Development and validation of instrument to measure stress among older adult nursing students: The Student Nurse Stressor ‐15 Scale (SNS‐15)
ConclusionsThe SNS ‐15 contained some overlap with stressors from extant general student nurse stress instruments and a number of unique stressors encountered in older adult care. Future research directions are discussed.Relevance to clinical practiceThe SNS ‐15 may assist stakeholders in nurse education and practice with the development of undergraduate degree programmes and clinical placements, and ultimately, in improving patient care and student retention.This article is protected by copyright. All rights reserved. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 28, 2018 Category: Nursing Authors: Patricia Sheridan, Lucia Carragher, Natacha Carragher, Joe Treacy Tags: Original Article Source Type: research

Embodying compassion; a systematic review of the views of nurses and patients
ConclusionExisting research demonstrated dissonance between the expression of compassion by nurses and how compassion is experienced by patients. The themes identified in this review should be considered by health professionals providing patient care.Relevance to clinical practiceHealth providers should acknowledge and account for the time that nurses need with patients to demonstrate compassion in practice. Nursing education relating to the expression of compassion should articulate both the subjectivity and ambiguity of the term and examine the relationship between compassion and suffering.This article is protected by co...
Source: Journal of Clinical Nursing - November 28, 2018 Category: Nursing Authors: Joanne Durkin, Kim Usher, Debra Jackson Tags: Review Source Type: research

The effect of position change on vital signs, back pain and vascular complications following percutaneous coronary intervention
ConclusionsIt was found that systolic blood pressure and back pain were at the lowest levels in the standard fowler's position in the 6th  hr after the procedure when the HOB was elevated 45–60° and the result was clinically significant and the position change decreased back pain without causing any vascular complications.Relevance to clinical practiceLow fowler's position was applied in which HOB was elevated 15 –30° and standard fowler's position was applied in which the HOB was elevated 45–60° could be safe and applicable in patients by nurses after the procedure. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 22, 2018 Category: Nursing Authors: Selda Mert Bo ğa, Seher Deniz Öztekin Tags: ORIGINAL ARTICLE Source Type: research

Nurses ’ experiences of caring for older patients afflicted by delirium in a neurological department
ConclusionsNurses experienced a relationship with patients with delirium that was influenced by a lack of knowledge about communication with such patients. This resulted in a lack of person ‐centred care and knowledge about the patient's habitual condition and life story; hence, nurses did not discover the patient's initial delirium. Inadequate and unstructured documentation did the nursing effort initiated late so the patient's delirium was developing. Uncertainty caused lack of dia logue between nurses, which afflicted the partnership and relation between the patient and the nurse. A fast pace workload affected relatio...
Source: Journal of Clinical Nursing - November 22, 2018 Category: Nursing Authors: Susanne Kristiansen, Hanne Konradsen, Malene Beck Tags: ORIGINAL ARTICLE Source Type: research

Healthcare professionals ’ competence in digitalisation: A systematic review
ConclusionHealthcare organisations should both pay attention to the social environment of a workplace and create a positive atmosphere if they want to improve the response to digitalisation. The successful implementation of new technology requires organisational and collegial support.Relevance to clinical practiceRecommendations for clinical practice include the following: development of competence in digitalisation by healthcare professionals when using technological equipment to minimise errors; provision of sufficient resources, equipment and room for technology usage; and provision of regular education that considers t...
Source: Journal of Clinical Nursing - November 22, 2018 Category: Nursing Authors: Jenni Konttila, Heidi Siira, Helvi Kyng äs, Minna Lahtinen, Satu Elo, Maria Kääriäinen, Pirjo Kaakinen, Anne Oikarinen, Miyae Yamakawa, Sakiko Fukui, Momoe Utsumi, Yoko Higami, Akari Higuchi, Kristina Mikkonen Tags: REVIEW Source Type: research

The effect of position change on vital signs, back pain and vascular complications following percutaneous coronary intervention
ConclusionsIt was found that systolic blood pressure and back pain were at the lowest levels in the standard fowler's position in the 6th  hr after the procedure when the HOB was elevated 45–60° and the result was clinically significant and the position change decreased back pain without causing any vascular complications.Relevance to clinical practiceLow fowler's position was applied in which HOB was elevated 15 –30° and standard fowler's position was applied in which the HOB was elevated 45–60° could be safe and applicable in patients by nurses after the procedure. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 22, 2018 Category: Nursing Authors: Selda Mert Bo ğa, Seher Deniz Öztekin Tags: ORIGINAL ARTICLE Source Type: research

Nurses ’ experiences of caring for older patients afflicted by delirium in a neurological department
ConclusionsNurses experienced a relationship with patients with delirium that was influenced by a lack of knowledge about communication with such patients. This resulted in a lack of person ‐centred care and knowledge about the patient's habitual condition and life story; hence, nurses did not discover the patient's initial delirium. Inadequate and unstructured documentation did the nursing effort initiated late so the patient's delirium was developing. Uncertainty caused lack of dia logue between nurses, which afflicted the partnership and relation between the patient and the nurse. A fast pace workload affected relatio...
Source: Journal of Clinical Nursing - November 22, 2018 Category: Nursing Authors: Susanne Kristiansen, Hanne Konradsen, Malene Beck Tags: ORIGINAL ARTICLE Source Type: research

Healthcare professionals ’ competence in digitalisation: A systematic review
ConclusionHealthcare organisations should both pay attention to the social environment of a workplace and create a positive atmosphere if they want to improve the response to digitalisation. The successful implementation of new technology requires organisational and collegial support.Relevance to clinical practiceRecommendations for clinical practice include the following: development of competence in digitalisation by healthcare professionals when using technological equipment to minimise errors; provision of sufficient resources, equipment and room for technology usage; and provision of regular education that considers t...
Source: Journal of Clinical Nursing - November 22, 2018 Category: Nursing Authors: Jenni Konttila, Heidi Siira, Helvi Kyng äs, Minna Lahtinen, Satu Elo, Maria Kääriäinen, Pirjo Kaakinen, Anne Oikarinen, Miyae Yamakawa, Sakiko Fukui, Momoe Utsumi, Yoko Higami, Akari Higuchi, Kristina Mikkonen Tags: REVIEW Source Type: research

A Qualitative Exploration of Social and Environmental Factors Affecting Diet and Activity in Knee Replacement Patients
ConclusionsResults provide salient factors for consideration by clinicians and behavioral programs targeting diet, activity, and weight management, and patient variables to consider when tailoring interventions.Relevance to clinical practicePractitioners treating knee replacement patients would be aided by an understanding of patients ’ perceived social and environmental factors that impede or facilitate surgical progress. Particularly for those directly interacting with patients, like nurses, physiotherapists, or other professionals, support from health professionals appears to be a strong facilitator of adherence t...
Source: Journal of Clinical Nursing - November 21, 2018 Category: Nursing Authors: Sara A. Hoffman, Gwendolyn Ledford, Kenzie A. Cameron, Siobhan M. Phillips, Christine A. Pellegrini Tags: Original Article Source Type: research

Lived experiences and quality of life after gynaecological cancer – an integrative review
ConclusionYears after gynaecological cancer women have to deal with fundamental changes and challenges concerning their physical, mental and psychosocial wellbeing. Future research should focus on how follow ‐up programs can be organized to target the multidimensional aspects of women's QoL. Research collaboration across Nordic countries on rehabilitation needs and intervention is timely and welcomed.Relevance to clinical practiceTo ensure that all aspects of cancer rehabilitation are being addressed, we suggest that the individual woman is offered an active role in her follow ‐up.This article is protected by copyright...
Source: Journal of Clinical Nursing - November 21, 2018 Category: Nursing Authors: Ragnhild J. Tveit Sekse, Gail Dunberger, Mette Linnet Olesen, Maria Østerbye, Lene Seibæk Tags: Review Source Type: research

Experiences of living with varicose veins: a systematic review of qualitative research
ConclusionThis review demonstrates that varicose veins have a wide range of symptoms, and may have a significant impact on quality of life; people made significant adaptations to enable them to live their lives as fully as possible.Relevance to Clinical PracticeHealthcare professionals need to be aware of the range of symptoms, and their impact on quality of life. The use of PROMs to gather information about quality of life and symptoms is well established globally; however, PROMs currently used may not capture the full extent of the impact on patient's quality of life.This article is protected by copyright. All rights res...
Source: Journal of Clinical Nursing - November 21, 2018 Category: Nursing Authors: Elizabeth Lumley, Patrick Phillips, Ahmed Aber, Helen Buckley ‐Woods, Georgina L Jones, Jonathan A Michaels Tags: Review Source Type: research

A Qualitative Exploration of Social and Environmental Factors Affecting Diet and Activity in Knee Replacement Patients
ConclusionsResults provide salient factors for consideration by clinicians and behavioral programs targeting diet, activity, and weight management, and patient variables to consider when tailoring interventions.Relevance to clinical practicePractitioners treating knee replacement patients would be aided by an understanding of patients ’ perceived social and environmental factors that impede or facilitate surgical progress. Particularly for those directly interacting with patients, like nurses, physiotherapists, or other professionals, support from health professionals appears to be a strong facilitator of adherence t...
Source: Journal of Clinical Nursing - November 21, 2018 Category: Nursing Authors: Sara A. Hoffman, Gwendolyn Ledford, Kenzie A. Cameron, Siobhan M. Phillips, Christine A. Pellegrini Tags: Original Article Source Type: research

Lived experiences and quality of life after gynaecological cancer – an integrative review
ConclusionYears after gynaecological cancer women have to deal with fundamental changes and challenges concerning their physical, mental and psychosocial wellbeing. Future research should focus on how follow ‐up programs can be organized to target the multidimensional aspects of women's QoL. Research collaboration across Nordic countries on rehabilitation needs and intervention is timely and welcomed.Relevance to clinical practiceTo ensure that all aspects of cancer rehabilitation are being addressed, we suggest that the individual woman is offered an active role in her follow ‐up.This article is protected by copyright...
Source: Journal of Clinical Nursing - November 21, 2018 Category: Nursing Authors: Ragnhild J. Tveit Sekse, Gail Dunberger, Mette Linnet Olesen, Maria Østerbye, Lene Seibæk Tags: Review Source Type: research

Experiences of living with varicose veins: a systematic review of qualitative research
ConclusionThis review demonstrates that varicose veins have a wide range of symptoms, and may have a significant impact on quality of life; people made significant adaptations to enable them to live their lives as fully as possible.Relevance to Clinical PracticeHealthcare professionals need to be aware of the range of symptoms, and their impact on quality of life. The use of PROMs to gather information about quality of life and symptoms is well established globally; however, PROMs currently used may not capture the full extent of the impact on patient's quality of life.This article is protected by copyright. All rights res...
Source: Journal of Clinical Nursing - November 21, 2018 Category: Nursing Authors: Elizabeth Lumley, Patrick Phillips, Ahmed Aber, Helen Buckley ‐Woods, Georgina L Jones, Jonathan A Michaels Tags: Review Source Type: research

Nurses ’ attitudes, beliefs and practices on sexuality for cardiovascular care: A cross‐sectional study
ConclusionNurses in this cross ‐sectional sample rarely discussed sexual concerns with their patients. There were several key barriers identified by nurses regarding providing sexuality care, including personal attitudes and beliefs, limited skills and knowledge, culture and organizational‐related barriers.Relevance to clinical practiceTargeted training for nurses and creating a culturally safe environment is recommended to improve management of sexuality in patients with CVD. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 20, 2018 Category: Nursing Authors: Panpan Wang, Jiansai Ai, Patricia M. Davidson, Tammy Slater, Ruofei Du, Changying Chen Tags: ORIGINAL ARTICLE Source Type: research

Exploring Preceptorship Programmes: Implications for Future Design
ConclusionsThere were instances of outstanding preceptorship and preceptorship programmes where there was a clear link between the strategic vision, i.e., trust policy, and its delivery, i.e. preceptorship offering. There was no one framework that would universally meet the needs of all trusts, yet there are key components which should be included in all preceptorship programmes. Therefore, we would encourage innovation and creativity in preceptorship programmes, cognisant of local context.Relevance to clinical practiceThe significant shortage of nursing staff in England is an ongoing issue. Recruitment and retention are k...
Source: Journal of Clinical Nursing - November 15, 2018 Category: Nursing Authors: Louise M Taylor, Charlotte L Eost ‐Telling, Annie Ellerton Tags: Original Article Source Type: research

Life ‐story work in long‐term care facilities for older people: An integrative review
ConclusionThe review extends the current evidence on the experience of using life ‐story work in long‐term aged care facilities for older people. Life‐story work has the potential to enhance person centred care in long‐term care. However, improving the process of implementation of life story work will require education, time and resources and a commitment from service pro viders and managers.Relevance to clinical practiceStaff who undertake life ‐story work with residents need to be equipped with the skills to recognise and manage the challenges and issues that may potentially arise. Further research into the suc...
Source: Journal of Clinical Nursing - November 15, 2018 Category: Nursing Authors: Caroline Doran, Maria Noonan, Owen Doody Tags: Review Source Type: research

Attenuating Anxieties ’: a grounded theory study of mental health nurses’ responses to clients with suicidal behaviour
ConclusionsThe theory of ‘Attenuating Anxieties’ identifies how participants worked within the context of mental health as members of the ‘risk society’, wherein they worried about the possibility and probability of a negative or adverse effect for both the client and self, leaving them to feel constantly vulnerable and unsafe.Relevance to clinical practiceThis theory highlights the need for a culture of openness that acknowledges nurses ’ and organisations’ anxieties surrounding suicide and promotes a discourse among nurses that moves from a position of risk aversion to a relational and...
Source: Journal of Clinical Nursing - November 15, 2018 Category: Nursing Authors: Jean Morrissey, Agnes Higgins Tags: Original Article Source Type: research

Exploring Preceptorship Programmes: Implications for Future Design
ConclusionsThere were instances of outstanding preceptorship and preceptorship programmes where there was a clear link between the strategic vision, i.e., trust policy, and its delivery, i.e. preceptorship offering. There was no one framework that would universally meet the needs of all trusts, yet there are key components which should be included in all preceptorship programmes. Therefore, we would encourage innovation and creativity in preceptorship programmes, cognisant of local context.Relevance to clinical practiceThe significant shortage of nursing staff in England is an ongoing issue. Recruitment and retention are k...
Source: Journal of Clinical Nursing - November 15, 2018 Category: Nursing Authors: Louise M Taylor, Charlotte L Eost ‐Telling, Annie Ellerton Tags: Original Article Source Type: research

Life ‐story work in long‐term care facilities for older people: An integrative review
ConclusionThe review extends the current evidence on the experience of using life ‐story work in long‐term aged care facilities for older people. Life‐story work has the potential to enhance person centred care in long‐term care. However, improving the process of implementation of life story work will require education, time and resources and a commitment from service pro viders and managers.Relevance to clinical practiceStaff who undertake life ‐story work with residents need to be equipped with the skills to recognise and manage the challenges and issues that may potentially arise. Further research into the suc...
Source: Journal of Clinical Nursing - November 15, 2018 Category: Nursing Authors: Caroline Doran, Maria Noonan, Owen Doody Tags: Review Source Type: research

How do nurses use the Early Warning Score in their practice? A Case study from an Acute Medical Unit
ConclusionThis study highlights the need for ongoing training, behavioural change and a cultural shift by health care professionals and organisations to ensure adherence with EWS escalation protocols.Relevance to Clinical PracticeImprovements in education and training into recognition, management and communication of a deteriorating patient is required. Also, a cultural shift is needed to improve compliance and adherence with EWS practice. The potential use of electronic data should be explored.This article is protected by copyright. All rights reserved. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 14, 2018 Category: Nursing Authors: Claire Foley, Maura Dowling Tags: Original Article Source Type: research

Scheduled care – as a way of caring. A phenomenological study of being cared for when suffering from alcohol use disorders
ConclusionsThe study showed that being met in an authentic presence by nurses was a powerful tool that helped ease the hospitalization. Patients suffering from alcohol use disorders call for an intentional and distinctive attentiveness and authentic presence from the nurses throughout their hospitalization.Relevance to clinical practiceOur findings highlight that patients suffering from AUD call for an intentional and distinct attentiveness from nurses throughout the hospitalization, where a possible transfer of attention is noticed and responded to in the care provided.This article is protected by copyright. All rights re...
Source: Journal of Clinical Nursing - November 14, 2018 Category: Nursing Authors: H M Bov é, M Lisby, A Norlyk Tags: Original Article Source Type: research

Nurses ’ identification and reporting of medication errors
ConclusionNurses are able to identify medication errors, but are reluctant to report them. Fear of the consequences was the main reason given for not reporting medication errors. When errors are reported, it is likely to be to physicians.Relevance to clinical practiceThe development of a common agreed definition of a medication error, along with clear and robust reporting mechanisms, would be a positive step towards increasing patient safety. Staff reporting medication errors should be supported, not punished, and the information provided used to improve the system.This article is protected by copyright. All rights reserve...
Source: Journal of Clinical Nursing - November 14, 2018 Category: Nursing Authors: Hasan Fehmi Dirik, Menevse Samur, Seyda Seren Intepeler, Alistair Hewison Tags: Original Article Source Type: research

How do nurses use the Early Warning Score in their practice? A Case study from an Acute Medical Unit
ConclusionThis study highlights the need for ongoing training, behavioural change and a cultural shift by health care professionals and organisations to ensure adherence with EWS escalation protocols.Relevance to Clinical PracticeImprovements in education and training into recognition, management and communication of a deteriorating patient is required. Also, a cultural shift is needed to improve compliance and adherence with EWS practice. The potential use of electronic data should be explored.This article is protected by copyright. All rights reserved. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 14, 2018 Category: Nursing Authors: Claire Foley, Maura Dowling Tags: Original Article Source Type: research

Scheduled care – as a way of caring. A phenomenological study of being cared for when suffering from alcohol use disorders
ConclusionsThe study showed that being met in an authentic presence by nurses was a powerful tool that helped ease the hospitalization. Patients suffering from alcohol use disorders call for an intentional and distinctive attentiveness and authentic presence from the nurses throughout their hospitalization.Relevance to clinical practiceOur findings highlight that patients suffering from AUD call for an intentional and distinct attentiveness from nurses throughout the hospitalization, where a possible transfer of attention is noticed and responded to in the care provided.This article is protected by copyright. All rights re...
Source: Journal of Clinical Nursing - November 14, 2018 Category: Nursing Authors: H M Bov é, M Lisby, A Norlyk Tags: Original Article Source Type: research

Nurses ’ identification and reporting of medication errors
ConclusionNurses are able to identify medication errors, but are reluctant to report them. Fear of the consequences was the main reason given for not reporting medication errors. When errors are reported, it is likely to be to physicians.Relevance to clinical practiceThe development of a common agreed definition of a medication error, along with clear and robust reporting mechanisms, would be a positive step towards increasing patient safety. Staff reporting medication errors should be supported, not punished, and the information provided used to improve the system.This article is protected by copyright. All rights reserve...
Source: Journal of Clinical Nursing - November 14, 2018 Category: Nursing Authors: Hasan Fehmi Dirik, Menevse Samur, Seyda Seren Intepeler, Alistair Hewison Tags: Original Article Source Type: research

Influencing factors on preventive health behaviours for Zika virus in pregnant women and their partners
ConclusionsFactors that influence preventive health behaviours for Zika virus were different by gender. However, attitudes to Zika virus were influential to both genders. Gender differences should be considered in development of health policies to improve preventive health behaviours for Zika virus. Younger and less educated women are to be targeted, and health management programmes should be developed to promote health motivation.Relevance to clinical practicePregnant women, women preparing for pregnancy and their partners need education and public health promotion to improve self ‐management during travel to places whe...
Source: Journal of Clinical Nursing - November 13, 2018 Category: Nursing Authors: Sungho Jo, Youngji Kim, Jeong Sil Choi Tags: ORIGINAL ARTICLE Source Type: research

Letter regarding “sleep disturbance in people with diabetes: A concept analysis”
Journal of Clinical Nursing, EarlyView. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 9, 2018 Category: Nursing Authors: Dahee Wi Tags: LETTER TO THE EDITOR Source Type: research

Let's talk about sex: A feminist poststructural approach to addressing sexual health in the healthcare setting
AbstractAims and objectivesTo explore the use of feminist poststructuralism (FPS) as a way to critique, understand and improve sexual health care and policy in healthcare settings.BackgroundSexual health is an important aspect of health; however, in healthcare settings, it often goes unaddressed by both healthcare providers and patients due to stigma, taboo, fear of embarrassment or uncertainty. Lack of attention to sexual health has been stated as a legitimate concern for patients across the lifespan; there remain gaps in implementing sexual health care discussions into practice in healthcare settings.DesignA critical ana...
Source: Journal of Clinical Nursing - November 9, 2018 Category: Nursing Authors: Rachel Ollivier, Megan Aston, Sheri Price Tags: DISCURSIVE PAPER Source Type: research

Letter regarding “sleep disturbance in people with diabetes: A concept analysis”
Journal of Clinical Nursing, EarlyView. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 9, 2018 Category: Nursing Authors: Dahee Wi Tags: LETTER TO THE EDITOR Source Type: research

Let's talk about sex: A feminist poststructural approach to addressing sexual health in the healthcare setting
AbstractAims and objectivesTo explore the use of feminist poststructuralism (FPS) as a way to critique, understand and improve sexual health care and policy in healthcare settings.BackgroundSexual health is an important aspect of health; however, in healthcare settings, it often goes unaddressed by both healthcare providers and patients due to stigma, taboo, fear of embarrassment or uncertainty. Lack of attention to sexual health has been stated as a legitimate concern for patients across the lifespan; there remain gaps in implementing sexual health care discussions into practice in healthcare settings.DesignA critical ana...
Source: Journal of Clinical Nursing - November 9, 2018 Category: Nursing Authors: Rachel Ollivier, Megan Aston, Sheri Price Tags: DISCURSIVE PAPER Source Type: research

Diabetes knowledge of primary health care and specialist nurses in a major urban area
AbstractAim and objectivesTo examine trends since a previous 2006 –2008 survey in diabetes knowledge held by primary health care nurses and their use of national diabetes guidelines, perceived ability to advise diabetes patients and preferences for further diabetes education.BackgroundThe obesity epidemic has led to a rapid increase in the prevalence of prediabetes and type 2 diabetes and to greater expectations for an expanded role for primary health care nurses in the prevention and community management of diabetes.DesignCross ‐sectional survey using a self‐administered questionnaire and telephone interview and...
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Barbara M. Daly, Bruce Arroll, Robert Keith R. Scragg Tags: ORIGINAL ARTICLE Source Type: research

Breastfeeding woman or lactating object? A critical philosophical discussion on the influence of Cartesian dualism on breastfeeding in the neonatal intensive care unit
ConclusionFuture research from a more critical lens is needed to examine the complex dynamics involved when nurses and mothers are negotiating decisions and processes related to infant feeding. In focusing on the relational dimensions of the breastfeeding experience, nurses can resist the dualistic influence and dominant discourses impacting infant feeding and motherhood in the 21st century. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Jacqueline Elizabeth Wijlen Tags: DISCURSIVE PAPER Source Type: research

The associations of workload, individual and organisational factors on nurses ’ occupational injuries
ConclusionWorking in rotating shifts and work overload was significantly related to all injuries. Decreasing nurses ’ mental workload, introducing guidelines and efficient training in shift work schedules can help decrease occupational injuries among nurses.Relevance to clinical practiceIn order to reduce occupational injuries among nurses, in addition to incorporating advanced management and technology, it is necessary to pay attention to psychosocial, individual and organisational risk factors related to occupational injuries and their frequency in nurses. Also, reducing personnel's mental and occupational pressure...
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Majid Bagheri Hosseinabadi, Narges Khanjani, Siavash Etemadinezhad, Seyed Ehsan Samaei, Mehdi Raadabadi, Maryam Mostafaee Tags: ORIGINAL ARTICLE Source Type: research

Patients ’ self‐reported nausea: Validation of the Numerical Rating Scale and of a daily summary of repeated Numerical Rating Scale scores
ConclusionsNumeric Rating Scale scores showed strong associations with a verbal scale; therefore, the NRS seems to be a valid tool to measure nausea intensity. The quality of daily summarised median nausea scores needs to be further explored before clinical use.Relevance to clinical practiceThe use of the NRS in assessments of nausea in postoperative care will facilitate communication between patients and health care professionals regarding nausea intensity. When documenting nausea, it seems unnecessary to distinguish nausea at rest from nausea during activity. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Lotta Wikstr öm, Mats Nilsson, Anders Broström, Kerstin Eriksson Tags: ORIGINAL ARTICLE Source Type: research

Exploring the early ‐stage implementation of a patient engagement support intervention in an integrated‐care context—A qualitative study of a participatory process
ConclusionThe implementation of a brief intervention for patient engagement support required a process of adjustment to the single settings and a continuous support to healthcare professionals. It also required performing complementary activities to assist the implementation and its adoption in new care services.Relevance to clinical practiceThis qualitative study contributes to the understanding of the pitfalls and strategies that may surround embedding patient engagement support in the educational practice of complex organisations, potentially facilitating the deployment to other care settings. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Julia Menichetti, Giuliana Pitacco, Guendalina Graffigna Tags: ORIGINAL ARTICLE Source Type: research

Transformative agency and tensions in knowledge management —A qualitative interview study for nurse leaders
ConclusionNurse leaders prioritised daily knowledge management over management of knowledge promotion and anticipatory management of knowledge requirements. Knowledge management in nursing is a complex task requiring a command of different kinds of agency and related leadership styles. The structures, processes and tools supporting knowledge management should be developed to ensure that activities are systematic.Relevance to clinical practiceA description of nurse leaders ’ perceptions of and experiences with knowledge management could improve recognition of nurse leaders’ agencies for knowledge management, ide...
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Anne Lunden, Marianne Ter äs, Tarja Kvist, Arja Häggman‐Laitila Tags: ORIGINAL ARTICLE Source Type: research

The associations of workload, individual and organisational factors on nurses ’ occupational injuries
ConclusionWorking in rotating shifts and work overload was significantly related to all injuries. Decreasing nurses ’ mental workload, introducing guidelines and efficient training in shift work schedules can help decrease occupational injuries among nurses.Relevance to clinical practiceIn order to reduce occupational injuries among nurses, in addition to incorporating advanced management and technology, it is necessary to pay attention to psychosocial, individual and organisational risk factors related to occupational injuries and their frequency in nurses. Also, reducing personnel's mental and occupational pressure...
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Majid Bagheri Hosseinabadi, Narges Khanjani, Siavash Etemadinezhad, Seyed Ehsan Samaei, Mehdi Raadabadi, Maryam Mostafaee Tags: ORIGINAL ARTICLE Source Type: research

Transformative agency and tensions in knowledge management —A qualitative interview study for nurse leaders
ConclusionNurse leaders prioritised daily knowledge management over management of knowledge promotion and anticipatory management of knowledge requirements. Knowledge management in nursing is a complex task requiring a command of different kinds of agency and related leadership styles. The structures, processes and tools supporting knowledge management should be developed to ensure that activities are systematic.Relevance to clinical practiceA description of nurse leaders ’ perceptions of and experiences with knowledge management could improve recognition of nurse leaders’ agencies for knowledge management, ide...
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Anne Lunden, Marianne Ter äs, Tarja Kvist, Arja Häggman‐Laitila Tags: ORIGINAL ARTICLE Source Type: research

Diabetes knowledge of primary health care and specialist nurses in a major urban area
AbstractAim and objectivesTo examine trends since a previous 2006 –2008 survey in diabetes knowledge held by primary health care nurses and their use of national diabetes guidelines, perceived ability to advise diabetes patients and preferences for further diabetes education.BackgroundThe obesity epidemic has led to a rapid increase in the prevalence of prediabetes and type 2 diabetes and to greater expectations for an expanded role for primary health care nurses in the prevention and community management of diabetes.DesignCross ‐sectional survey using a self‐administered questionnaire and telephone interview and...
Source: Journal of Clinical Nursing - November 8, 2018 Category: Nursing Authors: Barbara M. Daly, Bruce Arroll, Robert Keith R. Scragg Tags: ORIGINAL ARTICLE Source Type: research

Young adults' knowledge and attitudes towards cardiovascular disease: A systematic review and meta ‐analysis
ConclusionYoung adults demonstrate limited knowledge and poor attitudes regarding cardiovascular disease and its risk factors. The finding of this review demonstrates that there is an urgent need to build knowledge of cardiovascular risk identification in this population group.Relevance to clinical practiceIncreasing cardiovascular disease in young adults will put stress in the healthcare system financially and economically. There is a need of awareness of cardiovascular disease in this population group. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 6, 2018 Category: Nursing Authors: Ronald Trejo, Wendy Cross, John Stephenson, Karen ‐leigh Edward Tags: REVIEW Source Type: research

Issue Information
Journal of Clinical Nursing, Volume 27, Issue 23-24, Page 4235-4238, December 2018. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 6, 2018 Category: Nursing Tags: ISSUE INFORMATION Source Type: research

Family caregivers: Important but often poorly understood
Journal of Clinical Nursing, Volume 27, Issue 23-24, Page 4242-4244, December 2018. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 6, 2018 Category: Nursing Authors: Patricia M. Davidson, Martha Allison Abshire, Glenn Paull, Sarah L. Szanton Tags: EDITORIAL Source Type: research

Living with my small stomach: The experiences of post ‐bariatric surgery patients within 1 year after discharge
ConclusionsHow to modify one's life is the main concern of postbariatric patients. These patients need to either engage in the process of making life modifications or suffer from complications.Relevance to clinical practicePatients need support and health education regarding living with their small stomach. In addition, we should be more sensitive about the need to detect malabsorption early. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 6, 2018 Category: Nursing Authors: Hsiu ‐Chin Lin, Lee‐Ing Tsao Tags: ORIGINAL ARTICLE Source Type: research

Tai chi and yoga in residential aged care: Perspectives of participants: A qualitative study
ConclusionsThe modified programmes of tai chi and yoga was acceptable, appropriate, enjoyable and helpful. Both tai chi and yoga appear to provide appropriate physical exercise and opportunities for older persons to enhance their quality of life through interaction of physical, emotional and intellectual wellness domains.Relevance to clinical practiceThe 14 ‐week modified programmes of tai chi and yoga could be applied to frail older RAC population to promote health and active ageing. (Source: Journal of Clinical Nursing)
Source: Journal of Clinical Nursing - November 6, 2018 Category: Nursing Authors: Padmapriya Saravanakumar, Isabel J Higgins, Pamela J Van Der Riet, David Sibbritt Tags: ORIGINAL ARTICLE Source Type: research

Health ‐promoting leadership: A qualitative study from experienced nurses’ perspective
ConclusionHealth ‐promoting work environments enable nurses to flourish. Having ample autonomy is therefore important to nurses so that when they face new challenges, they see them as a way of using and developing their competencies. Although most nurses claim their own leaders are not health promoting, they have a clear understanding of how a health‐promoting leader should act. The health‐promoting leader should not only be attentive and promote skills development, but also cater for nurses’ meaningfulness.Relevance to clinical practiceNurses in primary health care understand a health ‐promoting work environ...
Source: Journal of Clinical Nursing - November 6, 2018 Category: Nursing Authors: Trude Furunes, Anita Kaltveit, Kristin Akerjordet Tags: ORIGINAL ARTICLE Source Type: research

Triggers and decision ‐making patterns for receiving total knee arthroplasty among older adults with knee osteoarthritis: A qualitative descriptive study
ConclusionHealthcare providers of older patients with knee osteoarthritis must carefully assess their characteristics, especially age, occupation and previous total knee arthroplasty, to guide them in deciding to undergo total knee arthroplasty. Clinicians also need to provide appropriate information about osteoarthritis care, pain medications, total knee arthroplasty, the relationship between knee osteoarthritis pain and quality of life, as well as the relationship between preoperative status and postoperative long ‐term outcomes for older adults to maintain their quality of life.Relevance to clinical practiceOur findin...
Source: Journal of Clinical Nursing - November 6, 2018 Category: Nursing Authors: Kuo ‐Yao Hsu, Yun‐Fang Tsai, Wen‐Ling Yeh, Dave W. Chen, Ching‐Yen Chen, Yi‐Wen Wang Tags: ORIGINAL ARTICLE Source Type: research