bluuebunny/crossref_metadata_2025_split huggingface dataset:
A longitudinal, mixed methods investigation of newly qualified nurses’ workplace stressors and stress experiences during transition
Authors: Halpin Yvonne , Terry Louise M. , Curzio Joan 
Published: May 2017

AbstractAimTo investigate transition in newly qualified nurses through an exploration of their stressors and stress experiences during their first 12 months postqualifying.BackgroundGlobally, thousands of new nurses qualify annually. They are crucial for the profession and healthcare service delivery. Work‐related stress has multiple serious consequences, yet there is a lack of robust, empirical evidence that directly analyses newly qualified nurses and the stress they feel and experience in the workplace. Understanding what causes newly qualified nurses’ stress is vital to retaining and nurturing this vital component of the workforce.DesignLongitudinal, explanatory sequential mixed methods, cohort study.MethodsAt the point of qualification (n = 288), 6 months postqualifying (n = 107) and 12 months postqualifying (n = 86), newly qualified nurses completed the Nursing Stress Scale, with 14 completing a one‐to‐one interview at 12 months postqualifying. Data were collected from 2010 ‐ 2012. Inferential statistics, “thematic analysis” and “side‐by‐side comparisons in a discussion” were used for analysis.ResultsWorkload was consistently the highest reported stressor with inadequate staffing and managing multiple role demands given as explanations. Incivility within the workplace was a noted stressor. Conversely, being part of “a good team” provided a civil, supportive, facilitative work environment. Entering nurse education with previous healthcare experience had a mediating effect on the reported frequency of stressors.ConclusionsNewly qualified nurses encounter multiple work‐related stressors over their first 12 months postqualifying, which are intrinsically entwined with their transition. Employing organizations need to be more proactive in managing their workload and addressing workplace incivility.
Building expert agreement on the importance and feasibility of workplace health promotion interventions for nurses and midwives: A modified Delphi consultation
Authors: Perry Lin , Nicholls Rachel , Duffield Christine , Gallagher Robyn 
Published: May 2017

AbstractAimTo use a Delphi panel to determine the relative importance and feasibility of workplace health promotion interventions to promote and support the health of the Australian nursing and midwifery workforce.BackgroundThe nursing workforce experiences rates of ill health above that of other workforces, yet there is little investment in workplace health promotion.DesignThe study used a modified Delphi design conducted between September and November 2015.MethodsEleven of 19 purposively selected expert panellists discussed, rated and provided feedback through two rounds of an electronic questionnaire about the relative importance and feasibility of 46 workplace health promotion interventions and processes for nurses and midwives. Scores for importance and feasibility were calculated and ranked and a composite score of importance multiplied by feasibility.ResultsMental health strategies were prioritized as the most important and feasible of the intervention topics, followed closely by healthy eating and physical activity interventions; smoking cessation ranked lowest. The most highly ranked interventions targeted healthy eating, stress management and resilience training. Highest ranked processes to support development of a healthy work environment included intersectoral collaboration and employee wellness groups.ConclusionsStudy findings prompt consideration of health promotion opportunities to support nurses’ health and well‐being. Findings identified key workplace health promotion priorities and provide direction for policy makers and managers to promote nursing and midwifery workforce health.
Nurse vs. physician‐led care for obstructive sleep apnoea: A systematic review and meta‐analysis of randomized trials
Authors: Gong Fengqiu , Chen Xiaojun , Wu Yaoye , Yao Dianye , Xie Lihong , Ouyang Qiuyi , Wang Ping , Niu Gang 
Published: May 2017

AbstractAimTo evaluate the effectiveness of nurse‐led care for obstructive sleep apnoea compared with physician‐led care.BackgroundThe incidence of obstructive sleep apnoea is increasing worldwide. There is a need for cost‐effective care models to ease off the pressure on tertiary care centres and divert care to the community.DesignSystematic review and meta‐analysis.Data sourcesWe searched major electronic databases (MEDLINE, EMBASE, AMED, British Nursing Index, CINAHL, HMIC, PsycINFO, Health Business Elite and the Cochrane Central Register of Controlled Trials CENTRAL) from inception till December 2016 using a structured search strategy for all randomized trials evaluating nurse‐led treatment interventions for adults with obstructive sleep apnoea compared with physician‐led ones. We screened relevant articles against a predefined inclusion criterion. We applied no search limitations.Review methodsWe assessed the risk of bias as per Cochrane recommendations. We calculated weighted mean difference with 95% confidence intervals for continuous outcomes and used a random‐effects model to meta‐analyse data.ResultsWe screened 309 articles and only four studies met our inclusion criteria. All studies used continuous‐positive airway pressure as the main treatment strategy with similar compliance rate in both comparison groups. The scores of the Epworth Sleepiness Scale, the SF‐36 questionnaires for vitality, physical function and the SF‐36 mental health were all similar between the two groups. There was a significant heterogeneity in all meta‐analyses (I2 > 92%).ConclusionNurse‐led care for adults with obstructive sleep apnoea is non‐inferior to physician‐led care. More research is needed to standardize nurse‐led interventions and evaluate their long‐term effectiveness and cost‐effectiveness.
Emergency medical services providers' perspective of end‐of‐life decision making for people with intellectual disabilities
Authors: McGinley Jacqueline , Waldrop Deborah P , Clemency Brian 
Published: May 2017

BackgroundEmergency medical services (EMS) providers are often called to rapidly determine and act upon patients' wishes for end‐of‐life care. People with intellectual disabilities are living increasingly longer with complex conditions leading to international calls for person‐centred advance care planning. Yet, best estimates suggest that very few people with intellectual disabilities document their wishes.MethodsThis exploratory‐descriptive study incorporated mixed methods to analyse data collected consecutively (surveys, n = 239; interviews, n = 48) with EMS providers from five agencies. Data were subjected to a sequential quantitative–qualitative analysis applying a critical discourse analysis framework.ResultsFindings indicate that 62.7% had treated a person with intellectual disability who had medical orders directing end‐of‐life care. Three themes (provider familiarity, organizational processes, sociocultural context) offer insights about how medical orders inform EMS providers during calls involving people with intellectual disabilities.ConclusionMultiple contexts influence how wishes are documented and care provided to people with intellectual disabilities near life's end.
Improving the occupational skills of students with intellectual disability by applying video prompting combined with dance pads
Authors: Lin Mei‐Lan , Chiang Ming‐Shan , Shih Ching‐Hsiang , Li Meng‐Fang 
Published: May 2017

BackgroundIndividuals with intellectual disability (ID) are prone to inattention, are slow in learning and reaction, and have deficits in memory skills. Providing proper vocational education and training for individuals with intellectual disability is able to enhance their occupational skills.Materials and MethodsThis study applied video prompting to provide instructional prompts to help participants accurately perform an assigned occupational activity. A control system installed with developed software was used to turn a standard dance pad into a sensor to detect the participants’ standing position and to automatically trigger video prompting.ResultsThe results show that the participants’ correct performance of the target behaviour improved significantly after their exposure to the video prompting intervention, and this positive outcome remained consistent during the maintenance phase.ConclusionVideo prompting combined with dance pads was a feasible approach to improving the occupational skills of the three students with intellectual disability.
HIF‐2α regulates non‐canonical glutamine metabolism via activation of PI3K/mTORC2 pathway in human pancreatic ductal adenocarcinoma
Authors: Li Wenzhu , Chen Changhao , Zhao Xiaohui , Ye Huilin , Zhao Yue , Fu Zhiqiang , Pan Wenwei , Zheng Shangyou , Wei Lusheng , Nong Tianwen , Li Zhihua , Chen Rufu 
Published: May 2017

AbstractHypoxia‐inducible factor‐2α (HIF‐2α) plays an important role in increasing cancer progression and distant metastasis in a variety of tumour types. We aimed to investigate its biological function and clinical significance in human pancreatic ductal adenocarcinoma (PDAC). A total of 283 paired PDAC tissues and adjacent normal tissues were collected from patients who underwent surgery or biopsy at Sun Yat‐sen Memorial Hospital between February 2004 and October 2016. In this study, we noted that HIF‐2α expression was significantly up‐regulated in PDAC, positively associated with disease stage, lymph‐node metastasis and patient survival, and identified as an independent prognostic factor of PDAC patients. We demonstrated that HIF‐2α silencing could reduce proliferation, migration and invasion of PDAC cells in vitro. The similar effect on growth was demonstrated in vivo. Furthermore, we noted that knock‐down of HIF‐2α significantly decreased the expression of glutamate oxaloacetate transaminase 1 (GOT1). Importantly, we confirmed that the PI3K/mTORC2 pathway promoted GOT1 expression by targeting HIF‐2α. Our study validated HIF‐2α was an important factor in PDAC progression and poor prognosis and may promote non‐canonical glutamine metabolism via activation of PI3K/mTORC2 pathway. Targeting HIF‐2α represents a novel prognostic biomarker and therapeutic target for patients with PDAC.
Use of clinical guidelines in remote Australia: A realist evaluation
Authors: Reddy Sandeep , Orpin Victoria , Herring Sally , Mackie‐Schneider Stephanie , Struber Janet 
Published: May 2017

AbstractAimThe aim of this evaluation was to assess the acceptability, accessibility, and compliance with the 2014 editions of the Remote Primary Health Care Manuals (RPHCM) in health care centres across remote areas of Northern and Central Australia.MethodTo undertake a comprehensive evaluation that considered context, the evaluation used a realist evaluation framework. The evaluation used a variety of methods including interviews and survey to develop and test a programme theory.ResultsMany remote health practitioners have adopted standardized, evidence‐based practice because of the use of the RPHCM. The mechanisms that led to the use of the manuals include acceptance of the worth of the protocols to their clinical practice, reliance on manual content to guide their practice, the perception of credibility, the applicability of RPHCM content to the context, and a fear of the consequences of not using the RPHCMs. Some remote health practitioners are less inclined to use the RPHCM regularly because of a perception that the content is less suited to their needs and daily practice or it is hard to navigate or understand.ConclusionThe evaluation concluded that there is work to be done to widen the RPHCM user base, and organizations need to increase support for their staff to use the RPHCM protocols better. These measures are expected to enable standardized clinical practice in the remote context.
Examining practical nursing experiences to discover ways in which to retain and invigorate the remaining functions of the elderly with a demented and complex disability in nursing homes
Authors: Park Min‐Sun , Lim Sun‐Young , Kim Eun‐Young , Lee Su‐Jung , Chang Sung‐Ok 
Published: May 2017

AimThe bedridden elderly with moderate‐to‐severe dementia account for a large proportion of the residents in nursing homes and form a specialized group requiring customized care in order to encourage their remaining functions, which determine the quality of their residual life. The purpose of this study was to search for ways to invigorate and foster the remaining functions of this complex‐disability group, based on practical nursing strategies in nursing homes.MethodsThe qualitative thematic analysis was done by conducting in‐depth interviews with 29 nurses working at 11 different nursing homes in South Korea.ResultsThis study proposed four main themes and 19 sub themes as keys for providing specialized nursing care to the elderly with physical and cognitive disabilities. The main themes encourage the residents' remaining functions: (i) accurate identification of an elderly resident's physical, cognitive, and behavioral baseline is necessary in order to determine their functional levels; (ii) nurses provide meticulous management to support the remaining functions in order to prevent further deterioration; (iii) optimized know‐how, based on accumulated experience and knowledge, is reflected in nursing strategies that maximize the effects of nursing interventions; and (iv) steady compliance with nursing guidelines and standards in nursing homes creates the best therapeutic environment and brings unexpected positive changes in the elderly's status.ConclusionA practical nursing strategy to target the group with a demented and complex disability in nursing homes was developed through thematic analysis of the empirical knowledge of nurses. The findings provide new insights for developing specialized nursing interventions and practical nursing models in long‐term care facilities.
How whales used to filter: exceptionally preserved baleen in a Miocene cetotheriid
Authors: Marx Felix G. , Collareta Alberto , Gioncada Anna , Post Klaas , Lambert Olivier , Bonaccorsi Elena , Urbina Mario , Bianucci Giovanni 
Published: May 2017

AbstractBaleen is a comb‐like structure that enables mysticete whales to bulk feed on vast quantities of small prey, and ultimately allowed them to become the largest animals on Earth. Because baleen rarely fossilises, extremely little is known about its evolution, structure and function outside the living families. Here we describe, for the first time, the exceptionally preserved baleen apparatus of an entirely extinct mysticete morphotype: the Late Miocene cetotheriid, Piscobalaena nana, from the Pisco Formation of Peru. The baleen plates of P. nana are closely spaced and built around relatively dense, fine tubules, as in the enigmatic pygmy right whale, Caperea marginata. Phosphatisation of the intertubular horn, but not the tubules themselves, suggests in vivo intertubular calcification. The size of the rack matches the distribution of nutrient foramina on the palate, and implies the presence of an unusually large subrostral gap. Overall, the baleen morphology of Piscobalaena likely reflects the interacting effects of size, function and phylogeny, and reveals a previously unknown degree of complexity in modern mysticete feeding evolution.
The relationship between smoking and convivial, intimate and negative coping alcohol consumption in young adults
Authors: Kritsotakis George , Konstantinidis Theocharis , Androulaki Zacharenia , Rizou Efthymia , Asprogeraka Eleni Maria , Pitsouni Vasiliki 
Published: May 2017

Aims and objectivesTo explore the gender‐specific associations of smoking with convivial, negative coping and intimate drinking contexts in young adults.BackgroundAlcohol and cigarettes co‐use is common and to be more effective in prevention activities, we need to understand the drinking contexts that facilitate their co‐occurrence.DesignDescriptive cross‐sectional survey in the context of the LATO study (Lifestyle & Attitudes in a Student Population) in Greece.MethodsOf the 1,138 students who provided full data during November–December 2012, those who have smoked ≥1 cigarette/last month were defined as smokers. Based on the “Drinking Context Scale‐9”, we created low, moderate and high probabilities of drinking in each context and in total. Multivariate logistic regression analyses were performed.ResultsParticipants reported higher probabilities to drink, in descending order, in the convivial (31.5%), negative coping (10.4%) and intimate (5.4%) contexts. Adjusted odds ratios for smoking were significantly higher for individuals who reported a moderate (OR = 2.15, 95% CI 1.51–3.05) to high (OR = 3.64, 95% CI 2.59–5.11) probability of drinking in any context. Moreover, female participants with high probabilities for drinking in convivial and negative coping contexts had higher odds ratios of engaging in smoking (convivial OR = 1.87, 95% CI = 1.23–2.85; coping OR = 2.66, 95% CI = 1.39–5.10) whereas this association was noticed only for convivial settings in male participants (OR = 2.88, 95% CI = 1.91–4.319). For women only, drinking in intimate contexts was protective against smoking (OR = 0.32, 95% CI = 0.10–0.98).ConclusionsSmoking is differentially related to drinking context based on gender. Prevention interventions targeting smoking and alcohol co‐use in late adolescence may be more effective if employing a context and gender‐specific approach.Relevance to clinical practiceNurses have a critical role in providing motivational interviewing in individuals and organise and execute health‐promoting activities in larger groups for modifying their health risk behaviours. The social context should be carefully considered during assessments and prevention interventions.
Counselling parents on young children's healthy diet: A modified scoping review
Authors: Holmberg Fagerlund Bettina , Helseth Sølvi , Owe Jenny , Glavin Kari 
Published: May 2017

Aims and objectivesTo map and describe key information in existing research about counselling of parents of children aged 0–2 years on the child's healthy diet in preventive healthcare settings, particularly in public health nursing.BackgroundMany parents are likely to be concerned with their infant's food‐related happiness “here and now,” disregarding the child's long‐term health and development related to feeding practices. Hence, a focus on counselling parents in considering young children's healthy diet is important.DesignA modified scoping review with an inductive qualitative content analysis of selected empirical studies.MethodsSystematic searches in EMBASE (1996–2015 Week 46), Ovid Nursing Database (1946–2015 November Week 1), Ovid MEDLINE and Ovid OLDMEDLINE (2000—18 November 2015) and CINAHL (2000—22 December 2015), using search terms based on aims.ResultsEight included studies, with participants per sample ranging from 19–>500. Research designs were focus group discussions and/or interview study (n = 2), cluster‐randomised trials (n = 2), randomised controlled trials (n = 2), a follow‐up interview study (n = 1) to a previous randomised controlled trial and a cross‐sectional electronic questionnaire study (n = 1). The studies included a total sample of 2,025 participants, 42 of them in interview studies. Findings indicate parents' perceptions of inconsistency, misconceptions and uncertainty related to the recommendations on child feeding from the authorities. Thus, adapted advice could impact healthier child diet. Maternal knowledge on child feeding and reduced use of food as a reward are mediators for improved diet quality in children.ConclusionsCounselling on young children's healthy diet should be anticipatory, consistent and adapted to the family.Relevance to clinical practiceDue to inconsistent recommendations and omitted focus on anticipatory counselling on child feeding, parents might perceive pressure and uncertainty related to the child's diet.
Music therapy and musical stimulation in the context of prematurity: A narrative literature review from 2010–2015
Authors: Palazzi Ambra , Nunes Camila Canani , Piccinini Cesar Augusto 
Published: May 2017

Aims and objectivesTo examine empirical studies of musical stimulation and music therapy carried out with preterm infants and their parents published from 2010–2015.BackgroundPrematurity constitutes a global health problem that can impact the development of the preterm infant and the well‐being of the parents. Music‐based interventions may benefit the infant, parents and their relationship. In our review, we distinguished between musical stimulation and music therapy, as we found no previous studies that had made this distinction.DesignThis is a narrative literature review.MethodsA search was undertaken in PubMed, PsycINFO and LILACS using the terms “music,” “music therapy,” “singing,” “prematurity” and “preterm.” Thirty studies were included and analysed according to the following categories: (i) aims of the study, (ii) participants, (iii) design, (iv) type of intervention, (v) assessment and measures and (vi) main results.ResultsThe vast majority of the studies focused on the preterm infants and used an experimental design. Few studies carried out family‐centred interventions, despite this having been noted as an important factor in effective interventions. Musical stimulation studies used more recorded music, whereas music therapy studies used more individualised interventions with live music.ConclusionsBoth musical stimulation and music therapy demonstrated significant effects on preterm infants and their parents. However, compared to musical stimulation studies, interventions performed by music therapists provided more individualised care and tended to show greater effects on infants' physiological and behavioural responses.Relevance to clinical practiceOur review showed that music therapy interventions may provide individualised, effective and family‐centred care. There is a significant need for these types of interventions in the neonatal intensive care unit (NICU).