bluuebunny/crossref_metadata_2025_split huggingface dataset:
An integrative review of fatigue experienced by women before and during myocardial infarction
Authors: Blakeman John R , Stapleton Stephen J 
Published: October 2017

Aims and objectivesTo explore the extant literature for key features of prodromal and acute myocardial infarction fatigue experienced by women, including estimates of severity, narrative descriptors, impacts on activities of daily living and frequency, and to describe what is known from the current evidence base.BackgroundSeveral studies, conducted across the globe, have investigated prodromal and acute myocardial infarction symptoms experienced by women and suggested that fatigue is prevalent, and they have also sporadically described specific characteristics of fatigue, such as narrative descriptors and severity. However, no review specific to this acute and prodromal fatigue could be located in the literature.DesignIntegrative review, guided by Whittemore and Knafl's approach and the Theory of Unpleasant Symptoms.MethodsWe used a comprehensive, systematic approach to searching, screening, selecting, evaluating and analysing the records. Data were collected in February 2017.ResultsTwenty‐one articles were included in the review, including nine quantitative, six qualitative and six mixed‐methods studies, with the majority (14) published in the USA. The average age of participants across the studies was the early 60s. Distress, quality, intensity and timing of prodromal myocardial infarction fatigue were more completely described in the literature than acute myocardial infarction fatigue.ConclusionsFatigue is the most common prodromal myocardial infarction symptom experienced by women and is also a common acute symptom. Additional research exploring prodromal and acute myocardial infarction fatigue is necessary.Relevance to clinical practiceAs healthcare professionals work with women across the healthcare spectrum, recognising fatigue as an important potential myocardial infarction symptom is essential. Not only can women be educated about this symptom and other possible myocardial infarction symptoms, but clinicians can consider fatigue as an important symptom in a constellation of factors when evaluating women's health and the potential for coronary disease and myocardial infarction.
The influence of a mental health home visit service partnership intervention on the caregivers’ home visit service satisfaction and care burden
Authors: Cheng Jui‐Fen , Huang Xuan‐Yi , Lin Mei‐Jue , Wang Ya‐Hui , Yeh Tzu‐Pei 
Published: October 2017

Aims and objectivesTo investigate a community‐based and hospital‐based home visit partnership intervention in improving caregivers’ satisfaction with home service and reducing caregiver burden.BackgroundThe community‐oriented mental healthcare model prevails internationally. After patients return to the community, family caregivers are the patients’ main support system and they also take the most of the burden of caring for patients. It is important to assist these caregivers by building good community healthcare models.DesignA longitudinal quasi‐experimental quantitative design.MethodsThe experimental group (n = 109) involved “partnership” intervention, and the control group (n = 101) maintained routine home visits. The results were measured before the intervention, 6 and 12 months after the partnership intervention.ResultsSix months after the partnership intervention, the satisfaction of the experimental group was higher than the control group for several aspects of care. Although the care burden was reduced in the experimental group, there was no significant difference between the two groups.ConclusionsThis study confirms that the partnership intervention can significantly improve caregiver satisfaction with home services, without reducing the care burden.Relevance to clinical practiceThe community‐based and hospital‐based mental health home visit service partnership programme could improve the main caregiver's satisfaction with the mental health home visit services, while the reduction in care burden may need government policies for the provision of more individual and comprehensive assistance.
The characteristics of pressure injury photographs from the electronic health record in clinical settings
Authors: Li Dan , Mathews Carol , Zhang Fei 
Published: October 2017

Aims and objectivesTo analyse and understand the characteristics of pressure injury images stored in the electronic health record.BackgroundTo improve the quality of pressure injury documentation, photographing pressure injuries and storing the images in the electronic health record are standard practices in many hospitals. As new technologies develop, the utilisation of computer‐assisted image processing makes automatic measurement of pressure injury size and tissue segmentation through pressure injury images possible. The translation of new technological developments to pressure injury photography conducted in clinical environments faces obstacles such as the complexity of conditions in which photographs are taken.DesignA cross‐sectional descriptive study.MethodsA set of 360 pressure injury images were obtained from a hospital in western Pennsylvania. These images were taken in clinical settings during daily wound care service. The authors reviewed the pressure injury images to analyse the relative position of the pressure injury in the images, the shooting angle of the digital camera and the clinical objects in the background.ResultsOnly 5.9% of the pressure injury images were confined to only the wound region. In 80.1% of the images, the pressure injury is located in the central part of the image. In 54.0% of the images, the lens of the digital camera was not pointed perpendicularly to the plane of the pressure injury.ConclusionsBedside wound assessment of pressure injuries and assessment from photographs of pressure injuries display reasonable agreement with pressure injury staging. To extract wound information (e.g., size and tissue type) from pressure injury images through novel image processing technologies, the characteristics of pressure injury images in clinical settings should be better understood during the development of tools for pressure injury image processing.Relevance to clinical practiceOur results can help image processing experts understand wound photography characteristics to shorten the gap between laboratory and clinical environments when translating new image processing technologies.
Experiences of encounters with healthcare professionals through the lenses of families living with chronic illness
Authors: Årestedt Liselott , Persson Carina , Rämgård Margareta , Benzein Eva 
Published: October 2017

Aims and objectivesTo describe and explore the experience of healthcare encounters in families living with chronic illness.BackgroundLiving with chronic illness is a family concern and often includes frequent encounters with healthcare professionals. These encounters affect how persons with illness and family members handle everyday life. Disease‐related explanations are perceived by healthcare professionals as being of higher importance than the actual experience of illness, even though patients are concerned with issues involving their everyday life.DesignA descriptive design with a qualitative approach.MethodsNarrative family interviews were conducted with twelve families, using a qualitative content analysis.ResultsOne main category was indicated following analysis, specifically “The impact of an accompanying family member.” Additionally, three subcategories were revealed; “The importance of collaboration,” “Mutual understanding,” “A desire to be confirmed in one's illness”.Conclusions and relevance to clinical practiceHaving a participating family member increased the sense of power in families during encounters with healthcare professionals. This participation constitutes a level of support, making it easier for families to handle everyday life due to illness. Family members are, in most cases, included in discussions and decisions, both before and after encounters, and it should be a natural for healthcare professionals to invite them to the encounter too. This is an offer that may not fit every family, but the person with illness or the family should at least have the opportunity to choose.
Barriers to ethical nursing practice for older adults in long‐term care facilities
Authors: Choe Kwisoon , Kang Hyunwook , Lee Aekyung 
Published: October 2017

Aims and objectivesTo explore barriers to ethical nursing practice for older adults in long‐term care facilities from the perspectives of nurses in South Korea.BackgroundThe number of older adults admitted to long‐term care facilities is increasing rapidly in South Korea. To provide this population with quality care, a solid moral foundation should be emphasised to ensure the provision of ethical nursing practices. Barriers to implementing an ethical nursing practice for older adults in long‐term care facilities have not been fully explored in previous literature.DesignA qualitative, descriptive design was used to explore barriers to ethical nursing practice as perceived by registered nurses in long‐term care facilities in South Korea.MethodsIndividual interviews were conducted with 17 registered nurses recruited using purposive (snowball) sampling who care for older adults in long‐term care facilities in South Korea. Data were analysed using qualitative content analysis.ResultsFive main themes emerged from the data analysis concerning barriers to the ethical nursing practice of long‐term care facilities: emotional distress, treatments restricting freedom of physical activities, difficulty coping with emergencies, difficulty communicating with the older adult patients and friction between nurses and nursing assistants.ConclusionsThis study has identified methods that could be used to improve ethical nursing practices for older adults in long‐term care facilities. Because it is difficult to improve the quality of care through education and staffing alone, other factors may also require attention.Relevance for clinical practiceSupport programmes and educational opportunities are needed for nurses who experience emotional distress and lack of competency to strengthen their resilience towards some of the negative aspects of care and being a nurse that were identified in this study.
Social support and factors associated with self‐efficacy among acute‐care nurse practitioners
Authors: Hu Sophia H , Yu Ya‐Mei , Chang Wen‐Yin , Lin Yen‐Kuang 
Published: October 2017

Aims and objectivesTo investigate the relationship of nurse practitioners’ social support as well as other factors associated with perceived self‐efficacy.BackgroundThere is a growing demand for nurse practitioners in Taiwan, for whom self‐perceived efficacy is associated with performance. Nevertheless, research on the self‐efficacy and social support of nurse practitioners is limited.DesignThis is a cross‐sectional survey study.MethodsQuestionnaires were distributed to nurse practitioners in seven hospitals in northern Taiwan from May 2015 to March 2016. In total, data from 335 (78% return rate) certified nurse practitioners were analysed. Social support was measured by the Multidimensional Scale of Perceived Social Support (MSPSS) and the Job Content Questionnaire (JCQ), and perceived self‐efficacy was measured by the General Self‐Efficacy Scale (GSE). Data were analysed by ANOVAs with post hoc test and multiple linear regression.ResultsThe mean score for self‐efficacy was 27.60 ± 6.17. Support scores were 11.574 ± 2.37 for supervisors, 12.795 ± 1.92 for coworkers and 64.07 ± 10.16 for family, friends and significant others. nurse practitioners in the high monthly salary group had significantly higher self‐efficacy than nurse practitioners in the medium and low monthly salary group (F = 8.99; p < .01). Social support from coworkers (β = 0.18, p < .01) and family, friends and significant others (β = 0.15, p < .01) and a higher monthly salary were significant factors.ConclusionsThe self‐efficacy of nurse practitioners in hospitals in Taiwan is insufficient. Monthly salary and levels of social support were found to contribute to nurse practitioners’ self‐efficacy. Thus, to enhance nurse practitioners’ self‐efficacy and work performance, nursing leaders should address these issues.Relevance to clinical practiceThe findings inform hospital administrators to be aware of the importance of salary in relation to nurse practitioners’ perceptions of social support and self‐efficacy.
Nurses’ perceptions of barriers and facilitators and their associations with the quality of end‐of‐life care
Authors: Omar Daw Hussin Emni , Wong Li Ping , Chong Mei Chan , Subramanian Pathmawathi 
Published: October 2017

Aims and objectivesTo examine nurses’ perceptions of barriers to and facilitators of end‐of‐life care, as well as their association with the quality of end‐of‐life care.BackgroundOften, dying patients and their families receive their care from general nurses. The quality of end‐of‐life care in hospital wards is inadequate.MethodA self‐administered questionnaire was completed by 553 nurses working in a tertiary teaching hospital in Malaysia.ResultsThe barrier with the highest mean score was “dealing with distressed family members.” The facilitator with the highest mean score was “providing a peaceful and dignified bedside scene for the family once the patient has died.” With regard to barrier and facilitator categories, the barrier category with the highest total mean score was patient‐related barriers and the facilitator category with the highest total mean score concerned facilitators related to healthcare professionals. In the multivariate analysis, age, patient family‐related barriers and healthcare professional‐related facilitators significantly predict the quality of end‐of‐life care.ConclusionThe results of this study suggest that there is an urgent need to overcome barriers related to the patient and family members that hinder the quality of care provided for dying patients, as well as to enhance and implement the facilitators related to healthcare providers. In addition, there is also a need to enhance the quality of end‐of‐life care provided by younger nurses through end‐of‐life care courses and training.Relevance to clinical practiceHelping nurses overcome barriers and implement facilitators may lead to enhanced quality of care provided for dying patients.
Perceived language proficiency and pain assessment by registered and student nurses in native English‐speaking and EAL children aged 4–7 years
Authors: Azize Pary M , Cattani Allegra , Endacott Ruth 
Published: October 2017

Aims and objectivesTo identify the factors that influence decisions made by health professionals when assessing the pain of native English speaking and children whose English is an additional language.BackgroundPain assessment in children is often poorly executed following acute injury. Whilst a range of pain assessment tools have been developed, little guidance is provided for assessing pain in children with English as an additional language.DesignFactorial survey design.MethodsTwenty minor injuries unit nurses and 20 children's nursing students participated in an electronic survey to make judgements on 12 scenarios describing a child attending a minor injuries unit following an incident, accompanied by a parent. Respondents had to decide the most important form of pain assessment, and whether they would ask a parent or an interpreter to assess the pain of the child. An open‐ended question asked about the difficulties found in making a judgement.ResultsObservation of the child's behaviour was the most common pain assessment reported. The visual analogue scale was significantly associated with children with proficient English. Respondents were significantly more likely to involve parents in the assessment if they could speak English well compared to parents with poor English skills. Moreover, nursing students were significantly more likely than registered nurses to call for support from an interpreter. Thematic analysis identified three themes related to difficulties with pain assessment: contrasting approaches, differing perceptions of pain and overcoming challenges.ConclusionsThe reduced ability to communicate between child, parent and healthcare professional highlights the need to identify forms of assessment based on individual cases.Relevance to clinical practiceThe number of children with English as an additional language has seen a marked rise over the last decade. In situations where communication ability is reduced, assessment of pain should be tailored to meet the needs of the child. This may require timely access to interpreter services.
Beginners in prescribing practice: Experiences and perceptions of nurses and doctors
Authors: Lim Anecita Gigi , North Nicola , Shaw John 
Published: October 2017

Aims and objectivesTo investigate and compare the experiences and perceptions of nurses and doctors in becoming prescribers.BackgroundThe development of core skills, knowledge and attitudes as a prescriber is among the present foci of current medical education, and the requirements for ongoing mentorship, support and education for novice medical prescribers have been identified as important training components. However, little is known of the prescribing practices of other health professionals who are also new to prescribing, for example, nurse prescribers.DesignThis qualitative study was guided by a constructivist narrative approach using a multiple case narrative strategy.MethodsA purposive sampling approach was used, with a view to selecting participants to best illuminate the experiences of beginning to prescribe. Individual interviews were conducted, 26 in total, lasting approximately one hour each and were audio‐recorded.ResultsCommon themes were found across prescribing groups: fear and anxiety when taking on prescribing responsibility; the strategy of using a personal list of medicines to support safe practice; how this list was expanded over time; referring to senior colleagues in prescribing decision‐making.ConclusionsThis study shows that the journeys are similar for nurses and doctors as beginning prescribers. The effort required for a novice prescriber to select the most appropriate medication and write prescriptions can be extensive as development of expertise takes time and occurs over months or years.Relevance to clinical practiceMedical and nurse prescribers differ in term of educational preparation, their journeys as beginner prescribers share common behaviour and practices. Clinical experience and mentorship important to enhance skill development in prescribing and should be advocated for all prescribers. Beginner prescribers require ongoing education and support when prescribing for high risk patients or when prescribing new drugs
Risk factors associated with newly psychiatric disorder in spinal cord injury: A retrospective cohort study
Authors: Chuang Ching‐Hui , Chen Chung‐Hey , Bai Chyi‐Huey , Chen Po‐Cheng , Wu Shih‐Chung , Liu Chun‐Hao 
Published: October 2017

Aim and objectivesTo predict the risk factors related to newly diagnosed psychiatric disorders resulting from spinal cord injuries (SCIs).BackgroundSCIs are a common result of devastating accidents; they can have an essential negative impact on the psychological health of those so afflicted. Psychiatric disorders commonly occur worldwide and are often associated with pain and disability; however, few studies have investigated the risk factors of psychiatric disorders among persons with SCIs.DesignA retrospective cohort study design with data obtained from the Taiwan Health Insurance Research Database (THIRD). THIRD involves the claims data on recipients recorded in the Taiwan National Health Insurance (TNHI), which was set up in 1995 and covers about 99% of the 23 million persons in Taiwan.MethodsWe used THIRD to predict the risk factors related to newly diagnosed psychiatric disorders among victims of spinal cord injury.ResultsThe majority of persons with SCI were men (51.2%), and their average age was 52.8 years. All 5,828 newly diagnosed psychiatric disorders were included from 1997–2009 in 64,907 SCI in the THIRD data set. These results demonstrated notable differences in hazard risk (HR); the injured persons were inspected for the level of SCI, age, hypertension and chronic obstructive pulmonary disease (HR: 1.637, 95% CI: 1.452–1.844, p < .0001; HR: 1.005, 95% CI: 1.002–1.009, p = .0019; HR: 0.724, 95% CI: 0.642–0.816; HR: 1.267, 95% CI: 1.105–1.454, p = .0007; HR: 1.368, 95% CI: 1.183–1.582, p < .0001, respectively); the persons with SCI exhibited significant independent associations with psychiatric disorders.ConclusionsThe results revealed that the level of SCI, female gender and age, respectively, affects the incidence of newly diagnosed psychiatric disorder related to SCI.Relevance to clinical practiceThis study showed that psychiatric disorders may be associated with the development of SCI, and that this risk was more predominant in females with SCI. Our results are of direct clinical relevance as they are meant to assist clinical assessment, counselling, guidance of symptomatic monitoring and early clinical intervention.
Identification of factors which affect the tendency towards and attitudes of emergency unit nurses to make medical errors
Authors: Kiymaz Dilek , Koç Zeliha 
Published: October 2017

Aims and objectivesTo determine individual and professional factors affecting the tendency of emergency unit nurses to make medical errors and their attitudes towards these errors in Turkey.BackgroundCompared with other units, the emergency unit is an environment where there is an increased tendency for making medical errors due to its intensive and rapid pace, noise and complex and dynamic structure.DesignA descriptive cross‐sectional study.MethodsThe study was carried out from 25 July 2014–16 September 2015 with the participation of 284 nurses who volunteered to take part in the study. Data were gathered using the data collection survey for nurses, the Medical Error Tendency Scale and the Medical Error Attitude Scale.ResultsIt was determined that 40.1% of the nurses previously witnessed medical errors, 19.4% made a medical error in the last year, 17.6% of medical errors were caused by medication errors where the wrong medication was administered in the wrong dose, and none of the nurses filled out a case report form about the medical errors they made. Regarding the factors that caused medical errors in the emergency unit, 91.2% of the nurses stated excessive workload as a cause; 85.1% stated an insufficient number of nurses; and 75.4% stated fatigue, exhaustion and burnout.ConclusionsThe study showed that nurses who loved their job were satisfied with their unit and who always worked during day shifts had a lower medical error tendency.Relevance to clinical practiceIt is suggested to consider the following actions: increase awareness about medical errors, organise training to reduce errors in medication administration, develop procedures and protocols specific to the emergency unit health care and create an environment which is not punitive wherein nurses can safely report medical errors.