Journal of professional nursing : official journal of the American Association of Colleges of Nursing
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This study presents a profile of nurses with baccalaureate degrees in Turkey and focuses on their personal, social, economic, and professional characteristics. In this study, 1,170 nurses with a baccalaureate degree who have been working at hospitals in major cities in Turkey comprised the possible sample. Of these, 870 were given a questionnaire and 417 (47.9 percent) responded. ⋯ They have negative feelings and attitudes toward professional associations, and their organizational awareness is low. The number of the nurses who are in favor of full participation is low. Apart from a positive view of the move to increase the length of nursing education to 4 years, nurses have a negative view of the state's policies concerning nursing.
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In February 2001, President Clinton's Information Technology Advisory Commission reported that information technology has the potential to advance biomedical research. As nursing research via the Internet expands, important ethical and legal issues need to be addressed. ⋯ The ethical and legal issues needing attention are discussed. Potential guidelines are provided for researchers wanting to use Internet technology.
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Randomized Controlled Trial Clinical Trial
Patient-centered advance care planning in special patient populations: a pilot study.
The purpose of this study was to assess the feasibility of a patient-centered advance care planning (PC-ACP) approach to patients with chronic illnesses and their surrogates with respect to promotion of shared decision-making outcomes-congruence between patient and surrogate, patient's decisional conflict, and knowledge of advance care planning. An experimental design was used. The settings were the heart failure, renal dialysis, and cardiovascular surgery clinics at Gundersen Lutheran Medical Center in La Crosse, WI. ⋯ Comparison of the composite scores of a Statement of Treatment Preferences indicated that congruence in decision-making for future medical treatment in patient-surrogate pairs in the treatment group was significantly higher than in the control group. Greater satisfaction with the decision-making process and less decisional conflict were demonstrated in the treatment group. The PC-ACP interview can be effective in promoting shared decision-making between patients and their surrogates and in producing greater satisfaction with the process of decision-making and less decisional conflict.
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Nurses have identified a need for improving their knowledge and skills in providing end-of-life care. Critical care nursing textbooks can serve as an important source of information on end-of-life care for critical care nurses. Hence, an analysis of end-of-life content in 14 critical care nursing textbooks was conducted. ⋯ Four additional end-of-life content areas were identified in some textbooks during the study, and reviewers also judged whether these were helpful. None of the textbooks had end-of-life content in all the content areas used for the analysis. Three textbooks did not contain any end-of-life content.
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Comparative Study
Complementary therapies and healing practices: faculty/student beliefs and attitudes and the implications for nursing education.
The purpose of this study was to describe the knowledge and attitudes of nursing faculty and students (BSN and MS) regarding complementary/alternative therapies (C/AT) and their integration into nursing practice. Implications for curricular and faculty development were also identified. A cross-sectional survey (n = 170) of graduating BSN students (n = 73) and MS and PhD students (n = 47) and faculty (n = 50) was conducted in a university-based nursing program. ⋯ Current knowledge lags behind interest, however, suggesting a situation ripe for change. The most important perceived barrier to incorporation was lack of evidence. Curricular change is needed to fully integrate C/AT in nursing programs at all levels; faculty development and nursing research is needed to facilitate these changes.