Applied nursing research : ANR
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This survey study describes nurses' perspectives about call light usage and response time. Staff perceived call lights as being patient safety related (52%) and meaningful (81.6%), and answering calls prevented them from doing the critical aspects of their role (43.8%). Staff's perspectives toward call lights should be surveyed on a regular basis.
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Obtaining informed consent is a fundamental part of conducting research that balances the need for participant autonomy and calls on the principal investigator to exercise beneficence. This is especially true in research involving persons with dementia and mild cognitive impairment where the ability to understand and reason may be compromised. Performing an assessment of decision-making capacity to consent to research should be the first step in helping the researcher decide who signs the consent. This article reviews the current literature available on instrumentation and procedures for capacity assessment, and in the absence of universal guidelines offers implications and suggestions for practice.
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Compassion fatigue, trigger situations, and coping strategies were investigated in hospital and home care nurses. The Professional Quality of Life Scale measured compassion fatigue, compassion satisfaction, and burnout. Narrative questions elicited trigger situations and coping strategies. ⋯ There were significant differences in compassion satisfaction, depending on the unit worked and time as a nurse. The most common category of trigger situations was caring for the patient. Work-related and personal coping strategies were identified.
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Randomized Controlled Trial
Effectiveness of foot and hand massage in postcesarean pain control in a group of Turkish pregnant women.
The aim of this study was to determine the efficiency of foot and hand massage on reducing postoperative pain in patients who had cesarean operation. This pretest-posttest design study was planned as a randomized controlled experimental study. ⋯ It was also noted that vital findings were measured comparatively higher before the massage in the test groups, and they were found to be relatively lower in the measurements conducted right before and after the massage, which was considered to be statistically meaningful. Foot and hand massage proved useful as an effective nursing intervention in controlling postoperative pain.
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The Hospital Elder Life Program (HELP) program is designed to prevent delirium and cognitive decline in the hospitalized elderly patient. Personal digital assistants (PDAs) were trialed in collecting assessment data for the HELP program. ⋯ Participants had a slight but significant increase in cognitive function. PDAs are a useful adjunct to care enabling the staff to monitor the cognitive status of hospitalized elderly patients and track program outcomes.