Latest & greatest articles for nursing

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Top results for nursing

181. Discontinuing Inappropriate Medication Use in Nursing Home Residents: A Cluster Randomized Controlled Trial. (Abstract)

Discontinuing Inappropriate Medication Use in Nursing Home Residents: A Cluster Randomized Controlled Trial. Inappropriate prescribing is a well-known clinical problem in nursing home residents, but few interventions have focused on reducing inappropriate medication use.To examine successful discontinuation of inappropriate medication use and to improve prescribing in nursing home residents.Pragmatic cluster randomized controlled trial, with clustering by elder care physicians and their wards (...) . (ClinicalTrials.gov: NCT01876095).59 Dutch nursing home wards for long-term care.Residents with a life expectancy greater than 4 weeks who consented to treatment with medication.Multidisciplinary Multistep Medication Review (3MR) consisting of an assessment of the patient perspective, medical history, critical appraisal of medications, a meeting between the treating elder care physician and the pharmacist, and implementation of medication changes.Successful discontinuation of use of at least 1 inappropriate drug

2017 Annals of Internal Medicine

182. The effect of group integrative reminiscence therapy on mental health among older women living in Iranian nursing homes Full Text available with Trip Pro

The effect of group integrative reminiscence therapy on mental health among older women living in Iranian nursing homes The present study aimed to determine the impact of group integrative reminiscence therapy on mental health of older women living in Iranian nursing home in 2016.A quasi-experimental design pre- and post-test was used in the present study. Purposive sampling was used to recruit participants who met the study criteria.The statistical population included 60 older women living (...) in nursing home, among whom 46 having the inclusion criteria were selected as the sample. After completing the Goldberg's General Health Questionnaire, the older people were divided into intervention (N = 23) and control (N = 23) group by using block randomization method. The intervention groups were trained by integrative reminiscence therapy for 60-90 min 10 sessions, twice a week. Descriptive statistics and ANOVA were used for data analysis by SPSS software.The results indicated that group integrative

2017 Nursing open Controlled trial quality: uncertain

183. Classic cases revisited – Death of a nurse and the anatomy of error Full Text available with Trip Pro

Classic cases revisited – Death of a nurse and the anatomy of error The tragic case of Mayra Cabrera who died as a result of wrong route drug administration is notable as it was the first time a verdict of unlawful killing was recorded against an NHS Trust. Error within medicine is a significant cause of patient morbidity and mortality. We explore the costs of error, the dynamics of error causation, the role of both the individual and institution in accountability for error, as well

2017 Journal of the Intensive Care Society

184. Mental challenges of nurses in the face of unlearning situations in hospitals: A qualitative study Full Text available with Trip Pro

Mental challenges of nurses in the face of unlearning situations in hospitals: A qualitative study The unlearning process is complex and sometimes painful in nature. This process usually occurs in social interactions and is very dependent on social contexts and the work environment.To explore the concerns and mental challenges in facing unlearning situations in nurses.This qualitative study using content analysis was conducted in 2013-2015. Participants were 25 people, and research environment (...) and 3 themes. Our themes were discouraging/encouraging situation, double-edged sword colleagues, and organizational policies paradox, that the central theme of progressive and suppressor organizational climate paradox were derived from them.Exposure to unlearning situations is a complex process of which its adoption and implementation is difficult and challenging. This suggests that supporting nurses and attention to their mental concerns and providing favorable learning conditions is required.

2017 Electronic physician

185. Exploring the perception of nursing students about consequences of reflection in clinical settings Full Text available with Trip Pro

Exploring the perception of nursing students about consequences of reflection in clinical settings Reflection on practical experiences is a key element that enables students to recognize their own strengths and weaknesses and develop nursing skills. Whilst reflection may enhance students' learning in practice, there is little evidence about nursing students' perception of the consequences of reflection in clinical settings.This study aimed to explore Iranian nursing students' perception (...) regarding the consequences of reflection during clinical practices.This qualitative study was conducted by a conventional content analysis approach in two nursing schools at Shiraz and Fasa Universities of Medical Sciences in Iran. Data were collected through in-depth semi-structured interviews during 2015-2016, from 20 students selected by purposive sampling. All the interviews were tape-recorded, transcribed verbatim, and analyzed by content analysis method. Rigor of this study was approved by member

2017 Electronic physician

186. Preventing physical abuse of nursing home residents‐ as seen from the nursing staff's perspective Full Text available with Trip Pro

Preventing physical abuse of nursing home residents‐ as seen from the nursing staff's perspective This study aims to capture first-hand information from nursing home staff's own understanding regarding what they think and have experienced about prevention of physical abuse of nursing home residents and what measures they consider useful to implement in their daily work.The design is qualitative.A convenient sample of staff in three nursing homes was used and data were collected during three (...) focus group interviews. The total number of informants was 14. Thematic content analysis was used. The data collection period was from December 2015-February 2016.According to the staff, several factors contribute to the prevention of physical abuse of residents in nursing homes. There is a requirement for increased competence among staff about the concept of abuse and known risk factors. Good communication skills and trusting relationships are important factors, as well as a culture that fosters

2017 Nursing open

187. Informed Strangers: Witnessing and Responding to Unethical Care as Student Nurses Full Text available with Trip Pro

Informed Strangers: Witnessing and Responding to Unethical Care as Student Nurses Nursing students occupy a unique perspective in clinical settings because they are informed, through education, about how patient care ought to happen. Given the brevity of placements and their "visiting status" in clinical sites, students are less invested in the ethos of specific sites. Subsequently, their perspectives of quality care are informed by what should happen, which might differ from that of nurses (...) and patients. The purpose of this study was to identify predominant themes in patient care, as experienced by students, and the influence that these observations have on the development of their ethical reasoning. Using a qualitative descriptive approach in which 27 nursing student papers and three follow-up in-depth interviews were analyzed, three main themes emerged: Good employee, poor nurse; damaged care; and negotiating the gap. The analysis of the ethical situations in these papers suggests

2017 Global qualitative nursing research

188. Apathy: Risk Factor for Mortality in Nursing Home Patients (Abstract)

Apathy: Risk Factor for Mortality in Nursing Home Patients To determine the prognostic value of apathy for mortality in patients of somatic (SC) and dementia special care (DSC) nursing home (NH) units.Longitudinal design, secondary analyses of a 2-year, cluster-randomized trial with six measurements, approximately 4 months in between.SC and DSC-units of Dutch NHs.NH-patients of seventeen SC-units (n = 342) and sixteen DCS-units (n = 371).Data were available for 713 NH-patients, 266 of whom died

2017 EvidenceUpdates

189. Elderly peoples’ experiences of nursing homes in Bam city: A qualitative study Full Text available with Trip Pro

Elderly peoples’ experiences of nursing homes in Bam city: A qualitative study With the increasing number of elderly, especially in recent decades, transfer to nursing homes and the number of centers has also increased but experiences and problems of elders in these centers is less considered. So, the goal of this study is to explore the Elderly peoples' experiences of nursing homes.The current research was performed using a phenomenological approach in 2016. Participation in the study (...) is comprised of the elderly residents in a nursing home in Bam city who were selected based on an objective-oriented approach. The sampling was done until data saturation. Data collection methods were observation and an unstructured and in-depth interview. Data were analyzed using seven-stage Colaizzi process.In total, fifteen 68 - 82 years old people participated in our study and 52 primary and conceptual codes that were eventually categorized in five main themes (sense of rejection, sense of daily

2017 Electronic physician

190. Therapeutic communication in nursing students: A Walker & Avant concept analysis Full Text available with Trip Pro

Therapeutic communication in nursing students: A Walker & Avant concept analysis Therapeutic communication, the fundamental component of nursing, is a complex concept. Furthermore, the poor encounters between nursing student and patient demonstrate the necessity of instruction regarding therapeutic communication. The aim of this study was to define and clarify this important concept for including this subject in the nursing curriculum with more emphasis.A literature search was conducted using (...) keywords such as "nursing student", "patient" and "therapeutic communication" and Persian-equivalent words in Persian databases (including Magiran and Medlib) and English databases (including PubMed, ScienceDirect, Scopus and ProQuest) without time limitation. After extracting concept definitions and determining characteristic features, therapeutic communication in nursing students was defined. Then, sample cases, antecedents, consequences and empirical referents of concept were determined.After

2017 Electronic physician

191. Oral versus written feedback delivery to nursing students in clinical education: A randomized controlled trial Full Text available with Trip Pro

Oral versus written feedback delivery to nursing students in clinical education: A randomized controlled trial Feedback delivery is deemed as a key element during a students' clinical education. It keeps students on track to meet their goal and increase students' motivation and confidence.The aim of this study was to compare the quality of feedback delivery in oral versus written feedback delivery to nursing students in clinical education.A randomized controlled trial was conducted between (...) February and August 2012 in the city of Bojnurd in Iran. Using purposive sampling, last semester's nursing students (n=44) had been randomly assigned to oral and written feedback delivery groups. Three Instructors received orientation and training on methods of feedback delivery before study initiation. Then, they gave necessary oral and written feedback to the students. Clinical settings of the study included coronary care, surgical, and neonatal units of hospitals. Data collection tools were quality

2017 Electronic physician Controlled trial quality: uncertain

192. Effects of a nurse-led transitional care program on clinical outcomes, health-related knowledge, physical and mental health status among Chinese patients with coronary artery disease: A randomized controlled trial (Abstract)

Effects of a nurse-led transitional care program on clinical outcomes, health-related knowledge, physical and mental health status among Chinese patients with coronary artery disease: A randomized controlled trial Coronary artery disease is a major cause of morbidity and mortality among adults worldwide, including China. After a hospital stay, transitional care could help to ensure improved patient care and outcomes, and reduce Medicare costs. Nevertheless, the results of the existing (...) transitional care are not always satisfactory and our knowledge of how to perform effective transitional care for patients with coronary artery disease is limited in mainland China.To examine the effectiveness of a nurse-led transitional care program on clinical outcomes, health-related knowledge, and physical and mental health status among Chinese patients with coronary artery disease.Randomized controlled trial.The Omaha system and Pender's health promoting model were employed in planning

2017 EvidenceUpdates

193. Teachers’ and postgraduate nursing students’ experience of the educational environment in Iran: A qualitative Research Full Text available with Trip Pro

Teachers’ and postgraduate nursing students’ experience of the educational environment in Iran: A qualitative Research The learning environment has a significant role in determining nursing students' academic achievements and course satisfaction. Creating a proper educational environment is therefore necessary for improving the quality of teaching and learning, and for delivering competent graduates to society.The present study was conducted to explore teachers' and postgraduate nursing (...) , teachers' competency, student appreciation, research centeredness, educational guidance and professionalism.The educational environment of postgraduate nursing programs in Iran encompasses different dimensions that can serve as both key points for educational environment evaluators and as guidelines for officials at different levels, to modify the weaknesses and improve the strengths of the system.

2017 Electronic physician

194. Correlation between medication errors with job satisfaction and fatigue of nurses Full Text available with Trip Pro

Correlation between medication errors with job satisfaction and fatigue of nurses Medication errors which can cause several medical malfunctions, have been in the spotlight recently. Job satisfaction and fatigue seems to be related to the increase of medication errors in nursing.This study aimed to determine the correlation between the amount and type of medication errors with job satisfaction and fatigue of nurses working in Shahid Sadoughi hospital in Yazd-Iran.This is a descriptive study (...) by a cross-sectional and correlational approach conducted on all the nurses working in an educational hospital who have characteristics of samples. Participants were 170 nurses working in Shahid Sadooghi hospital in Yazd, Iran in 2012. The questionnaires of demographic characteristics, medication administration error and nurses' job satisfaction and fatigue by purposive sampling were used for gathering data. Validity and reliability were checked for internal consistency and stability. Data were analysed

2017 Electronic physician

195. Writing self‐efficacy in nursing students: The influence of a discipline‐specific writing environment Full Text available with Trip Pro

Writing self‐efficacy in nursing students: The influence of a discipline‐specific writing environment To explore if writing self-efficacy improved among first-year nursing students in the context of discipline-specific writing. The relationship between writing self-efficacy, anxiety and student grades are also explored with respect to various learner characteristics such as postsecondary experience, writing history, English as a second language status and online versus classroom

2017 Nursing open

196. The Effect of Nursing Quality Improvement and Mobile Health Interventions on Infant Sleep Practices: A Randomized Clinical Trial. Full Text available with Trip Pro

The Effect of Nursing Quality Improvement and Mobile Health Interventions on Infant Sleep Practices: A Randomized Clinical Trial. Inadequate adherence to recommendations known to reduce the risk of sudden unexpected infant death has contributed to a slowing in the decline of these deaths.To assess the effectiveness of 2 interventions separately and combined to promote infant safe sleep practices compared with control interventions.Four-group cluster randomized clinical trial of mothers (...) of healthy term newborns who were recruited between March 2015 and May 2016 at 16 US hospitals with more than 100 births annually. Data collection ended in October 2016.All participants were beneficiaries of a nursing quality improvement campaign in infant safe sleep practices (intervention) or breastfeeding (control), and then received a 60-day mobile health program, in which mothers received frequent emails or text messages containing short videos with educational content about infant safe sleep

2017 JAMA Controlled trial quality: predicted high

197. The relationship between organizational commitment and nursing care behavior Full Text available with Trip Pro

The relationship between organizational commitment and nursing care behavior Nursing care encompasses physical, emotional, mental and social needs, in order to improve a patient's health and wellbeing. Caring is the central core and the essence of nursing. The important issue of care is access to proper care and increasing patients' satisfaction. Job performance of nurses is affected by many factors including organizational commitment. This study aimed to determine the relationship between (...) organizational commitment and nurses caring behavior.In this cross-sectional study, 322 nurses from selected Hospitals of Shahid Beheshti University of Medical Sciences in Tehran were randomly selected and enrolled in the study in 2015. The self-reported data by nurses were collected through demographic characteristics questionnaire, Meyer & Allen organizational commitment model and Caring Behavior Inventory (CBI). Data were analyzed with SPSS statistical software version 20, using t-test and ANOVA.The

2017 Electronic physician

198. Exploration of pioneering as a major element of ethical leadership in nursing: A qualitative study Full Text available with Trip Pro

Exploration of pioneering as a major element of ethical leadership in nursing: A qualitative study Commitment to ethical behavior is considered as an essential part of occupational responsibilities of nursing, and leaders' pioneering in ethical growth and development has led to the emergence of the concept of ethical leadership.The purpose of this study was to explain the nursing leaders' perception and experiences of pioneering in the field of ethical leadership.In this qualitative study, data (...) were collected through semi-structured individual interviews. A total of 14 nursing leaders at different levels who were selected by purposeful sampling method participated in the study. Latent content analysis was used to analyze the data.Of 14 participants of the study, 8 were male and 6 were female aged 38 to 56 years old with a mean managerial experience of 12 years. In the analysis of interviews, 4 subcategories of "Role Modeling", "Empowerment", "Knowledge and Skill", and "Recognition" were

2017 Electronic physician

199. Challenging nurse student selection policy: Using a lifeworld approach to explore the link between care experience and student values Full Text available with Trip Pro

Challenging nurse student selection policy: Using a lifeworld approach to explore the link between care experience and student values This study uses a lifeworld perspective to explore beginning students' values about nursing. Internationally, increasing care demand, a focus on targets and evidence of dehumanized care cultures have resulted in scrutiny of practitioner values. In England, selection policy dictates that prospective nursing students demonstrate person-centred values and care work (...) experience. However, there is limited recent evidence exploring values at programme commencement or the effect of care experience on values.Mixed method study.A total of 161 undergraduate nursing students were recruited in 2013 from one English university. Thematic content analysis and frequency distribution to reveal descriptive statistics were used.Statistical analysis indicated that most of the values identified in student responses were not significantly affected by paid care experience. Five themes

2017 Nursing open

200. Registration of randomized controlled trials in nursing journals Full Text available with Trip Pro

Registration of randomized controlled trials in nursing journals Trial registration helps minimize publication and reporting bias. In leading medical journals, 96% of published trials are registered. The aim of this study was to determine the proportion of randomized controlled trials published in key nursing journals that met criteria for timely registration.We reviewed all RCTs published in three (two general, one mental health) nursing journals between August 2011 and September 2016. We (...) that were prospectively registered, 11 (8%) met the criteria for timely registration.There is an unacceptable difference in rates of trial registration between leading medical and nursing journals. Concerted effort is required by nurse researchers, reviewers and journal editors to ensure that all trials are registered in a timely way.

2017 Research integrity and peer review