Journal of clinical nursing
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To explore the contributing factors and effects of Taiwan's mental health nurses' decision-making patterns on care outcomes for patients with borderline personality disorder. ⋯ Mental health nurses should not give up too readily on borderline personality disorder clients, but adopt a positive attitude and coach them in learning to relax and work with others. Nurses are encouraged to establish supportive team relationships to motivate each other to work for positive care outcomes, to better understand their clients' needs and to develop individualised in addition to routine care strategies.
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To explore caregiver's strain, the relationship between social support and caregiver's strain and the predictors of caregiver's strain among mothers with school-aged intellectually disabled children in Taiwan. ⋯ In Taiwan, care of intellectually disabled children is primarily provided by family members. Therefore, we should emphasise family-centred care to enable healthcare professionals to become more effective as case managers in local clinics, schools and communities.
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To describe the findings from a qualitative study exploring acute care nurses' experiences with patient falls. ⋯ Nurses play an important role in fall prevention through knowing the patient as safe but must be supported through the use of a multi-faceted approach extending from the individual nurse to the institutional level.
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The aim of this study was to explore whether a patient's lifestyle influences nurses' pain assessment and management decisions. ⋯ It is proposed that schemas induce bias that then influence nurses' inferences of patients' physical pain and management decisions; this is compounded by the myths about addiction and respiratory depression. It would appear that educational and clinical experiences fail to ameliorate the affects of bias and myth.
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To describe informal carers' coping strategies and their experiences of the support provided by respite care. ⋯ Respite care nurses should invest greater effort in supporting informal carers. The service should be developed as an integral part of home care for older people. Nurses and informal carers should see each other as partners who share a common goal, i.e. the well-being of the entire family.