Journal of clinical nursing
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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.
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Controlled Clinical Trial
Pain management: evaluating the effectiveness of an educational programme for surgical nursing staff.
The purpose of this study was to assess the effectiveness of a pain management education programme in improving the nurses' knowledge about, attitude towards and application of relaxation therapy. ⋯ Results of this study could be used to guide the development and implementation of continuing education programmes for nursing staff to enhance patients' care knowledge and skills.
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To examine some psychometric properties of the Norwegian version of the American Pain Society's Patient Outcome Questionnaire(APS-POQ-N). ⋯ The APS-POQ-N appears, in general, to be an acceptable method of evaluating postoperative pain management in orthopaedic postoperative patients.However, the alpha value of the Satisfaction subscale was low, and thus the subscale is not recommended for this purpose.
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To unpack specialist heart failure nurses' decision-making and explore whether viewing a decision as 'hard' or 'easier' is associated with different decision-making characteristics. ⋯ Teaching nurses about what makes for hard and difficult decisions and increasing awareness of the decisions they make may lead to better quality choices. Practice developers should pay attention to the quality of clinical experience as well as the quantity when considering decision-making expertise.
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To examine the impact and obstacles that individual Institutional Research Ethics Committee (IRECs) had on a large-scale national multi-centre clinical audit called the National Benchmarks and Evidence-based National Clinical guidelines for Heart failure management programmes Study. ⋯ The findings of this study highlight inconsistent ethical requirements between different IRECs. Also highlighted are the obstacles and delays that IRECs create when undertaking multi-centre clinical audits. However, in our clinical practice it is vital that clinical audits are undertaken for evaluation purposes. The findings of this study raise awareness of inconsistent ethical processes and highlight the need for expedient ethical review for clinical audits.