Clinical effectiveness in nursing最新文献_第5页

Training of clinical recruiters to improve recruitment to an exercise intervention during breast cancer treatment 对临床招聘人员进行培训，以改善乳腺癌治疗期间的锻炼干预

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.010

Anna M. Campbell , Fiona Whyte , Nanette Mutrie

引用次数: 4

Psychoeducational intervention: A critical review of systematic analyses 心理教育干预:对系统分析的批判性回顾

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.011

Carmen W.H. Chan

{"title":"Psychoeducational intervention: A critical review of systematic analyses","authors":"Carmen W.H. Chan","doi":"10.1016/j.cein.2006.08.011","DOIUrl":"https://doi.org/10.1016/j.cein.2006.08.011","url":null,"abstract":"<div><h3>Background</h3><p>While many authors recommend the clinical use of psychoeducational interventions (PEI), the nature of such interventions varies widely and evidence for their effectiveness far from conclusive. Critical appraisals of the quality of review articles are warranted to consolidate the available evidence on the effectiveness of PEI.</p></div><div><h3>Objectives</h3><p>This paper aims at critically reviewing 13 review articles of PEI that were published from 1985–2005. Knowledge gaps and lessons learnt from previous studies are identified to guide future studies.</p></div><div><h3>Method</h3><p>The 13 review articles were selected through a systematic approach and clearly defined criteria. A checklist was used for appraising these review articles. Items of the checklist included purpose, search and inclusion criteria, qualitative assessment, quantitative assessment, differences, results and conclusion, and comments.</p></div><div><h3>Results</h3><p>A total of 809 primary studies were included in the 13 reviews. Most reviews provided a clear and comprehensive description of their search methods and inclusion criteria. Ten out of thirteen reviews provided detailed and adequate data on the studies reviewed. Eight reviews did not pool or meta-analyze the results of these studies.</p></div><div><h3>Discussion</h3><p>There was evidence that the effectiveness of patient education and progressive muscle relaxation (PMR) has been found to be positive and there was support for their clinical use. The overall effectiveness of PEI was inconclusive because a mixture of interventions was studied and both significant and non-significant results had been reported. Future large-scale studies focusing on some commonly used interventions such as PMR, education, and counseling are recommended. Special consideration is given to the selection of understudied subjects, the selection of well-defined intervention and control, the selection of outcome measures and the research design.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 101-111"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.08.011","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138346785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 19

Towards a framework of advanced nursing practice for the clinical research nurse in cancer care 探讨癌症临床研究护士的高级护理实践框架

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.008

Joanne Bird , Marilyn Kirshbaum

{"title":"Towards a framework of advanced nursing practice for the clinical research nurse in cancer care","authors":"Joanne Bird , Marilyn Kirshbaum","doi":"10.1016/j.cein.2006.08.008","DOIUrl":"https://doi.org/10.1016/j.cein.2006.08.008","url":null,"abstract":"<div><h3>Background</h3><p>The Nursing and Midwifery Council (NMC), the regulatory body in the UK, is in the process of opening a new part of the register for Advanced Nurse Practitioners. This presents a potential opportunity for clinical research nurses within cancer care.</p></div><div><h3>Objectives</h3><p>To explore the role of the clinical research nurse in cancer care whilst considering whether the role can be performed at a level that could be considered advanced practice. Consequently, a developmental model to enable the clinical research nurse to work towards an advanced level of practice is explored.</p></div><div><h3>Method</h3><p>A literature review of the clinical research role in cancer care and analysis of published frameworks of advancing practice in nursing.</p></div><div><h3>Discussion</h3><p>Advanced practice is not defined by the role but by the level of skill to which it is performed. There is scope within the role of the clinical research nurse to practice at a level beyond initial registration. A framework for development towards advanced practice within the cancer clinical research nurse role is suggested.</p></div><div><h3>Conclusion</h3><p>Advanced practice within clinical research nursing is possible and provides a further level of career development that may facilitate movement between research and clinical practice. This could aid awareness, recruitment and retention of research staff within cancer care and other specialities.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 161-171"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.08.008","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138318303","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 20

Can consumer research panels become an integral part of the cancer research community? 消费者研究小组能否成为癌症研究界不可或缺的一部分?

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.001

Karen Collins , Tony Stevens , Sam H. Ahmedzai

{"title":"Can consumer research panels become an integral part of the cancer research community?","authors":"Karen Collins , Tony Stevens , Sam H. Ahmedzai","doi":"10.1016/j.cein.2006.08.001","DOIUrl":"https://doi.org/10.1016/j.cein.2006.08.001","url":null,"abstract":"<div><p>The North Trent Cancer Research Network’s Consumer Research Panel (NTCRN CRP) was established in December 2001 by the Academic Unit of Supportive Care at the University of Sheffield, UK. In three years, the CRP has succeeded in nurturing a climate of sustainable consumer involvement within the NTCRN and this has become embedded in the culture of the network. Furthermore, the Panel have championed a sustainable development of consumer involvement in health and social care research by testing new ground and forging a new way of working between health professionals and patients and carers. This UK based CRP model has been held up as an example to other cancer networks, with new Panels being set up around the country to emulate its success. This paper describes the Sheffield model of patient and public involvement and using the eight key principles of successful consumer involvement in research, identified in a recent paper by Telford and colleagues (Telford, R., Boote, J., Cooper, C., 2004. What does it mean to involve consumers successfully in NHS research? A consensus study. Health Expectations, 7, 209–220), provides a useful framework for analysing the work of the Panel. This demonstrates how consumers and professionals can inform each other to work constructively to achieve impressive research results. The need for measurable outcomes to assess the impact and effect of consumer involvement is explored.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 112-118"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138318295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 16

Moving forward in the care of people with cancer 社论:在癌症患者的护理方面取得进展

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.10.004

Marilyn Kirshbaum

引用次数: 1

Telephone assessments in a Lymphoedema clinic 淋巴水肿诊所的电话评估

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.003

Mary Woods

{"title":"Telephone assessments in a Lymphoedema clinic","authors":"Mary Woods","doi":"10.1016/j.cein.2006.08.003","DOIUrl":"https://doi.org/10.1016/j.cein.2006.08.003","url":null,"abstract":"<div><p>The telephone is increasingly used in healthcare to provide valuable psychological support and information for patients and can provide an alternative to face to face consultations. As many patients with lymphoedema become ‘experts’ in the management of their condition, requiring minimal contact with their therapist, the use of the telephone to provide an alternative option to regular follow-up appointments was explored. A project was designed to promote and investigate a more patient focused approach to lymphoedema management according to clinical need and to offer patients an alternative to conventional follow-up clinic appointments enabling resources to be utilised more efficiently. Three hundred and thirteen patients with mild, uncomplicated lymphoedema were telephoned by a lymphoedema therapist prior to the allocation of an appointment. An assessment tool was used to promote discussion of key areas of lymphoedema management relevant to the patient. Outcomes of the project highlighted the value of this approach to follow-up, its valued convenience for some patients and positive impact upon workload planning and delivery.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 172-177"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.08.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138318302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

‘So what happens now?’ Issues in Cancer survival and rehabilitation “那现在怎么办?”癌症生存和康复的问题

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.006

Natalie Doyle , Daniel Kelly

引用次数: 12

Measuring symptom prevalence, severity and distress of cancer survivors 测量癌症幸存者的症状患病率、严重程度和痛苦程度

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.007

Karis K.F. Cheng , David R. Thompson , W.M. Ling , Carmen W.H. Chan

{"title":"Measuring symptom prevalence, severity and distress of cancer survivors","authors":"Karis K.F. Cheng , David R. Thompson , W.M. Ling , Carmen W.H. Chan","doi":"10.1016/j.cein.2006.08.007","DOIUrl":"https://doi.org/10.1016/j.cein.2006.08.007","url":null,"abstract":"<div><p><span>The purpose of this paper is to describe patients’ self-reported symptom occurrence, symptom intensity and symptom distress at post-treatment of cancer therapy. A total of 243 outpatients with heterogeneous solid tumours within 12 months following the completion of initial cancer treatment (chemotherapy or radiotherapy) were assessed using the Chinese version of the Memorial Symptom Assessment Scale (MSAS). The mean age of the sample was 54.2</span>  <span>12 and over half (57.6%) were women. The most common diagnoses were breast cancer (26.3%) and colon cancer (23.5%). The median number of symptoms per patient was 8 (range 0–23 symptoms) and the most prevalent were dry mouth (49.8%), lack of energy (46.9%), worry (39.1%), pain (35%) and feeling drowsy (33.7%). The mean symptom severity and distress scores measured on the MSAS were 1.92</span>    <!-->0.3 (.9–2), respectively. The prevalence of certain symptoms was influenced by the primary site of cancer. Pain, worrying and difficulty in swallowing were the most clinically important symptoms. In conclusion, intense physical and psychological symptoms were highly prevalent and distressing to cancer survivors. Comprehensive symptoms assessment is a requisite toward effective symptom control.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 154-160"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.08.007","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138318301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 32

Screening for depression in people with cancer: the accuracy of the hospital anxiety and depression scale 癌症患者抑郁筛查:医院焦虑抑郁量表的准确性

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.012

Rachel Morse , Kate Kendell , Stephen Barton

{"title":"Screening for depression in people with cancer: the accuracy of the hospital anxiety and depression scale","authors":"Rachel Morse , Kate Kendell , Stephen Barton","doi":"10.1016/j.cein.2006.08.012","DOIUrl":"https://doi.org/10.1016/j.cein.2006.08.012","url":null,"abstract":"<div><h3><em>Background</em>:</h3><p>The Hospital Anxiety and Depression Scale<span> (HADS) [Zigmond, A.S., and Snaith, R.P., 1983. The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandanavia 67, 361–370] is the most widely used instrument in oncology settings, however, its accuracy as a screening tool for minor and major depression is unclear.</span></p></div><div><h3><em>Methods</em>:</h3><p>A comprehensive search of the literature was conducted in order to identify primary studies examining the sensitivity and specificity of the HADS-Depression (HADS-D) subscale, when compared to a ‘gold standard’ interview to obtain psychiatric diagnosis.</p></div><div><h3><em>Results</em>:</h3><p>Ten studies were identified. Estimates of sensitivity and specificity varied across the studies reflecting the heterogeneity of study populations and methodology. However, results suggest that [Zigmond, A.S., and Snaith, R.P., 1983. The Hospital Anxiety and Depression Scale. Acta Psychiatrica Scandanavia 67, 361–370] recommended threshold of 11 for detecting ‘probable’ depression may need to be revised. Depending on disease and treatment status, lower threshold scores may be necessary for adequately detecting ‘caseness’ without necessarily compromising specificity.</p></div><div><h3><em>Conclusion</em>:</h3><p>The HADS-D should be used as a screening tool with caution, since recommended cut-off thresholds may result in under-recognition of depression among cancer patients. An integrated patient-centred approach is needed if screening for depression in cancer patients is to be truly effective.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 188-196"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.08.012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138318304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

A feasibility study to evaluate a group intervention for people with cancer experiencing fatigue following treatment 一项评估癌症患者在治疗后出现疲劳的群体干预的可行性研究

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.004

Emma Ream , Alison Richardson , Margaret Evison

{"title":"A feasibility study to evaluate a group intervention for people with cancer experiencing fatigue following treatment","authors":"Emma Ream , Alison Richardson , Margaret Evison","doi":"10.1016/j.cein.2006.08.004","DOIUrl":"https://doi.org/10.1016/j.cein.2006.08.004","url":null,"abstract":"<div><h3>Objectives</h3><p>To develop and evaluate a pilot multi disciplinary education and support group programme for patients with fatigue post cancer treatment.</p></div><div><h3>Design</h3><p>Mixed method feasibility study.</p></div><div><h3>Intervention</h3><p>Programme comprised face-to-face nursing assessment followed by 3 support and information giving workshops. Workshops delivered large group support and small group discussion with therapists of participants’ choice. Therapists included a clinical psychologist, nurse, dietician, physiotherapist and occupational therapist.</p></div><div><h3>Participants</h3><p>Six subjects with breast cancer.</p></div><div><h3>Main outcome measures</h3><p>The Brief Fatigue Inventory, Hospital Anxiety and Depression Scale, and the European Organisation for Research and Treatment of Cancer QLQ C30. Participants completed these prior to, immediately after, and six weeks following, the programme. They also completed a programme evaluation by telephone.</p></div><div><h3>Results</h3><p>Preliminary results indicate the programme provided information, support and management strategies for fatigue specifically, and living with cancer generally. Patients appreciated the opportunity to share their experiences whilst at the same time gaining particular help and advice for their own specific problems and concerns. Whilst not reducing the level of fatigue there was some evidence that impact on function was lessened.</p></div><div><h3>Conclusions</h3><p>Whilst the number of participants was small, findings from this study are sufficiently encouraging to warrant continuing this service development and its evaluation.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 178-187"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.08.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138318305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7