Journal of clinical nursing
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The aim of this investigation was to enhance the understanding of the concept of caring. ⋯ The findings explicate a cohesive process of caring. They provide insight into the human attributes and clinical milieu that are necessary for caring to emerge. They also offer clarity regarding the therapeutic benefits of caring.
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Review
A review of the efficacy of dexamethasone in the prevention of postoperative nausea and vomiting.
To consider the efficacy of dexamethasone in preventing postoperative nausea and vomiting following general anaesthesia and a range of surgical procedures, compared with a placebo of sodium chloride (normal saline). To inform nurses' pharmacological knowledge of the effects of this medication during peri-operative care. ⋯ Nurses in the peri-operative arena can administer this medication, when ordered, with the knowledge based on research evidence as to why it has been included in preoperative protocols. However, dexamethasone has been noted in postanaesthesia recovery care units as a clinical pathway option for the management of postoperative nausea and vomiting and no retrieved articles discuss this option.
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This paper aims to analyse the concept of advanced nursing practice critically and to demonstrate an appreciation of the development of the role of the advanced nurse practitioner in the Irish context. ⋯ Nurses working at an advanced level are striving to develop their expertise, initiate nurse-led services and practice, in collaboration with other professionals in an effort to provide the highest quality care to the patient. Although the idea of the advanced nurse practitioner is relatively new to nursing in Ireland, it is the result of an idea whose time has come and there is nothing more powerful than an idea whose time has come.
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To determine patient outcomes of total hip arthroplasty and the research methods used to produce knowledge of use to clinical nursing and for purposes of health education. The review consists of three parts. Firstly, it describes the patient outcomes of total hip arthroplasty. Secondly, it addresses the factors related to the patient outcomes and thirdly the research methods used are explored. ⋯ The findings can be seen as a challenge for nurses to plan patients' education. It is also important that the outcomes of total hip arthroplasty correspond to patients' expectations. Patients' preoperative function should be taken into consideration when planning the timing of surgery so that the best possible outcomes were attainable.
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The concept of spirituality is much discussed in the UK nursing literature, despite the fact that Britain is one of the most secular countries in the world, and steadily becoming more so. Here, I pose the following question: given this increasing secularization, what accounts for the current interest in spirituality among UK nurses? ⋯ The extension of spirituality into secular domains is part of a professionalization project in nursing, a claim to jurisdiction over a newly invented sphere of work. For the time being, it remains an academic project (in the UK) as it is not one with which many clinicians identify. Relevance to clinical practice. What counts as 'spiritual need' or 'spiritual care' may not be the same in both countries, and UK clinicians are unlikely to welcome the role of surrogate chaplain, which their USA colleagues are apparently willing to embrace.