bluuebunny/crossref_metadata_2025_split huggingface dataset:
Discharge training and counselling increase self‐care ability and reduce postdischarge problems in CABG patients
Authors: Cebeci Fatma , Çelik Sevilay Şenol 
Published: August 2010

Aims and objectives.  The aim of this study was to determine how discharge training and counselling provided to patients, who had undergone coronary artery bypass graft (CABG) surgery, had effects on patients‘ self‐care ability and on the problems encountered after discharge. The objectives were to help patients develop self‐care behaviour to deal more comfortably with the problems caused by the disease and, hopefully, to reduce the number of problems they may encounter.Background.  CABG surgery patients needing to manage various aspects of their self‐care at home often find these tasks very difficult to carry out effectively. Discharge training and counselling services help patients undergoing CABG to develop self‐care behaviours.Design.  The study was prospective and quasi‐experimental.Methods.  The intervention and control groups consisted of 57 patients who were given discharge training and counselling by a researcher and 52 patients who were given routines by a nurse, respectively. The intervention group began receiving discharge training and counselling on the day of hospitalization. These were provided according to their individual knowledge needs and patients were given a booklet developed for training purposes. Data were collected by researcher using the Personal Information Form, the Self‐Care Agency Scale.Results.  It was found that the intervention group had a higher mean self‐care score than the control group and experienced fewer problems following discharge compared with patients in the control group.Conclusion.  The discharge training and counselling services given to patients in the intervention group had a positive impact on the self‐care ability of these patients and on alleviating the problems they encountered.Relevance to clinical practice.  As discharge training and counselling services had a positive impact on the self‐care and alleviation of the problems that patients encounter after being discharged, we recommend application of these services and the usage of the training booklet for CABG patients.
Institutionalized elders with dementia: collaboration between family caregivers and nursing home staff in Taiwan
Authors: Alice Lau Wai‐Yin , Lotus Shyu Yea‐Ing , Lin Li‐Chan , Yang Pei‐Shan 
Published: August 2010

Aims and objectives.  To explore the process of development of collaborative relationship between family caregivers of institutionalized elders with dementia and nursing home staff in Taiwan.Background.  Evidence suggests that family members are continuously involved in the lives of loved ones and have not given up their roles as caregivers after the institutionalization of a family member. Little is known, however, about how family caregivers develop a collaborative relationship with nursing home staff, particularly in Asian countries.Design and methods.  Grounded theory methodology was used. Data were collected via interviews and observations from 11 family caregivers of patients who were suffering from dementia and living in an institution for persons with dementia in northern Taiwan. Data were analysed by constant comparative analysis.Results.  Findings revealed that ‘institutional social penetration’ was the process most used by family caregivers to achieve an harmonious collaborative relationship with the nursing home staff. Institutional social penetration is a dynamic process, which includes three components: self‐disclosure, evaluation of care and penetration strategies. Family caregivers, who had developed a ‘socially penetrating’ relationship with the nursing home staff, were more likely to disclose information in more breadth and depth, to receive positive care evaluations and to adopt multiple effective penetration strategies.Conclusions.  Institutional social penetration between family caregivers and nursing home staff can sensitize healthcare providers to meet the family's needs during the placement of their loved one and provide a basis for developing intervention strategies.Relevance to clinical practice.  Findings of this study may help healthcare providers to understand the ways in which collaborative relationships develop between the families of elders with dementia and nursing home staff. Interventions can be developed to facilitate self‐disclosure of both the family members and nursing home staff through timely feedback and familiarising family caregivers with different penetration strategies.
Dissemination of research in clinical nursing journals
Authors: Oermann Marilyn H , Nordstrom Cheryl K , Wilmes Nancy A , Denison Doris , Webb Sue A , Featherston Diane E , Bednarz Hedi , Striz Penelope , Blair Darlene A , Kowalewski Kathleen 
Published: August 2010

Aim.  The purposes of the study were to describe the extent of research, clinical and evidence‐based practice articles published in clinical nursing journals and to explore the communication of research and practice knowledge in the clinical nursing literature using citation analysis.Background.  For nursing research to have an impact on clinical practice and build evidence for practice, findings from research must transfer into the clinical practice literature. By analysing the extent of research published in clinical nursing journals, the citations in those articles, and other characteristics of the nursing literature, we can learn more about the linkages between research and practice in nursing.Design.  This was a descriptive study of 768 articles and 18901 citations in those articles.Methods.  Feature articles were classified into four groups – (i) original research reports; (ii) clinical practice articles (non‐data based papers on a clinical topic); (iii) systematic reviews, integrative literature reviews, guidelines and papers describing evidence‐based practice; and (iv) others. Each citation was then examined to determine if it was a reference to a research study or to a document on clinical practice.Results.  Nearly a third of the articles in clinical nursing journals were reports on research studies; another third addressed clinical practice. Of the 14232 citations analysed in clinical nursing journals, 6142 were to research reports (43·2%) and about the same number of citations were to clinical documents (n = 5844, 41·1%). Medical research articles were cited most frequently – 27·1% of the citations in clinical journal articles. Nursing research articles were only 7·6% of the cited documents in clinical publications.Conclusions.  Dissemination of research findings in the clinical nursing literature occurred at two levels: through articles that reported studies of potential value to the nurse's practice and citations to research publications within articles.Relevance to clinical practice.  Disseminating research in journals that are geared to clinicians is essential to increase nurses’ awareness of research findings that might be relevant to their practice. This study documented that articles in clinical nursing journals disseminated not only information about clinical practice, but also informed readers about research of potential value to the nurse's practice.
The relationship between busyness and research utilization: it is about time
Authors: Thompson David S , O'Leary Kathy , Jensen Eva , Scott‐Findlay Shannon , O'Brien‐Pallas Linda , Estabrooks Carole A 
Published: August 2010

Aims and objectives.  To explore the concept of busyness in nursing and to understand the relationship between busyness and nurses’ research utilization better.Background.  Lack of time and busyness are consistently reported as barriers to research utilization. Current literature fails to identify the dimensions of busyness and offers little insight into the relationship between busyness and nurses’ research utilization.Design/Methods.  We performed a secondary analysis of qualitative data and created a conceptual map of busyness in nursing.Results.  Our results suggested that busyness consists of physical and psychological dimensions. Interpersonal and environmental factors influenced both dimensions. Cultural and intrapersonal factors contributed to psychological elements. The effects of busyness reported included missed opportunities, compromised safety, emotional and physical strain, sacrifice of personal time, incomplete nursing care and the inability to find or use resources.Conclusions.  Our beginning description of busyness contributes to a greater understanding of the relationship between busyness and research utilization. Our findings suggest that lack of time as a barrier to research utilization is more complex than depicted in the literature. Instead, the mental time and energy required to navigate complex environments and a culture of busyness more accurately reflect what may be meant by ‘lack of time’ as a barrier to research utilization.Relevance to clinical practice.  Future interventions aimed at increasing research utilization may be more effective if they focus on factors that contribute to a culture of busyness in nursing and address the mental time and energy required for nurses to use research in practice.
Compression bandaging for venous leg ulcers: the essentialness of a willing patient
Authors: Annells Merilyn , O'Neill Janine , Flowers Charne 
Published: August 2010

Aim.  To describe and explore reasons for use or non‐use by district nurses of compression bandaging, a best practice component of venous leg ulcer management.Background.  Leg ulcers are costly to both individuals and communities. The most prevalent of leg ulcers are venous leg ulcers, which are common wounds treated by district nurses. Compression bandaging is the best practice for the treatment of venous leg ulcers with considerable evidence that this aids healing in an effective and timely manner. It is anecdotally known that compression bandaging is not always used by district nurses when treating venous leg ulcers, yet little is known as to why this is so.Method.  A qualitative descriptive/exploratory study was used; interview data were collected with constant comparative data analysis applied until data saturation was obtained.Findings.  As could be anticipated, several basic elements need to be present for a district nurse to use compression bandaging, like knowing that compression bandaging is best practice, knowing how to use compression bandaging and being able to determine that the ulcer is venous in nature. However, the major finding is the essentialness of having a patient willing for compression bandaging to be applied and sustained; the study explored what determines willingness or non‐willingness and strategies that can be used to encourage willingness.Conclusion.  A prime enabler of the use of compression bandaging is having a patient willing to agree to the commencement of this treatment and for this to be sustained. Consequent recommendations are offered. Evidence‐based nursing requires not only knowledge of cause and effect evidence but also evidence that provides understanding about human responses and choices when there is a health challenge.Relevance to clinical practice.  The relevance of the findings for clinical practice is that knowledge is provided about what factors may constrain a patient's willingness for compression bandaging to be applied and sustained as treatment for a venous leg ulcer and about what actions can be tried to facilitate willingness.
Investigating factors associate to nurses’ attitudes towards perinatal bereavement care
Authors: Chan Moon Fai , Lou Feng‐lan , Arthur David Gordon , Cao Feng‐lin , Wu Lai Har , Li Ping , Sagara‐Rosemeyer Miharu , Chung Loretta Yuet Foon , Lui Li 
Published: August 2010

Aim.  The purpose of this study was to explore nurses’ attitudes towards perinatal bereavement care and to identify factors associate with such attitudes.Background.  Caring for and supporting parents whose infant has died is extremely demanding, difficult and stressful. It is likely that the attitude of nursing staff can influence recovery from a pregnancy loss and nurses with positive attitude to bereavement care can help bereaved parents to cope during their grieving period.Method.  Data were collected through a structured questionnaire; 334 nurses were recruited (63% response rate) from the Obstetrics and Gynaecology unit in five hospitals in Hong Kong during May–August 2006. Outcome measures including attitudes towards perinatal bereavement care, importance on hospital policy and training support for bereavement care.Results.  Majority of nurses in this study held a positive attitude towards bereavement care. Results showed that only 39·3% (n = 130) of nurses had bereavement related training. By contrast, about 89·8% of nurses (n = 300) showed they need to be equipped with relevant knowledge, skills and understanding in the care and support of bereaved parents and more than 88·0% (n = 296) would share experiences with colleagues and seek support when feeling under stress. Regression model showed that age, past experience in handling grieving parents and nurses’ perceived attitudes to hospital policy and training provided for bereavement cares were factors associate with nurses’ attitudes towards perinatal bereavement care.Conclusions.  Hong Kong nurses emphasized their need for increased knowledge and experience, improved communication skills and greater support from team members and the hospital for perinatal bereavement care.Relevance to clinical practice.  These findings may be used for health policy makers and nursing educators to ensure delivery of sensitive bereavement care in perinatal settings and to enhance nursing school curricula respectively.
A review of hand‐washing techniques in primary care and community settings
Authors: Smith Sheree MS 
Published: August 2010

Aim.  This review seeks to identify the most effective hand‐washing and hand‐cleansing practice that could be used in primary care.Background.  Healthcare associated infection is a major problem in the UK causing 5000 deaths every year. Current guidelines indicate expert opinion is the level of evidence for hand washing as an activity to reduce infection.Design.  Systematic review.Method.  Publications on hand‐washing, hand‐cleansing studies, policy and practice‐based documents were sought by searching several databases. Terms used included hand washing, hand cleansing, hand hygiene, hand decontamination, infection control and primary care.Results.  Few articles described the hand‐washing technique in detail and some publications simply referred to either the European and British Standards or the Centre for Disease Control statement on hand washing. Major discrepancies in hand position and water flow direction were found. Several methodological problems were also identified and few studies were undertaken in primary care.Conclusion.  This review has found a lack of evidence for hand‐washing techniques being undertaken in practice today. Findings from hand‐washing technique studies were inconclusive and methodological issues exist resulting in sparse reliable evidence. There is an urgent need to undertake methodologically sound studies of hand‐washing techniques for use in the ever expanding scope of primary care practice.Relevance to clinical practice.  Evidence for hand‐washing and hand‐cleansing techniques will inform healthcare professional practice, and contribute to the overall management of infection control in primary care.
Sensitive cooperation: a basis for assisted feeding
Authors: Martinsen Bente , Harder Ingegerd , Biering‐Sorensen Fin 
Published: August 2010

Aim.  To describe sensitive cooperation as a basis for assisted feeding through the experiences of people with high cervical spinal cord injury (hcSCI).Background.  People who contract a complete hcSCI will require lifelong assistance from others with all activities of daily living. Initially, they prefer getting help from people they already know and are reluctant to cooperate with personal assistants. Assisted feeding is a situation where the nature of the cooperation between the two parties involved is crucial.Design.  Qualitative.Method.  Sixteen people with hcSCI were interviewed twice within a period of eighteen months. The second interview was combined with an observation. Transcriptions of interviews and notes from the observations were analysed according to Reflective Lifeworld Research as described by Dahlberg and colleagues.Results.  Sensitive cooperation implies genuine acquaintance and sincere concern for the person receiving help. It takes time to develop and it is not possible for the person who needs help to ask for sensitive cooperation. When a meal has to be based on cooperation with another human being it is no longer adjusted by the inner eating pace and rhythm of the person needing assisted feeding, but has the temporality of the helper as a necessary condition. A particular meal draws on the experiences from all previous meals and is a significant forerunner of future meals.Conclusions.  Sensitive cooperation implies genuine acquaintance and sincere concern for the person receiving help. It takes time to develop and it is not possible for the person who needs help to ask for sensitive cooperation. When a meal has to be based on cooperation with another human being it is no longer adjusted by the inner eating pace and rhythm of the person needing assisted feeding, but has the temporality of the helper as a necessary condition. A particular meal draws on the experiences from all previous meals and is a significant forerunner of future meals.Relevance to clinical practice.  Nurses and other health care professionals working within settings where people with hcSCI are admitted right after the injury have a responsibility to be meticulous when cooperating with the patients during assisted feeding. They create the basis for later cooperation with the personal assistants. Professionals working in institutions must assume that people with hcSCI are vulnerable and that assisted feeding should be carefully scheduled and conducted without interruption. Without this foundation, sensitive cooperation might never happen.
The Iranian version of Angina Pectoris characteristics questionnaire: reliability assessment
Authors: Najafi‐Ghezeljeh Tahereh , Kassaye Tessama Mesfin , Yadavar‐Nikravesh Mansoureh , Ekman Inger , Emami Azita 
Published: August 2010

Aims.  To evaluate internal consistency and test–retest reliability of the Iranian version of the Angina Pectoris characteristics questionnaire.Background.  To evaluate symptoms in patients with Angina Pectoris, the Iranian version of the Angina Pectoris characteristics questionnaire was created by combining items from Modified Rose Questionnaire, Short Form‐McGill Questionnaire and the Accompanying Symptom Checklist. The Angina Pectoris characteristics questionnaire has been developed and validated recently although it required assessment of its reliability.Design.  Reliability study using test and retest.Method.  One hundred and ten coronary heart disease patients with Angina Pectoris were included. The test–retest reliability of the instrument was estimated for measurement after 15 days.Result.  The analysis of the result indicated that internal consistency was found adequate at both assessments (Cronbach’s alpha = 0·65) for test and retest. There was no significant difference between test and retest. The intra‐class correlation coefficient ranged from 0·76–0·98.Conclusion.  The Angina Pectoris characteristics questionnaire is a reliable instrument for the assessment of Angina Pectoris characteristics in a Persian population.Relevance to clinical practice.  The Angina Pectoris characteristics questionnaire can be used with confidence in Iranian coronary heart disease patients for Assessing Angina Pectoris symptom.
A nine‐month intervention programme focusing on empowerment; caregivers’ descriptions of changed behaviour and increased room for acting
Authors: Häggström Elisabeth , Engström Maria , Barbro Barbro Wadensten 
Published: August 2010

Aims and objectives.  To describe public nursing home Enrolled Nurses’ and Nurses Aides’ view of their work and their perceptions of themselves in their professional role while they were receiving a serious of role awareness sessions focusing on empowerment for nine months.Background.  According to several studies, it is typical that women may experience problems and injustices at work. The main focus of the intervention was to help enrolled nurses’ and nurses aides’ in developing their self‐image and professional role.Design.  This study was descriptive and qualitative in design.Methods.  The present study comprises semi‐structured interviews conducted with enrolled nurses and nurses aides (n = 14) from public nursing homes at start of the intervention and again nine months following the intervention. The text from the interviews was analysed using latent content analysis.Results.  The main findings primarily show an improved professional role for the caregivers, as described in the following themes: the move from passivity to activity, the move from complaining to understanding, the move from expectations to frustration and the move from being silent to speaking loud.Conclusions.  For caregivers working with older people within public nursing home care, it seems to be a good form of clinical supervision to implement a serious of role awareness sessions in order to improve their professional role.Relevance to clinical practice.  The findings showed that an intervention providing opportunities with focus on empowerment improved the enrolled nurses’ and nurses aides’ professional role in working with older people. This can be useful information for managers and educators and they may want to adapt it when working in a public nursing home.
Discharge Planning of Stroke Patients: the Relatives’ Perceptions of Participation
Authors: Almborg Ann‐Helene , Ulander Kerstin , Thulin Anders , Berg Stig 
Published: August 2010

Aims.  To describe relatives’ perceived participation in discharge planning for patients with stroke and identify correlates to perceived participation.Background.  Stroke affects both patients and their relatives and previous research shows that relatives were often dissatisfied with their perceived involvement in discharge planning and the information they get.Design.  Prospective cross‐sectional study.Methods.  The study comprised 152 consecutively enrolled relatives (mean age = 60·8 years) of acute stroke patients admitted to a stroke unit in southern Sweden during 2003–2005. Data were collected through interviews 2–3 weeks after discharge using ‘Relative’s Questionnaire about Participation in Discharge planning’. This instrument measures perceived participation in three subscales: R–Information–Illness, R–Information–Care/support, and R–Goals and Needs. The Overall Rating of Relative’s Perceived Participation in Discharge Planning was measured by a visual analogue scale (VAS) (1–10 score).Results.  Among the relatives, 56–68% reported positively according to R–Information–Illness, but 46–53% perceived that they did not receive any information about care/medication/rehabilitation/support. About 80% perceived no participation at all in goals and needs. The mean value of the VAS was 3·89 (SD 3·40) score. Regression analyses revealed that longer stay at hospital, patients with higher education, and relatives of female patients and female relatives were associated with relatives’ perceptions of higher participation in discharge planning.Conclusions.  Relatives perceived that they needed more information and knowledge about stroke and care/medication/rehabilitation/support. They also needed to be more involved in goal‐setting and in identifying patient needs. Professionals should take into consideration these associated variables to improve relatives’ perceived participation.Relevance to clinical practice.  Clinicians should give more attention to the altered situation of stroke patients’ relatives when planning for continuing care and when setting postdischarge goals for the patients. The professionals need to develop strategies to involve relatives in sharing information, goal‐setting and needs assessment in discharge planning.