Journal of advanced nursing
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To identify approaches used by advanced practice nurses to promote evidence-based practice among clinical nurses. ⋯ The role of advanced practice nurses in knowledge brokering is complex and multi-faceted. It extends beyond the knowledge management, linkage and capacity building identified in the literature to include active processes of problem-solving and facilitating change.
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The purpose of this pilot study was to examine whether urine specific gravity and urine colour could provide an early warning of dehydration in stroke patients compared with standard blood indicators of hydration status. ⋯ Our results do not support the use of the urine test strip urine specific gravity as an early indicator of dehydration. Further research is required to develop a practical tool for the early detection of dehydration in stroke patients.
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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.