Journal of clinical nursing
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To explore the experiences of intensive care nurses who provided end-of-life care to adult patients and their families after a decision had been taken to withdraw treatment. ⋯ The interpretive findings from this study should assist intensive care unit nurses to better understand and develop their role in providing high-quality end-of-life care after treatment withdrawal. Practice guidelines should be developed to reduce ambiguity and support the delivery of high-quality care for adults as they approach the final stages of life in intensive care units.
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Multicenter Study
Analgesics in postoperative care in hip fracture patients with dementia - reported by nurses.
To describe the analgesic use in hip fracture patients with dementia during the first two postoperative days as reported by nurses. ⋯ Transdermal opioids and codeine combination may not be relevant analgesics for acute pain management in older adults. It is important to create a balance between sufficient pain relief and adverse effects of analgesics to allow early mobilisation and functional recovery.
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To develop a more comprehensive understanding of the scope of public health nursing practice in the prevention and management of sexually transmitted infections and also to examine the public health nursing workforce in sexually transmitted infection care and the range of patient populations served. ⋯ Sexually transmitted infection nursing practice needs to be understood and investigated beyond health education and testing practices. The scope of practice is comprehensive and incorporates a full spectrum of care. Public health nurses are a critical entry point into the healthcare system and provide primary and preventative care and healthcare referrals. Models of nursing care need to support nurses working to their full scope, and associated barriers warrant further investigation.
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To describe and explain older patients' lived experiences of prehospital emergency care in cases of suspected hip fractures after falling. ⋯ Responsibility for patients' safety regarding pain relief is emphasised. Pain relief in the emergency medical services should be individualised. This development should focus on care that is already good and gradually eradicate compassionless care.
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Review
Residual neuromuscular blockade and postoperative critical respiratory events: literature review.
To investigate and synthesise published literature on the associations between residual neuromuscular blockade and critical respiratory events of postoperative adult patients in the postanaesthesia care unit. ⋯ Healthcare professionals have to be aware of the increased risk of hypoxaemia in patients with residual neuromuscular blockade. Efforts to decrease residual neuromuscular blockade incidence, combined with identification and appropriate evaluation of patients with residual neuromuscular blockade during postanaesthesia care unit stay, are recommended.