri, 06 Jan 2012 02:12:14 +0100 5562225 http://www.medworm.com/index.php?rid=5562224&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03926.x Conclusions.  Our research showed that the use of One Touch UltraSmart in the context of an educational intervention raised the awareness of the diabetic children and thus helped them to effectively control their disease and to fully understand the necessity of having good dietary and exercise habits.Relevance to clinical practice.  It can be concluded that the educational intervention led to a significant improvement in the dietary habits of these patients and also helped them to exercise regularly, all of which has a positive impact on their health. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5562224 Fri, 06 Jan 2012 02:09:38 +0100 5562224 http://www.medworm.com/index.php?rid=5545766&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03920.x Conclusion.  History offers numerous examples of the sudden appearance of a serious disease that has impacted on man kind’s survival. While difficult to conceive, a zombie epidemic is theoretically possible and nurses have a responsibility to be as prepared as possible to support and care for victims.Relevance to clinical practice.  Nurses are likely to be the front line staff faced with initiating most primary and secondary care interventions, including isolation and infection control, wound care, pain relief, documentation observations, support for activities of daily living, nutrition and fluid support, medication administration and other interventions. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5545766 Wed, 28 Dec 2011 18:33:10 +0100 5545766 http://www.medworm.com/index.php?rid=5527253&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03929.x Discussion.  Instead of expecting the patients to know the unwritten rules of the emergency department, the first providers could give clear information about expected waiting times and what to expect in the encounter. The challenge is to make a meaningful comprehensible context for all involved which can be generated in the interpersonal encounter.Relevance to clinical practice.  The findings highlight the importance of disclosing the rules of the game by means of giving clear information which would give possibilities for the patient to maintain control, for strengthening the nurse’s role as the patients’ advocate and for strengthening the effort for an emergency department to become more of a learning organisation. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5527253 Thu, 22 Dec 2011 14:33:50 +0100 5527253 http://www.medworm.com/index.php?rid=5516420&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03931.x Conclusions.  Hospital patients with previous falls were more often restrained, but in the nursing homes, the restrained residents experienced less falls. The number of qualified nursing staff had no significant influence on the use of physical restraints.Relevance to clinical practice.  Lower nurse staffing ratios were not related to higher frequencies of restraint use in this study. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5516420 Mon, 19 Dec 2011 14:29:29 +0100 5516420 http://www.medworm.com/index.php?rid=5516426&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03913.x Conclusions.  This paper highlights the ways undergoing emergency hysterectomy following childbirth can impact on the experience of early mothering in the postnatal period.Relevance to clinical practice.  Greater recognition and attention to the specific needs of women who have an emergency hysterectomy following childbirth is required. Providing women with an opportunity to talk, debrief and ask questions related to their birthing experiences, will help women to reconcile their feelings. Giving women the opportunity to have their infants with them in intensive care unit, together with ongoing emotional support and anticipatory guidance, may also be useful approaches in assisting women during this difficult and traumatic time. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5516426 Sat, 17 Dec 2011 05:00:00 +0100 5516426 http://www.medworm.com/index.php?rid=5516425&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03922.x Conclusion.  It can be concluded that in recruiting internationally recruited neonatal nurses to work in the NHS, there is a need to support them, encourage them to become familiar with family centred care and they should be treated as qualified nurses. Therefore, there is a need to consider these findings in any recruitment process involving neonatal nurses.Relevance to clinical practice.  Internationally recruited neonatal nurses play an important role in caring for neonates in the NHS in the UK however meeting their needs have not always been addressed in the health care setting. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5516425 Sat, 17 Dec 2011 05:00:00 +0100 5516425 http://www.medworm.com/index.php?rid=5516424&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03925.x Conclusions.  The findings indicate that Chinese nurses understand the essence of clinical decision‐making, but they have low autonomy in such decisions in their daily practice. More importantly, the results also reveal the importance of social and cultural factors in nurses’ perceptions of this topic.Relevance to clinical practice.  A better understanding of the perceptions and concepts of clinical decision‐making among nurses in mainland China and other countries as well, can help in establishing nurses’ roles and responsibilities in participating in making effective decisions for patient care. The findings can also inform us of potential strategies which may be adopted to develop the knowledge and skills of Chinese baccalaureate‐prepared nursing students and graduates in m... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5516424 Sat, 17 Dec 2011 05:00:00 +0100 5516424 http://www.medworm.com/index.php?rid=5516423&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03928.x Conclusion.  Study findings suggest that healthcare providers should have a better understanding of patients’ complications after treatment and this can ultimately raise the quality of life for prostate cancer patients.Relevance to clinical practice.  The impact of quality of life among post prostate cancer treatment is common. Urological nurses should therefore take the responsibility regarding the consequence of urinary incontinence and sexual function and seeking appropriate nursing interventions for these complications. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5516423 Sat, 17 Dec 2011 05:00:00 +0100 5516423 http://www.medworm.com/index.php?rid=5516422&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03983.x Conclusions.  Implementing effective interventions to promote physical activities require appreciation of factors impacting on behaviour change. Addressing concepts relating to self‐efficacy in physical activity interventions may promote participation and adherence in the longer term.Relevance to clinical practice.  The increasing burden of chronic disease and the emphasis on self‐management strategies underscore the importance of promoting adherence to recommendations, such as physical activity. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5516422 Sat, 17 Dec 2011 05:00:00 +0100 5516422 http://www.medworm.com/index.php?rid=5516421&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03985.x Conclusion.  Persons with functional gastrointestinal disorders commonly use complementary and alternative medicine methods to alleviate symptoms. Nurses have a unique opportunity to expand their roles in this group of patients.Relevance to clinical practice.  Increased knowledge of complementary and alternative medicine practices would enable a more comprehensive patient assessment and a better plan for meaningful interventions that meet the needs of individual patients. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5516421 Sat, 17 Dec 2011 05:00:00 +0100 5516421 http://www.medworm.com/index.php?rid=5506940&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03930.x Conclusion.  The IDCV is an instrument with evidence regarding reliability and convergent validity also for the population of patients with coronary disease. Further studies to validate its factor structure could offer contributions for understanding the psychometric performance of the IDCV among patients with coronary disease. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5506940 Fri, 16 Dec 2011 14:46:06 +0100 5506940 http://www.medworm.com/index.php?rid=5506943&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03908.x Conclusions.  Problems with sexual function of consumers presents an important practice consideration for nurses working in mental health settings. There is an urgent need for strategies to enhance awareness and confidence among nurses in exploring this topic with consumers.Relevance to clinical practice.  Mental health nurses can adopt a leadership role in recognising the relevance of sexuality in care and treatment for consumers of mental health services. Strategies to assist in developing skill and confidence in this domain are required as a matter of priority. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5506943 Fri, 16 Dec 2011 05:00:00 +0100 5506943 http://www.medworm.com/index.php?rid=5506942&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03921.x Conclusion.  Nurses, ward managers and doctors broadly indicated similar influencing factors, although the importance of these factors differed for the different groups. For nurses, resistance and lack of resources are most important, ward managers mentioned culture and doctors the availability of doctors at the emergency department.Relevance to clinical practice.  Insight into the barriers for implementation and tailoring implementation strategies to these barriers improves the implementation. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5506942 Fri, 16 Dec 2011 05:00:00 +0100 5506942 http://www.medworm.com/index.php?rid=5506941&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03927.x Conclusion.  The informal carers were of great importance in the information management process because the patients relied on them so as to be able to devote their energy to managing their daily life.Relevance to clinical practice.  Patients should be assessed with regard to their information management problems and to the role of their informal carers in this process. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5506941 Fri, 16 Dec 2011 05:00:00 +0100 5506941 http://www.medworm.com/index.php?rid=5506946&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03909.x Conclusion.  Chinese patients with coronary heart disease experienced the disease as a life‐threatening illness related to chest pain. Chinese culture, values and beliefs influenced their adaptation strategies and help‐seeking behaviour. Their misconceptions about coronary heart disease and the information needs for lifestyle changes were evident in this study. This study highlights the need for health education to support coronary heart disease patients in China.Relevance to clinical practice.  The findings provide useful information for Chinese health professionals to develop interventions for Chinese patients with coronary heart disease. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5506946 Thu, 15 Dec 2011 05:00:00 +0100 5506946 http://www.medworm.com/index.php?rid=5506945&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03956.x Conclusions.  Significant associations were found between nurse staffing and adverse patient outcomes in hospital settings. Compared with the Netherlands, in Finland, nurses appear to have higher workloads, there are higher patient‐to‐nurse ratios, and these adverse staffing conditions are associated with higher rates of adverse patient outcomes.Relevance to clinical practice.  The findings provide valuable insights into the potential effects of major changes or reductions in nursing staff on the occurrence of adverse patient outcomes in hospital settings. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5506945 Thu, 15 Dec 2011 05:00:00 +0100 5506945 http://www.medworm.com/index.php?rid=5506944&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03958.x Conclusion.  The special gynaecological garments are effective in reducing the state anxiety associated with gynaecological examination.Relevance to clinical practice.  It should be taken into consideration that women perceived state anxiety during the gynaecological examinations. To allay anxiety associated with gynaecological examination in women, a special garment may be considered. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5506944 Thu, 15 Dec 2011 05:00:00 +0100 5506944 http://www.medworm.com/index.php?rid=5496128&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03924.x Conclusions.  Frontline staff working in Secured Dementia Units were exposed to higher frequencies of various types of aggressive acts mainly initiated by residents. Future research needs to explore modifiable workplace factors associated with aggressive acts in a larger sample across a variety of long‐term care settings.Relevance to clinical practice.  To prevent staff perceived aggressive acts, leaders and managers in dementia care need to acknowledge the complex topic of workplace aggression and encourage an open discussion among frontline staff without assigning blame. Care provider strategies for dealing with aggressive behaviour have to be implemented in policies and clinical practice. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5496128 Tue, 13 Dec 2011 15:05:43 +0100 5496128 http://www.medworm.com/index.php?rid=5496129&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03923.x Conclusions.  Patients with lung cancer and their family members agree in ratings of the perceived reality, but they differ more in ratings of the subjective importance of quality of care. When patients are unable to communicate their preferences, family members’ opinions could be used as proxies concerning concrete aspects of quality of care. Concerning more subjective aspects, family members’ ratings should be interpreted with precaution, as it could diverge from patients’ own opinion.Relevance to clinical practice.  The perceptions of the importance of different aspects of quality of care were less related to health status than were judgments of quality of care received. This might suggest that the care patients received fulfilled neither the patients’ nor family members’ ... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5496129 Mon, 12 Dec 2011 05:00:00 +0100 5496129 http://www.medworm.com/index.php?rid=5488707&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03966.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488707 Sat, 10 Dec 2011 15:25:45 +0100 5488707 http://www.medworm.com/index.php?rid=5488706&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03919.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488706 Sat, 10 Dec 2011 15:25:43 +0100 5488706 http://www.medworm.com/index.php?rid=5488705&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03979.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488705 Sat, 10 Dec 2011 15:25:41 +0100 5488705 http://www.medworm.com/index.php?rid=5488704&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03981.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488704 Sat, 10 Dec 2011 15:25:39 +0100 5488704 http://www.medworm.com/index.php?rid=5488703&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03998.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488703 Sat, 10 Dec 2011 15:25:37 +0100 5488703 http://www.medworm.com/index.php?rid=5488702&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.04010.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488702 Sat, 10 Dec 2011 15:25:36 +0100 5488702 http://www.medworm.com/index.php?rid=5488701&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.04002.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488701 Sat, 10 Dec 2011 15:25:34 +0100 5488701 http://www.medworm.com/index.php?rid=5488700&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03988.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488700 Sat, 10 Dec 2011 15:25:32 +0100 5488700 http://www.medworm.com/index.php?rid=5488699&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.04037.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488699 Sat, 10 Dec 2011 15:24:38 +0100 5488699 http://www.medworm.com/index.php?rid=5488689&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03967.x Conclusions.  Combining education and continuous counselling holds promise in enhancing phosphate binder adherence. Large‐scaled and long‐term field studies are indicated to determine which nurse‐led practices lead to an integral and sustained medication adherence management.Relevance to clinical practice.  Nursing strategies to scale up adherence should at least include educating patients and regularly reinforcing adherence behaviour. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488689 Sat, 10 Dec 2011 15:21:54 +0100 5488689 http://www.medworm.com/index.php?rid=5488698&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03914.x Conclusion.  The questionnaire has adequate psychometric properties. Insufficient knowledge of, behaviour toward and emotional response to patients with multidrug‐resistant bacteria were described, but the registered nurses did estimate their own responsibility for adherence to preventive measures for infection control as being great or very great.Relevance to clinical practice.  There is a considerable need to improve knowledge, behaviour and emotional response regarding infection prevention measures among healthcare workers. The hospital management are responsible for such improvements and the Multidrug‐Resistant Bacteria Attitude Questionnaire is useful in identifying such needs, as it has adequate psychometric properties and is able to discriminate between groups. Evaluation am... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488698 Fri, 09 Dec 2011 05:00:00 +0100 5488698 http://www.medworm.com/index.php?rid=5488697&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03947.x Conclusion.  Findings revealed intimate partner violence as a significant issue for the newly migrated African women who participated in this study.Relevance to clinical practice.  Intimate partner violence is associated with significant adverse physical and psychological health outcomes. It is important that nurses understand the cultural barriers that can impede immigrant women’s ability to seek out and receive appropriate support and intervention and provide opportunities for women to disclose experiences of intimate partner violence. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488697 Fri, 09 Dec 2011 05:00:00 +0100 5488697 http://www.medworm.com/index.php?rid=5488696&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03952.x Conclusions.  The registered nurses say that something momentous occurred during the care process and they showed a strong determination and commitment to being part of the ending of the patient’s life circle, despite the situation often being one of stress.Relevance to clinical practice.  The findings highlight the need for various forms of support for the nurses to meet their need for new and updated knowledge and support in existential matters. This may promote a better quality of care and confirm the nurses in their caring practice. Moreover, there is a need to introduce the hospice philosophy into acute‐care settings in hospitals. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488696 Fri, 09 Dec 2011 05:00:00 +0100 5488696 http://www.medworm.com/index.php?rid=5488695&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03950.x Conclusion.  Professionals from different backgrounds and countries who are engaged in wound management share a common set of priorities for research and education. Most notably, the priorities identified relate to long‐established clinical challenges in wound care and underpin the principles of good patient care practices. The priorities are closely allied to an ageing population and identify many challenges ahead for practitioners engaged in wound management services.Relevance to clinical practice.  The provision of wound care is a major investment of health service resources and remains a clinical challenge today. Research is essential to building evidence‐based practice and fundamental to development of quality in standards of practice; education is central to achieving compete... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488695 Fri, 09 Dec 2011 05:00:00 +0100 5488695 http://www.medworm.com/index.php?rid=5488694&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03957.x Conclusion.  Educating working mothers about breastfeeding reduces their anxiety levels and influences positively their breastfeeding habits.Relevance to clinical practice.  With the support of health‐care staff to increase awareness and knowledge on the value and sufficiency of breast milk, the rate and period of natural feeding increased significantly among working mothers. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488694 Fri, 09 Dec 2011 05:00:00 +0100 5488694 http://www.medworm.com/index.php?rid=5488693&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03963.x Conclusions.  Opportunities for improvement in postoperative pain management in the paediatric population – particularly those with neonatal brachial plexus palsy – exist.Relevance to clinical practice.  Findings from this study demonstrate that healthcare professionals may have (1) insufficient knowledge regarding pain and/or (2) inadequate direction and guidance to appropriately assess and document pain in the paediatric population. Improvements for these individual healthcare professionals and clinical settings are needed to overcome postoperative pain management issues in the future. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488693 Fri, 09 Dec 2011 05:00:00 +0100 5488693 http://www.medworm.com/index.php?rid=5488692&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03975.x Conclusion.  Standardising educational requirements for Public Health Nurses in supporting breastfeeding is an area that requires attention. Ultimately, service delivery in relation to supporting breastfeeding mothers would benefit from being more timely and responsive.Relevance to clinical practice.  Awareness of support resources is necessary for Public Health Nurses to make appropriate referrals for breastfeeding mothers. Furthermore, Directors of Public Health Nursing need to encourage the breastfeeding supportive role of Public Health Nurses and facilitate continuing professional development. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488692 Fri, 09 Dec 2011 05:00:00 +0100 5488692 http://www.medworm.com/index.php?rid=5488691&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03948.x Conclusion.  Stress in nursing can be best reduced through the application of the control cycle approach and risk assessment/risk management techniques. Stress management of nurses may improve their productivity and quality of life.Relevance to clinical practice.  A change in leadership styles from the managerial level and reallocation of personnel may help reduce job stress. It is important for clinical practitioners to understand theoretical research concerning human stress responses, appraisal and coping to apply knowledge in practice when dealing with a client who has experienced a crisis. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488691 Fri, 09 Dec 2011 05:00:00 +0100 5488691 http://www.medworm.com/index.php?rid=5488690&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03915.x Conclusions.  Pressure ulcers during hospitalisation are an independent and significant predictor of a prolonged inpatient stay for elderly patients. This study indicates that besides complications and co‐morbidities social factors, as well as the hospital’s internal processes of patient care, also can play a significant role.Relevance to clinical practice.  To evaluate the distinct role of hospital acquired pressure ulcers further research is needed. The elderly patients in this study were a heterogeneous group. The implementation of clinical and nursing processes for both the ‘fit’ and the ‘sick’ geriatric patients is an important challenge. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5488690 Fri, 09 Dec 2011 05:00:00 +0100 5488690 http://www.medworm.com/index.php?rid=5443151&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03904.x Conclusion.  Patients with silicosis were found relatively moderate respiration‐related quality of life. Shortening dust exposure, decreasing the number of co‐morbidity and controlling the occurrence of pulmonary tuberculosis could improve respiration‐related quality of life.Relevance to clinical practice.  As indicated by the results of this study, the number of co‐morbidity negatively impact the quality of life of patients with silicosis. Clinical physicians and nurses should pay close attention to the co‐morbidity to promote quality of life of patients with silicosis according to the current health situation. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5443151 Fri, 25 Nov 2011 14:40:18 +0100 5443151 http://www.medworm.com/index.php?rid=5443152&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03859.x Conclusions.  Non‐adherence with antihypertensive medication at baseline was predictive of increased systolic blood pressure up to 24 months postbaseline.Relevance to clinical practice.  This study demonstrates the use of an easy‐to‐use questionnaire to identify patients who are non‐adherent. We recommend assessing medication adherence to identify patients who are non‐adherent with their anti‐hypertensive medication and to be especially vigilant with patients who are minority or are considered low income. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5443152 Wed, 23 Nov 2011 05:00:00 +0100 5443152 http://www.medworm.com/index.php?rid=5432984&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03907.x Aim and objective.  To examine the interventions used to improve self‐care of heart failure patients. The specific objectives were to examine the efficacy of interventions to improve heart failure self‐care (self‐maintenance and self‐management behaviours) and patient‐related factors such as knowledge about heart failure, self‐efficacy for heart failure self‐care (confidence) and beliefs regarding heart failure self‐care.Background.  Despite the significant advances in the treatment and management of heart failure, there continues to be poor patient outcomes associated with this clinical syndrome.Design.  An integrative review.Method.  A search of MEDLINE, PsychINFO, Cochrane data base of clinical trials and the cumulative index of nursing and allied health literatu... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5432984 Tue, 22 Nov 2011 14:38:39 +0100 5432984 http://www.medworm.com/index.php?rid=5432986&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03912.x Conclusion.  The Mental Capacity Act has potential for supporting the safeguarding and empowerment role of community nurses. However, not all participants felt confident using it and speculated this would improve with greater familiarity and use, which should be facilitated by refresher training and supervision.Relevance to clinical practice.  The article concludes that nurses providing support to carers and of people with dementia may need greater familiarity about legal provisions. This may assist them in providing general information, making timely referrals to sources of specialist legal advice, and in using the Act to reduce anxiety, conflict and disputes. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5432986 Mon, 21 Nov 2011 05:00:00 +0100 5432986 http://www.medworm.com/index.php?rid=5432985&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03946.x Conclusions.  Abdominal massage was experienced as pleasurable, and after treatment, the participants felt more comfortable with their bowel function. Participants described abdominal massage as affecting the whole person.Relevance to clinical practice.  Abdominal massage has been shown to be an effective intervention for constipation. A crucial aspect is that nurses need to be sensitive and respect the intimacy associated with the abdomen. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5432985 Mon, 21 Nov 2011 05:00:00 +0100 5432985 http://www.medworm.com/index.php?rid=5423876&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03898.x Conclusions.  Inability to take oral liquids and receiving humidified oxygen and anticholinergic drug therapy were significant factors for the development of dry mouth.Relevance to clinical practice.  The results are important for determining the risk factors for dry mouth. Being aware of dry mouth and knowing the associated risk factors are valuable information for nurses to initiate required procedures, as well as to prevent the development of oral health problems. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5423876 Sat, 19 Nov 2011 14:54:32 +0100 5423876 http://www.medworm.com/index.php?rid=5423878&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03726.x Conclusion.  Threaded throughout the stroke patients’ stories of their rehabilitation there is a layering of discourses involving tensions and a longing to overcome their disability. There are twists and detours in their stories that show the complexity of the illness experience. Progress is not straightforward with a quick recovery. Many contexts or variables influence progress such as spatiality, temporality and people.Relevance to clinical practice.  What is offered here is the reality of the rehabilitation process for stroke patients. Through the use of narrative inquiry the contexts of people, spatiality (environment) and temporality (time) are an important part of rehabilitation process. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5423878 Fri, 18 Nov 2011 05:00:00 +0100 5423878 http://www.medworm.com/index.php?rid=5423877&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03916.x Conclusions.  Both music interventions were beneficial, as measured on psycho‐physiological indices. The music intervention with nursing presence provided a more friendly music experience to the listeners.Relevance to clinical practice.  The findings provide evidence for nurses that the therapeutic use of music and nursing presence as a research‐based nursing intervention for the welfare of caregivers. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5423877 Fri, 18 Nov 2011 05:00:00 +0100 5423877 http://www.medworm.com/index.php?rid=5410827&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03955.x Conclusion.  Cold application is effective in reducing the pain owing to chest tube removal.Relevance to clinical practice.  Cold application was recommended prior to chest tube removal to reduce the pain owing to removal of chest tube. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410827 Thu, 17 Nov 2011 05:29:56 +0100 5410827 http://www.medworm.com/index.php?rid=5423882&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03818.x Conclusion.  The results show that a relaxation tape can significantly reduce the level of anxiety and vital signs related to anxiety in surgical patients.Relevance to clinical practice.  The results of this study can provide an empirical basis for nursing treatments. We recommend that relaxation tapes be included in standard of care to alleviate anxiety in surgical patients. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5423882 Thu, 17 Nov 2011 05:00:00 +0100 5423882 http://www.medworm.com/index.php?rid=5423881&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03852.x Conclusion.  The contexts of temporality, spatiality and other people influencing the progress of patients’ recovery are significant in this study. In particular, the findings illustrate the importance of the nurses’ discourse in preparing stroke patients for a state of readiness to heal.Relevance to clinical practice.  The nurses’ role becomes much more significant in health care as demonstrated through these stories. Their part in establishing a holistic approach through motivating, advising, educating, calming and imparting a sense of family enables a strong connection with mind, body and spirit potentiating recovery for stroke patients. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5423881 Thu, 17 Nov 2011 05:00:00 +0100 5423881 http://www.medworm.com/index.php?rid=5423880&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03906.x Conclusions.  The study confirmed that, for relieving pruritus in haemodialysis patients, either chilled or un‐chilled baby oil is as effective as moisturising lotions and cooling soothing agents.Relevance to clinical practice.  Applying baby oil is a simple, safe, inexpensive and easily administered treatment for itchy skin in haemodialysis patients. By preventing or reducing uremic pruritus, baby oil treatment may also improve quality of life in this patient group. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5423880 Thu, 17 Nov 2011 05:00:00 +0100 5423880 http://www.medworm.com/index.php?rid=5423879&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03910.x Conclusions.  The Internet is widely used as a source of information amongst participants of antenatal classes, both male and female. Approximately 95% have used it at some point to find information during pregnancy, but the majority (approximately 90%) had no knowledge of websites run by not‐for‐profit organisations and preferred commercial websites.Relevance to clinical practice.  Instead of disregarding the use of the Internet as a source of information during pregnancy, midwives should keep up to date and give their patients links to high‐quality sites. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5423879 Thu, 17 Nov 2011 05:00:00 +0100 5423879 http://www.medworm.com/index.php?rid=5410837&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03889.x Conclusions.  Physiological factors and depression were found to be significant predicting factors for pressure ulcer development in older stroke patients living in an urban community.Relevance to clinical practice.  To help prevent pressure ulcers in older stroke patients, the findings suggest that healthcare providers assess activity, moisture, nutrition, friction and shearing, as well as psychological assessment for depression. The results indicate that models for pressure ulcer prevention merit further investigation. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410837 Tue, 15 Nov 2011 05:00:00 +0100 5410837 http://www.medworm.com/index.php?rid=5410836&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03891.x Conclusion.  The generic Nursing Handover Minimum Data Set can direct nurses to give a comprehensive account of their patient’s condition and care. The data set needs to be flexible and adaptable to the patient context and setting and complements structured content verbal handover. This minimum data set provides an excellent framework for system development by clinicians, managers and information technologists. Educators can use this tool to teach student nurses, new graduates and experienced staff, about the patient information to be presented at handover.Relevance to clinical practice.  The Nursing Handover Minimum Data Set for electronic nursing handover complements verbal handover and provides a tool to give clinicians access to comprehensive information about all patients within... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410836 Tue, 15 Nov 2011 05:00:00 +0100 5410836 http://www.medworm.com/index.php?rid=5410835&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03894.x Conclusions.  The nurse invented T‐bar device used in the rehabilitation program was effective in helping restore the abduction function of rotator cuff repair patients in our preliminary study.Relevance to clinical practice.  Using a T‐bar in the rehabilitation program to improve range of motion may be considered for patients with shoulder surgery. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410835 Tue, 15 Nov 2011 05:00:00 +0100 5410835 http://www.medworm.com/index.php?rid=5410834&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03895.x Conclusions.  This study identified the psychosocial factors associated with pregnancy‐related lumbopelvic pain intensity (educational level) and interference (pain intensity and catastrophising) and also a variable (age) that moderated the association between pain intensity and pain interference. The findings support a biopsychosocial approach in understanding the experience and impact of pregnancy‐related lumbopelvic pain.Relevance to clinical practice.  Nurses should assess pregnant clients’ age, educational level, pain intensity and pain catastrophising thoughts to help identify women who are more at risk for higher lumbopelvic pain intensity or interference. Women endorsing catastrophising cognitions should be referred to or provided with treatment to reduce the frequency of... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410834 Tue, 15 Nov 2011 05:00:00 +0100 5410834 http://www.medworm.com/index.php?rid=5410833&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03901.x Conclusion.  The main finding regarding the central role of the creation of trust and learning through the patient–staff encounter underlines the importance of understanding empowerment from the patient’s perspective.Relevance to clinical practice.  Nursing and other healthcare staff need knowledge and understanding of the meaning of empowerment from the patients’ perspective to meet their needs in out‐patient care. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410833 Tue, 15 Nov 2011 05:00:00 +0100 5410833 http://www.medworm.com/index.php?rid=5410832&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03905.x Conclusion.  The study results serve to guide the nurse managers to develop information systems based on the nurses’ needs. Previous studies regarded nurses’ level of satisfaction as a part of nurses’ attitude. What is of interest in this study is that nurses’ satisfaction level can be viewed as an individual factor affecting nurses’ attitudes. With a user‐friendly system, nurses tend to be more satisfied and therefore potentially more engaged in its use. This may indirectly improve patient care by saving time on documentation and enhancing communication among departments.Relevance to clinical practice.  The nurse managers should promote an institutional culture to motivate staff towards positive acceptance of innovation. An effective collaboration with the information tech... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410832 Tue, 15 Nov 2011 05:00:00 +0100 5410832 http://www.medworm.com/index.php?rid=5410831&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03876.x Conclusion.  Sleep‐inducing music significantly improved sleep in patients with percutaneous transluminal coronary angiography at a cardiac care unit. Offering earplugs and playing sleep‐inducing music may be a meaningful and easily enacted nursing intervention to improve sleep for intensive care unit patients.Relevance to clinical practice.  Nurses working at cardiac care unit can use music to improve sleeping in clients with percutaneous transluminal coronary angiography. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410831 Tue, 15 Nov 2011 05:00:00 +0100 5410831 http://www.medworm.com/index.php?rid=5410830&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03881.x Conclusions.  Among adolescent girls, a 12‐week intervention designed on the theoretical foundation of self‐efficacy theory and provision of pedometers was found to have an effect on increasing their physical activity. The intervention, using graphs of domestic scenic spots to represent the distance of walking or running as monitored by pedometers, might enhance motivation regarding physical activity.Relevance to clinical practice.  It is important for health professionals, including school health nurses, involved in the care of adolescent health, to design and provide a physical activity intervention combining self‐efficacy theory and provision of pedometer to promote physical activity. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410830 Tue, 15 Nov 2011 05:00:00 +0100 5410830 http://www.medworm.com/index.php?rid=5410829&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03896.x Conclusions.  Among breast cancer survivors, levels of symptoms and uncertainty, associated factors, relationships between them and predictors of uncertainty differed depending on treatment trajectory.Relevance to clinical practice.  To provide trajectory‐sensitive nursing intervention for uncertainty among breast cancer survivors, age, marital status and pain should be considered during treatment, while factors such as economic status, dyspnoea and insomnia should be taken into account after treatment. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410829 Tue, 15 Nov 2011 05:00:00 +0100 5410829 http://www.medworm.com/index.php?rid=5410828&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03911.x Conclusions.  This study highlights the importance of involving parents in their child’s postoperative pain management. It provides evidence for health care professionals to pay attention to factors that may influence parental participation and, therefore, guide their practice.Relevance to clinical practice.  Nurses need to provide parents with support and education to facilitate their roles and improve their child’s postoperative pain management. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410828 Tue, 15 Nov 2011 05:00:00 +0100 5410828 http://www.medworm.com/index.php?rid=5410839&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03869.x Conclusions.  The Brazilian–Portuguese version of the DASS has shown levels of reliability and validity comparable with the original English version.Relevance to clinical practice.  Healthcare practitioners and researchers need internationally validated measurement tools to compare outcomes of interventions in clinical management and research tools in oral anticoagulation therapy. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5410839 Mon, 14 Nov 2011 05:00:00 +0100 5410839 http://www.medworm.com/index.php?rid=5401761&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03980.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5401761 Sun, 13 Nov 2011 14:18:45 +0100 5401761 http://www.medworm.com/index.php?rid=5401760&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03961.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5401760 Sun, 13 Nov 2011 14:18:43 +0100 5401760 http://www.medworm.com/index.php?rid=5401759&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03940.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5401759 Sun, 13 Nov 2011 14:18:41 +0100 5401759 http://www.medworm.com/index.php?rid=5401758&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03984.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5401758 Sun, 13 Nov 2011 14:18:39 +0100 5401758 http://www.medworm.com/index.php?rid=5401757&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03959.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5401757 Sun, 13 Nov 2011 14:18:38 +0100 5401757 http://www.medworm.com/index.php?rid=5401756&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03844.x Conclusions.  The aseptic practice‐related stress varied from positive motivating feelings to exhaustion. The stress was experienced by medical and nursing co‐workers and reduced by means which varied according to expertise and co‐workers.Relevance to clinical practice.  This study showed needs for both the shared multiprofessional documentation of aseptic practice and better adherence to recommendations. Constructive means are useful when solving conflicts and replacing person‐related aseptic practice with evidence‐based. They may support nurses’ professional growth, reduce their stress and increase the surgical patient’s safety. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5401756 Sun, 13 Nov 2011 14:17:56 +0100 5401756 http://www.medworm.com/index.php?rid=5401755&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03917.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5401755 Sun, 13 Nov 2011 14:17:42 +0100 5401755 http://www.medworm.com/index.php?rid=5401754&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03993.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5401754 Sun, 13 Nov 2011 14:17:41 +0100 5401754 http://www.medworm.com/index.php?rid=5390263&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03884.x Conclusions.  There was no association between complementary and alternative medicine use and demographic or disease‐related variables. Complementary and alternative medicine was widely used by patients with cancer, and symptom of fatigue was most strongly associated with complementary and alternative medicine use. Chanting and enzyme therapy were the two most frequently used complementary and alternative medicine modalities that were significantly associated with the 19 distress symptoms.Relevance to clinical practice.  Health care providers should ask their patients about their complementary and alternative medicine use to avoid possible adverse interactions between conventional treatment and complementary and alternative medicine interventions, in particular, those remedies that a... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5390263 Tue, 01 Nov 2011 04:00:00 +0100 5390263 http://www.medworm.com/index.php?rid=5365842&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03823.x The objectives of their use of complementary and alternative medicine were to reduce asthma‐related complaints (58%) and to feel better (37·8%). The proportion of people experiencing adverse effects was 3·3% (n = 4). Factors motivating asthmatic patients to use complementary and alternative medicine were the existence of comorbid diseases and a long period since diagnosis (p < 0·05). No statistically significant difference was found between the use of complementary and alternative medicine and the severity of the disease, pulmonary function test parameters, the number of asthma attacks or hospitalisations because of asthma within the last year (p > 0·05).Relevance to clinical practice.  Understanding by nurses of the causes and patterns of the use of complementary... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5365842 Tue, 01 Nov 2011 04:00:00 +0100 5365842 http://www.medworm.com/index.php?rid=5365841&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03845.x Conclusions.  Health care is more likely to meet the expectations of patients when its purposes, methods and goals are negotiated and made explicit, from the perspectives of both patient and health care professional. Medical herbalism has the potential to contribute usefully to participants’ healthcare, especially when used selectively and in conjunction with conventional health care.Relevance to clinical practice.  The continued popularity of complementary and alternative medicine amongst the general public makes its acknowledgement in conventional health care more important than ever. In the context of the integrative health movement, it is therefore essential that health care professionals develop their understanding about patient practices and preferences, if a responsive health ... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5365841 Tue, 01 Nov 2011 04:00:00 +0100 5365841 http://www.medworm.com/index.php?rid=5365840&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03878.x Conclusions.  Knowledge about pressure ulcer prevention of both nurses and nursing assistants in nursing homes was low. Attitudes were a significant predictor of the application of fully compliant prevention in residents at risk.Relevance to clinical practice.  Pressure ulcer prevention is an important aspect in daily care for residents at risk in nursing homes. These insights will contribute to evidence‐based practice in this area of care and will form the basis for the development of an education strategy for pressure ulcer prevention and management in nursing homes. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5365840 Tue, 01 Nov 2011 04:00:00 +0100 5365840 http://www.medworm.com/index.php?rid=5365839&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03953.x Conclusions.  Patient education increased psychological well‐being in women with coeliac disease. There is a need to refine the methods of patient education to make the effects of well‐being more pronounced over time.Relevance to clinical practice.  Patient education using problem‐based learning promotes self‐management in coeliac disease by improving the well‐being of patients who have been struggling with the gluten‐free diet for years. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5365839 Tue, 01 Nov 2011 04:00:00 +0100 5365839 http://www.medworm.com/index.php?rid=5365843&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03954.x Conclusions.  Listening to music can help older people to reduce their depression level.Relevance to clinical practice.  Music is a non‐invasive, simple and inexpensive therapeutic method of improving life quality in community‐dwelling older people. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5365843 Mon, 31 Oct 2011 04:00:00 +0100 5365843 http://www.medworm.com/index.php?rid=5365845&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03822.x Conclusions.  This is the first study to investigate the benefits and disbenefits of not making contact. Both donor families and organ recipients would respond positively to the coordinator taking the initiative in establishing mutual contact.Relevance to clinical practice.  Transplant coordinators are given convincing backing for taking the initiative in promoting contact between donor families and organ recipients. The coordinator’s intervention, information and guidance are needed to make a success of such contact. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5365845 Fri, 28 Oct 2011 04:00:00 +0100 5365845 http://www.medworm.com/index.php?rid=5365844&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03866.x Conclusions.  Intensive care unit caregivers are in favour of longer visiting hours, increased use of designated rooms for, and nurse participation in, meetings with families. Although caregivers do not associate families with care procedures, they considered that their presence during most interventions should be authorised.Relevance to clinical practice.  Our results could help in implementing intensive care unit policies concerning visiting hours, how families are informed and participate in patient care. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5365844 Fri, 28 Oct 2011 04:00:00 +0100 5365844 http://www.medworm.com/index.php?rid=5365846&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03872.x Conclusion.  Our findings show that acculturation is related to health beliefs, social support and life stress in the trajectory of breast cancer adaptation among Chinese‐American immigrant women. Life stresses derived from immigration bring additional difficulties for immigrant women living with cancer.Relevance to clinical practice.  This study pinpoints that traditional cultural beliefs and immigration stress may influence Chinese‐American women to cope with breast cancer. To promote culturally sensitive cancer care for immigrants, healthcare professionals should be aware of and learn intercultural competence. Ethnic social support or outreach healthcare programme may benefit new immigrant families or the immigrant families, who lack social connection, to cope with cancer. (Sour... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5365846 Thu, 27 Oct 2011 04:00:00 +0100 5365846 http://www.medworm.com/index.php?rid=5349909&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03941.x Conclusions.  Delivery mode did not affect postpartum quality of life in rural China. Socio‐cultural determinants may contribute more in influencing postnatal quality of life.Relevance to clinical practice.  Null findings in impact of delivery mode on postpartum quality of life may cause more difficulties in maternal decision‐making for vaginal delivery in rural China. The importance of postnatal home visit could justify available and quality postnatal care in improving postpartum quality of life. Further research needs to explore the effective prevention programmes, especially attention for parenting boys. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5349909 Thu, 27 Oct 2011 02:16:55 +0100 5349909 http://www.medworm.com/index.php?rid=5349912&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03867.x Conclusions.  Data from the EPR on symptoms (e.g., pain, dyspnoea and nausea) and treatment variables appeared to be reliable and trustworthy, but the data related to fatigue, dry mouth, bloating and sleep interfering with normal functioning should be interpreted carefully.Relevance to clinical practice.  This study contributed to knowledge of agreement between data from nurse interviews and electronic records on symptoms, clinical signs and treatment of dying patients in last three days of life. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5349912 Tue, 25 Oct 2011 04:00:00 +0100 5349912 http://www.medworm.com/index.php?rid=5349911&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03885.x Conclusions.  Older Taiwanese people adopt eating patterns not only for health reasons, but also in keeping with their faith and the need to preserve family harmony. This research supports and contributes to understanding the eating patterns of older adults in Taiwan.Relevance to clinical practice.  Disseminating these findings may increase nurses’ awareness of nutrition issues in older adults. Older Taiwanese adults’ eating patterns centred on family values. Nursing intervention programmes, therefore, should address key family members involved in food preparation. Our findings also suggest that older adults followed old customs in their eating practices. Nurses are suggested to acknowledge and respect these customs as special food needs of older adults. (Source: Journal of Clinica... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5349911 Tue, 25 Oct 2011 04:00:00 +0100 5349911 http://www.medworm.com/index.php?rid=5349910&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03900.x Conclusions.  Patients with liver cirrhosis can experience severe fatigue, which may reduce their level of physical activity.Relevance to clinical practice.  Early evaluation of the fatigue level and physical activity constraints in patients with liver cirrhosis should be conducted in the clinic or community. Individualised instructions for patient’s physical activity should be provided. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5349910 Tue, 25 Oct 2011 04:00:00 +0100 5349910 http://www.medworm.com/index.php?rid=5349913&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03868.x Conclusion.  Self‐rated perceived functional social support is associated with Hospital Anxiety and Depression Scale‐defined depression. In the group of older people who have a lack of social support, women seem to need more emotional support and men tangible support.Relevance to clinical practice.  Health care providers should consider the close association between social support and depression in their continuing care, particularly in the older people. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5349913 Mon, 24 Oct 2011 04:00:00 +0100 5349913 http://www.medworm.com/index.php?rid=5338371&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03899.x Conclusion.  Respiratory function exercise and higher drug‐taken compliance can prolong recrudescence time and reduce recrudescence rate.Relevance to clinical practice.  Clinical nurses who know more risk factors about acute exacerbation of patients with chronic obstructive pulmonary disease can provide effective discharge planning, which will increase patients’ quality of life and decrease mortality. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5338371 Sun, 23 Oct 2011 03:25:32 +0100 5338371 http://www.medworm.com/index.php?rid=5338373&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03860.x Conclusions.  Despite the emotional impact of emergency deaths, nurses who invest their therapeutic self into the nurse–patient relationship are able to manage the emotional labour of caring for the dying and their relatives through the development of emotional intelligence. They find reward in end‐of‐life care that ultimately creates a more positive experience for patients and their relatives.Relevance to clinical practice.  The emergency nurse caring for the dying patient is placed in a unique and privileged position to make a considerable impact on the care of the patient and the experience for their family. This model can build awareness in managing the emotive aspects involved in care delivery and develop fundamental skills of nursing patients near the end of life. (Source: ... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5338373 Fri, 21 Oct 2011 04:00:00 +0100 5338373 http://www.medworm.com/index.php?rid=5338372&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03874.x Conclusion.  This study shows that motivational interviewing places several different demands on nurses who use this method. Those who work with motivational interviewing must make an effort to incorporate this new method to avoid falling back into the former practice of simply giving advice. Maintaining an open mind while implementing motivational interviewing in real healthcare settings is crucial for nurses to increase this method’s effectiveness.Relevance to clinical practice.  The nurses in the study had a positive experience with motivational interviewing, which can contribute to the increased use, adaption and development of motivational interviewing among primary healthcare professionals. Increased motivational interviewing knowledge and skills would also contribute to promot... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5338372 Fri, 21 Oct 2011 04:00:00 +0100 5338372 http://www.medworm.com/index.php?rid=5338377&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03875.x Conclusions.  There were distinct differences in the levels of violence reported within specific specialist services along with variation between these areas according to clinical environment, years of experience and nursing band. The study does not support previous findings whereby unqualified nurses experienced more incidents of violence than qualified nurses. The situation was less clear, complicated by the interrelationship between years of nursing experience, nursing band and clinical environment. The conclusions suggest that the increased emphasis on reducing violent incidents has been fairly successful with staff reporting adequate preparation for responding to specific incidents and being well supported by colleagues, managers and the organisation. The differences between specifi... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5338377 Wed, 19 Oct 2011 04:00:00 +0100 5338377 http://www.medworm.com/index.php?rid=5338376&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03877.x Conclusion.  The Mini Nutritional Assessment is appropriate for screening for under‐ and over‐nutrition in adults with intellectual disabilities. The Mini Nutritional Assessment (especially the version without body mass index) can make routine monitoring of nutritional status of these patients an easier task. However, further studies are needed to develop subtype‐specific versions (tools) as various subtypes of intellectual disability are associated with different nutritional problems.Relevance to clinical practice.  The Mini Nutritional Assessment can serve as a tool for routine screening for under‐ and over‐nutrition in persons with intellectual disabilities. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5338376 Wed, 19 Oct 2011 04:00:00 +0100 5338376 http://www.medworm.com/index.php?rid=5338375&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03882.x Conclusion.  This study revealed that the majority of the women had postpartum sexual problems and the possibility of postpartum sexual problems increased with the increase in age, the presence of sexual problems during pregnancy and the increase in time after delivery.Relevance to clinical practice.  Healthcare professionals should evaluate women in terms of their sexual functions during both pregnancy and postpartum period. Health education, counselling, referral services for early diagnosis and treatment might contribute to the protection and improvement of the sexual health of women during the postpartum period. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5338375 Wed, 19 Oct 2011 04:00:00 +0100 5338375 http://www.medworm.com/index.php?rid=5338374&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03883.x Conclusion.  The scores related to cognitive and emotional and motivational competencies for self‐care presented statistically significant differences between T1 and T2.Relevance to clinical practice.  The educational activities implemented in the educational programme favoured improved cognitive, emotional and motivational competence for the incorporation of positive self‐care actions. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5338374 Wed, 19 Oct 2011 04:00:00 +0100 5338374 http://www.medworm.com/index.php?rid=5325601&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03892.x Conclusions.  It is important to develop strategies to address the existence of prejudicial attitudes among student health professionals and prevent discriminatory practices towards lesbian, gay, bisexual and transgender parents when seeking health care for their children.Relevance to clinical practice.  Educators can develop programs that provide students with knowledge and skills to ensure lesbian, gay, bisexual and transgender families receive effective health care when they access services for their children. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5325601 Wed, 19 Oct 2011 00:27:01 +0100 5325601 http://www.medworm.com/index.php?rid=5325606&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03879.x Conclusion.  Paradoxically, it may be harder for women to negotiate safer sex and ask for condoms to be used, once diagnosed with a viral sexually transmitted infection. Women want clinicians to give advice about the dissonance between ‘rational’ safer sex messages and social expectations of appropriate femininity.Relevance to clinical practice.  Nurses have a key role in engaging with women in considering safer sex practices. Nurses need to be able to demonstrate to women that they understand the complexities of the ‘real‐life’ barriers to acting on sexual health education messages, including an awareness of power in gender relations. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5325606 Tue, 18 Oct 2011 04:00:00 +0100 5325606 http://www.medworm.com/index.php?rid=5325605&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03886.x Conclusions.  Patients were underexposure of pain treatment after thoracotomy operation in the study, while patients’ concerns about reporting pain and using analgesics had minimal impacts on their pain experience.Relevance to clinical practice.  Education approach for patients is inadequate to improve the status of unrelieved postoperative pain. Appropriate pain management regime together with attentive nursing care should be provided to achieve better pain relief for Chinese patients. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5325605 Tue, 18 Oct 2011 04:00:00 +0100 5325605 http://www.medworm.com/index.php?rid=5325603&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03942.x Conclusions.  Patients’ experience of preoperative communication with healthcare professionals showed different needs and feelings for communication. Healthcare professionals need to have adequate knowledge, skills and positive attitudes to help patients through the journey of this critical life event.Relevance to clinical practice.  Patients’ sensitivity and their different needs for communication may contribute to future advances in the training of healthcare professionals with regard to their communication knowledge and skills. They may also affect the allocation of resources for patients waiting for surgery and educating related professionals about their knowledge and skills of communication and their attitudes. Adequate space for meeting simultaneously with patients and their ... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5325603 Tue, 18 Oct 2011 04:00:00 +0100 5325603 http://www.medworm.com/index.php?rid=5325602&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03870.x Conclusions.  The findings suggest that a tailored midwifery‐initiated oral health programme has potential in Australia, especially for low‐income families as it addresses many existing barriers to dental care.Relevance to clinical practice.  Antenatal care providers in Australia should provide more information about oral health. These health professionals should be adequately educated to promote oral health. Health services should also consider offering pregnant women affordable and accessible dental services. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5325602 Tue, 18 Oct 2011 04:00:00 +0100 5325602 http://www.medworm.com/index.php?rid=5317094&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03890.x Conclusions.  This study demonstrated that patients who were older and had a caregiver were more likely to use problem‐solving strategy. Seeking social support was more common among patients who had a caregiver and those with more perceived support from friends, whereas patients who had financial difficulties used more avoidance coping.Relevance to clinical practice.  Better understanding the coping strategies used by individuals with physical disabilities and factors affecting coping is provide interventions that reduce the stress and support their adaptation. Nurses should be aware of the factors that affect to coping strategies used to deal with stress. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5317094 Sat, 15 Oct 2011 16:36:42 +0100 5317094 http://www.medworm.com/index.php?rid=5306182&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03918.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5306182 Wed, 12 Oct 2011 14:38:22 +0100 5306182 http://www.medworm.com/index.php?rid=5306181&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03888.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5306181 Wed, 12 Oct 2011 14:38:20 +0100 5306181 http://www.medworm.com/index.php?rid=5306180&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03858.x Conclusion.  This study confirms the efficacy of a Montessori intervention protocol on eating ability of residents with dementia. Adopting Montessori intervention protocols to maintain residents’ self‐feeding ability in clinical practice is recommended.Relevance to clinical practice.  Montessori‐based activities could provide caregivers with an evidence‐based nursing strategy to deal with eating difficulties of people with dementia. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5306180 Wed, 12 Oct 2011 14:37:52 +0100 5306180 http://www.medworm.com/index.php?rid=5306179&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2010.03399.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5306179 Wed, 12 Oct 2011 14:37:34 +0100 5306179 http://www.medworm.com/index.php?rid=5287690&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03840.x Conclusion.  Our study demonstrated an increase, albeit small, in blood pressure in the lateral positions. No major differences between the left and right lateral position were found. No important differences in oxygenation and heart rate were observed.Relevance to clinical practice.  Turning haemodynamically stable patients in the intensive care unit has no important effects on blood pressure measurements when continuous hydrostatic height correction is applied. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5287690 Sat, 01 Oct 2011 04:00:00 +0100 5287690 http://www.medworm.com/index.php?rid=5275752&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03846.x Conclusions.  Further psychometric testing of the Patient Evaluation of Emotional Care during Hospitalisation instrument has confirmed its psychometric properties and usefulness as an instrument to measure emotional care during hospitalisation.Relevance to clinical practice.  The Patient Evaluation of Emotional Care during Hospitalisation is a reliable and valid tool with which the emotional care of patients in hospital can be measured and the effectiveness of interventions assessed. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5275752 Sat, 01 Oct 2011 04:00:00 +0100 5275752 http://www.medworm.com/index.php?rid=5275753&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03832.x Conclusions.  A minority of the sample were involved in these behaviours, but incidents occurred soon after admission and sometimes repeatedly during the course of a day. Assessment of risk should be completed as early as possible.Relevance to clinical practice.  At‐risk patients should be monitored for signs of withdrawal from ward activity, wanting to leave the ward without permission or non‐compliance with medication to enable early intervention. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5275753 Fri, 30 Sep 2011 04:00:00 +0100 5275753 http://www.medworm.com/index.php?rid=5262846&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03861.x Conclusions.  The Flemish adaptation of the Care‐Q has favourable psychometric properties. It appears to be a useful instrument for studying cancer patients’ perceptions of good nurses in Flanders.Relevance to clinical practice.  The Flemish adaptation of the Care‐Q is useful for helping nurses to reflect critically on the care they offer and to adapt and improve care to the real needs and expectations of patients with cancer. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5262846 Thu, 29 Sep 2011 15:08:40 +0100 5262846 http://www.medworm.com/index.php?rid=5262848&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03847.x Conclusions.  Most recipients with an implantable cardioverter defibrillator did not appraise daily concerns as stressors in need of coping and seem to have made a successful transition in getting on with their lives 6–24 months after implantation.Relevance to clinical practice.  Nurses working with recipients with an implantable cardioverter defibrillator should have a supportive communication so that positive outcomes such as decreased anxiety and increased perceived control and quality of life can be obtained. Through screening for anxiety at follow‐up in the outpatient clinic, these recipients perceiving mental strain in their daily life can be identified. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5262848 Mon, 26 Sep 2011 04:00:00 +0100 5262848 http://www.medworm.com/index.php?rid=5262847&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03863.x Conclusions.  Community care agencies in both countries struggle with similar problems in handling cases of abuse. The participants’ concerns were securing and supporting the older victim by individualising the intervention.Relevance to clinical practice.  Community care agencies in both countries need to be aware of the huge impact of the managers’ involvement and the services’ responsibility and capacity to support professionals in the handling of elder abuse. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5262847 Mon, 26 Sep 2011 04:00:00 +0100 5262847 http://www.medworm.com/index.php?rid=5240204&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03851.x Conclusions.  Narrative inquiry enhances the assessment of care needs and interactions between healthcare professionals and patients. The framework used for translating stories into plans for practice and service developments needs to be used in further studies and with a broader range of healthcare and social care professionals to determine its usefulness.Relevance to clinical Practice.  Narrative inquiry is a valuable methodology for understanding older peoples’ experiences of health care. Stories developed from older peoples’ hospitalisation experiences are a useful basis for identifying aspects of practice that could be developed. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5240204 Thu, 22 Sep 2011 15:11:18 +0100 5240204 http://www.medworm.com/index.php?rid=5240205&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03849.x Conclusion.  When delirium is experienced during hospitalisation, health care staff have a responsibility to provide care that is person‐centred and sensitive to the older person’s needs. It has been assumed that no harm comes from the use of orientation approaches, and delirium management guidelines have recommended this approach. However, orientation strategies can lead to mistrust of, and distancing from, health care staff and family, so impeding their relationships with carers. Care practices that consider the older person to be unique and that synchronise with the older person’s changing experiences of reality are suggested for further research.Relevance to clinical practice.  Caring for an older person in delirium is challenging for health care staff. Reconsideration of, an... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5240205 Wed, 21 Sep 2011 04:00:00 +0100 5240205 http://www.medworm.com/index.php?rid=5240206&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03848.x Conclusion.  This study concluded that traditional breastfeeding practices are still prevalent among mothers, regardless of their age and level of education. Breastfeeding behaviour of mothers was mostly shaped by various cultural social and religious influences imposed on them by their family, close social network and religious community.Relevance to clinical practice.  Nurses can encourage mothers for exclusive breastfeeding by means of individual‐ and social‐based training programmes, which they will prepare in view of traditional breastfeeding practices. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5240206 Tue, 20 Sep 2011 04:00:00 +0100 5240206 http://www.medworm.com/index.php?rid=5228298&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03855.x Conclusions.  This study identified some shortcomings in the realisation of individuality in the care of older people. Nurses seem to think they generally provide individualised care but this was not necessarily realised in the current evaluations of the care they delivered.Relevance to clinical practice.  There is need to identify issues that may help in developing individualised care in clinical practice. Nurses’ attitude to older people in the geriatric care settings needs exploration. Nurses may focus on physiological needs that may hinder the recognition of older patient’s individuality. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5228298 Mon, 19 Sep 2011 05:58:23 +0100 5228298 http://www.medworm.com/index.php?rid=5240211&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03842.x Conclusion.  Our life review programme is non‐invasive care intervention for improving the psycho‐spiritual well‐being of Chinese patients with advanced cancer and helping them to prepare for death. This programme not only provides Chinese nurses with a new approach to meeting the unique needs of patients approaching death but also poses a challenge to customary beliefs about death, which is considered a social taboo in China.Relevance to clinical practice.  The life review programme can be integrated into the usual care arrangements to enhance the psycho‐spiritual well‐being of Chinese patients with advanced cancer. Nurses should be aware of the challenges involved in the process of conducting a life review. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5240211 Mon, 19 Sep 2011 04:00:00 +0100 5240211 http://www.medworm.com/index.php?rid=5240210&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03844.x Conclusions.  The aseptic practice–related stress varied from positive motivating feelings to exhaustion. The stress was experienced by medical and nursing co‐workers and reduced by means which varied according to expertise and co‐workers.Relevance to clinical practice.  This study showed needs for both the shared multiprofessional documentation of aseptic practice and better adherence to recommendations. Constructive means are useful when solving conflicts and replacing person‐related aseptic practice with evidence‐based. They may support nurses’ professional growth, reduce their stress and increase the surgical patient’s safety. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5240210 Mon, 19 Sep 2011 04:00:00 +0100 5240210 http://www.medworm.com/index.php?rid=5240209&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03850.x Conclusion.  The Persian version of the Caregiver Quality of Life Index‐Cancer scale could be a reliable and valid measure in Iranian family caregivers of patients with breast cancer.Relevance to clinical practice.  The Persian version of the Caregiver Quality of Life Index‐Cancer scale is simple to administer and will help nurses to identify the nursing needs of family caregivers. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5240209 Mon, 19 Sep 2011 04:00:00 +0100 5240209 http://www.medworm.com/index.php?rid=5240208&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03790.x Conclusion.  At the scene of disaster, the preferred first responder nurses were nurses: with emergency rescue training; experienced in the emergency department; with at least three years clinical experience. The scope of practice for first responder nurses needs to be extended. Appropriate nurse – medical practitioner ratios in responding medical teams is dependant on the specific medical requirements of the disaster.Relevance to clinical practice.  The recommendations made by this study provide a guide to ensure that nurses can contribute effectively as essential members of first responder emergency disaster relief teams. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5240208 Mon, 19 Sep 2011 04:00:00 +0100 5240208 http://www.medworm.com/index.php?rid=5240207&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03857.x Conclusions.  This typology provides a family perspective framework that may be useful to nursing leadership at all levels of the nursing home organisation to identify important quality of care strengths as well as markers of poor care.Relevance to clinical practice.  Overall, the typology is offered to expand nurses’ understanding of quality, both practically and conceptually, to provide the best value in nursing care. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5240207 Mon, 19 Sep 2011 04:00:00 +0100 5240207 http://www.medworm.com/index.php?rid=5228300&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03841.x Conclusions.  Nurses’ communication behaviour is closely related to their perception of communication. This study suggests the need for a paradigm shift in thinking about communication as requiring time. Additionally, nurses should recognise the value of short, iterative interaction and chit‐chat as quality communication for knowing their patients and providing patient‐centred care.Relevance to clinical practice.  Nurses should think beyond time in the discourse of effective nurse–patient communication, as it often relates to manpower. An understanding of how nurses perceive their time availability for nurse–patient communication and their use of time for this aspect contribute to the discourse regarding how to improve patient‐centred care. (Source: Journal of Clinical Nurs... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5228300 Thu, 15 Sep 2011 04:00:00 +0100 5228300 http://www.medworm.com/index.php?rid=5228299&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03843.x Conclusion.  Based on the results of the cost‐utility analysis, medium‐fidelity manikins are more cost effective requiring one‐fifth of the cost of high‐fidelity manikins to obtain the same effect on clinical reasoning, knowledge acquisition and student satisfaction.Relevance to clinical practice.  It is important that decision‐makers have an economic analysis that considers both the costs and outcomes of simulation to identify the approach that has the lowest cost for any particular outcome measure or the best outcomes for a particular cost. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5228299 Thu, 15 Sep 2011 04:00:00 +0100 5228299 http://www.medworm.com/index.php?rid=5228301&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03862.x Conclusion.  Urinary incontinence was present among a non‐trivial proportion of psychiatric inpatients and persisted for most throughout the inpatient stay. Presence of urinary incontinence was related to increased hospital stay.Relevance to clinical practice.  Mental health service providers should identify urinary incontinence quickly and pay attention to it; incorporating treatment into the care plan early on in the inpatient stay may help to ensure a more rapid return to the community. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5228301 Wed, 14 Sep 2011 04:00:00 +0100 5228301 http://www.medworm.com/index.php?rid=5228302&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03781.x Conclusions.  Nurses in long‐term care were more satisfied that care was evidence‐based; specialised to individual needs of older adults; promoted autonomy and independence of elders; and was continuous across settings. Participants in acute facilities perceived more obstacles to providing quality geriatric care than nurses in long‐term care facilities.Relevance to clinical practice.  Modification of hospital geriatric practice environments and leadership commitment to evidence‐based practice guidelines that promote autonomy and independence of patients and staff could improve acute care nurses’ perceptions of quality of geriatric care. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5228302 Tue, 13 Sep 2011 04:00:00 +0100 5228302 http://www.medworm.com/index.php?rid=5185812&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03836.x Conclusion.  First‐time primary carers have positive and negative experiences with first‐episode psychosis mental health nurses and other clinicians, and these competing events are interrelated. Experiences are affected directly by the manner they are treated by clinical staff and this may, in turn, affect carers’ commitment to caring, the way they engage with clinical staff on subsequent occasions and towards the first‐episode psychosis service generally.Relevance to clinical practice.  Greater appreciation is needed of the contribution, experience and difficulties caregivers encounter in their role and in engaging with mental health nurses and other clinicians. Additional training is required for clinical staff in family interventions and to familiarise them with legislation ... Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5185812 Fri, 02 Sep 2011 23:00:00 +0100 5185812 http://www.medworm.com/index.php?rid=5185816&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03753.x Conclusions.  Since a positive ethical climate was associated with less frequent occurrences of moral distress, it should be investigated what contributes to a positive ethical climate. To be used in a Swedish context, the Moral Distress Scale needs further revision.Relevance to clinical practice.  Open dialogues at wards are encouraged regarding what practices contribute to a positive ethical climate. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5185816 Thu, 01 Sep 2011 23:00:00 +0100 5185816 http://www.medworm.com/index.php?rid=5185815&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03771.x Conclusions.  The results provide useful data about the reproducibility of the blood glucose response to moderate intensity exercise, despite the variability of individual responses 40 minutes of moderate intensity exercise decreases Continuous Glucose Monitoring glucose by 3 mmol/l with or without a 30% decrease of insulin before exercise.Relevance to clinical practice.  This information provides valuable baseline information for people with diabetes and health care professionals who wish to encourage physical activity and undertake further research in this area. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5185815 Thu, 01 Sep 2011 23:00:00 +0100 5185815 http://www.medworm.com/index.php?rid=5185814&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03833.x Conclusions.  An in‐depth analysis of the European between‐country differences is required to define the causes of differences that may be due to the differing content of education, the organisation of nursing work, ideology and values assigned to individualised care and health care systems and processes in each country.Relevance to clinical practice.  Obtaining both patients’ and nurses’ assessments of individualised care may facilitate the further development of individualised nursing care and be used to help to harmonise European health care processes and nursing care. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5185814 Thu, 01 Sep 2011 23:00:00 +0100 5185814 http://www.medworm.com/index.php?rid=5185813&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03834.x Conclusions.  Health/illness beliefs differed and affected self‐care and care seeking. Lower risk awareness in African‐born women was related to limited knowledge about the body and gestational diabetes, which was further amplified by healthcare professionals informing them about gestational diabetes being transient.Relevance to clinical practice.  Individual beliefs and risk awareness must be elicited, and adequate information must be given to prevent negative health effects of gestational diabetes. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5185813 Thu, 01 Sep 2011 23:00:00 +0100 5185813 http://www.medworm.com/index.php?rid=5212017&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03903.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5212017 Thu, 01 Sep 2011 04:00:00 +0100 5212017 http://www.medworm.com/index.php?rid=5212016&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03853.x (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5212016 Thu, 01 Sep 2011 04:00:00 +0100 5212016 http://www.medworm.com/index.php?rid=5212015&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03813.x Conclusion.  The results of this study confirmed the reliability and validity of the 38‐item psychosocial adaptation questionnaire for the visually impaired in China. It therefore can be used as a measurement tool for widespread, cost‐effective clinical assessment and further research.Relevance to clinical practice.  The new tool may help nurses and other clinical personnel to evaluate the psychosocial adaptation of visually impaired patients and provide a suitable basis for assisting with adaptation to visual impairment and enhancing quality of life. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5212015 Thu, 01 Sep 2011 04:00:00 +0100 5212015 http://www.medworm.com/index.php?rid=5185811&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03854.x Conclusions.  If research data contain missing values that are not randomly distributed, then the study results are likely to be biased unless an effective approach to dealing with the missing values is implemented.Relevance to clinical practice.  If nursing and healthcare practice is to be informed by research findings, then these findings must be reliable and valid. Researchers should report the details of missing data, and appropriate methods for dealing with missing values should be incorporated into the data analysis. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5185811 Wed, 31 Aug 2011 23:00:00 +0100 5185811 http://www.medworm.com/index.php?rid=5171320&cid=s_32348_27_f&fid=32348&url=http%3A%2F%2Fdx.doi.org%2F10.1111%252Fj.1365-2702.2011.03817.x Conclusion.  Spatial problems and episodic memory have implications for everyday life. This might contribute to decreased adherence to prescribed therapy and self‐care management and lead to socio‐behavioural problems because of an impaired capacity to drive, read and write.Relevance to clinical practice.  Nurses should take into account in their assessment that cognitive impairment may restrain elderly heart failure patient’s ability to make decisions and perform self‐care actions. Patient education strategies should also be adapted to cognitive ability. (Source: Journal of Clinical Nursing) Journal of Clinical Nursing journals http://www.medworm.com/rss/comments.php?id=5171320 Mon, 29 Aug 2011 19:06:53 +0100 5171320