Journal of clinical nursing
-
Observational Study
Preoperative indicators of length of stay following total hip replacement: a New Zealand-based retrospective, observational study.
To identify preoperative risk factors that potentially affect postoperative length of stay of patients undergoing total hip replacement. ⋯ In complex healthcare systems, where there is a need for quality client outcomes tempered against limited resources, this study highlights the benefits of accurate preassessment of orthopaedic clients undergoing major surgical intervention against the desirable outcomes of reduced lengths of admission.
-
To obtain qualitative information on fears and anxieties of coronary artery bypass grafting patients with short waiting periods (up to a maximum of four weeks) before surgery. ⋯ The detailed insight into the emotional experiences of patients with a short waiting time before coronary artery bypass grafting surgery is a basis for targeted anxiety-reducing interventions.
-
To evaluate the effectiveness of an accessibility-enhanced multimedia informational educational programme in reducing anxiety and increasing satisfaction with the information and materials received by patients undergoing cardiac catheterisation. ⋯ As the accessibility-enhanced multimedia informational education reduced patient anxiety and improved satisfaction with the information and materials received, it can be adapted to complement patient education in future regular cardiac care.
-
To examine whether an educational intervention and implementation of a validated prognostication tool can improve inpatient acute care nurses' knowledge of palliative care and their comfort in determining the need for palliative care and requesting a palliative care consult from the attending physician. ⋯ Nurses are in the best position to advocate for the patient and the management of their chronic illness. Educating nurses on the philosophy of palliative care and improving their comfort level in assessing the need for palliative care will overcome barriers to consultation.
-
Multicenter Study
Improving the systematic approach to pain and sedation management in the ICU by using assessment tools.
To assess the effects of introducing a systematic approach to pain and sedation management in the ICU. ⋯ Without well-organised pain treatment and sedation, the risk of oversedation is always present. Our results show that the implementation of tools contributes to a systematic approach of the assessment and treatment of pain and sedation in intensive care.