bluuebunny/crossref_metadata_2025_split huggingface dataset:
Nurses’ perceptions of severe acute respiratory syndrome: relationship between commitment and intention to leave nursing
Authors: Chang Chao‐Sung , Du Pey‐Lan , Huang Ing‐Chung 
Published: March 2006

Aims.  This paper reports a study which aimed to: (1) investigate the relationship between nurses’ commitment to the nursing profession and organization and their intention to leave; (2) investigate nurses’ perceptions of the possibility of acquiring severe acute respiratory syndrome infection and its moderation of their commitment to the nursing profession and the organization and their consequent intentions to leave the profession and the organization following the severe acute respiratory syndrome outbreak.Background.  The outbreak of severe acute respiratory syndrome in 2003 resulted in a fatality rate of approximately 11%. Nurses in hospitals caring for patients with severe acute respiratory syndrome maintained close contact with the infected patients. The high risk of infection and death associated with caring for patients with severe acute respiratory syndrome had a great impact on nurse retention in hospitals. Nurse turnover in many countries where these outbreaks occurred has been high since the first outbreak occurred in March 2003.Methods.  Three hundred and thirty nurses working at a Taiwan hospital during the time of the severe acute respiratory syndrome outbreak completed the Meyer, Allen & Smith Organizational and Occupational Commitment Scales, Intention to Leave and Perceived Stress of Infection Scales between July and August 2003.Results.  All three components of occupational and organizational commitments were negatively associated with nurses’ intentions to leave the nursing profession and the organization. Nurses’ perceptions of the possibility of acquiring severe acute respiratory syndrome infection through caring for these patients had a moderating effect on the relationship between commitment and the intention to leave.Conclusions.  Perceived risk to life from infection has a possible influence on the commitment/intention‐to‐leave model in hospital nurses caring for patients with severe acute respiratory syndrome, and this information can inform hospital and nursing managers about nurse retention following a severe acute respiratory syndrome outbreak and the management of commitment in the context of nursing human resources management.
Introduction of assistive devices: home nurses’ practices and beliefs
Authors: Roelands Marc , Van Oost Paulette , Depoorter Anne Marie , Buysse Ann , Stevens Veerle 
Published: March 2006

Aims.  This paper reports a study describing home nurses’ intention and current practices regarding introducing assistive devices, and investigating whether their practice is related to social cognitive factors (attitudes, subjective norms and self‐efficacy).Background.  Home nurses not only care for patients in particular medical domains, but also educate and guide them towards more independence. Patients with age‐related disabilities in mobility and self‐care might benefit from the use of assistive devices. A home nurse might be the first and only person to discuss the disability and use of an assistive device. Therefore, home nurses’ beliefs about the introduction of assistive devices could affect their daily practices.Methods.  A cross‐sectional study was conducted with a convenience sample of 64 home nurses chosen from a random sample of home nursing departments. The home nurses completed a self‐administered questionnaire. The Theory of Planned Behaviour framework was used to develop the social cognitive measures regarding each of the six steps distinguished in the introduction of assistive devices.Results.  Home nurses had positive attitudes and high levels of intention, subjective norm and self‐efficacy towards most steps of the decision process to introduce assistive devices. In a multiple linear regression analysis, attitude and self‐efficacy predicted intention to introduce assistive devices to older clients with disabilities. Intention was correlated to home nurses’ current practices.Conclusions.  The findings suggest that conditions are present to involve home nurses more explicitly in the introduction of assistive devices to their patients. Social cognitive factors should be taken into account when developing interventions that aim to support home nurses to do this.
Patients’ existential situation prior to colorectal surgery
Authors: Moene Monica , Bergbom Ingegerd , Skott Carola 
Published: March 2006

Aim.  The aim of this paper is to present a hermeneutic phenomenological study illuminating patients’ existential situation prior to colorectal surgery. The intention was also to explore the value of the encounter between patient and nurse.Background.  Patients waiting for major surgery experience multifarious reactions. Emotions of anxiety, fears of the unknown, anaesthesia, cancer diagnosis and death can arise. Several earlier studies have reported the importance of information, coping strategies and the need to reduce anxiety and stress in relation to surgery. However, there is a lack of studies focusing on patients’ existential situation in the preoperative phase.Methods.  Conversational interviews were conducted with 28 patients 1 week before their surgery during autumn 2002. Analysis of the data was influenced by van Manen's existential themes: lived space/spatiality, lived body/corporeality, lived time/temporality and lived relation/relationality.Findings.  Participants expressed either hope of increased spatiality or fear of restricted spatiality, according to whether they had a benign or malign diagnosis. Statements about lived time were also related to the diagnosis. Patients waiting for surgery for a benign diagnosis could use the time to relax and gather energy, while malignancy gave them high levels of anxiety and stress. Lived body experiences showed the ambivalence felt in entrusting one's body to professionals. Statements about lived relations drew attention to the need for considerate caregivers to enhance feelings of security and continuity.Conclusion.  The existential situation of patients in a preoperative context was shown to be a state of uncertainty with regard to lived space, body, time and relation. The significance of meeting and talking to the nurse did not appear in the statements. The nurse was invisible. If nurses were to employ the existential themes proposed by van Manen in preoperative encounter with patients, their need for care might be more clearly identified and affirmed.
Management of childhood fever by parents: literature review
Authors: Walsh Anne , Edwards Helen 
Published: March 2006

Aim.  This paper reports a review which draws together findings from studies targeting parents’ temperature‐taking, antipyretic administration, attitudes, practices and information‐seeking behaviours.Background.  Parents’ concerns about the harmful effects of fever have been reported for more than two decades. These concerns remain despite successful educational interventions.Method.  Medline, CINAHL, PsycINFO, PsycARTICLES and Web of Science databases were searched from 1980 to 2004 during November 2004. The search terms were fever, child, parent, education, knowledge, belief, concern, temperature, antipyretic and information, and combinations of these.Findings.  In the 1980s, studies were mainly descriptive of small single site samples of parents with a febrile child seeking assistance from healthcare professionals. From 1990, sample sizes increased and multi‐site studies were reported. Educational interventions were designed to increase knowledge and reduce unnecessary use of health services. One 2003 study targeted knowledge and attitudes. Parental knowledge about normal body temperature and the temperature that indicates fever is poor. Mild fever is misclassified by many as high, and they actively reduce mild fever with incorrect doses of antipyretics. Although some parents acknowledge the benefits of mild fever, concerns about brain damage, febrile convulsions and death from mild to moderate fever persist irrespective of parental education or socio‐economic status. Many base their fever management practices on inaccurate temperature readings. Increased use of antipyretics to reduce fever and waking sleeping febrile children for antipyretics or sponging reflects heightened concern about harmful effects of fever. Educational interventions have reduced unnecessary use of healthcare services, improved knowledge about fever and when to implement management strategies, and reduced incorrect parental accuracy of antipyretic dosing. Information‐seeking behaviours in fever management differ according to country of origin.Conclusion.  Despite successful educational interventions, little has changed in parents’ fever management knowledge, attitudes and practices. There is a need for interventions based on behaviour change theories to target the precursors of behaviour, namely knowledge, attitudes, normative influences and parents’ perceptions of control.
Supporting parents who have a child referred for genetic investigation: the contribution of health visitors
Authors: Barr Owen G. , McConkey Roy 
Published: March 2006

Aim.  This paper reports a study of the views of health visitors in relation to their role in supporting parents of children referred for genetic investigations.Background.  An increasing number of children are likely to be referred for genetic investigations as our understanding of genetic inheritance develops and a wider range of tests becomes available. Internationally, there are growing expectations that nurses will be able to discuss the referral and testing processes with parents, as well as facilitate informed decision‐making. However, previous studies have highlighted the limited support received from staff in primary care services by parents of children referred for genetic investigation.Methods.  A questionnaire survey of 345 health visitors was undertaken in 11 community health and social services trusts in Northern Ireland. Questionnaires were distributed at health visitor team meetings and returned in prepaid envelopes. Data collection occurred in 2003.Findings.  Completed questionnaires were returned by 194 health visitors (56·2% response rate). Many were unsure of the location of their Regional Clinical Genetics Service and reported limited contact with these services. The majority of health visitors were not informed that children on their caseload had a forthcoming appointment, or that they had attended an appointment with a geneticist. Health visitors did not routinely visit parents of children referred for genetic investigation to discuss the appointment, and they reported limited confidence in supporting parents in relation to genetic investigations.Conclusion.  Improved communication links are needed with Regional Clinical Genetics Services and to ensure that health visitors are informed when children on their caseload have been referred for genetic investigation. In addition, steps need to be taken to increase the coordination of support to parents provided by health visitors and staff within regional genetic services.
Retracted: Osteoporosis prevention education programme for women
Authors: Chan Moon Fai , Ko C.Y. 
Published: March 2006

Aim.  This paper reports an evaluation of a nurse‐initiated education programme on four specific osteoporosis prevention behaviours which led to their adoption or to positive attitude changes.Background.  In the past, osteoporosis was a serious health concern that most commonly affected women in Northern Europe and the United States of America, but was less commonly seen in Asian women. However, in Hong Kong, osteoporosis is currently among the top five conditions causing disability and prolonged hospital stay for older people. From an economic perspective, the most cost‐effective approach is to focus on primary prevention via education, and nurses often have the responsibility of providing such educational programmes.Method.  A randomized controlled study was conducted from July 2004 to March 2005 with 76 women (38 cases and 38 controls) recruited in two private beauty clinics in Hong Kong. Pre‐, post‐ and follow‐up education data were compared regarding attitudes and adoption frequency before and after the education programme.Results.  The results showed statistically significant increases for each behaviour: consumption of soy foods (P < 0·001), milk (P < 0·001), more exercise (P = 0·01) and vitamin D/exposure to sunlight (P < 0·001) for the case group compared with the control group. Most participants either disagreed (n = 15, 39·0%) or strongly disagreed (n = 23, 61·0%) that there was not enough information provided in the education programme to motivate them to change. They rated the nurse's performance as either satisfactory or very satisfactory on presentation, ability to answer their questions and ability to describe each behaviour clearly.Conclusion.  Although positive results with a nurse‐initiated education programme were demonstrated, future research examining the effects of education and occupation on these four adoption behaviours should focus on more diverse populations with respect to age, income or ethnicity. The findings suggest the value of creative approaches in future health education for the prevention of osteoporosis, and the need for a critical appraisal of current strategies and a re‐evaluation of services and funding.
Genetics education in the nursing profession: literature review
Authors: Burke Sarah , Kirk Maggie 
Published: March 2006

Aim.  This paper reports a literature review exploring genetics education for nursing professionals. The aim was to contribute to the debate about the future direction of such education.Background.  Advances in genetics science and technology have profound implications for health care and the growing importance and relevance of genetics for everyday nursing practice is increasingly recognized.Method.  A search was conducted in February 2005 using the CINAHL and Google Scholar databases and the keywords nurse, midwife, health visitor, education and genetics. Papers were included if they were published in English between 1994 and 2005 and included empirical data about genetics education in nursing. In addition, attempts were made to access the grey literature, with requests for information on research, for example, to members of the Association of Genetic Nurses and Counsellors and searches of relevant websites.Findings.  Agreement on the relevance of genetics for nursing practice is extensive. Empirical evidence of the learning needs of practitioners highlights widespread deficits in knowledge and skills, and low confidence levels. Provision of nursing education in genetics is patchy and insubstantial across a number of countries, further hampered by lack of strategic development. Significant progress has been made in the identification of learning outcomes for nurses. Research on the delivery of genetics education is limited, but the role of skills‐based training, use of clinical scenarios, and importance of assessment have all been identified as factors that can promote learning.Conclusion.  Whilst areas of good performance were revealed, many studies identified gaps in professional competence and/or education. New initiatives are underway to support genetics education and its integration into professional practice, but further research is needed on the most effective forms of educational delivery, and an international collaborative approach to this should be considered.
Clinical experiences of students with dyslexia
Authors: Morris David , Turnbull Patricia 
Published: March 2006

Aim.  This paper reports a study exploring the clinical experiences of student nurses with dyslexia and its potential influence on their practice.Background.  Widened access to university education has meant an increase in the number of students with dyslexia. A limited number of studies have explored the academic experiences of dyslexic student nurses. However, nursing students in the United Kingdom spend 50% of their programme in practice settings, and there are no studies detailing their clinical experiences.Method.  This qualitative exploratory study involved tape‐recorded interviews with a convenience sample of 18 nursing students with a formal dyslexia diagnosis. Data were collected in 2003–2004 and were analysed using thematic analysis.Findings.  Participants described a number of personalized approaches to managing their difficulties in practice. Whilst many of these may be useful to non‐dyslexic students, descriptions of, for example, avoiding answering the telephone, were inappropriate. Some participants contended with discrimination and ridicule, often choosing not to disclose their disability. Less acute clinical environments appeared to provide more satisfying working experience, and this factor may be influential in shaping future career options. Participants valued more time and an undisturbed place to complete clinical documentation. Heightened self‐awareness promoted patient safety as the major concern for study participants. Positive aspects of dyslexia were never raised or acknowledged by participants.Conclusion.  The clinical setting provides a challenging environment for nursing students with dyslexia, who find personalized ways to manage their disability. A dyslexia diagnosis continues to carry a stigma that may result in non‐disclosure, with implications for the level of support available. Greater awareness of the practice‐specific needs of such students is required to ensure appropriate support and public safety.
Research utilization and clinical nurse educators: a systematic review
Authors: Milner Margaret , Estabrooks Carole A. , Myrick Florence 
Published: March 2006

AbstractBackground  Clinical nurse educators and other linking agents such as clinical nurse specialists, advanced nurse practitioners, and nurses working in research leadership positions are an important link in the facilitation of evidence‐based practice in health care organizations.Aim  The purpose of this paper is to report the findings of a systematic review of the literature regarding clinical nurse educators and research utilization, using the Promoting Action on Research Implementation in Health Services framework as a backdrop for the analysis.Findings  There is a positive relationship between research utilization and attitude toward research, higher levels of education, and reading professional nursing journals among clinical nurse educators. The authors suggest that not all clinical nurse educators have the necessary critical appraisal skills and research knowledge to use research effectively in practice.Conclusions  Few studies have examined clinical nurse educators and the determinants of their research utilization behaviour in clinical practice. Future research on clinical nurse educators needs to focus on the outcomes of research utilization, including the effectiveness of their role as facilitators and the contexts in which they practice.
New roles in rehabilitation – the implications for nurses and other professionals
Authors: Stanmore Emma , Ormrod Susan , Waterman Heather 
Published: March 2006

AbstractRationale, aims and objectives  The development of rehabilitation and intermediate care services, and roles therein, is part of current UK health policy to meet the demands of the ever‐growing older population. One new role is the rehabilitation assistant (RA). This is a generic support worker trained at a basic level in nursing, physiotherapy, occupational therapy and social work who works under the supervision of the referring professionals, to deliver integrated rehabilitation programmes. RAs were introduced in one region in the north‐west of England to increase the rehabilitation activity for patients. An empirical qualitative study was recently undertaken to evaluate the impact of the RAs from the perspectives of patients and associated nurses, therapists, managers and the RAs.Methods  Fifty‐five semi‐structured interviews were used to collect data, which was then inductively analysed into categories and then themes. The categories included variations in role, benefits of role, acceptance and integration of role, difficulties with role, training and retention. This paper focuses on the benefits and difficulties of the role.Results  It was found that patients, professionals and the RAs expressed great satisfaction with the new role. However, barriers to effective rehabilitation were reported owing to ward routines and organizational systems that interrupted and caused inconsistencies with the rehabilitation care programmes for patients.Conclusions  If it is agreed that the majority of patients (unless end stage terminally ill, unwilling or unable) could benefit from some degree of rehabilitation, then there is an issue around how such skills could be widely implemented. This paper discusses the barriers to effective rehabilitation, the benefits and drawbacks of looking at new ways of working and the need for a unified approach by all care workers in rehabilitative care.
Learning from litigation. The role of claims analysis in patient safety
Authors: Vincent Charles , Davy Caroline , Esmail Aneez , Neale Graham , Elstein Max , Cozens Jenny Firth , Walshe Kieran 
Published: March 2006

AbstractClaims for malpractice and medical negligence are a potentially important source of information on the causes of harm to patients and have provided valuable lessons in the past. However today, with many additional sources of information and methods of analysis, the role of claims analysis needs to be reappraised. We consider the role of claims analysis in relation to other methods of studying adverse outcomes, review previous studies of claims and summarize the findings of four recent British specialty claims reviews. Claims analysis has a number of inherent limitations. We suggest that there is now no case for ad hoc claims reviews which rely on data that have been assembled for legal purposes only. Claims review is still potentially useful for rare events or in cases where other sources of data are not available. However, future claims reviews need to meet basic criteria before being undertaken; these include prospective identification of the relevant questions and variables, adequacy and completeness of the data set, availability of expert reviewers and clear protocols for review.
Patients’ conceptions of quality care and barrier care
Authors: Lymer Ulla‐Britt , Richt Bengt 
Published: March 2006

AbstractAim  To describe patients’ conceptions of quality care and barrier care.Methods  As this study concerned conceptions of care, a phenomenographic approach was chosen. Fourteen adult orthopaedic patients participated. Data‐collection was performed by means of semi‐structured interviews. The qualitative data were analysed with two foci, conceptions of quality care and conceptions of barrier care. Different categories of understanding, that is, conceptions, constitute the the essential outcome of phenomenographic analysis. The research was conducted in one county hospital and in one regional hospital situated in different cities in the south of Sweden.Results and Conclusions  Patients’ conceptions of quality care resulted in six categories. When comparing the findings with previous research in this field, the findings of the present study confirmed to a large extent the findings from other studies of quality care. Patients’ conceptions of barrier care resulted in five categoris. The conceptions of barrier care must be considered as elements in patients’ conceptions of quality care, and this must be called atention to in efforts to measure patient satisfaction and in analyses of good care. It also can influence health care workers’ compliance to guidelines in infection control procedures.