Latest & greatest articles for nursing

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Top results for nursing

61. Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents Full Text available with Trip Pro

Central Nervous System Medication Burden and Risk of Recurrent Serious Falls and Hip Fractures in Veterans Affairs Nursing Home Residents To examine the association between central nervous system (CNS) medication dosage burden and risk of serious falls, including hip fractures, in individuals with a history of a recent fall.Nested case-control study.Veterans Health Administration (VHA) Community Living Centers (CLCs).CLC residents aged 65 and older with a history of a fall or hip fracture (...) , and the outcome of recurrent serious falls.More cases (44.3%) than controls (35.8%) received 3.0 or more CNS SDDs (p = .02). Risk of serious falls was greater in residents with 3.0 or more SDDs than in those with 0 (adjusted odds ratio (aOR)=1.49, 95% confidence interval (CI)=1.03-2.14). Those with 1.0 to 2.9 SDDs had a risk similar to that of those with 0 SDDs (aOR=1.03, 95%CI=0.72-1.48).Nursing home residents with a history of a fall or hip fracture receiving 3.0 or more CNS SDDs were more likely to have

2018 EvidenceUpdates

62. Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in Intensive Care Units: A Randomized Clinical Trial. Full Text available with Trip Pro

Effects of a Multimodal Program Including Simulation on Job Strain Among Nurses Working in Intensive Care Units: A Randomized Clinical Trial. Nurses working in an intensive care unit (ICU) are exposed to occupational stressors that can increase the risk of stress reactions, long-term absenteeism, and turnover.To evaluate the effects of a program including simulation in reducing work-related stress and work-related outcomes among ICU nurses.Multicenter randomized clinical trial performed at 8 (...) adult ICUs in France from February 8, 2016, through April 29, 2017. A total of 198 ICU nurses were included and followed up for 1 year until April 30, 2018.The ICU nurses who had at least 6 months of ICU experience were randomized to the intervention group (n = 101) or to the control group (n = 97). The nurses randomized to the intervention group received a 5-day course involving a nursing theory recap and situational role-play using simulated scenarios (based on technical dexterity, clinical

2018 JAMA Controlled trial quality: predicted high

63. Efficacy and cost-effectiveness of nurse-led care involving education and engagement of patients and a treat-to-target urate-lowering strategy versus usual care for gout: a randomised controlled trial. Full Text available with Trip Pro

Efficacy and cost-effectiveness of nurse-led care involving education and engagement of patients and a treat-to-target urate-lowering strategy versus usual care for gout: a randomised controlled trial. In the UK, gout management is suboptimum, with only 40% of patients receiving urate-lowering therapy, usually without titration to achieve a target serum urate concentration. Nurses successfully manage many diseases in primary care. We compared nurse-led gout care to usual care led by general (...) practitioners (GPs) for people in the community.Research nurses were trained in best practice management of gout, including providing individualised information and engaging patients in shared decision making. Adults who had experienced a gout flare in the previous 12 months were randomly assigned 1:1 to receive nurse-led care or continue with GP-led usual care. We assessed patients at baseline and after 1 and 2 years. The primary outcome was the percentage of participants who achieved serum urate

2018 Lancet Controlled trial quality: predicted high

64. A Mind–Body Skills Course Among Nursing and Medical Students: A Pathway for an Improved Perception of Self and the Surrounding World Full Text available with Trip Pro

A Mind–Body Skills Course Among Nursing and Medical Students: A Pathway for an Improved Perception of Self and the Surrounding World Despite increased recognition of self-care and self-awareness as core competences for health care professionals, little attention is paid to these skills during their education. Evidence suggests that a Mind-Body (MB) skills course has the potential to enhance self-care and self-awareness among medical students. However, less is known about the meaning (...) of this course for students and how it affects their personal and professional life. Therefore, we examined the lived experiences with an MB skills course among Dutch medical and Swedish nursing students. This course included various MB techniques, such as mindfulness meditation and guided imagery. Guided by a phenomenological hermeneutical method, three main themes were identified: "ability to be more present," "increased perception and awareness of self," and "connection on a deeper level with others

2018 Global qualitative nursing research

65. Selecting a Grounded Theory Approach for Nursing Research Full Text available with Trip Pro

Selecting a Grounded Theory Approach for Nursing Research Grounded theory is a commonly used research methodology. There are three primary approaches to grounded theory in nursing research: those espoused by Glaser, Strauss and Corbin, and Charmaz. All three approaches use similar procedures, yet there are important differences among them, which implies that researchers need to make careful choices when using grounded theory. Researchers new to grounded theory need to find the most appropriate

2018 Global qualitative nursing research

66. Development and clinimetric assessment of a nurse-administered screening tool for movement disorders in psychosis Full Text available with Trip Pro

Development and clinimetric assessment of a nurse-administered screening tool for movement disorders in psychosis Movement disorders associated with exposure to antipsychotic drugs are common and stigmatising but underdiagnosed.To develop and evaluate a new clinical procedure, the ScanMove instrument, for the screening of antipsychotic-associated movement disorders for use by mental health nurses.Item selection and content validity assessment for the ScanMove instrument were conducted (...) by a panel of neurologists, psychiatrists and a mental health nurse, who operationalised a 31-item screening procedure. Interrater reliability was measured on ratings for 30 patients with psychosis from ten mental health nurses evaluating video recordings of the procedure. Criterion and concurrent validity were tested comparing the ScanMove instrument-based rating of 13 mental health nurses for 635 community patients from mental health services with diagnostic judgement of a movement disorder neurologist

2018 BJPsych open

67. Effects of a 1-Time Nurse-Led Telephone Call After Pediatric Discharge: The H2O II Randomized Clinical Trial Full Text available with Trip Pro

Effects of a 1-Time Nurse-Led Telephone Call After Pediatric Discharge: The H2O II Randomized Clinical Trial Families often struggle after discharge of a child from the hospital. Postdischarge challenges can lead to increased use of urgent health care services.To determine whether a single nurse-led telephone call after pediatric discharge decreased the 30-day reutilization rate for urgent care services and enhanced overall transition success.This Hospital-to-Home Outcomes (H2O) randomized (...) , emergency department visit, or urgent care visit). Secondary outcomes included additional utilization measures, as well as parent coping, return to normalcy, and understanding of clinical warning signs measured at 14 days.A total of 966 children were enrolled and randomized (52.3% boys; median age [interquartile range], 2.4 years [0.5-7.8 years]). Of 483 children randomized to the intervention, the nurse telephone call was completed for 442 (91.5%). Children in the intervention and control arms had

2018 EvidenceUpdates

68. Postdischarge Nurse Home Visits and Reuse: The Hospital to Home Outcomes (H2O) Trial Full Text available with Trip Pro

Postdischarge Nurse Home Visits and Reuse: The Hospital to Home Outcomes (H2O) Trial Hospital discharge is stressful for children and families. Poor transitional care is linked to unplanned health care reuse. We evaluated the effects of a pediatric transition intervention, specifically a single nurse home visit, on postdischarge outcomes in a randomized controlled trial.We randomly assigned 1500 children hospitalized on hospital medicine, neurology services, or neurosurgery services to receive (...) either a single postdischarge nurse-led home visit or no visit. We excluded children discharged with skilled home nursing services. Primary outcomes included 30-day unplanned, urgent health care reuse (composite measure of unplanned readmission, emergency department, or urgent care visit). Secondary outcomes, measured at 14 days, included postdischarge parental coping, number of days until parent-reported return to normal routine, and number of "red flags" or clinical warning signs a parent

2018 EvidenceUpdates

69. Occupational stress among nurses and pre-hospital emergency staff: application of fuzzy analytic hierarchy process (FAHP) method Full Text available with Trip Pro

Occupational stress among nurses and pre-hospital emergency staff: application of fuzzy analytic hierarchy process (FAHP) method Healthcare professionals, especially nurses and pre-hospital emergency (PHE) staff, are influenced by many stressors due to their responsibility to provide comfort as well as care and treatment of patients. The aim of the present study was to identify and rank the occupational stressors in nurses and PHE staff using Fuzzy Analytic Hierarchy Process (FAHP) method (...) . In this cross-sectional study, occupational stress factors in nurses and PHE staffs were identified and ranked by 30 experts, using FAHP method. Occupational stress factors were collected by General Health Questionnaire (GHQ), Job Stress Questionnaires as well as a literature review. Among the occupational stress factors in nurses, the highest scores were related to "Incompatibility between work schedule and life conditions" (0.03986) and "Being criticized by supervisors" (0.03723), respectively. The most

2018 EXCLI journal

70. Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial Full Text available with Trip Pro

Alcohol-Related Nurse Care Management in Primary Care: A Randomized Clinical Trial Experts recommend that alcohol use disorders (AUDs) be managed in primary care, but effective approaches are unclear.To test whether 12 months of alcohol care management, compared with usual care, improved drinking outcomes among patients with or at high risk for AUDs.This randomized clinical trial was conducted at 3 Veterans Affairs (VA) primary care clinics. Between October 11, 2011, and September 30, 2014 (...) , the study enrolled 304 outpatients who reported heavy drinking (≥4 drinks per day for women and ≥5 drinks per day for men).Nurse care managers offered outreach and engagement, repeated brief counseling using motivational interviewing and shared decision making about treatment options, and nurse practitioner-prescribed AUD medications (if desired), supported by an interdisciplinary team (CHOICE intervention). The comparison was usual primary care.Primary outcomes, assessed by blinded telephone

2018 EvidenceUpdates

71. Nursing

Nursing Top results for nursing - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 or #4) Loading (...) history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for nursing The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence. If you wanted

2018 Trip Latest and Greatest

72. Effect of Electronic Health Record-Based Medication Support and Nurse-Led Medication Therapy Management on Hypertension and Medication Self-management: A Randomized Clinical Trial Full Text available with Trip Pro

Effect of Electronic Health Record-Based Medication Support and Nurse-Led Medication Therapy Management on Hypertension and Medication Self-management: A Randomized Clinical Trial Complex medication regimens pose self-management challenges, particularly among populations with low levels of health literacy.To test medication management tools delivered through a commercial electronic health record (EHR) with and without a nurse-led education intervention.This 3-group cluster randomized clinical (...) visits; EHR-alone group), EHR-based tools plus nurse-led medication management support (EHR plus education group), or usual care.Outcomes at 12 months included systolic blood pressure (primary outcome), medication reconciliation, knowledge of drug indications, understanding of medication instructions and dosing, and self-reported medication adherence. Medication outcomes were assessed for all hypertension prescriptions, all prescriptions to treat chronic disease, and all medications.Among the 794

2018 EvidenceUpdates

73. Nursing and midwifery students’ perceptions of educational environment and grade point average: a comparison between nursing and midwifery students Full Text available with Trip Pro

Nursing and midwifery students’ perceptions of educational environment and grade point average: a comparison between nursing and midwifery students The educational environment is an essential component of student learning. Study of the educational environment is crucial to provision of a learning quality, student-centered program for nursing and midwifery fields.The aim of this study was to determine the associations between baccalaureate nursing and midwifery students' perceptions (...) of educational environment (SPEE) and grade point average (GPA), and comparison between students of nursing and midwifery field.A cross-sectional study was conducted in Hamadan Nursing and Midwifery Faculty. In this study, 249 nursing and 59 midwifery students participated. The study period lasted 12 months. We used an Iranian -language version of the Dundee Ready Education Environment Measure (DREEM) questionnaire to measure nursing and midwifery students' perceptions of the educational environment

2018 Electronic physician

74. Student-related factors affecting academic engagement: A qualitative study exploring the experiences of Iranian undergraduate nursing students Full Text available with Trip Pro

Student-related factors affecting academic engagement: A qualitative study exploring the experiences of Iranian undergraduate nursing students Academic engagement is an important indicator of quality of higher education. This study aimed to explain the experiences of undergraduate nursing students in terms of student-related factors affecting academic engagement.This qualitative study was conducted in 2017 at Mashhad University of Medical Sciences in Iran. Data were collected using semi (...) -structured interviews and focus groups with 7 and 16 undergraduate nursing students at Mashhad School of Nursing and Midwifery; respectively. Undergraduate nursing students of both genders who enrolled in different academic semesters with various academic achievements were selected. Data were analyzed using conventional content analysis approach proposed by Graneheim and Lundman, with the support of MAXQDA software.After analyzing the data, 374 initial codes were extracted, which ultimately

2018 Electronic physician

75. A Cyclic Model Describing the Process of Sustaining Meaningfulness in Practice: How Nurses Continue Working at One Home Care Agency Full Text available with Trip Pro

A Cyclic Model Describing the Process of Sustaining Meaningfulness in Practice: How Nurses Continue Working at One Home Care Agency This study aimed to elucidate the experiences of home care nurses who had continued working a single agency, to gain insight into the prevention of premature turnover. We adopted a grounded theory approach to qualitative exploration of the experiences of 26 Japanese nurses working in a home care agency, using semistructured interviews and participant observation (...) . Nurses' experience progressed through three phases: "encountering difficulty," "enjoying the fruitfulness," and "becoming dissatisfied." Nurses' cognitive rounding involving these phases was conceptualized as "cycle of sustaining meaningfulness." To move from encountering difficulty to enjoying the fruitfulness, nurses needed to discover the meaningfulness of practice, and to move from becoming dissatisfied to encountering difficulty, they needed to requestion their practice. During their time

2018 Global qualitative nursing research

76. Juggling family and professional caring: Role demands, work–family conflict and burnout among registered nurses in Ghana Full Text available with Trip Pro

Juggling family and professional caring: Role demands, work–family conflict and burnout among registered nurses in Ghana Juggling work and family responsibilities remains an important concern for both employees and organizations. This study aimed at examining work and family demands as predictors of work-family conflict and the relationship between work-family conflict and burnout among registered nurses in Ghana.The study adopted a cross-sectional survey design.Data were collected from (...) a sample of 134 registered nurses selected from five public hospitals in Accra through convenience sampling. Participants responded to structured questionnaires that assessed, among others, experiences of work-family conflict and burnout.Multiple regression analyses showed that long work hours and weekend schedules were associated with higher levels of work-to-family conflict, while the number of older dependants at home was positively related to family-to-work conflict. Family-to-work conflict

2018 Nursing open

77. The Association of Frailty With Post-ICU Disability, Nursing Home Admission, and Mortality: A Longitudinal Study Full Text available with Trip Pro

The Association of Frailty With Post-ICU Disability, Nursing Home Admission, and Mortality: A Longitudinal Study Frailty is a strong indicator of vulnerability among older persons, but its association with ICU outcomes has not been evaluated prospectively (ie, with objective measurements obtained prior to ICU admission). Our objective was to prospectively evaluate the relationship between frailty and post-ICU disability, incident nursing home admission, and death.The parent cohort included 754 (...) . Relative to nonfrailty, frailty was associated with 41% greater disability over the 6 months following a critical illness (adjusted risk ratio, 1.41; 95% CI, 1.12-1.78); prefrailty conferred 28% greater disability (adjusted risk ratio, 1.28; 95% CI, 1.01-1.63). Frailty (odds ratio, 3.52; 95% CI, 1.23-10.08), but not prefrailty (odds ratio, 2.01; 95% CI, 0.77-5.24), was associated with increased nursing home admission. Each one-point increase in frailty count (range, 0-5) was associated with double

2018 EvidenceUpdates

78. First line nurse managers’ experiences of opportunities and obstacles to support evidence‐based nursing Full Text available with Trip Pro

First line nurse managers’ experiences of opportunities and obstacles to support evidence‐based nursing The aim was to explore first line nurse managers' experiences of opportunities and obstacles to support evidence-based nursing.A qualitative study with a phenomenographical approach.Data were collected through focus group interviews with 15 first line nurse managers' in four settings.The results are presented in four categories of description headed: Manage the everyday work vs. evidence (...) -based nursing; Uncertainties about evidence-based nursing and nursing research; Time as a reality, as an approach; and Shaping awareness-towards an active approach to evidence-based nursing. The overarching category of description has been formulated as follows: The internal relation-how active leadership influences evidence-based nursing. The outcome space is presented as: The individual path-how to make vision and reality become a working entity around evidence-based nursing.

2018 Nursing open

79. Factors affecting recruitment and retention of nurses who deliver clinical research: A qualitative study Full Text available with Trip Pro

Factors affecting recruitment and retention of nurses who deliver clinical research: A qualitative study To provide a better understanding of the factors affecting recruitment and retention of clinical research nurses.Qualitative exploratory design.An on-line questionnaire comprising open-ended and fixed-choice questions was completed by 121 clinical research nurses. Seven focus groups were held with a subgroup of 26 participants. Data were analysed using inductive thematic (...) analysis.Participants were attracted to a research nurse post by an interest in research itself, a desire for a change or to achieve personal objectives. The majority expected to continue in a research post for the next 5 years, while others expected to move on to research management, a clinical post or retirement; few had ambitions to become an independent researcher. Factors identified in focus groups as leading to intentions to leave research included desire for further change, concern about loss of clinical

2018 Nursing open

80. Nurse-led versus doctor-led care for bronchiectasis. Full Text available with Trip Pro

Nurse-led versus doctor-led care for bronchiectasis. Specialist nursing roles to manage stable disease populations are being used to meet the needs of both patients and health services. With increasing cost pressures on health departments, alternative models such as nurse-led care are gaining momentum as a substitute for traditional doctor-led care. This review evaluates the safety, effectiveness, and health outcomes of nurses practising in autonomous roles while using advanced practice skills (...) , within the context of bronchiectasis management in subacute, ambulatory, and/or community care.To compare the effectiveness of nurse-led care versus doctor-led care in the management of stable bronchiectasis.We searched the Cochrane Airways Group Specialised Register and bibliographies of selected papers in addition to grey literature such as electronic clinical trials registries. Searches were current as of March 2018.Randomised controlled trials were eligible for inclusion in the review.Two

2018 Cochrane