Journal of clinical nursing
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Randomized Controlled Trial
A quasi-experimental study on a community-based stroke prevention programme for clients with minor stroke.
The aim of this study was to determine the effectiveness of a community-based stroke prevention programme in (1) improving knowledge about stroke; (2) improving self-health-monitoring practice; (3) maintaining behavioural changes when adopting a healthy lifestyle for stroke prevention. ⋯ Effective educational intervention by professional nurses helped clients integrate their learned knowledge into their real-life practice. This empowering, that is, the taking of responsibility by clients for their own self-care management on a daily basis, affirms that patient education has moved beyond teaching people facts.
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To develop a goal-oriented praxis theory for enabling safety for relatives when an adult or older patient is close to end-of-life. ⋯ Implications for end-of-life practice are considered and include aspects for promotion of just institutions in end-of-life care, the significance of negotiated partnership in end-of-life care, enabling safety for relatives living in existential and practical uncertainty in connection with end-of-life care and diversity of relatives' preferences as they live through this particular period.
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To evaluate a systematic, coordinated approach to limit the severity and minimize the number of falls in an acute care hospital. ⋯ Preventing falls where possible is essential. Assessment of risk and use of appropriate interventions can reduce the incidence of falls.
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To describe custodians' experiences of their child's visit to an ill/injured nearest being cared for at an adult intensive care unit (ICU), their thoughts about the visit in relation to the child's health/well being and who initiated the visit. ⋯ Nurses need to take more initiative when discussing children's visits with the custodians. Nurses also need to discuss how to meet, inform, support and care for visiting children and their custodians in relation to health and well being. Recommendations/guidelines about children visiting that take both the patient's and child's needs into consideration needs to be developed based on scientific knowledge. Findings from this study may draw attention to children visiting ICUs and encourage nurses to discuss children visiting with custodians and to develop family-centred care at the ICU that includes children.
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To expand the theoretical understanding of fatigue, this study used in-depth interview to explore the fatigue experience from haemodialysis patients' perspectives. ⋯ The results can provide a direction for interventional studies designed to reduce the patients' fatigue.