Journal of Clinical Nursing
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Socioeconomic instability and the availability of health resources: their effects on infant mortality rates in Macau from 1957–2006
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Conclusions. These results indicate that the socioeconomically disadvantaged are at a significantly higher risk for infant mortality. In contrast, more public expenditure on health resources significantly reduces the risk for infant mortality. This study provides further international evidence that suggests that improving aspects of the healthcare system may be one way to compensate for the negative effects of social inequalities on health outcomes.Relevance to clinical practice. The implication of these results is that more effort, particularly during economic downturns, should be put into removing the barriers that imped...
Source: Journal of Clinical Nursing - November 4, 2009 Category: Nursing Authors: Moon Fai Chan, Wai I Ng, Iat Kio Van Source Type: journals
Health care professionals' perceptions of hospital-based cardiac rehabilitation in mainland China: an exploratory studyEmail this article to a colleague.
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Conclusion. The current situation of cardiac rehabilitation in hospitals of China is poor with multiple obstacles prohibiting the development of cardiac rehabilitation services in the country and this has resulted in high rates of recurrence of heart attacks, coronary risk factors going undetected and/or untreated and psychological distress being observed among Chinese coronary heart disease patients.Relevance to clinical practice. The findings provide useful pointers for Chinese health professionals to explore ways of providing an effective, safe, convenient and culturally sensitive rehabilitation programme for Chinese pa...
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Wenru Wang, Sek Ying Chair, David R Thompson, Sheila F Twinn Source Type: journals
Factors of importance to the development of pressure ulcers in the care trajectory: perceptions of hospital and community care nursesEmail this article to a colleague.
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Conclusion. The study both confirmed previous findings and added new knowledge about factors that may affect pressure ulcer in the trajectory of care. The informants' views of nurses' responsibilities and their attitudes towards the care of pressure ulcers could, along with their views on the organisation of care, increase the understanding of the occurrence of pressure ulcers. The need for development and clarification of the organisation and responsibility of pressure ulcer care in the care trajectory was stressed.Relevance to clinical practice. The study highlighted attitudes and values among registered nurses, as well ...
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Elsy Athlin, Ewa Idvall, Margareth Jernfält, Inger Johansson Source Type: journals
Translation and back-translation in qualitative nursing research: methodological reviewEmail this article to a colleague.
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Conclusions. The translation procedures described in qualitative nursing research can be summarised as: 1 Verbatim transcription of the content in original language, and then analysis of content; 2 Two bilingual translators are necessary to translate the emerged concepts and categories; 3 Back translate is employed; 4 An expert panel committee is involved in reaching final agreement on the translation.Relevance to clinical practice. Development of the translation procedures could provide qualitative nursing researchers with a guide when collecting data in one language and presenting results in another language. In this way...
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Hsiao-Yu Chen, Jennifer RP Boore Source Type: journals
Reconstructing unpredictability: experiences of living with an implantable cardioverter defibrillator over timeEmail this article to a colleague.
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Conclusion. Living with an implantable cardioverter defibrillator over time was characterised by unpredictability and uncertainty associated with the triggering of the device. Despite coping with uncertainty by means of several strategies, a new onset of arrhythmia could reinforce the feeling of losing control. An important finding was the reduced activity level.Relevance for clinical practice. The results provide knowledge that can aid the design of an intervention programme aimed at reducing patient insecurity and enhancing physical activity. Nurses are in a key position to implement such strategies. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Ingvild Margreta Morken, Elisabeth Severinsson, Bjørg Karlsen Source Type: journals
Living with home-based haemodialysis: insights from older peopleEmail this article to a colleague.
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Conclusion. Findings indicated a transformed care dynamic, positive appraisal and active everyday engagement by participants. A positive outlook on life in the present enabled participants to look to their future with purpose and hope. Outstanding systems of partnership significantly facilitated this view.Relevance to clinical practice. Knowledge from the study may contribute to the development of patient[ndash]care partnerships that facilitate and promote independence for older people being treated for chronic illnesses. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Satoko Namiki, Jennifer Rowe, Marie Cooke Source Type: journals
Exploring the profiles of nurses' job satisfaction in Macau: results of a cluster analysisEmail this article to a colleague.
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Conclusions. Findings might help by providing important information for health care managers to identify strategies/methods to target a specific group of nurses in hopes of increasing their job satisfaction levels.Relevance to clinical practice. As a long-term investment, hospital management has to promote work environments that support job satisfaction to attract nurses and thereby improve the quality of nursing care. The results of this study might provide hospital managers with a model to design specified interventions to improve nurses' job satisfaction. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Moon Fai Chan, Sok Man Leong, Andrew Leung Luk, Siu Ming Yeung, Iat Kio Van Source Type: journals
What are the career planning and development practices for nurses in hospitals? Is there a difference between private and public hospitals?Email this article to a colleague.
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This study draws attention to the importance of career planning in nursing and the need for nurse managers to take an active role in career planning and development. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Betul Sonmez, Aytolan Yildirim Source Type: journals
A systematic review of body temperature variations in older peopleEmail this article to a colleague.
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Conclusions. Synthesis of data indicated that normal body temperature values in older people by sites were rectal 0·7 °F/0·4 °C, ear-based 0·3 °F/0·2 °C, oral 1·2 °F/0·7 °C, axillary 0·6 °F/0·3 °C lower than adults' acceptable value from those traditionally found in nursing textbooks.Relevance to clinical practice. Given the fact that normal body temperature values were consistently lower than values reported in the literature, clinicians may need to re-evaluate the point at which interventions for abnormal temperatures are initiated. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Shu-Hua Lu, Angela-Renee Leasure, Yu-Tzu Dai Source Type: journals
Effects of a therapeutic lifestyle-change programme on cardiac risk factors after coronary artery bypass graftEmail this article to a colleague.
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Conclusions. Incorporating a therapeutic lifestyle-change intervention into a postoperative cardiac rehabilitation programme effectively modified cardiac risk factors and may improve postoperative recovery and prognosis.Relevance to clinical practice. Guidelines for Taiwanese patients with cardiovascular disease should stress and support implementation of and adherence to therapeutic lifestyle changes in addition to drug therapy. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 3, 2009 Category: Nursing Authors: Hsin-Hsin Lin, Yun-Fang Tsai, Pyng-Jing Lin, Pei-Kwei Tsay Source Type: journals
Stress, perceived support, resourcefulness and depressive symptoms in Taiwanese adolescentsEmail this article to a colleague.
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Conclusions. Learned resourcefulness may play a critical role in decreasing depressive symptoms.Relevance to clinical practice. These findings offer healthcare providers and educators information about the need for possible cognitive[ndash]behavioural interventions that could improve adolescents' relationships with their peers, enhance their satisfaction of grades and moderate or prevent depressive symptoms among this population. Moreover, it might decrease the prevalence of adolescent suicide. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 11, 2009 Category: Nursing Authors: Chiung-Yu Huang, Su-Er Guo Source Type: journals
Structured review: evaluating the effectiveness of nurse case managers in improving health outcomes in three major chronic diseasesEmail this article to a colleague.
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Aim. This paper presents the findings of a review and appraisal of the evidence for the effectiveness of nurse case management in improving health outcomes for patients living either with Diabetes, Chronic Obstructive Pulmonary Disease or Coronary Heart Disease.Background. Long term chronic health conditions provide some of the greatest challenges to western health care systems. In the UK, three of the most significant chronic conditions are Diabetes, Chronic Obstructive Pulmonary Disease and Coronary Heart Disease. Patients with these long term conditions are high users of health services who often receive unplanned, poor...
Source: Journal of Clinical Nursing - September 10, 2009 Category: Nursing Authors: Debbie Sutherland, Mark Hayter Source Type: journals
Anxiety as a factor influencing satisfaction with emergency department care: perspectives of accompanying personsEmail this article to a colleague.
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Conclusion. The lower the level of anxiety reported by accompanying persons when leaving the emergency department, the more satisfied they are likely to be with their emergency department visit. Ultimately, well informed and confident accompanying persons are beneficial for ensuring quality patient support.Relevance to clinical practice. Asking accompanying persons about their anxiety level before discharge gives them the opportunity to pose clarifying questions and is, therefore, an effective way of improving their satisfaction with the emergency department visit. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 10, 2009 Category: Nursing Authors: Anna Ekwall, Marie Gerdtz, Elizabeth Manias Source Type: journals
Stakeholder views on the impact of nurse prescribing on dermatology servicesEmail this article to a colleague.
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Conclusion. Nurse prescribing is successfully being used to support and deliver a range of services to dermatology patients. Stakeholders reported that both patients and staff had benefited by the adoption of this role by nurses. However issues over support and access to CPD and capacity of the workforce were identified as potential barriers which could affect the contribution of nurse prescribing to dermatology patients. Nurse prescribing contributes to the services provided to dermatology patients; Nurse supplementary prescribing contributes to the ability of dermatology nurse specialists to work in teams and prescribe...
Source: Journal of Clinical Nursing - September 10, 2009 Category: Nursing Authors: Nicola Carey, Karen Stenner, Molly Courtenay Source Type: journals
Long term outcome after delirium in the intensive care unitEmail this article to a colleague.
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Conclusions. Mortality was higher in delirious patients. All patients showed lower values for the quality of life at three months. The delirious patients showed lower results than the non delirious patients.Relevance to clinical practice. Nurses are the first caregivers to observe patients. The fluctuating delirious process is often not noticed. Long term effects are not visible to the interdisciplinary team in the hospital. This paper would like to raise the awareness of professionals for long term outcomes for patients having experienced delirium in the intensive care unit. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 4, 2009 Category: Nursing Authors: Bart Van Rompaey, Marieke J Schuurmans, Lillie M Shortridge-Baggett, Steven Truijen, Monique Elseviers, Leo Bossaert Source Type: journals
Review paper: more than ringing in the ears: a review of tinnitus and its psychosocial impactEmail this article to a colleague.
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Conclusions. Tinnitus, a widespread, often intractable condition, affects millions of people; there is considerable debate about its causes. Tinnitus is distressing and may be severe enough to affect lifestyle and quality of life. Affected patients need considerable support and advice on healthcare options, encouragement to try different treatments and recognition that help and hope are available. Though patients may have to learn to live with tinnitus, the most important thing is that they recognise that help is available. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Susan Holmes, Nigel D Padgham Source Type: journals
A review of the nursing role in central venous cannulation: implications for practice policy and researchEmail this article to a colleague.
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Conclusions. There were only a small number of studies found in the literature review and the limited availability of clinical outcome data precluded formal analysis from being generated.Relevance to clinical practice. Central vein cannulation is potentially an emerging practice area with important considerations for policy practice and research. Training specialist nurses to provide such a service may facilitate standardising of practice and improving surveillance of lines, and possibly improve the training and accreditation process for CVC insertions for junior medical officers. For this to occur, there is a need to unde...
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Evan Alexandrou, Timothy R Spencer, Steve A Frost, Michael JA Parr, Patricia M Davidson, Kenneth M Hillman Source Type: journals
The turning point: from self-regulative illness behaviour to care-seeking in patients with an acute myocardial infarctionEmail this article to a colleague.
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Conclusions. We found indications of a pertinent shift in appraisal and coping-strategy when a patient changes from self-regulative illness behaviour to seeking care [ndash] the turning point. This shift seems to be affected by several partly contradictory influences and it takes a considerable time for a person to reach this stage. All aspects of the patients' self-regulative illness behaviour have to be considered if we want patients to seek medical care more rapidly.Relevance to clinical practice. Our findings are important to consider in future design of public health and rehabilitation strategies to save patient lives...
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Carolin Nymark, Anne-Cathrine Mattiasson, Peter Henriksson, Anna Kiessling Source Type: journals
Reexamination of ultra-thin nipple shield use, infant growth and maternal satisfactionEmail this article to a colleague.
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Conclusion. Infant weight gain was similar in maternal-infant dyads using nipple shields for two months compared to those not using the shields. Maternal positive report of nipple shield use lends to the clinical importance of nipple shield use when appropriately indicated.Relevance to clinical practice. Nipple shield use may facilitate breastfeeding when clinically indicated in maternal-infant dyads without risk of decreased infant weight gain. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Ilana RA Chertok Source Type: journals
Enhancing the efficacy of psychoeducational interventions for paediatric patients in a randomised controlled trial: methodological considerationsEmail this article to a colleague.
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Conclusion. This case study illustrates that the more a measure is sensitive to differentiate between the experimental and control groups, the greater the likelihood of documenting intervention efficacy. Besides, the timing of measuring a dependent variable that matches with peak response to an intervention is crucial in evaluating the efficacy of an intervention. Additionally, outcome measures that are sensitive enough to differentiate between the experimental and control groups are extremely important to ensure greater accuracy in evaluating the efficacy of psychoeducational interventions.Relevance to clinical practice. ...
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: William HC Li, Oi KJ Chung Source Type: journals
An integrative review and meta-synthesis of the scope and impact of intensive care liaison and outreach servicesEmail this article to a colleague.
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Conclusion. The varied nature of the intensive care liaison/outreach services reviewed in these studies suggests that they should be treated as bundled interventions, delivering a treatment package of care. Further studies should examine the impact of critical care support on the confidence and skills of ward nurses.Relevance to clinical practice. Advanced nursing roles can improve outcomes for patients who are vulnerable to deterioration. The Nursing Role Effectiveness Model provides a useful framework for evaluating the impact of these roles. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Ruth Endacott, Suzanne Eliott, Wendy Chaboyer Source Type: journals
Reliability and validity of the caregiver quality of life index-cancer (CQOLC) scale in Turkish cancer caregiversEmail this article to a colleague.
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Conclusion. The effects of providing care for patients with cancer on caregiver quality of life have not yet been adequately explored in Turkey. The results of this study suggest that the Turkish version of the Caregiver Quality of Life Index-Cancer is a reliable and valid supplementary measure of the quality of life in cancer caregivers in Turkey.Relevance of clinical practice. In research and practice, valid measurement instruments are needed to assess Quality of Life in Turkish cancer caregivers. The Caregiver Quality of Life Index-Cancer scale is simple to administer and nurses by using this equipment in routine appoin...
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Hicran A Bektas, Zeynep C Ozer Source Type: journals
Relationship between call light use and response time and inpatient falls in acute care settingsEmail this article to a colleague.
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Conclusions. This study's findings challenged the appropriateness of targeting the goals of reducing the frequency of call light use and the fall rates as two outcome indicators of conducting hourly patient rounds.Relevance to clinical practice. Encouraging call light use is a key to reducing injurious fall rates. Unit managers should routinely monitor the trend of the call light use rate and ensure that the call light use rate is maintained at least above the mean rate. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Huey-Ming Tzeng, Chang-Yi Yin Source Type: journals
A cost–effectiveness analysis of a multimedia learning education program for stoma patientsEmail this article to a colleague.
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Conclusion. This research provides useful information for those who would like to improve the self-care capacity of stoma patients. Due to the better cost[ndash]effectiveness ratio of MLEP, hospital policy-makers may consider these results when choosing to allocate resources and develop care and educational interventions.Relevance to clinical practice. This study provides a cost effective way of addressing stoma care in the post-operative period that could be usefully transferred to stoma care settings internationally. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Shu-Fen Lo, Yun-Tung Wang, Li-Yue Wu, Mei-Yu Hsu, Shu-Chuan Chang, Mark Hayter Source Type: journals
Trajectory and determinants of nutritional health in older patients during and six-month post-hospitalisationEmail this article to a colleague.
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Conclusion. The trajectory of nutritional health is a reflection of the patients' cognitive status, oral health, medication taken, functional status and depressive symptoms. The findings of our study should provide guidance in the development of intervention for the nutritional health of older patients during inpatient as well as transitional care.Relevance to clinical practice. Multi-faceted packages of interventions targeting a range of determinants for managing undernutrition and subsequent decline during and post-hospitalisation need to be tested. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Cheryl C-H Chen, Siew T Tang, Charlotte Wang, Guan-Hua Huang Source Type: journals
Hospital-based home care for people with severe mental illness in Taiwan: a substantive grounded theoryEmail this article to a colleague.
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Conclusion. The substantive theory is the first to emerge from hospital-based home care services in Taiwan. Results showed those services had several effective functions for helping people with severe mental illness and their families.Relevance to clinical practice. The recommendations based on the findings of this research can be used as a guide to improve the delivery of hospital-based home care services to community-dwelling people with severe mental illness and their carers. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 3, 2009 Category: Nursing Authors: Xuan-Yi Huang, Mei-Jue Lin, Tuz-Ching Yang, Fan-Ko Sun Source Type: journals
Beginning an action research project to investigate the feasibility of a midwife-led normal birthing unit in ChinaEmail this article to a colleague.
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Conclusions. The preliminary findings suggest that continuation of the project is feasible. The woman's role demonstrates passivity. The perception of staff shortage has serious implications.Relevance to clinical practice. This action research project suggests that a study of a midwife-led normal birthing unit in China is feasible, with some attention to staffing issues. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Rosemary Mander, Ngai Fen Cheung, Xiaoli Wang, Wei Fu, Junghong Zhu Source Type: journals
Prevalence of vision, hearing, and combined vision and hearing impairments in patients with hip fracturesEmail this article to a colleague.
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Conclusion. Patients with hip fractures frequently have hearing, vision and combined impairments.Relevance to clinical practice. We recommend routine screening for sensory impairments in patients with hip fractures. Most sensory problems can be treated or relieved with environmental adjustments. Patients should be encouraged to seek treatment and training for adapting to sensory deficiencies. This approach may reduce the number of falls and improve the ability to sustain independent living. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Else Vengnes Grue, Marit Kirkevold, Anette Hylen Ranhoff Source Type: journals
Sense of coherence—a determinant of quality of life over time in older female acute myocardial infarction survivorsEmail this article to a colleague.
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Aims. To determine the relationships between different sense of coherence levels and quality of life, and in older female myocardial infarction survivors; to investigate how socio-demographic, clinical characteristics, sense of coherence self-reported symptoms and function affect quality of life; and to determine whether sense of coherence and quality of life are stable during a six-month follow-up.Background. Myocardinal infraction confers new physical and mental challenges. However, research on sense of coherence and other factors involved in maintaining physical, psychosocial and environmental aspects of quality of life...
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Tone M Norekvål, Bengt Fridlund, Philip Moons, Jan E Nordrehaug, Hans I Sævareid, Tore Wentzel-Larsen, Berit R Hanestad Source Type: journals
Postoperative impact of daily life after primary treatment of proximal/distal tibiafracture with Ilizarov external fixationEmail this article to a colleague.
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Conclusion. This study points to limitations in the patient's daily life situation in the home. The results from the study make it obvious that the information given to patients prior to discharge, concerning the value of putting weight on the leg, had not been clear or that the patients had not understood it. This had a negative impact on the patient's daily life after discharge. Further data are needed to uncover the extent of the issue to be able to optimise patient outcomes.Relevance to clinical practice. There is a need for clearer and more active information from the nurse before discharge but also a need to follow u...
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Marina Modin, Telmo Ramos, Margareta Warrén Stomberg Source Type: journals
The identification of older nursing home residents vulnerable for deterioration of grade 1 pressure ulcersEmail this article to a colleague.
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Conclusions. In nursing home residents with non-blanchable erythema, hypotension, contractures, and a history of cerebral vascular accident were independent risk factors for the development of pressure ulcer lesions.Relevance to clinical practice. Patients with non-blanchable erythema who have hypotension, contractures or a history of cerebral vascular accident are in need of more intensive preventive measures. Identifying these patients can contribute considerably to a more efficient pressure ulcer prevention policy, resulting in a lower pressure ulcer lesion incidence and in lower costs. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Katrien Vanderwee, Maria Grypdonck, Dirk De Bacquer, Tom Defloor Source Type: journals
Investigating factors associated with depression of older women in MacauEmail this article to a colleague.
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Conclusion. Providing a suitable living environment and improving health conditions for older people may improve depressive symptoms, and maintaining their cognitive function and improving their functional abilities may be crucial for preventing suffering from depressive symptoms. Apart from the findings, these conclusions resonate with recent Macau guidance on managing depression in older women. This stresses the importance of prevention, early detection and stepped care, with more intensive treatment for greater severity of illness and a multifaceted approach to management.Relevance to clinical practice. It is important ...
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Moon Fai Chan, Wen Zeng Source Type: journals
Parents' experiences of a Family Support Program when a parent has incurable cancerEmail this article to a colleague.
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Conclusion. The Family Support Program met the parents in the study's needs for more information and support about how to cope with their children during the patient's terminal illness.Relevance to clinical practice. The Family Support Program is described in detail in a manual that makes it easy for other health workers to use the same programme. The Family Support program was in use in outpatient clinics, oncology wards and palliative care units and was provided both from nurses and social workers trained in cancer care. Parent's in the study would like the Family Support Program to be available to all patients who recei...
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Kari E Bugge, Solvi Helseth, Philip Darbyshire Source Type: journals
Development and implementation of a noise reduction intervention programme: a pre- and postaudit of three hospital wardsEmail this article to a colleague.
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Conclusions. This study describes one way to reduce peak noise levels on inpatient hospital wards.Relevance to clinical practice. Sleep deprivation is detrimental to patients with acute illness, so any developments to improve patients' sleep are important. Nurses have a key role in leading, developing and implementing changes to reduce peak noise levels on inpatient wards in hospitals. This nurse-led practice development programme has demonstrated how improvements can be achieved by significantly reducing peak noise levels using simple multi-method change strategies. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Annette Richardson, Abigail Thompson, Elaine Coghill, Iain Chambers, Chris Turnock Source Type: journals
Factorial structure of the Chinese version of the 12-item General Health Questionnaire in adolescentsEmail this article to a colleague.
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Conclusion. This study addressed a gap in the literature by evaluating the factorial structure of the Chinese version of General Health Questionnaire-12 using exploratory and confirmatory factor analyses in Chinese adolescents. The findings revealed that the eight-item two-factor model is the best-fit model.Relevance to clinical practice. The adolescent mental health problem is alarming and aggravating and warrants special attention. It is essential for community nurses to differentiate psychological distress in adolescents and to identify those adolescents who are at a higher risk of suffering from mental health problems....
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: William HC Li, Joyce OK Chung, Maureen ML Chui, Polly SL Chan Source Type: journals
The effect of health education through the internet on university female students' hepatitis B knowledge and cognitionEmail this article to a colleague.
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This study provides health professionals with a reference for hepatitis B health education programs. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - September 2, 2009 Category: Nursing Authors: Ya-Wen Huang, Chich-Hsiu Hung Source Type: journals
A study of Turkish critical care nurses' perspectives regarding family-witnessed resuscitationEmail this article to a colleague.
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Conclusions. Many Turkish critical care nurses have no knowledge of family-witnessed resuscitation and do not support the practice. We suggest that Turkish critical care nurses should be informed by the international literature on the concept of family-witnessed resuscitation and the culturally appropriate policies concerning this subject should be changed in Turkish hospitals.Relevance to clinical practice. Most critical care nurses in Turkey are not supportive of family-witnessed resuscitation. All critical care nurses should be informed by the international literature on the concept of family-witnessed resuscitation. (S...
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Ülkü Yapucu Güneş, Ayten Zaybak Source Type: journals
Patients' experiences of everyday life after lung transplantationEmail this article to a colleague.
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Conclusions. This is the first study describing the experiences of everyday life after lung transplantation of patients with COPD prior to surgery. The findings highlight the importance of addressing these patients' experiences of gratitude, positive life orientation and informational needs in relation to everyday life.Relevance to clinical practice. Health professionals should be aware of the kind of problems both women and men may experience a long time after the lung transplantation. They constitute a basic knowledge of a patient's everyday life that is important when planning individual counselling and rehabilitation. ...
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Doris Thomsen, Birte Østergaard Jensen Source Type: journals
Comparison of two skin examination methods for grade 1 pressure ulcersEmail this article to a colleague.
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Aims and objectives. The purpose of this study was to find out whether the application of a transparent device for diagnosing grade 1 pressure ulcers influences grade 1 pressure ulcer prevalence rates and the total number of observed grade 1 pressure ulcers.Background. It is assumed that the accuracy of visual grade 1 pressure ulcer diagnosis is enhanced if a transparent device is used.Design. Quasi-experimental.Method. Within a pressure ulcer prevalence study participating institutions were divided into groups at random. Data collecting nurses of the intervention group (n = 4667) applied a transparent disc. Data collectin...
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Jan Kottner, Theo Dassen, Nils Lahmann Source Type: journals
European orthopaedic and trauma patients' perceptions of nursing care: a comparative studyEmail this article to a colleague.
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Conclusions. Further research is needed to consider whether the between-country differences found are caused by differences between cultures, nursing practices, roles of healthcare personnel or patients in the different countries. The Schmidt Perception of Nursing Care Survey is suitable for the assessment of European orthopaedic and trauma patients' perceptions of nursing care received during hospitalisation.Relevance to clinical practice. The results are useful in evaluating and developing nursing care in hospitals from different European countries. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Riitta Suhonen, Agneta Berg, Ewa Idvall, Maria Kalafati, Jouko Katajisto, Lucy Land, Chryssoula Lemonidou, Lee A Schmidt, Maritta Välimäki, Helena Leino-Kilpi Source Type: journals
Children and young people's strategies to access information during a family member's critical illnessEmail this article to a colleague.
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Conclusion. It is suggested that including young people in critical illness situations is crucial to supporting them through a time of uncertainty. Being able to visit their loved one in ICU was an important means to access information for young people in this study.Relevance to clinical practice. Parents and nurses need to reflect on young people's ability and right to participate by being open and honest with children of all ages. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Susanne Kean Source Type: journals
The lived experiences of brokered brides who have attempted suicide in TaiwanEmail this article to a colleague.
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Conclusions. These brokered brides suffered from numerous pressures and difficulties in life. Their hopelessness led to suicidal behaviours as a way to get out of trouble. Hence, the need to provide brokered brides with substantial assistance and support in their lives is an issue that cannot be neglected. The results of this study could be used as a reference to provide professionals and the public with a deeper understanding of suicide in this vulnerable group, and provide more appropriate help and care.Relevance to clinical practice. The suffering may be alleviated by giving brokered brides a reliable support system tha...
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Yao-Yu Lin, Xuan-Yi Huang, Chung-Ying Chen, Wen-Chuan Shao Source Type: journals
Creating supportive clinical learning environments: an intervention studyEmail this article to a colleague.
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Conclusions. An experienced researcher/educator conducting capacity building sessions can effectively assist and support registered nurses to engage with students.Relevance to clinical practice. Capacity building sessions can improve practice, however, structures and processes that ensure continuation of practice change need to be embedded for improvements to be sustained. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Amanda Henderson, Michelle Twentyman, Emma Eaton, Debra Creedy, Peta Stapleton, Belinda Lloyd Source Type: journals
A review of the role of emergency nurses in management of chemotherapy-related complicationsEmail this article to a colleague.
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Conclusions. Nurses are well placed to play a pivotal role in chemotherapy management and lead interventions such as a specialist oncology nursing roles that provide information and support to guide patients through their chemotherapy cycles. These interventions may prevent emergency department presentations for patients receiving chemotherapy in ambulatory settings.Relevance to clinical practice. Patients receiving chemotherapy require access to specialised care to manage distressing symptoms, as they are at significant clinical risk because of immunosuppression and may not exhibit the usual signs of critical illness. A t...
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Julie Considine, Patricia Livingston, Tracey Bucknall, Mari Botti Source Type: journals
Child health nurses' roles and attitudes in reducing children's tobacco smoke exposureEmail this article to a colleague.
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Conclusions. Improvement of methods for tobacco prevention at child healthcare centres is called for, especially for vulnerable groups in society. However, the positive attitude among nurses found in this study forms a promising basis for successful interventions.Relevance to clinical practice. This study shows that launching national programmes for tobacco prevention is not sufficient to achieve sustainable work. Nurses working in child healthcare centres have an overall positive attitude to tobacco prevention but need continuous education and training in communication skills especially to reach social vulnerable groups. ...
Source: Journal of Clinical Nursing - July 19, 2009 Category: Nursing Authors: Noomi Carlsson, AnnaKarin Johansson, Göran Hermansson, Boel Andersson-Gäre Source Type: journals
Implementation of standard sedation management in paediatric intensive care: effective and feasible?Email this article to a colleague.
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Conclusion. This study showed that regular sedation assessment in critically ill children was feasible and had become standard practice two years after the first posttest. There is insufficient evidence to conclude whether implementation of a sedation treatment protocol indeed improves sedation treatment.Relevance to clinical practice. This sedation protocol provides decision trees for increasing or weaning of sedatives in both haemodynamically stable and unstable patients. It standardises sedation management and allows nurses to adapt medication themselves. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - July 8, 2009 Category: Nursing Authors: Erwin Ista, Matthijs de Hoog, Dick Tibboel, Monique van Dijk Source Type: journals
Factors affecting nursing staff in practising spiritual careEmail this article to a colleague.
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Conclusion. As nurses are with patients all day, they are in a position to safeguard the wholeness and integrity of the patient. As mentioned in the results, there is a positive correlation between spiritual care perceptions and spiritual care practice among nurses, which means that the greater the nurse's spiritual care perceptions, the more frequently spiritual care is included in that nurse's practice. This correlation is vital and meaningful; it can drive hospitals to promote nurses' awareness of spiritual care to improve the quality of their spiritual care practice.Relevant to clinical practices. To facilitate collabo...
Source: Journal of Clinical Nursing - July 7, 2009 Category: Nursing Authors: Moon Fai Chan Source Type: journals
Exploring the perspective of midwives involved in offering serum screening for Down's syndrome in Northern IrelandEmail this article to a colleague.
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Conclusions. The feasibility of proceeding with a universal serum screening programme for Down's syndrome is questionable in countries which legally or culturally oppose termination of pregnancy. Professionals practising within environments such as this experience conflict in their role, which affects communication with women when discussing screening tests.Relevance to clinical practice. As midwives are often, the primary health professional providing information to women, it is important that midwives are key participants in ongoing planning and discussions about screening policy to ensure programmes are implemented succ...
Source: Journal of Clinical Nursing - July 7, 2009 Category: Nursing Authors: Jennifer McNeill, Fiona Alderdice Source Type: journals
Undergraduate nursing students attitude to mental health nursing: a cluster analysis approachEmail this article to a colleague.
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Conclusions. Attitudes to mental health nursing may be influenced by specific demographic characteristics of students and by specific aspects of their clinical experience.Relevance to clinical practice. The nursing workforce is an essential element of quality mental health service delivery. Knowledge about factors influencing more positive attitudes is important for structuring clinical experience and designing effective recruitment strategies to attract more students into this field of practice. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - July 7, 2009 Category: Nursing Authors: Karla Gough, Brenda Happell Source Type: journals
Nursing staff turnover at a Swedish university hospital: an exploratory studyEmail this article to a colleague.
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Aim. The aim was to explore opinions on individual needs and other factors that may influence nursing staff turnover.Background. High staff turnover is a great problem for many hospitals. It is shown to have a negative effect on the quality of nursing care and to increase hospital costs.Design. In 2004 in a large university hospital in Sweden five focus group discussions (FGDs) including department heads (1), nursing managers (2) and members of nursing staff (2) were carried out. The questions to be addressed were 'Why do nurses leave?' and 'Why do nurses stay?' In addition, register data of staff turnover for 2002[ndash]2...
Source: Journal of Clinical Nursing - July 7, 2009 Category: Nursing Authors: Stina F Sellgren, Kerstin N Kajermo, Göran Ekvall, Göran Tomson Source Type: journals
