Clinical effectiveness in nursing最新文献_第6页

A pilot study examining nutrition and cancer patients: Factors influencing oncology patients receiving nutrition in an acute cancer unit 一项检查营养和癌症患者的试点研究:影响急性癌症病房肿瘤患者接受营养的因素

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.08.009

Clare Warnock , Angela Tod , Marilyn Kirshbaum , Claire Powell , Denise Sharman

{"title":"A pilot study examining nutrition and cancer patients: Factors influencing oncology patients receiving nutrition in an acute cancer unit","authors":"Clare Warnock , Angela Tod , Marilyn Kirshbaum , Claire Powell , Denise Sharman","doi":"10.1016/j.cein.2006.08.009","DOIUrl":"https://doi.org/10.1016/j.cein.2006.08.009","url":null,"abstract":"<div><h3>Introduction</h3><p>Cancer and its treatment place significant demands on the nutritional status of patients. This can be exacerbated by admission to hospital.</p></div><div><h3>Study purpose</h3><p>The study aimed to identify factors that are barriers and facilitators to oncology in-patients receiving adequate nutrition in an acute cancer unit.</p></div><div><h3>Methods</h3><p>Qualitative non-participant observational techniques were used to explore practice relating to nutrition. The study was carried out on two 30 bedded wards in a UK cancer centre. Five observations, each lasting three hours, were conducted on each of the wards.</p></div><div><h3>Data analysis</h3><p>Framework analysis techniques were used to analyse the data.</p></div><div><h3>Results</h3><p>Nutrition was influenced by a complex interaction of factors relating to both the physical and social environment. Characteristics of each of these were identified.</p></div><div><h3>Conclusion</h3><p>In the hospital setting nutrition takes place in a context that balances the needs of the individual patient with the needs of the organisation, the busyness of the ward and staff schedules. The ongoing formal and informal assessment of the range of barriers and facilitators to nutrition may influence nutritional intake. A positive and proactive culture around food may also be important.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 197-201"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.08.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138318306","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: 3

Enhancing cancer trial management: An intervention study of the impact of providing information, trial results and support to patients in phase I and II anti-cancer drug trials at trial conclusion 加强癌症试验管理:在试验结束时向I期和II期抗癌药物试验患者提供信息、试验结果和支持的影响的干预研究

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/j.cein.2006.06.003

Eleanor Wilson, Karen Cox, Ruth Elkan

{"title":"Enhancing cancer trial management: An intervention study of the impact of providing information, trial results and support to patients in phase I and II anti-cancer drug trials at trial conclusion","authors":"Eleanor Wilson, Karen Cox, Ruth Elkan","doi":"10.1016/j.cein.2006.06.003","DOIUrl":"https://doi.org/10.1016/j.cein.2006.06.003","url":null,"abstract":"<div><p>This paper presents qualitative findings from a three year study which set out to develop and test a nurse-led strategy for improving the management of the conclusion of patients’ participation in early cancer clinical trials. Most previous research has concentrated on recruitment, obtaining informed consent, and ensuring participation in trials. This study focused on the management of trial conclusion, a neglected area. The strategy (trial exit interviews, written information and telephone follow-up) was evaluated through a randomised controlled trial that assessed its impact on, and effectiveness in improving, the trial conclusion experience. Outcome measures were patient perceptions of trial participation and conclusion, patients’ knowledge and understanding, psychological distress, satisfaction with the intervention and adjustment to no longer being in a trial. Data were collected through questionnaires, standardised psychosocial and patient-satisfaction measures, and in-depth interviews.</p><p>The findings reported in this paper relate to the data collected through in-depth interviews. The interview data showed that patients in the intervention group expressed fewer fears of abandonment at the conclusion of the trial, they appreciated being given feedback about the trial in which they had participated, expressed satisfaction with the exit interview, and derived a feeling of support from the follow-up telephone call. These findings support and illuminate other quantitative findings that we have reported elsewhere (<span>Cox et al., 2005</span>) and demonstrate that low cost, simple interventions can be effectively incorporated into practice.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 3","pages":"Pages 119-132"},"PeriodicalIF":0.0,"publicationDate":"2005-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2006.06.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138318298","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: 3

Volume contents, keyword and author indices 2005 卷的内容，关键词和作者索引2005

Clinical effectiveness in nursing Pub Date : 2005-09-01 DOI: 10.1016/S1361-9004(06)00070-7

引用次数: 0

The nursing research assessment exercise 2001: An analysis 2001年护理研究评估工作分析

Clinical effectiveness in nursing Pub Date : 2005-03-01 DOI: 10.1016/j.cein.2005.09.001

Denis Anthony

引用次数: 7

“They’ve got to be as good as mum and dad”: Children with complex health care needs and their siblings’ perceptions of a Diana community nursing service “他们必须像爸爸妈妈一样好”:有复杂医疗保健需求的孩子和他们的兄弟姐妹对戴安娜社区护理服务的看法

Clinical effectiveness in nursing Pub Date : 2005-03-01 DOI: 10.1016/j.cein.2005.06.002

Dr Bernie Carter PhD, PGCE, BSc, RSCN

{"title":"“They’ve got to be as good as mum and dad”: Children with complex health care needs and their siblings’ perceptions of a Diana community nursing service","authors":"Dr Bernie Carter PhD, PGCE, BSc, RSCN","doi":"10.1016/j.cein.2005.06.002","DOIUrl":"https://doi.org/10.1016/j.cein.2005.06.002","url":null,"abstract":"<div><h3>Background</h3><p>The benefits accruing from the provision of ongoing care and support for children with complex health needs in the community are well established with Diana Nursing Teams contributing to and filling gaps in existing service provision.</p></div><div><h3>Methodology</h3><p>The study aimed to explore the children’s/siblings’ perceptions of the (Salford) Diana Team. It drew upon participant inquiry and involved participant observation of the children’s activities. Data were generated by the children through informal peer interviews, photographs, and the development of scrapbooks containing poems, stories, drawings and other materials.</p></div><div><h3>Results</h3><p>Five families (ten children, aged 2–13 years old) participated in the study. Three key findings were constructed from the data relating to technical competence with the ‘sick’ child, the qualities and attributes that Diana nurses should (and should not) have, and the difference the Team made to the children and their parents.</p></div><div><h3>Conclusions</h3><p>The sick child’s siblings highlighted that attention to their needs was important. This study shows the value of including children within research about children’s services. It also highlights that children use parents as their gold standard for care and they are clear about the skills and attributes they value about ‘outsiders’ who provide care to their family.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 1","pages":"Pages 49-61"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.06.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136846331","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: 27

Clinical effectiveness in nursing Pub Date : 2005-03-01 DOI: 10.1016/j.cein.2005.03.005

Emma Durmaz MA, RGN, DipN (Senior Lecturer)

引用次数: 0

Title page/Editorial board 标题页/编委会

Clinical effectiveness in nursing Pub Date : 2005-03-01 DOI: 10.1016/S1361-9004(06)00012-4

引用次数: 0

Advanced renal care 晚期肾脏护理

Clinical effectiveness in nursing Pub Date : 2005-03-01 DOI: 10.1016/j.cein.2004.12.001

Yvonne Whiteley

引用次数: 0

Characteristics of institutionalized older patients with delirium newly admitted to an acute care hospital 住院老年谵妄患者新入急症护理医院的特点

Clinical effectiveness in nursing Pub Date : 2005-03-01 DOI: 10.1016/j.cein.2005.08.001

Philippe Voyer , Martin G. Cole , Jane McCusker , Éric Belzile

{"title":"Characteristics of institutionalized older patients with delirium newly admitted to an acute care hospital","authors":"Philippe Voyer , Martin G. Cole , Jane McCusker , Éric Belzile","doi":"10.1016/j.cein.2005.08.001","DOIUrl":"https://doi.org/10.1016/j.cein.2005.08.001","url":null,"abstract":"<div><h3>Objectives</h3><p>The aims of this study were to describe the characteristics of institutionalized older patients with delirium and to explore whether the factors associated with delirium differed according to the severity of the prior cognitive impairment of newly admitted older patients.</p></div><div><h3>Methods</h3><p>This is a secondary analysis study (cross-sectional) of institutionalized older patients newly admitted to an acute care hospital (n=104). We screened patients for delirium upon their admission, using the Confusion Assessment Method.</p></div><div><h3>Results</h3><p>Of the 104 cognitively impaired older patients included in the study, 68% had delirium. We identified the following as characteristic of older patients with delirium: male sex (<em>p</em>  ==0.0001), severe illness (<em>p</em>  =0.0001; IADL: <em>p</em>  <span>0.0089), bladder (</span><em>p</em>  =0.0276) incontinence, and physical restraints (<em>p</em>  <!-->0.0003). Apart from hearing impairment, we found that remaining factors were similarly distributed among older patients with mild, moderate and severe prior cognitive impairment.</p></div><div><h3>Conclusion(s)</h3><p>The severity of prior cognitive impairment does not appear to influence the distribution of the factors associated with delirium. Hence patients with severe prior cognitive impairment at admission to an acute-care hospital would not require preventive nursing interventions different from those for older patients with mild or moderate impairment.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 1","pages":"Pages 13-25"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136846930","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: 3

Development of a constipation risk assessment scale 制定便秘风险评估量表

Clinical effectiveness in nursing Pub Date : 2005-03-01 DOI: 10.1016/j.cein.2005.12.002

Janice P. Richmond , Marion E. Wright

{"title":"Development of a constipation risk assessment scale","authors":"Janice P. Richmond , Marion E. Wright","doi":"10.1016/j.cein.2005.12.002","DOIUrl":"https://doi.org/10.1016/j.cein.2005.12.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Constipation can be a predominant problem within health care. Within health-related literature there is no comprehensive tool for assessing risk of constipation.</p></div><div><h3>Study purpose</h3><p>Previous review of the literature had identified risk factors for constipation. The purpose of this paper is to report the development of a constipation risk assessment scale.</p></div><div><h3>Tool development</h3><p>Review of previous work demonstrates that there are various methods that can be adopted to enable development of an instrument. [DeVellis, R.F., 1991. Scale development. Theory and applications. Sage Publications, London] outlines a framework of tool development and this structure was followed in this study.</p></div><div><h3>Scoring the risk factors</h3><p>The research-validated independent variables for constipation were allocated a score that reflected their relative contribution to the development of constipation. The risk factors were then organised to produce a user-friendly comprehensive tool.</p></div><div><h3>Content and face validity analysis</h3><p>Following development of the tool, it was subjected to content and face validity analysis and the instrument modified accordingly.</p></div><div><h3>Conclusion</h3><p>This work appears to be the first within health-related literature that has extracted, organised and scored the risk factors for constipation in accordance with previous empirical research. Subsequent research is now required to assess reliability and further validity of this tool.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"9 1","pages":"Pages 37-48"},"PeriodicalIF":0.0,"publicationDate":"2005-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.12.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136846932","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: 14