Journal of advanced nursing
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Review Meta Analysis
Systematic review of decreased intracranial pressure with optimal head elevation in postcraniotomy patients: a meta-analysis.
To determine an optimal head elevation degree to decrease intracranial pressure in postcraniotomy patients by meta-analysis. ⋯ Patients with increased intracranial pressure significantly benefitted from a head elevation of 10, 15, 30 and 45 degrees compared with 0 degrees. A head elevation of 30 or 45 degrees is optimal for decreasing intracranial pressure. Research about the relationship of position changes and the outcomes of patient primary diseases is absent.
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Review Meta Analysis
A meta-synthesis of factors influencing nursing home staff decisions to transfer residents to hospital.
To report a meta-synthesis of qualitative research studies exploring the role of nursing home staff in decisions to transfer residents to hospital. ⋯ There is a lack of consensus regarding the role of the nursing home when a resident's health deteriorates. Nursing home staff would benefit from a clear prescription of their expected minimum clinical skill set; a staffing capacity that allows for the increased requirements to manage residents on-site, greater consistency in access to outside resources and further confidence and skills to optimize their role in resident advocacy.
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Analysis of a national database of enquiries to a professional body pertaining to the scope of nursing and midwifery practice. ⋯ Efforts by employers to maximize the skill mix of their staff and optimally deploy staff to meet service needs and/or address gaps in service represented the primary service context from which many enquiries arose. The greatest concern for nurses arises around medication management but innovation in healthcare delivery and the demands of service are also creating challenges for nurses and midwives. Maintaining and developing competence is a concern among nurses and midwives particularly in an environment of limited resources and where re-deployment is common.