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Journal of Clinical Nursing

Shu-Hung Chang, Yi-Ya Chang, Li-Yu Wu
AIMS AND OBJECTIVES: The purpose of this paper was to examine the gender-specific lifestyles of adults with metabolic syndrome in the Taiwanese community. BACKGROUND: Many studies show different prevalence of metabolic syndrome in males and females, however few studies have investigated gender-specific lifestyle risk factors, which are important for effectively reducing prevalence. DESIGN: A cross-sectional study design was used. METHODS: Between 2012 and 2015, a total of 1066 individuals were recruited in northern Taiwan...
February 20, 2019: Journal of Clinical Nursing
Cathrine Fowler, Janet Green, Doug Elliott, Julia Petty, Lisa Whiting
AIMS: To explore the experiences of mothers of extremely premature babies during their Neonatal Intensive Care Unit stay and transition home. BACKGROUND: Mothers of extremely preterm infants (28-weeks-or-less gestation) experience a continuum of regular and repeated stressful and traumatic events; during the perinatal period, while the Neonatal Intensive Care Unit, and during transition home. METHOD: An interpretive description method guided this study...
February 20, 2019: Journal of Clinical Nursing
Edward McCann, Michael Brown
AIMS AND OBJECTIVES: To explore homelessness among lesbian, gay, bisexual, transgender, queer/questioning plus (LGBTQ+) youth and to identify their support and care requirements. BACKGROUND: LGBTQ+ youth face many health and societal challenges including issues related to homelessness. DESIGN: A systematic review of qualitative, quantitative and mixed methods studies. METHODS: A search of relevant electronic databases was carried out and included the dates August 2008- August 2018 and limited to academic journals and peer reviewed empirical studies written in English...
February 20, 2019: Journal of Clinical Nursing
Martha Paynter, Emily K Drake, Christine Cassidy, Erna Snelgrove-Clarke
AIMS AND OBJECTIVES: This scoping review uses intersectional feminism to inform a systematic synthesis of what is known about the maternal health outcomes of incarcerated women. BACKGROUND: Despite rising imprisonment of women, there is a lack of research, from a feminist perspective, on perinatal health outcomes among incarcerated women. DESIGN: Systematic scoping review using the Joanna Briggs Institute scoping review methodology. METHODS: In consultation with a medical research librarian, key databases and journals were searched for English and French-language articles published fup to February 2018...
February 20, 2019: Journal of Clinical Nursing
Pia L Veje, Ming Chen, Christian S Jensen, Jan Sørensen, Jette Primdahl
AIMS AND OBJECTIVES: To gain an in-depth understanding of patients' preferences regarding two bed bath methods: soap and water and disposable wet wipes. BACKGROUND: Bed baths allow hospitalized, bedridden patients to stay clean and fresh. They serve a number of purposes: health promotion, social propriety and pure pleasure. Traditionally, soap and water has been used for personal hygiene, but in recent years soap and water have increasingly been replaced by the use of disposable wet wipes...
February 20, 2019: Journal of Clinical Nursing
Eui Geum Oh, Jeong Hyun Kim, Hyun Joo Lee
AIMS AND OBJECTIVES: To examine the effects of the Patient-Oriented Safe Transition program on 30-day unplanned readmissions and emergency department visits, medical costs, caregiver burden, and patient health-related quality of life. BACKGROUND: With the success of hospitals' quality improvement efforts, the number of discharged patients has been increasing. Successful management of discharged patients is needed in order to reduce unplanned readmissions and to improve patient health outcomes...
February 20, 2019: Journal of Clinical Nursing
Sercan Yalçınlı, Funda Karbek Akarca, Özge Can, Alper Şener, Cemile Akbinar
AIMS AND OBJECTIVES: To determine the factors affecting the first-attempt success of peripheral intravenous catheter (PIVC) placement in older emergency department patients. BACKGROUND: In older patients who require intravenous treatment, establishing a PIVC as fast as possible is clinically important. DESIGN: This is a prospective, observational, descriptive study. METHODS: Using a data collection form, researchers questioned both the patient and the nurse performing the procedure in terms of patient- and operator-related factors...
February 20, 2019: Journal of Clinical Nursing
Imelda Dillane, Owen Doody
AIM: To explore the current evidence of nurses caring for people with Intellectual Disability and dementia who experience pain. BACKGROUND: People with intellectual disability are ageing and are experiencing age related health conditions including dementia and conditions associated with pain, but at an earlier age. Addressing the needs of people with intellectual disability who develop dementia is a new challenge for nurses. DESIGN: An integrative literature review...
February 20, 2019: Journal of Clinical Nursing
Shu-Fei Yang, Elaine Burns, Yenna Salamonson, Virginia Schmied
BACKGROUND: Improving breastfeeding support to mothers has been the focus of several national and international health organizations. There is evidence that theoretical and clinical education improves breastfeeding knowledge and attitudes among nursing and other health professional students prior to clinical placement, to support women who are breastfeeding. AIMS AND OBJECTIVES: To explore the expectations and experiences of Taiwanese nursing students in supporting breastfeeding on clinical placement...
February 20, 2019: Journal of Clinical Nursing
Simona Kelcikova, Lucia Mazuchova, Lubica Bielena, Lenka Filova
AIM: To assess the quality of self-assessment and the attitude of healthcare workers (HCWs) to hand hygiene (HH) as possible factors of unsatisfactory HH compliance in clinical practice. BACKGROUND: Non-compliance of hand hygiene causes healthcare-acquired infections (HAI) in patients. It is assumed that hand hygiene-related infections make up approximately 80% of all infections in clinical practice. Our observations suggest that self-assessment and attitude might be surprisingly important factors...
February 20, 2019: Journal of Clinical Nursing
Saurav Ghimire, Kenneth Lee, Matthew D Jose, Ronald L Castelino, Syed Tabish R Zaidi
AIMS AND OBJECTIVES: To explore clinician assessment of patient adherence, and identify strategies to improve adherence assessment practices in haemodialysis settings. BACKGROUND: Patients with chronic kidney disease undergoing haemodialysis are typically prescribed complex regimens; as such, they are at high risk of medication nonadherence. Current clinical practices focus on prescribing medications, however, little attention is paid to measuring and ensuring patient adherence to their prescribed treatments...
February 20, 2019: Journal of Clinical Nursing
Peter W Lange, Marissa Lamanna, Rosie Watson, Andrea B Maier
AIMS AND OBJECTIVES: To study the prevalence and determinants of undiagnosed delirium in a tertiary hospital. BACKGROUND: Delirium is a common inpatient condition. It is frequently undiagnosed in a variety of settings, but determinants of undiagnosed delirium are largely unknown, and the frequency of undiagnosed delirium across all inpatient units is uncertain. The utility of hospital wide screening then is also uncertain. METHODS: Hospital wide prevalence study conducted over four months, using a chart based method...
February 20, 2019: Journal of Clinical Nursing
Kirsten Kaptain, Marie-Louise Ulsøe, Pia Dreyer
AIM: To explore patients' and healthcare professionals' experiences of patients' surgical pathways in a perioperative setting. BACKGROUND: Elective surgical pathways have improved over the past decades due to fast track programs, but patients desire more personalised and coordinated care and treatment. There is little knowledge of how healthcare professionals' collaboration and communication affect patients' pathways. DESIGN: The overall framework was complex intervention method...
February 20, 2019: Journal of Clinical Nursing
Harrison Ng Chok, Judy Mannix, Cathy Dickson, Lesley Wilkes
Conflict and war in countries across the world has driven the worst migration crises since WWII, with the number of refugees exceeding 25 million (Rother et al., 2016; United Nations High Commissioner for Refugees, 2016). Unlike 'migrants' who are able to freely travel and return home, 'refugees' are people who have "a well-founded fear of persecution for reasons of race, religion, nationality, political opinion or membership in a particular social group" (UNHCR, 2017). This article is protected by copyright...
February 12, 2019: Journal of Clinical Nursing
Heidi A Monroe
AIMS AND OBJECTIVES: To measure the professional values of registered nurses and determine if these values are significantly related to post-licensure ethics education and years of experience. BACKGROUND: Nursing guilds in many countries reference the American Nurses Association's code of ethics to define expected professional nursing values. Strong professional values contribute to high quality patient care and are influenced by complex practice environments. DESIGN: Causal-comparative design...
January 31, 2019: Journal of Clinical Nursing
Helle Vendel Petersen, Signe Foged, Vibeke Nørholm
AIMS AND OBJECTIVES: To explore how the hospital and home care nurses talk about and experience cross-sectoral collaboration related to the transitional care of frail older patients. BACKGROUND: Effective communication and collaboration between nurses involved in care transition are crucial for a safe patient handover. Organizational systems to support cross-sectoral collaboration have been developed but do not always promote the intended dialogue and precise and useful exchange of information...
January 31, 2019: Journal of Clinical Nursing
Yuan-Ping Chang, De-Chih Lee, Shu-Chen Chang, Yi-Hua Lee, Hsiu-Hung Wang
AIM AND OBJECTIVES: This study aims to determine the influence of work excitement, workplace violence, and the violence prevention climate on professional commitment and turnover intention. BACKGROUND: Workplace violence can easily cause the quality of nursing care to decline. Improvements in the working environment and working conditions can improve nurses' professional commitment and satisfaction. DESIGN: A cross-sectional multicentre study with convenience sampling was conducted...
January 31, 2019: Journal of Clinical Nursing
Alvisa Palese, Lucia Cadorin, Marco Testa, Tommaso Geri, Luana Colloca, Giacomo Rossettini
AIMS AND OBJECTIVES: To describe contextual factors (CFs) used by nurses to increase placebo and to prevent nocebo effects. BACKGROUND: Placebo effects have been studied in the nursing discipline, but nocebo effects still remain unexplored. Recently, a set of CFs functioning as triggers of placebo/nocebo effects has been described; however, its use in daily care has never been documented to date. DESIGN: A national cross-sectional survey, according to the Checklist for Reporting Results of Internet E-Surveys guidelines and STrengthening the Reporting of OBservational Studies in Epidemiology (STROBE), was performed in 2016...
January 31, 2019: Journal of Clinical Nursing
Yu-Huei Lin, Chen-Liang Tsai, Lee-Ing Tsao, Chii Jeng
AIMS AND OBJECTIVES: To explore perceptions of experience exacerbations of chronic obstructive pulmonary disease among chronic obstructive pulmonary disease patients with comorbid gastroesophageal reflux disease by focusing on unraveling how patients differentiate and react to symptoms of chronic obstructive pulmonary disease and gastroesophageal reflux disease. BACKGROUND: While gastroesophageal reflux disease has been suggested to be a risk factor for chronic obstructive pulmonary disease exacerbations...
January 30, 2019: Journal of Clinical Nursing
Mieko Omura, Tracy Levett-Jones, Teresa E Stone
AIMS: The aims of this paper are to (a) outline the design and implementation of an evidence-based assertiveness communication workshop for Japanese nursing students; and (b) report on the evaluation of nursing students' satisfaction with the workshop using the Satisfaction with Assertiveness Communication Training Program Survey. BACKGROUND: A body of research attests to the relationship between assertive communication and patient safety. This paper reports the design and evaluation of an assertiveness communication training program designed to enhance students' ability to communicate safety in clinical practice...
January 30, 2019: Journal of Clinical Nursing
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