Journal of clinical nursing
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The aim was to describe critical care nurses' experiences of close relatives within intensive care. ⋯ This study indicates that close relatives are a prerequisite for critical care nurses to give good nursing care to meet the needs of the critically ill person. A communication based on mutual understanding is necessary if critical care nurses are to be able to support close relatives. Dealing constantly with situations that were ethically difficult without any chance to reflect was an obstacle for critical care nurses to improve their work with close relatives.
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The purpose of this qualitative study was to understand and interpret the 'family experience' with an adult member hospitalized with a critical illness. ⋯ Nurses have profound power to help families bear this experience. Family caring is enhanced with the presence of nurses who recognize the importance of 'Being Family' for the family, acknowledge the significance of the nurse-family relationship and act on a commitment to be with and for the family.
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This paper reports the challenges experienced by nurses within accident and emergency departments in communicating with and gaining valid consent from adults with intellectual disabilities. ⋯ All nurses need to have a greater awareness of learning disability, how to increase opportunities for effective communication and be very familiar with the issue and guidelines relating to consent, to ensure that people with learning disabilities have choice, control and are more active in decision making regarding their health.
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The authors aim to challenge accepted views about the dissemination of ethically acceptable research, presenting a case for adopting an alternative strategy. ⋯ Health care in the UK is situated both within the National Health Service and in the private and voluntary sectors, and the boundary between health and social care continues to be eroded. More clinical research studies will be undertaken that do not fall within the remit of National Health Service research ethics committees. The issues discussed here will become pertinent to an ever-wider group of researchers and clinicians.
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To elicit an in-depth understanding of the sources of power and how power is exercised within client-nurse relationships in home-based palliative care. ⋯ The insights gained through this investigation may assist nurses and other health professionals in reflecting on and improving practices and policies within home-based palliative care and within home care in general.