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    404 results match your criteria BMC Nursing [Journal]

    1 OF 9

    How school nurses experience and understand everyday pain among adolescents.
    BMC Nurs 2017 13;16:53. Epub 2017 Sep 13.
    Faculty of Health and Sport Sciences, University of Agder, Kristiansand, Norway.
    Background: Pain problems are a rapidly growing health problem found among both children and adolescent, and about 15-30% have reported chronic pain problems. School nurses in Norway meet adolescents with various ailments, including pain. Yet research on how school nurses perceive the pain experienced by adolescents is limited. Read More

    Ground-up-top down: a mixed method action research study aimed at normalising research in practice for nurses and midwives.
    BMC Nurs 2017 12;16:52. Epub 2017 Sep 12.
    Centre for Nursing and Midwifery Research, Hunter New England Local Health District, Newcastle, NSW 2300 Australia.
    Background: Improving health, patient and system outcomes through a practice-based research agenda requires infrastructural supports, leadership and capacity building approaches, at both the individual and organisational levels. Embedding research as normal nursing and midwifery practice requires a flexible approach that is responsive to the diverse clinical contexts within which care is delivered and the variable research skills and interest of clinicians. This paper reports the study protocol for research being undertaken in a Local Health District (LHD) in New South Wales (NSW) Australia. Read More

    Adherence to precautions for preventing the transmission of microorganisms in primary health care: a qualitative study.
    BMC Nurs 2017 11;16:49. Epub 2017 Sep 11.
    Department of Nursing, Federal University of São Carlos, São Carlos, Brazil.
    Background: Health care associated infections (HAIs) are a source of concern worldwide. No health service in any country can be considered HAI risk-free. However, there is scarcity of data on the risks to which both patients and health workers are subject in non-hospital settings. Read More

    How do nurse consultant job characteristics impact on job satisfaction? An Australian quantitative study.
    BMC Nurs 2017 11;16:51. Epub 2017 Sep 11.
    School of Health, University of New England, Armidale, 2351 NSW Australia.
    Background: There is a direct link between job satisfaction, nurses' job performance and improved patient outcomes. Understanding what job characteristics influence job satisfaction is vital if health organizations are to optimize individual employee satisfaction and performance. This is particularly necessary in the Nurse Consultant role, which is a multifaceted role that has evolved to meet the dynamic and changing needs of health services. Read More

    Prevalence of low back pain in Iranian nurses: a systematic review and meta-analysis.
    BMC Nurs 2017 11;16:50. Epub 2017 Sep 11.
    Department of Biostatistics, Psychosocial Injuries Research Center, Ilam University of Medical Sciences, Ilam, Iran.
    Background: Low back pain (LBP) as a musculoskeletal disorder is one of the most common occupational injuries in nurses but there isn't any valid measure of the prevalence of LBP in Iranian nursing. In order to increase the power and improve the estimates of the prevalence of LBP in Iranian nurses, a comprehensive meta-analysis was carried out. A summary measure of all studies conducted in this field was found and distributions of LBP were evaluated based on different variables. Read More

    Tensions in learning professional identities - nursing students' narratives and participation in practical skills during their clinical practice: an ethnographic study.
    BMC Nurs 2017 16;16:48. Epub 2017 Aug 16.
    Faculty of Medicine and Health, School of Health Sciences, Örebro University, S-70182 Örebro, Sweden.
    Background: Clinical practice is a pivotal part of nursing education. It provides students with the opportunity to put the knowledge and skills they have acquired from lectures into practice with real patients, under the guidance of registered nurses. Clinical experience is also essential for shaping the nursing students' identity as future professional nurses. Read More

    Perceptions of the critical cultural competence of registered nurses in Canada.
    BMC Nurs 2017 15;16:47. Epub 2017 Aug 15.
    King Abdullah International Medical Research Center (KAIMRC), Riyadh, Saudi Arabia.
    Background: Cultural diversity often leads to misunderstandings, clashes, conflicts, ethnocentrism, discrimination, and stereotyping due to the frequent intersection of many variables, such as differences in traditions, behaviours, ethical and moral perspectives, conceptions of health and illness, and language barriers. The root of the issue is related to the way people conceptualise differences and the unique cultural and historical circumstances that have shaped different groups' heritages. In this study, therefore, we aimed to investigate the perceptions of critical cultural competence (CCC) of registered nurses working in various hospitals across the province of British Columbia, Canada. Read More

    Cardiac health knowledge and misconceptions among nursing students: implications for nursing curriculum design.
    BMC Nurs 2017 15;16:46. Epub 2017 Aug 15.
    Tseung Kwan O Hospital, Kowloon, Hong Kong.
    Background: Cardiac misconceptions are common among healthcare professionals. The development of professional knowledge is considered an essential component of nursing education. Nurses, regardless of their grade, skills, and experience, should be updated with information so as to be able to rectify their misconceptions, as these could affect patient health outcomes. Read More

    What establishes an excellent nurse? A focus group and Delphi panel approach.
    BMC Nurs 2017 10;16:45. Epub 2017 Aug 10.
    Research center for talent development in higher education and society, Hanze University of Applied Sciences, Groningen, the Netherlands.
    Background: Over the past few years, the complexity of the health care system in which nurses are required to practice has increased considerably, magnifying the need for excellent professionals with a specific set of knowledge, skills and attitudes. However, the characteristics that distinguish an excellent nurse have not yet been clarified. The aim of this study was to determine nurses' perspectives regarding characteristics associated with an excellent nurse in order to elicit a conceptual profile. Read More

    Organisational and environmental characteristics of residential aged care units providing highly person-centred care: a cross sectional study.
    BMC Nurs 2017 10;16:44. Epub 2017 Aug 10.
    Department of Nursing, Umeå University, SE-901 87 Umeå, Sweden.
    Background: Few studies have empirically investigated factors that define residential aged care units that are perceived as being highly person-centred. The purpose of this study was to explore factors characterising residential aged care units perceived as being highly person-centred, with a focus on organisational and environmental variables, as well as residents' and staff' characteristics.

    Methods: A cross-sectional design was used. Read More

    Effectiveness, structure, and content of nurse counseling in gynecologic oncology: a systematic review.
    BMC Nurs 2017 3;16:43. Epub 2017 Aug 3.
    Institute for Applied Nursing Sciences IPW-FHS, University of Applied Sciences FHS St. Gallen, Rosenbergstrasse 59, 9001 St. Gallen, Switzerland.
    Background: Gynecological pre-cancer and gynecological cancers are considerable diseases in women throughout the world. The disease and treatment lead to numerous biopsychosocial issues. To improve the outcomes of affected women, several counseling interventions have been tested thus far in nursing research. Read More

    New graduate nurses' experiences in a clinical specialty: a follow up study of newcomer perceptions of transitional support.
    BMC Nurs 2017 28;16:42. Epub 2017 Jul 28.
    Western Sydney University, School of Nursing and Midwifery, Locked Bag 1797, Penrith, NSW 2751 Australia.
    Background: Given the increasing complexity of acute care settings, high patient acuity and demanding workloads, new graduate nurses continue to require greater levels of support to manage rising patient clinical care needs. Little is known about how change in new graduate nurses' satisfaction with clinical supervision and the practice environment impacts on their transitioning experience and expectations during first year of practice. This study aimed to examine change in new graduate nurses' perceptions over the 12-month Transitional Support Program, and identify how organizational factors and elements of clinical supervision influenced their experiences. Read More

    Assessment of nurses interventions in the Management of Clinical Alarms in the critical care unit, Kenyatta National Hospital, a cross sectional study.
    BMC Nurs 2017 25;16:41. Epub 2017 Jul 25.
    School of Nursing Sciences, University of Nairobi, P.O. Box 19676, Nairobi, 00200 Kenya.
    Background: Alarms in the critical areas are an important component of most of the machines as they alert nurses on the change in the patients' condition. Most patients in the critical care units cannot speak for themselves hence cannot pinpoint when their condition changes. It is therefore important to assess the nurses' interventions when managing clinical alarms. Read More

    "Do you see what I mean?" staff collaboration in eating disorder units during mealtimes.
    BMC Nurs 2017 20;16:40. Epub 2017 Jul 20.
    Institute for Health and Society, University of Oslo, Oslo, Norway.
    Background: Eating disorders are psychiatric illnesses with potentially life-threatening consequences. Inpatient treatment is typically required for the most severely ill patients, who are often emaciated or significantly malnourished. A core therapeutic objective is to normalize eating patterns and facilitate weight gain. Read More

    Significance of quality of care for quality of life in persons with dementia at risk of nursing home admission: a cross-sectional study.
    BMC Nurs 2017 14;16:39. Epub 2017 Jul 14.
    Department of Health Sciences, Faculty of Medicine, Lund University, PO Box 157, -221 00 Lund, SE Sweden.
    Background: Quality of life in persons with dementia is, in large part, dependent on the quality of care they receive. Investigating both subjective and objective aspects of quality of care may reveal areas for improvement regarding their care, which information may ultimately enable persons with dementia to remain living in their own homes while maintaining quality of life. The aim of this study was to 1) describe self-reported quality of life in persons with dementia at risk of nursing home admission. Read More

    Importance of social capital at the workplace for return to work among women with a history of long-term sick leave: a cohort study.
    BMC Nurs 2017 14;16:38. Epub 2017 Jul 14.
    Health and Care Sciences, the Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
    Background: The workplace is an essential source of social capital for many people; it provides mutual support and gives meaning to life. However, few prospective studies have thoroughly investigated the importance of aspects of social capital in the workplace. The aim of this study was to investigate the associations between aspects of social capital (social support, sense of community, and quality of leadership) at the workplace, and work ability, working degree, and vitality among women with a history of long-term sick leave from human service organizations. Read More

    Aspects of family caregiving as addressed in planned discussions between nurses, patients with chronic diseases and family caregivers: a qualitative content analysis.
    BMC Nurs 2017 11;16:37. Epub 2017 Jul 11.
    Hanze University of Applied Sciences, Research Group Nursing Diagnostics, Groningen, The Netherlands.
    Background: Caregiving by family members of elderly with chronic conditions is currently intensifying in the context of an aging population and health care reform in the Netherlands. It is essential that nurses have attention for supporting roles of family caregivers of older patients and address family caregiving aspects on behalf of the continuity of care. This study aims to explore what aspects of family caregiving were addressed during planned discussions between nurses, patients and family caregivers in the hospital. Read More

    "Can you keep it real?" : Practical, and culturally tailored lifestyle recommendations by Mexican American women diagnosed with type 2 diabetes: A qualitative study.
    BMC Nurs 2017 6;16:36. Epub 2017 Jul 6.
    University of Missouri-St. Louis, Seton 315, College of Nursing, South Campus, St. Louis, MO 6321-4400 USA.
    Background: The purpose of this article is to engage clinicians in a dialogue about ideas on how to provide more specific, contextually relevant, practical and culturally tailored diabetes self-management recommendations as suggested by Mexican-American women diagnosed with type 2 diabetes. Current diabetes self-management recommendations, targeting Mexican Americans in particular, remain largely broad ("reduce your calorie intake" or "cut back on carbs"), overly ambitious ("stop eating tortillas"), and relatively ineffective (Svedbo Engström et al., BMJ Open 6(3):e010249, 2016; Johansson et al. Read More

    Conceptualising a model to guide nursing and midwifery in the community guided by an evidence review.
    BMC Nurs 2017 29;16:35. Epub 2017 Jun 29.
    School of Nursing & Midwifery, Brookfield health Sciences Complex, University College, Cork, Ireland.
    Background: Successful models of nursing and midwifery in the community delivering healthcare throughout the lifespan and across a health and illness continuum are limited, yet necessary to guide global health services. Primary and community health services are the typical points of access for most people and the location where most care is delivered. The scope of primary healthcare is complex and multifaceted and therefore requires a practice framework with sound conceptual and theoretical underpinnings. Read More

    "Teamwork in hospitals": a quasi-experimental study protocol applying a human factors approach.
    BMC Nurs 2017 29;16:34. Epub 2017 Jun 29.
    Department of Health Science Gjøvik, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Gjøvik, P.O. Box 191, 2802 Gjøvik, Norway.
    Background: Effective teamwork and sufficient communication are critical components essential to patient safety in today's specialized and complex healthcare services. Team training is important for an improved efficiency in inter-professional teamwork within hospitals, however the scientific rigor of studies must be strengthen and more research is required to compare studies across samples, settings and countries. The aims of the study are to translate and validate teamwork questionnaires and investigate healthcare personnel's perception of teamwork in hospitals (Part 1). Read More

    Lifespan and associated factors of peripheral intravenous Cannula among infants admitted in public hospitals of Mekelle City, Tigray, Ethiopia, 2016.
    BMC Nurs 2017 15;16:33. Epub 2017 Jun 15.
    School of Nursing, College of Health Sciences and Referral Hospital, Axum University, Axum, Ethiopia.
    Background: Peripheral Intravenous cannula (IV) is the most common vascular access device used to administer medications with the exception of medication or fluid with high or low PH or hyperosmolarity which may cause severe damage to small veins. The insertion of a peripheral intravenous cannula in newborn infants can be difficult. Appropriate veins with sufficient capacity to insert a cannula become less available throughout the hospital stay. Read More

    The challenges and opportunities of translating best practice immunisation strategies among low performing general practices to reduce equity gaps in childhood immunisation coverage in New Zealand.
    BMC Nurs 2017 12;16:31. Epub 2017 Jun 12.
    Department of General Practice and Primary Health Care, University of Auckland, 261 Morrin Road, St. Johns, Auckland, 1072 New Zealand.
    Background: Immunisation coverage rates vary considerably at the local level across New Zealand and challenges remain with effectively translating best available research evidence into public health practice. This study aimed to translate best practices from high performing general practices into strategies to improve childhood immunisation coverage among low performing practices.

    Methods: An intervention study was undertaken of general practices with low immunisation coverage rates and a high percentage of the enrolled population being of Māori ethnicity. Read More

    Factors that influence the clinical utilization of the nursing process at a hospital in Accra, Ghana.
    BMC Nurs 2017 9;16:30. Epub 2017 Jun 9.
    UNAIDS, Accra, Ghana.
    Background: The nursing process is a tool that is recommended for use by all professional nurses working in Ghana, in order to provide nursing care. However, there is currently a limited use of this tool by nurses in Ghana. The purpose of this research study was to explore the various factors that influence the utilization of this nursing process. Read More

    Development and evaluation of a modified brief assertiveness training for nurses in the workplace: a single-group feasibility study.
    BMC Nurs 2017 6;16:29. Epub 2017 Jun 6.
    Faculty of Nursing, International University of Health and Welfare, 1-7-4 Momochihama, Sawara, Fukuoka City, Fukuoka 814-0001 Japan.
    Background: Effective communication has a great impact on nurses' job satisfaction, team relationships, as well as patient care/safety. Previous studies have highlighted the various beneficial effects of enhancing communication through assertiveness training programs for nurses. However, most programs take a long time to implement; thus, briefer programs are urgently required for universal on-the-job-training in the workplace. Read More

    The use of life stories and its influence on persons with dementia, their relatives and staff - a systematic mixed studies review.
    BMC Nurs 2017 2;16:28. Epub 2017 Jun 2.
    Faculty of Health- and Social Studies, Østfold University College, 1757 Halden, Norway.
    Background: Dementia is an important predictor of nursing home admissions. Due to progressive dementia symptoms, over time it becomes difficult for persons with dementia to communicate their wishes and participate in decisions concerning their everyday lives. Their well-being, sense of dignity, integrity and personhood are at risk. Read More

    Dysphagia screening after acute stroke: a quality improvement project using criteria-based clinical audit.
    BMC Nurs 2017 2;16:27. Epub 2017 Jun 2.
    Centre for Evidence-Based Practice, Western Norway University of Applied Sciences, Postbox 7030, 5020 Bergen, Norway.
    Background: Dysphagia is common after stroke and represents a major risk factor for developing aspiration pneumonia. Early detection can reduce the risk of pulmonary complications and death. Despite the fact that evidence-based guidelines recommend screening for swallowing deficit using a standardized screening tool, national audits has identified a gap between practice and this recommendation. Read More

    Cross-sectional examination of the association between shift length and hospital nurses job satisfaction and nurse reported quality measures.
    BMC Nurs 2017 25;16:26. Epub 2017 May 25.
    Florence Nightingale Faculty of Nursing and Midwifery, King's College London, James Clerk Maxwell Building, 57 Waterloo Road, London, SE1 8WA UK.
    Background: Twenty-four hour nursing care involves shift work including 12-h shifts. England is unusual in deploying a mix of shift patterns. International evidence on the effects of such shifts is growing. Read More

    The association between higher nurse staffing standards in the fee schedules and the geographic distribution of hospital nurses: A cross-sectional study using nationwide administrative data.
    BMC Nurs 2017 23;16:25. Epub 2017 May 23.
    Department of Public Health, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo, 113-0033 Japan.
    Background: In Japan, the revision of the fee schedules in 2006 introduced a new category of general care ward for more advanced care, with a higher staffing standard, a patient-to-nurse ratio of 7:1. Previous studies have suggested that these changes worsened inequalities in the geographic distribution of nurses, but there have been few quantitative studies evaluating this effect. This study aimed to investigate the association between the distribution of 7:1 beds and the geographic distribution of hospital nursing staffs. Read More

    The use of supportive communication when responding to older people's emotional distress in home care - An observational study.
    BMC Nurs 2017 16;16:24. Epub 2017 May 16.
    Faculty of Health and Social Sciences, University College of Southeast Norway, PoBox 7053, N-3007 Drammen, Norway.
    Background: Responding to older people's distress by acknowledging or encouraging further discussion of emotions is central to supportive, person-centred communication, and may enhance home care outcomes and thereby promote healthy aging. This observational study describes nursing staff's responses to older people's emotional distress, and identify factors that encourage further emotional disclosure.

    Methods: Audio-recorded home care visits in Norway (n = 196), including 48 older people and 33 nursing staff, were analysed with the Verona Coding Definitions of Emotional Sequences, identifying expressions of emotional distress and subsequent provider responses. Read More

    Consulted ethical problems of clinical nursing practice: perspective of faculty members in Japan.
    BMC Nurs 2017 12;16:23. Epub 2017 May 12.
    Department of Nursing, St. Luke's International University, 10-1 Akashi-cho, Chuo-ku, Tokyo 104-0044 Japan.
    Background: There are several studies that have targeted student nurses, but few have clarified the details pertaining to the specific ethical problems in clinical practice with the viewpoint of the nursing faculty. This study was to investigate the ethical problems in clinical practice reported by student nurses to Japanese nursing faculty members for the purpose of improving ethics education in clinical practice.

    Method: The subjects comprised 705 nursing faculty members (we sent three questionnaires to one university) who managed clinical practice education at 235 Japanese nursing universities. Read More

    The nature, characteristics and associations of care home staff stress and wellbeing: a national survey.
    BMC Nurs 2017 8;16:22. Epub 2017 May 8.
    Swansea University Medical School, Swansea University, Wales, UK.
    Background: The majority of residents in care homes in the United Kingdom are living with dementia or significant memory problems. Caring in this setting can be difficult and stressful for care staff who work long hours, have little opportunity for training, are poorly paid and yet subject to high expectation. This may affect their mental and physical wellbeing, cause high rates of staff turnover and absenteeism, and affect the quality of care they provide. Read More

    Describing the implementation of an innovative intervention and evaluating its effectiveness in increasing research capacity of advanced clinical nurses: using the consolidated framework for implementation research.
    BMC Nurs 2017 2;16:21. Epub 2017 May 2.
    School of Nursing and Midwifery, Trinity College Dublin, 24 D'Olier St, Dublin, Ireland.
    Background: Despite advanced nursing roles having a research competency, participation in research is low. There are many barriers to participation in research and few interventions have been developed to address these. This paper aims to describe the implementation of an intervention to increase research participation in advanced clinical nursing roles and evaluate its effectiveness. Read More

    Reasons why nurses decline influenza vaccination: a qualitative study.
    BMC Nurs 2017 28;16:20. Epub 2017 Apr 28.
    Institute for Biomedical Ethics, University of Basel, Bernoullistrasse 28, 4056 Basel, Switzerland.
    Background: To explore reasons of non-vaccinated nursing staff for declining seasonal influenza vaccination. The annual influenza vaccination of healthcare workers reduces morbidity and mortality among vulnerable patients. Still, vaccination rates remain very low, particularly in nursing staff. Read More

    Incidence and perception of nursing students' academic incivility in Oman.
    BMC Nurs 2017 21;16:19. Epub 2017 Apr 21.
    Ministry of Health, Directorate of Nursing and Midwifery Government of Sultanate of Oman, Muscat, Oman.
    Background: The incidence of incivility in nursing education is increasing in most countries and it is affecting the culture of safety and the teaching-learning processes. Despite reports of increasing trends, little is known about nursing students' academic incivility in the Middle East. This study aimed at exploring the perceptions and extent of academic incivility among nursing students (NS) and nursing faculty members (NF) in a university based undergraduate nursing program in Oman. Read More

    Access to information and counselling - older cancer patients' self-report: a cross-sectional survey.
    BMC Nurs 2017 20;16:18. Epub 2017 Apr 20.
    Faculty of Health Studies, Sogn og Fjordane University College, PO Box 523, 6803 Førde, Norway.
    Background: An increasingly older population, improved diagnostics and treatment increase the number of older cancer survivors, thus more than 60% of those affected by cancer are over the age of 65. Symptom relief and the prevention of functional impairment are important tasks for home care nursing, considering that patients can live a long time with their cancer disease and related side effects. The aim of this study was to investigate the extent to which cancer patients over the age of 65 reported access to information and counselling from home care nursing services, including those offered by the cancer coordinator. Read More

    Governing mobile technology use for continuing professional development in the Australian nursing profession.
    BMC Nurs 2017 19;16:17. Epub 2017 Apr 19.
    School of Health sciences, Faculty of Health, University of Tasmania, Private Bag 135, Hobart, 7001 Australia.
    Background: The rapid growth in the use of mobile technology in Australia has outpaced its governance, especially in healthcare settings. Whilst some Australian professional bodies and organisations have developed standards and guidelines to direct appropriate use of social media and mobile technology, clear governance arrangements regarding when, where and how to use mobile technology at point of care in nursing are currently lacking.

    Discussion: This paper analyses how the use of mobile technology by nurses at point of care is governed. Read More

    Experiences of reduced work hours for nurses and assistant nurses at a surgical department: a qualitative study.
    BMC Nurs 2017 4;16:16. Epub 2017 Apr 4.
    Department of Psychology, University of Gotenburg, Gothenburg, Sweden.
    Background: There is a shortage of registered nurses in the European Union (EU), and job dissatisfaction and perceived high work-family conflict have been identified as causes of nursing staff turnover. Reducing work hours is an organisational intervention that could have a positive effect on nurses' and assistant nurses' job satisfaction, work-life balance, and willingness to stay in the job. An orthopaedic surgery department at a large hospital in Sweden introduced reduced work hours for nurses and assistant nurses in order to improve the working situation. Read More

    Burnout among nurses working in social welfare centers for the disabled.
    BMC Nurs 2017 23;16:15. Epub 2017 Mar 23.
    Hellenic Open University, Faculty of Social Sciences, Patra, Greece.
    Background: In the healthcare sector, we often come across the burnout syndrome. It is an occupational syndrome which causes, physical and emotional exhaustion. More information is needed on the dangers of burnout and how often it occurs in healthcare. Read More

    Australia's first transition to professional practice in primary care program for graduate registered nurses: a pilot study.
    BMC Nurs 2017 23;16:14. Epub 2017 Mar 23.
    Sydney Nursing School, University of Sydney, Sydney, NSW 2006 Australia.
    Background: Increases in ageing, chronic illness and complex co-morbidities in the Australian population are adding pressure to the primary care nursing workforce. Initiatives to attract and retain nurses are needed to establish a sustainable and skilled future primary care nursing workforce. We implemented a transition to professional practice program in general practice settings for graduate nurses and evaluated graduate nurse competency, the graduate nurse experience and program satisfaction. Read More

    A final-year nursing student survey: rural attitudes, perceived competencies and intention to work across five Asian countries.
    BMC Nurs 2017 21;16:13. Epub 2017 Mar 21.
    Research, Training and Management (RTM) International, Dhaka, Bangladesh.
    Background: Shortages and maldistribution of nurses remain significant problems in many countries. Having appropriate intervention strategies to retain nurses in underserved areas, where they are most needed, are crucial for health system strengthening. This study aimed to quantify attitudes to working in rural areas, perceived competencies, and intention to work among final-year nursing students, and to analyze the associations between those factors and their background characteristics across five countries in the Asia-Pacific Network for Health Professional Education Reforms (ANHER), namely Bangladesh, China, India, Thailand, and Vietnam. Read More

    Nursing home nurses' and community-dwelling older adults' reported knowledge, attitudes, and behavior toward antibiotic use.
    BMC Nurs 2017 11;16:12. Epub 2017 Mar 11.
    Cecil G. Sheps Center for Health Services Research, Department of Family Medicine, University of North Carolina, Chapel Hill, NC USA.
    Background: Antibiotic overuse causes antibiotic resistance, one of the most important threats to human health. Older adults, particularly those in nursing homes, often receive antibiotics when they are not indicated.

    Methods: To understand knowledge, attitudes, and behaviors of nursing home (NH) nurses and community-dwelling older adults towards antibiotic use, especially in clinical situations consistent with antibiotic overuse, we conducted a mixed-method survey in two NHs and one Family Medicine clinic in North Carolina, among English-speaking nurses and community-dwelling, cognitively intact adults aged 65 years or older. Read More

    Counseling patients and family members in out-of-hospital emergency situations: a survey for emergency staff.
    BMC Nurs 2017 23;16:11. Epub 2017 Feb 23.
    Hospital District of South Ostrobothnia, Seinäjoki, Finland.
    Background: Not much is known about emergency care delivered in patients' homes or other out-of-hospital settings. This study aims to describe out-of-hospital emergency staff's experiences of encountering and counseling patients and their family members.

    Methods: A descriptive cross-sectional design was applied. Read More

    Cost-effectiveness of a nurse-led intervention to optimise implementation of guideline-concordant continence care: Study protocol of the COCON study.
    BMC Nurs 2017 22;16:10. Epub 2017 Feb 22.
    Department of Obstetrics and Gynaecology, University Medical Centre Utrecht, Utrecht, The Netherlands.
    Background: Guidelines on urinary incontinence recommend that absorbent products are only used as a coping strategy pending definitive treatment, as an adjunct to ongoing therapy, or for long-term management after all treatment options have been explored. However, these criteria are rarely met and a significant share of long-term product users could still benefit from therapeutic interventions recommended in guidelines for urinary incontinence. Better implementation of these guidelines can potentially result in both health benefits for women and long-term cost savings for society. Read More

    Can a person-centred-care intervention improve health-related quality of life in patients with head and neck cancer? A randomized, controlled study.
    BMC Nurs 2017 21;16. Epub 2017 Feb 21.
    The Sahlgrenska Academy-Institute of Health and Care Sciences, University of Gothenburg, Gothenburg, Sweden.
    Background: The incidence of head and neck cancer is increasing slightly. Head and neck cancer but also it's necessary and often successful treatment may affect general domains of health-related quality of life and provoke a variety of adverse symptoms and side effects, both during and after treatment. The objective of this study was to compare a person-centred care intervention in terms of health-related quality of life, disease-specific symptoms or problems, with traditional care as a control group for patients with head and neck cancer. Read More

    Factors associated with the choice of public health service among nursing students in Thailand.
    BMC Nurs 2017 23;16. Epub 2017 Jan 23.
    Centre for Health Policy (CHP), Wits University, Johannesburg, South Africa.
    Background: Despite the fact that public and private nursing schools have contributed significantly to the Thai health system, it is not clear whether and to what extent there was difference in job preferences between types of training institutions. This study aimed to examine attitudes towards rural practice, intention to work in public service after graduation, and factors affecting workplace selection among nursing students in both public and private institutions.

    Methods: A descriptive comparative cross-sectional survey was conducted among 3349 students from 36 nursing schools (26 public and 10 private) during February-March 2012, using a questionnaire to assess the association between training institution characteristics and students' attitudes, job choices, and intention to work in the public sector upon graduation. Read More

    Validation of Finnish Neecham Confusion Scale and Nursing Delirium Screening Scale using Confusion Assessment Method algorithm as a comparison scale.
    BMC Nurs 2017 19;16. Epub 2017 Jan 19.
    Department of Nursing Science, Faculty of Medicine, University of Turku, Turku, Finland.
    Background: Delirium is a common clinical problem with acute and fluctuating onset. Early notification of its symptoms can lead to earlier detection and management of this state. Valid and reliable instruments are required for successful nursing practice. Read More

    A systematic review of experiences of advanced practice nursing in general practice.
    BMC Nurs 2017 18;16. Epub 2017 Jan 18.
    School of Health Sciences, University of Tasmania, Locked Bag 5052, Alexandria, NSW 2015 Australia.
    Background: Despite efforts to achieve conceptual clarity, advanced practice nursing continues to reside in a liminal space, unable to secure ongoing recognition as a viable means of healthcare delivery. This is particularly evident in general practice where advanced practice role development is more fluid and generally less supported by the hierarchical structures evident in the hospital system. This review synthesises published qualitative studies reporting experiences of advanced practice nursing in general practice. Read More

    Predictors of burnout, work engagement and nurse reported job outcomes and quality of care: a mixed method study.
    BMC Nurs 2017 18;16. Epub 2017 Jan 18.
    Nursing and Midwifery Sciences, Centre for Research and Innovation in Care (CRIC), Faculty of Medicine and Health Sciences, University of Antwerp, Universiteitsplein 1, B-2610 Wilrijk, Belgium.
    Background: High levels of work-related stress, burnout, job dissatisfaction, and poor health are common within the nursing profession. A comprehensive understanding of nurses' psychosocial work environment is necessary to respond to complex patients' needs. The aims of this study were threefold: (1) To retest and confirm two structural equation models exploring associations between practice environment and work characteristics as predictors of burnout (model 1) and engagement (model 2) as well as nurse-reported job outcome and quality of care; (2) To study staff nurses' and nurse managers' perceptions and experiences of staff nurses' workload; (3) To explain and interpret the two models by using the qualitative study findings. Read More

    Clinical assessments and care interventions to promote oral hydration amongst older patients: a narrative systematic review.
    BMC Nurs 2017 17;16. Epub 2017 Jan 17.
    Northumbria Healthcare NHS Foundation Trust, Stroke Research, Wansbeck General Hospital, Woodhorn Lane, Ashington, Northumberland NE63 9JJ UK ; Newcastle University Institute for Ageing, Newcastle University Stroke Research Group, 3-4 Claremont Terrace, Newcastle upon Tyne, NE1 7RU UK.
    Background: Older patients in hospital may be unable to maintain hydration by drinking, leading to intravenous fluid replacement, complications and a longer length of stay. We undertook a systematic review to describe clinical assessment tools which identify patients at risk of insufficient oral fluid intake and the impact of simple interventions to promote drinking, in hospital and care home settings.

    Method: MEDLINE, CINAHL, and EMBASE databases and two internet search engines (Google and Google Scholar) were examined. Read More

    Routine dyspnea assessment and documentation: Nurses' experience yields wide acceptance.
    BMC Nurs 2017 14;16. Epub 2017 Jan 14.
    Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine, Beth Israel Deaconess Medical Center, Boston, MA USA ; Harvard Medical School, Boston, MA USA.
    Background: Dyspnea (breathing discomfort) is a common and distressing symptom. Routine assessment and documentation can improve management and relieve suffering. A major barrier to routine dyspnea documentation is the concern that it will have a deleterious effect on nursing workflow and that it will not be readily accepted by nurses. Read More

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