Journal of advanced nursing
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We explore variations in handover duration and communication in nursing units. We hypothesize that duration per patient is higher in units facing high task uncertainty. We expect both topics and functions of communication to vary depending on task uncertainty. ⋯ Task uncertainty and its relationship with functions and topics of handover should be taken into account during the design of handover procedures.
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To report findings of a national survey of care closer to home services for children and young people and a typology based on these findings. ⋯ Care closer to home services are an established part of care for children and young people who are ill. They deal with complex and technical care and can prevent or reduce the length of acute hospital admission. Lack of readily available information about caseloads, case mix and costs may hamper their further development.
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Randomized Controlled Trial
The Online Parent Information and Support project, meeting parents' information and support needs for home-based management of childhood chronic kidney disease: research protocol.
This article is a report of a protocol for studying the development and evaluation of an online parent information and support package for home-based care of children with chronic kidney disease stages 3-5. The study is funded by a National Institute of Health Research, Research for Patient Benefit Grant awarded (December 2010). Approval to undetake the study was obtained from the Department of Health National Research Ethics Service (June 2011). ⋯ By working collaboratively, we will derive a detailed insight into parents' information and support needs and experiences of using the package, and should see improved parental self-efficacy.
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Comparative Study
Is an advance care planning model feasible in community palliative care? A multi-site action research approach.
This article reports a study to determine the feasibility of an advance care planning model developed with Australian community palliative care services. ⋯ An advance care planning model is feasible for community palliative care services. Quality audit processes are an essential component of the Model with documentation of advance care planning discussion established as an important outcome measure.
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To assess advanced cancer pain in older adults with dementia at the end-of-life. ⋯ Because people with worsening Alzheimer's disease have fewer pain behaviours, assessing pain using behavioural indicators can be a challenge. Improving methods to assess for pain in people with Alzheimer's disease is of critical public health importance. Moreover, future studies are urgently needed to further examine the sensory, emotional, and behavioural responses to pain in people with Alzheimer's disease.