Journal of advanced nursing
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This paper is a report of a study to explore nurses' thoughts and attitudes about cardiopulmonary resuscitation of oldest old patients. ⋯ End-of-life decisions impact on nurses' comfort in their working situation as they face ethical dilemmas and anxiety about performing cardiopulmonary resuscitation. Greater collaboration between all stakeholders might reduce these. Nurses may need additional education or updates about laws about end-of-life treatment, as participants were unaware of current legislation concerning end-of-life decision-making.
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This paper is a report of a nationwide study conducted to assess experiences of nurses involved in palliative sedation at home after introduction of a physicians' guideline for palliative sedation. ⋯ Although the guideline for palliative sedation appears to be followed adequately in the majority of cases with respect to indication for palliative sedation and reportage. The survey findings revealed shortcomings in medication policy, communication, medical control over the start and continued monitoring of palliative sedation.
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This paper is a report of a methodological review conducted to analyse, evaluate and synthesize the rigour of measures found in nursing and health-related literature used to assess and evaluate patient spirituality as more than religiosity. ⋯ Measures differentiating spirituality from religiosity are grossly lacking in nursing and health-related literature.
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This paper presents a concept analysis of suboptimal care of the acutely unwell ward patient. ⋯ For future research, investigators need to develop more objective measures which capture delays in the treatment and inappropriate or inadequate management of acutely unwell patients. This should occur through critical focus on the antecedents to suboptimal care.
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This paper reports on a study of the experiences of general practitioners and practice nurses implementing nurse-delivered cardiovascular prevention to high risk patients in primary care. ⋯ Both general practitioners and practice nurses were positive about nurse-delivered cardiovascular prevention in primary care. Nurses could play an important role in successive removal of barriers to implementation of cardiovascular prevention. Mutual confidence between care providers in the healthcare team is necessary.