Journal of advanced nursing
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The study protocol is designed to evaluate the effects of granting independent authorization for medical procedures to nurse practitioners and physician assistants on processes and outcomes of health care. ⋯ This study will provide information about the effects of granting independent authorization for medical procedures to nurse practitioners and physician assistants on processes and outcomes of health care. Study findings aim to support policy makers and other stakeholders in making related decisions. The study design enables a cross-national comparative analysis.
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Multicenter Study
Phlebitis risk varies by peripheral venous catheter site and increases after 96 hours: a large multi-centre prospective study.
This multi-centre prospective field study evaluated whether peripheral venous catheter site of insertion influences the risk of catheter-related phlebitis. Potential predictors of phlebitis were also investigated. ⋯ Antecubital fossa and forearm veins may be preferential sites for peripheral venous cannulation. Our results support Centers for Disease Control and Prevention recommendations to replace catheters in adults no later than 96 hours. A relevant proportion of healthcare personnel did not adhere to such guidelines - more attention to this issue is required.
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To examine the validity of behaviours and fluctuations in vital signs for pain assessment of postbrain surgery adults in the neurosurgical intensive care unit. ⋯ Behaviours were found valid indicators of pain in neurocritically ill patients after elective brain surgery. Fluctuations in vital signs may suggest the presence of pain, but their validity for such use is not supported. They should only be used in combination with other validated pain assessment methods.
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To report a concept analysis of nursing-sensitive indicators within the applied context of the acute care setting. ⋯ This concept analysis may be used as a basis to advance understandings of the theoretical structures that underpin both research and practical application of quality dimensions of nursing care performance.
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Comparative Study
Barriers to sexual expression in residential aged care facilities (RACFs): comparison of staff and residents' views.
To explore and compare the views of both staff and residents about barriers to sexual expression in residential aged care facilities. ⋯ A substantial number of residents were unable to identify or mention barriers to sexual expression. Generational factors and group pressure could affect residents' attitudes towards sexuality.