Journal of clinical nursing
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To identify, summarise and critically appraise the current evidence regarding the impact and effectiveness of nurse-led care in acute and chronic pain. ⋯ Nurse-led care is an integral element of the pain services offered to patients. This review highlights the effect of this care and the issues that require consideration by those responsible for the development of nurse-led models in acute and chronic pain.
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Comparative Study
Postoperative pain management - the influence of surgical ward nurses.
To compare pain levels reported by patients with those documented by ward nurses and to find out to what extent the amount of opioids given correlated with the pain level. Secondly, to study if pain management and nurses' approaches to this task had improved during a two-year period, including an educational pain treatment program for ward staff. ⋯ The study shows a need for more accurate pain assessment, since the patient experiences and suffers pain and the nurse determines upon treatment.
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To investigate knowledge levels and attitudes regarding pain management among nurses working in medical units in Hong Kong and factors that might influence their knowledge and attitudes. ⋯ The findings of this study, identifying problems of inadequate knowledge and inappropriate attitudes regarding pain management, are of concern. A better understanding of the factors that affect such knowledge and attitudes and of the discrepancy between attitudes and practice, can provide useful information to be included in education programmes for nurses and to inform policy on the provision of pain management.
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The aim of this study was to use a Cochrane systematic review process to explore the effect of wound cleansing solutions and techniques on pressure ulcer healing. ⋯ There is little trial evidence to support the use of any particular wound cleansing solution or technique for pressure ulcers. Relevance to clinical practice. No firm recommendations for ways of cleansing pressure ulcers in clinical practice can be made, the lack of RCT evidence should be a concern for health care providers.
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Review
A systematic review of silver-releasing dressings in the management of infected chronic wounds.
This paper is a systematic review with the objective of determining the effectiveness of silver-releasing dressing in the management of infected chronic wounds. ⋯ This review strengthens the case for the use of silver dressings when managing infected chronic wounds. They appear more effective and are tolerated well by patients. However, their use should be accompanied by a comprehensive wound assessment.