Journal of advanced nursing
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This paper is a report of a study carried out to uncover the most anxiety-provoking aspects of general anaesthesia and determine what interventions may help to alleviate such anxiety. ⋯ Focusing on the timely, formal delivery of information about anaesthesia management, emphasizing the notion of 'controlled unconsciousness' and dispelling misconceptions associated with general anaesthesia may help to limit patient anxiety.
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This paper is a report of a study exploring intensive care nurses' experiences of conflicts related to practical situations when they encounter culturally diverse families of critically ill patients. ⋯ Nurses need to negotiate with culturally diverse family members to address conflicts. In their encounters with such families, they should establish a balance between ethnocentricity and cultural sensitivity. An implication for practice is to increase nurses' competence in assessment of diversity.
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This paper is a report of a study from a patient perspective of the life experiences with home mechanical ventilation among young men with Duchenne muscular dystrophy. ⋯ Society needs to discuss if it is a basic human right to be able to breathe, and whether people with Duchenne muscular dystrophy therefore have the right to invasive home mechanical ventilation. Healthcare professionals need to guide ventilator-users in decision-making about when to receive invasive home mechanical ventilation.
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This paper is a report of a study into how children and young people constructed their experiences of visiting a critically ill family member in an intensive care unit. ⋯ A structured and age-appropriate approach to support children visiting an adult intensive care unit still needs to be developed. It is time for nurses to reflect on current practice, challenge beliefs and attitudes towards child visitation. Crucially, nurses need education in listening skills and understanding children and young people's needs when an adult family member is in an intensive care unit. Further research is needed to develop appropriate support interventions and to investigate the importance and effects of intensive care unit visiting on children and young people.
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Review Meta Analysis
Nurses' experiences with telephone triage and advice: a meta-ethnography.
This study is a meta-ethnography of nurses' experiences with telephone triage and advice and factors that facilitate or impede their decision-making process. ⋯ Telenurses experience a range of common concerns and issues which either impede or facilitate the decision-making process. Although 'building a picture' of the patient is key to making assessments over the telephone, final triage decisions are influenced by balancing the conflicting demands of being both carer and gatekeeper to limited healthcare services.