Clinical nursing research
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Clinical nursing research · May 1999
Comparative StudyNurses' knowledge of pain assessment, pharmacologic and nonpharmacologic interventions.
This study compared differences in knowledge of pain assessment and pharmacologic and nonpharmacologic pain management strategies among 232 L. P. N.s and R. ⋯ S-R. N.s. Finding suggest the need for aggressive nursing education programs offered in academic and clinical settings to assist nurses in effectively managing the universal phenomenon of pain.
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Clinical nursing research · May 1999
The influence of background clinical data on infant pain assessments.
The purpose of this study was to determine the importance of knowledge of clinical background data on nursing assessments of infant pain. In a quasi-experimental design, the infant pain assessments of two groups of pediatric nurses were compared. ⋯ The group who read clinical background data evidenced higher mean levels of assessed pain per videotaped infant than did the group who only viewed the videotapes. Findings underscore the importance of clinical data and clinical context in the process of assessing infant pain and the risk of underestimating pain when all factors are not considered.
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Clinical nursing research · May 1999
The relationship between method of pain management during labor and birth outcomes.
This study examined the relationship between method of pain management during labor and birth outcomes. A retrospective comparative chart review of 233 primiparous deliveries was conducted and group assignment was based on method of pain control (nonnarcotic, narcotic, or epidural). Epidural analgesia or anesthesia was associated with increased rates of instrumental and cesarean delivery. ⋯ Apgar scores for those who received early epidural analgesia or anesthesia were lower than for those who received late or no epidural analgesia or anesthesia, although Apgar scores were satisfactory across all groups. Between-groups differences were unrelated to time of epidural placement or maternal temperature. Findings are relevant for maternal child nurses who serve as a resource for families wishing to make informed decisions about pain management in labor.
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Clinical nursing research · Feb 1999
Randomized Controlled Trial Clinical TrialTesting a model of the nursing assessment of infant pain.
The purpose of this study was to test whether elements of an infant pain assessment model interacted as postulated by the model. The elements are the infant's response to comfort measures and the principle of consolability. Four different scenarios for each of 16 videotaped infants were prepared. ⋯ Forty-eight volunteer pediatric nurses assessed infant pain of 16 scenarios, each depicting one of the 16 infants. Mean level of assessed pain was highest for the "high likelihood of pain and difficult to console" group, second highest for the "high likelihood of pain and easily consoled" group, third highest for the "low likelihood of pain and difficult to console" group and least for the "low likelihood of pain and easily consoled" group. Findings supported the infant pain assessment model.
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Clinical nursing research · Feb 1999
Comparative StudyVentilated patients' self-esteem during intubation and after extubation.
The primary purpose of this study was to determine if there was a difference in patients' self-esteem during intubation and after extubation, when differences in acuity were controlled. A secondary purpose was to examine and compare the self-esteem of subjects intubated for medical or surgical reasons. A descriptive longitudinal design compared the self-esteem of 29 subjects during intubation and after extubation. ⋯ Their self-esteem was also lower when they were intubated. The findings support the dynamic nature of self-esteem in hospitalized patients. The implications of the study for research and practice are discussed.