Applied nursing research : ANR
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The purpose of this study was to comprehensively review the literature addressing the physiological effects of hypothermia and its association with the appropriate core body temperature for extubation following coronary artery bypass surgery. ⋯ This comprehensive literature review suggests extubation at lower temperatures (between 34 ° C and 36 ° C) may be viable if shivering and other factors known to contribute to myocardial stress can be controlled. These findings offer the possibility of earlier extubation which may promote beneficial health outcomes.
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(a) Identify variables that predict self-management (SM) of chronic low back pain (CLBP), and (b) evaluate differences in these variables between participants in specialty pain centers (SPCs) and primary care clinics (PCCs). ⋯ Findings provide essential information to healthcare providers in intervening appropriately toward engaging CLBP patients in SM. Other strategies need to be identified for those who do not respond effectively to SM strategies.
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Nurse practitioners (NPs) and physician assistants (PAs) provide primary care services for many American patients. Ethical knowledge is foundational to resolving challenging practice issues, yet little is known about the importance of ethics and work-related factors in the delivery of quality care. The aim of this study was to quantitatively assess whether the quality of the care that practitioners deliver is influenced by ethics and work-related factors. ⋯ Investing in ethics education and addressing restrictive practice environments may improve collaborative practice, teamwork, and quality of care.
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Multicenter Study Comparative Study
Teambuilding across healthcare professions: the ELDER project.
The key to ensuring quality care for older adults is a nursing workforce that collaborates across professions and provider levels (Wright M.C., Phillips-Bute, B.G., Petrusa, E.R., Griffin, K.L., Hobbs, G.W., & Taekman, J.M. (2008). Assessing teamwork in medical education and practice: Relating behavioural teamwork ratings and clinical performance. Med Teach, 29, 1-9). ⋯ Rarely is a variety of health care disciplines invited to participate in educational opportunities together. The interprofessional small group methodology used is a replicable model with potential to overcome barriers in communication and teamwork skills.
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Randomized Controlled Trial
Effect of high-frequency chest wall oscillation versus chest physiotherapy on lung function after lung transplant.
The aim of this study is to compare the effects of chest physiotherapy (CPT) and high-frequency chest wall oscillation (HFCWO) on lung function in lung transplant recipients. ⋯ Preliminary results suggest that lung function (measured by Spo2/FiO2) improves with HFWCO after lung transplantation. Although dyspnea and PEF did not differ significantly between treatment types, HFCWO may be an effective, feasible alternative to CPT.