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Clinical Nursing Research

Simon Cooper, Robyn Cant, Michelle Kelly, Tracy Levett-Jones, Lisa McKenna, Philippa Seaton, Fiona Bogossian
A scoping review aims to systematically explore and map the research available from a wide range of sources. The objective of this study was to produce a scoping review checklist to guide future scoping studies to enable rigorous review and critique of phenomena of interest. The methods used included a review of literature, expert consensus group meetings, a modified Delphi survey and, finally, verification against recent scoping study examples. Results showed that the checklist was able to identify key elements of scoping reviews...
May 14, 2019: Clinical Nursing Research
Lemye Zehirlioglu, Hatice Mert, Dilek Sezgin, Ebru Özpelit
Individuals with diabetes must be informed about cardiovascular diseases (CVDs), which is the most important cause of mortality of diabetes, and the interventions should be planned according to their risk status. The aim of this study was to investigate cardiovascular risk, risk knowledge, and related factors in patients with type 2 diabetes. A total of 188 participants were included in this descriptive study. Data were collected using Heart Disease Fact Questionnaire (HDFQ) and Systematic Coronary Risk Evaluation (SCORE) Calculator...
April 25, 2019: Clinical Nursing Research
Caroline E Stephens, Elizabeth Halifax, Daniel David, Nhat Bui, Sei J Lee, Janet Shim, Christine S Ritchie
In this descriptive, qualitative study, we conducted eight focus groups with diverse informal and formal caregivers to explore their experiences/challenges with nursing home (NH) to emergency department (ED) transfers and whether telehealth might be able to mitigate some of those concerns. Interviews were transcribed and analyzed using a grounded theory approach. Transfers were commonly viewed as being influenced by a perceived lack of trust in NH care/capabilities and driven by four main factors: questioning the quality of NH nurses' assessments, perceptions that physicians were absent from the NH, misunderstandings of the capabilities of NHs and EDs, and perceptions that responses to medical needs were inadequate...
April 21, 2019: Clinical Nursing Research
Pablo J López-Soto, Ignacio Morales-Cané, Fabio Fabbian, Roberto Manfredini, Caridad Dios-Guerra, Juan Manuel Carmona-Torres, María Aurora Rodríguez-Borrego
The aim of this study was to determine which factors are related to Accidents and Emergency Unit (AEU) use by the elderly Spanish population. Observational analysis of the 2014 European Survey of Health in Spain (ESHS-2014; N = 6,520) and the 2017 Spanish Health Survey (SHS-2017; N = 7,024) was employed. About one third (4,095, 30.2%) of the sample used the AEU, and they were primarily women (32.6%). Comorbidity ( p = .01), presence of physical limitation in the prior 6 months to the survey, and a history of several diseases ( p < ...
April 21, 2019: Clinical Nursing Research
Barbara Resnick, Ann Kolanowski, Kimberly Van Haitsma, Elizabeth Galik, Marie Boltz, Jeanette Ellis, Liza Behrens, Karen Eshraghi, Shijun Zhu
This study described current use and predictors of psychotropics among residents with moderate to severe cognitive impairment. This was a secondary data analysis using baseline data from the first 341 residents in an ongoing trial. Predictive measures included age, gender, race, depressive symptoms, agitation, resistiveness to care, depression, cognition, pain, comorbidities, facility factors, and state. Overall 63% ( n = 211) received at least one psychotropic medication, 16% ( n = 52) an anti-seizure medication, 23% ( n = 77) an anxiolytic, 30% ( n = 99) an antidepressant, 2% ( n = 8) a sedative hypnotic, 28% ( n = 93) an antipsychotic medication, and 9% ( n = 29) an opioid...
April 3, 2019: Clinical Nursing Research
Jufang Li, Yun Li, Ping Li
Chinese family caregivers of dementia patients suffer considerable grief in their caregiving activity; little research has been conducted on dementia caregivers' grief in China. This study aims to (a) confirm the factor structure of the Mandarin version of the Marwit-Meuser Caregiver Grief Inventory-Short Form (MM-CGI-SF), (b) evaluate the levels of family caregivers' grief, and (c) explore the best predictors of family caregivers' grief. A cross-sectional study was conducted to collect data from 91 caregivers of dementia patients...
April 2, 2019: Clinical Nursing Research
Almudena Alameda Cuesta, Álvaro Pazos Garciandía, Cristina Oter Quintana, Marta Elena Losa Iglesias
Fibromyalgia, chronic fatigue syndrome/myalgic encephalomyelitis, and multiple chemical sensitivity can be considered contested illnesses. The questioning of the status of these conditions as real diseases reduces feelings of legitimacy in those affected. The purpose of this study was to analyze subjectivity construction processes in people with these diseases. A qualitative exploratory study was conducted from the perspective of hermeneutic phenomenology and ethnosociology. We used life stories for compiling data (13 informants were interviewed face-to-face), and sociological discourse analysis was developed...
March 27, 2019: Clinical Nursing Research
Amy Shay, Janet S Fulton, Patricia O'Malley
Older adults with chronic obstructive pulmonary disease (COPD) are at known risk for deconditioning and functional decline during hospitalization. The purpose of this study was to examine correlations between in-hospital mobility activities and functional status indicators in hospitalized older adults with COPD. A predictive correlational, secondary analysis design using multivariate analyses assessed the relationship between mobility events and functional status indicators in patients with COPD ( n = 111) and non-COPD ( n = 190) diagnoses...
March 10, 2019: Clinical Nursing Research
Tzer-Zen Hwang, Yu-Hua Lin, Chih-Yi Liu, Chia-Chan Kao, Pei-Chen Huang
This study aimed to estimate the effects of a supportive care program on the posttraumatic stress symptoms (PTSSs) of patients with oral cancer after surgery. Participants were divided into two groups. Outcome measurements included the Chinese version of the Davidson trauma scale to examine PTSSs at a clinical follow-up 1 week (T0), 1 month (T1), and 3 months (T2) after hospital discharge. The results indicated that the frequency and severity mean scores of PTSSs for the two groups at T0 were significantly higher than those at T1 and T2...
February 27, 2019: Clinical Nursing Research
Jessica Y Matuoka, Geana P Kurita, Mie Nordly, Per Sjøgren, Cibele A de Mattos-Pimenta
This study aimed to investigate the psychometric properties of Trail Making Test (TMT), Continuous Reaction Time (CRT), Finger Tapping Test (FTT), Digit Span Test (DST), and Mini-Mental State Examination (MMSE) in Brazilian patients with metastatic cancer. Cognitive performance of 178 patients with metastatic cancer and 79 controls was assessed using the TMT, CRT, FTT, DST, and MMSE. Discriminant validity, concurrent validity, and reliability (39 patients were retested after 3-7 days) were investigated. Discriminant validity between groups was observed in TMT, DST, and MMSE...
February 22, 2019: Clinical Nursing Research
Siobhan O'Connor
The editorial summarizes the evolution of virtual reality and its application in a variety of healthcare contexts to improve nursing education, research, and clinical practice. The use of digital avatars in conjunction with virtual reality systems is also discussed, along with the benefits and risks of this emerging technology.
June 2019: Clinical Nursing Research
(no author information available yet)
No abstract text is available yet for this article.
May 2019: Clinical Nursing Research
Lena Andersson, Lena Nordgren
This study aimed to investigate heart failure patients' perceptions of received and wanted information and to identify differences regarding received and wanted information in relation to sociodemographic variables. A cross-sectional descriptive design was used. Patients with heart failure ( n = 192) were recruited from six primary health care centers in Sweden. Data were collected by a postal questionnaire. A majority of the respondents had received information about the condition and the medication. Within primary health care, most respondents had been informed about medication...
March 2019: Clinical Nursing Research
Yongmei Zhao, Min Liu, Zhihong Fan, Jinjing Li, Ling Shi, Yixin Zhang, Yuerui Gong, Wei Yang
Improving the efficiency of patient education can help improve patient's satisfaction and alleviate the pressure of nurse shortage. This study aimed to develop and pilot an educational audio to improve the effectiveness of inpatient education. A primary literature review was conducted and educational materials were written and recorded by MP3. A pilot study was conducted in 713 adult patients in the department of respiratory medicine at a large urban Shanghai teaching hospital. Patients in the experimental group showed greater satisfaction with their health education...
February 17, 2019: Clinical Nursing Research
Pamela Z Cacchione
No abstract text is available yet for this article.
February 2019: Clinical Nursing Research
Nursemin Unal, Betul Tosun, Ozlem Aslan, Servet Tunay
The aim of this study was to evaluate the effects of vapocoolant spray administration prior to subcutaneous (SC) low molecular weight heparin injection on local ecchymosis, hematoma, and pain. This randomized controlled study was carried out on 64 patients ( n = 128 injections) in an orthopedics and traumatology clinic. After randomization, vapocoolant spray and then heparin injection was applied on one arm. The second necessary dose of heparin was applied to his or her other arm as a placebo by a water spray...
January 30, 2019: Clinical Nursing Research
Martin Salzmann-Erikson, Lilly Yifter
The aim of the present integrative review is to identify and describe risk factors and triggers that may result in patient-initiated violence on inpatient psychiatric units. Original studies were searched for in PubMed, PsycINFO, and the Cumulative Index to Nursing and Allied Health Literature. From the 826 identified publications, 18 were included for a synthesis. The results are presented in three themes, which demonstrate that patient characteristics, staff approach, and the ward environment are influencers that may trigger the emergence of violent incidents...
January 22, 2019: Clinical Nursing Research
Michela Luciani, Paola Rebora, Emanuela Rossi, Luca Tonoli, Silvia Androni, Enrico Ballerini, Diletta Fabrizi, Barbara Riegel, Davide Ausili, Stefania Di Mauro
In type 2 diabetes mellitus (T2DM) patients, human values have been identified as having a possible impact on self-care. Despite this, basic human values have never been described in the T2DM population and the association between basic human values and self-care has not been assessed. The aims of this study were to describe basic human values and self-care, and investigate the associations between basic human values and self-care in adults with T2DM. The study was cross-sectional multicentre with T2DM patients ( n = 390)...
January 18, 2019: Clinical Nursing Research
Corrie Kangas, Lindsay Iverson, Dustin Pierce
Providing effective screening tools to nurses is necessary to improve patient outcomes and health care quality. This research examines if the modification of two electronic health record sepsis screening tools using a combined systemic inflammatory response syndrome (SIRS), modified early warning score (MEWS), and national early warning score (NEWS) criteria improves the recognition of sepsis by nurses. Medical-surgical/telemetry units at a medical center in the Midwest were examined using a quasiexperimental design...
January 17, 2019: Clinical Nursing Research
Yuan Xue, Xiao-Yan Zhang, Hui-Juan Zhou, Omorogieva Ojo, Qi Wang, Li-Li Wang, Qing Jiang, Ting Liu, Xiao-Hua Wang
This study aims to evaluate the levels of knowledge of different food categories and analyze the association between the levels of dietary knowledge and glycemia in Chinese adult patients with type 2 diabetes mellitus (T2DM). A cross-sectional study design was adopted. A total of 334 patients with T2DM were recruited from six hospitals from July to October 2014 in China. The Diabetes Dietary Knowledge Scale was utilized to obtain dietary knowledge. The results showed the item examining knowledge of carbohydrates received the highest score, whereas the item examining knowledge of healthy fats received the lowest score...
January 7, 2019: Clinical Nursing Research
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