Clinical effectiveness in nursing最新文献

{"title":"A short report on the prevalence of mental health disturbance in children and young people: Interpretations and implications for the mental health care of adolescent women","authors":"Peter Turner MA, RMN, BA(Hons), BSc(Hons), Cert Ed. (Child & Adolescent Mental Health Programme Leader)","doi":"10.1016/j.cein.2005.04.002","DOIUrl":"https://doi.org/10.1016/j.cein.2005.04.002","url":null,"abstract":"<div><p>In this short report, some recent statistics of mental disorder prevalence in young people are presented and discussed from a gender perspective. It is suggested that girls with mental health problems might experience difficulty in having their needs met within services which may still embody significant elements of paternalism and where psychodynamic<span> phenomena may impact on care delivery. Findings may have implications for practitioners involved in child and adolescent mental health care.</span></p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 189-193"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200794","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}

{"title":"Perceptions of effective advice in pregnancy – The case of activity","authors":"Harriet Gross ,&nbsp;Penny E. Bee","doi":"10.1016/j.cein.2005.03.002","DOIUrl":"https://doi.org/10.1016/j.cein.2005.03.002","url":null,"abstract":"<div><h3>Objectives</h3><p>The paper uses qualitative and quantitative data arising from a longitudinal study of pregnant women to examine women’s responses to advice provided about changing their behaviour during pregnancy.</p></div><div><h3>Design</h3><p>A longitudinal study over nine months involving a semi-structured questionnaire and interview schedule together with a range of psychological measures and activity measurement using actimetry. The purpose of the main study was to explore maternal daily activity in low-risk pregnancy.</p></div><div><h3>Participants</h3><p>57 women volunteers aged (mean age 26.3 years) with low-risk pregnancy, recruited via an East Midlands City Centre teaching hospital antenatal clinic.</p></div><div><h3>Results</h3><p>Data on advice suggest that 1) response to advice is extremely varied and that reduction in activity is not always welcome; 2) factors affecting women’s responses to advice include the importance they attach to an active lifestyle in pregnancy.</p></div><div><h3>Conclusions</h3><p>The paper highlights the inherent difficulties of providing effective advice during the short period of pregnancy; the need for clear and consistent messages to be provided by all health professionals involved in antenatal care as well as the difficulty of changing cultural expectations of pregnancy-appropriate behaviours.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 3","pages":"Pages 161-169"},"PeriodicalIF":0.0,"publicationDate":"2004-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.03.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138200792","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}

{"title":"Towards the development of a tool to assess educational needs in patients with arthritis","authors":"Bernadette Hardware ,&nbsp;E. Anne Lacey ,&nbsp;Jane Shewan","doi":"10.1016/j.cein.2004.06.001","DOIUrl":"https://doi.org/10.1016/j.cein.2004.06.001","url":null,"abstract":"<div><h3><em>Objective:</em></h3><p>This article describes the initial development and testing of an educational needs assessment tool for patients with arthritis in the UK.</p></div><div><h3><em>Design:</em></h3><p>Following formative development of the tool, the study took the form of a test–retest questionnaire study. Participants were asked to complete the tool on two occasions, separated by two weeks, to assess reliability.</p></div><div><h3><em>Setting:</em></h3><p>Subjects were recruited from the out-patient department of a district general hospital in the north of England.</p></div><div><h3><em>Participants:</em></h3><p>The sample consisted of 97 patients with arthritis recruited consecutively from a rheumatology out-patient department.</p></div><div><h3><em>Main outcome measures:</em></h3><p>Scores from the questionnaire were the main outcome measure used. Additional variables included gender, age, educational level, and duration of disease.</p></div><div><h3><em>Results:</em></h3><p>The tool was well received by patients. Higher scores, indicating greater educational needs, were recorded by women, older people, those with lower levels of education, and those with shorter disease duration. The greatest educational needs were in the domain of information about arthritis itself. The tool demonstrated good test–retest reliability.</p></div><div><h3><em>Conclusion:</em></h3><p>The tool showed some validity and reliability, and was acceptable to patients. Further development work is needed if the tool is to be used in interventional studies.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 111-117"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.06.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137334122","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}

{"title":"","authors":"Elaine Hill (Senior Lecturer in Operating Department Practice)","doi":"10.1016/j.cein.2004.10.002","DOIUrl":"https://doi.org/10.1016/j.cein.2004.10.002","url":null,"abstract":"","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Page 129"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.10.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92053819","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}

{"title":"Ethnicity, diversity and research ethics","authors":"Rob Newell","doi":"10.1016/j.cein.2004.12.004","DOIUrl":"https://doi.org/10.1016/j.cein.2004.12.004","url":null,"abstract":"","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 63-65"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.12.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137334124","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}

{"title":"A pilot study of a self-help manual with minimal therapist contact in the treatment of obsessive–compulsive disorder","authors":"Karina Lovell ,&nbsp;David Ekers ,&nbsp;Anne Fulford ,&nbsp;Clare Baguley ,&nbsp;Tim Bradshaw","doi":"10.1016/j.cein.2004.05.004","DOIUrl":"https://doi.org/10.1016/j.cein.2004.05.004","url":null,"abstract":"<div><h3><em>Objectives</em>:</h3><p>The two main aims of this pilot study was to (1) develop a self-help manual (facilitated by a therapist) for people with obsessive–compulsive disorder and (2) to investigate whether effective CBT for OCD can be delivered via a therapist-facilitated CBT self-help manual.</p></div><div><h3><em>Design</em>:</h3><p>A pilot study using an uncontrolled repeated measures design.</p></div><div><h3><em>Setting</em>:</h3><p>A specialist cognitive behaviour therapy department, West Hampshire NHS Trust.</p></div><div><h3><em>Participants</em>:</h3><p>Seven consecutive clients referred to a CBT department whose main presenting difficulty was OCD, met inclusion criteria and agreed and consented to participate in the study.</p></div><div><h3><em>Main outcome measures</em>:</h3><p>The main outcome measure was the Yale Brown Obsessive Compulsive Checklist (YBOC’s) and a measure of depression and social functioning were administered at pre and post treatment and at 1-, 3-, and 6-month follow-up.</p></div><div><h3><em>Results</em>:</h3><p>Results indicated good clinical outcome and nurses can deliver effective support to patients using a self-help manual with obsessive–compulsive disorder.</p></div><div><h3><em>Conclusions</em>:</h3><p>Although the results are promising, further work is required with larger numbers, longer follow-up and economic evaluation under controlled conditions.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 122-127"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.05.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92053818","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}

{"title":"Research governance and the art of defence","authors":"R. Kneafsey,&nbsp;M. Howarth","doi":"10.1016/j.cein.2005.01.001","DOIUrl":"https://doi.org/10.1016/j.cein.2005.01.001","url":null,"abstract":"","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 66-67"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2005.01.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137334721","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}

{"title":"Maternal perceptions of early breastfeeding experiences and breastfeeding outcomes at 6 weeks","authors":"Danuta Wojnar","doi":"10.1016/j.cein.2004.08.001","DOIUrl":"https://doi.org/10.1016/j.cein.2004.08.001","url":null,"abstract":"<div><h3><em>Objective</em>:</h3><p>To explore whether breastfeeding status at 6 weeks postpartum is related to the mother’s perceptions of her infant’s behavior, the breastfeeding experience itself, and of herself as a mother during postpartum hospitalization.</p></div><div><h3><em>Design</em>:</h3><p>A prospective correlational design.</p></div><div><h3><em>Setting</em>:</h3><p>A tertiary care setting in Eastern Canada.</p></div><div><h3><em>Participants</em>:</h3><p>One hundred and ten women who met the inclusion criteria were recruited from the postpartum unit. The majority were primaparous, over 25 years of age, well educated, and had partners.</p></div><div><h3><em>Outcome measures</em>:</h3><p>(1) Maternal perceptions of the overall infant behavior, of the breastfeeding experience, and of herself using the Mother and Baby Scales (MABS) neonatal (Wolke, D., 1995. St. James Roberts and Wolke Mother and Baby Scales (MABS) (1986,1995). In: Brazelton, T.B., Nugent, J.K. (Eds.), Neonatal Behavioral Assessment Scale. Clinics in Developmental Medicine 137, 135–137) and (2) breastfeeding rates at 6 weeks postpartum.</p></div><div><h3><em>Results</em>:</h3><p>At 6 weeks postpartum, 80 (74.8%) participants were breastfeeding and 27 (25.8%) had stopped. Maternal perceptions of infant alertness/responsiveness (A) (<em>r</em> <!-->=<!--> <!-->0.54, <em>p</em> <!-->&lt;<!--> <!-->0.01), irritability during feeds (IDF) (<em>r</em> <!-->=<!--> <!-->−0.34, <em>p</em> <!-->&lt;<!--> <!-->0.01) and lack of confidence in feeding (LCF) (<em>r</em> <!-->=<!--> <!-->0.33, <em>p</em> <!-->&lt;<!--> <!-->0.01) of the MABS neonatal scales were significantly correlated with breastfeeding status at 6 weeks. At 6-week telephone follow-up, the majority of women reported positive breastfeeding experiences, which included feelings of enhanced attachment, enjoyment and a sense of pride and fulfillment. Participants indicated that learning about infant states, behaviors, and cues contributed to their positive feelings about the baby and enjoyment of breastfeeding. Negative experiences were related to perceived insufficient milk supply, illness, and incompatibility of lactation with personal needs and life style.</p></div><div><h3><em>Conclusions</em>:</h3><p>The findings highlight the importance of maternal perceptions of their infant’s behavior and of self as a mother in sustaining breastfeeding. In the absence of personal and social pressures to stop breastfeeding, interventions that begin with how to look at feeding from an infant perspective may be the best starting point to a successful breastfeeding.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 93-100"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.08.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137334720","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}

{"title":"","authors":"Ros Sanders (Senior Lecturer)","doi":"10.1016/j.cein.2004.10.003","DOIUrl":"https://doi.org/10.1016/j.cein.2004.10.003","url":null,"abstract":"","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Page 128"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.10.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92053820","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}

{"title":"An interventional study on the health promoting behaviours of adults with diabetes","authors":"Melba Sheila DeSouza,&nbsp;K. Subrahmanya Nairy","doi":"10.1016/j.cein.2004.11.001","DOIUrl":"https://doi.org/10.1016/j.cein.2004.11.001","url":null,"abstract":"<div><p>The purpose of this study is to evaluate the effectiveness of a nurse-directed intervention (NDI) in terms of improvement in the Health Promoting Behaviours (HPB) of adults with diabetes. An evaluative approach with a quasi-experimental non-equivalent pretest post-test control group design was used. The sample consisted of 30 adults with type 2 diabetes mellitus in the experimental group and 30 in the control group of the two private hospitals selected by convenience non-random sampling technique. The main instruments used were “Health Promoting Behaviours Structured Questionnaire Rating Scale” and “Demographic and Clinical Proforma”. The NDI was a planned, systematic, organised and validated diabetic patient education programme with visual aids, designed for instructing adults with diabetes with regard to improving their HPB. The findings of the study showed that the mean posttest HPB scores of the experimental group were significantly higher when compared with the control group for the total HPB scale (<em>Z</em> <!-->=<!--> <!-->6.26); and the health and functioning, social-economic, psychological/spiritual and family subscales <em>Z</em> <!-->=<!--> <!-->6.597, 4.92, 5.01, and 5.42, respectively. The findings indicate effectiveness of the NDI in terms of significant improvement in the HPB of the adults with diabetes. Therefore nursing interventions, like education is a necessity for diabetes management.</p></div>","PeriodicalId":87580,"journal":{"name":"Clinical effectiveness in nursing","volume":"8 2","pages":"Pages 68-80"},"PeriodicalIF":0.0,"publicationDate":"2004-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.cein.2004.11.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137334700","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}