Clinical nursing research
-
Clinical nursing research · Aug 2014
Evaluation of the SCKnowIQ tool and reproductive CHOICES intervention among young adults with sickle cell disease or sickle cell trait.
The study purpose was to evaluate a computer-based questionnaire (SCKnowIQ) and CHOICES educational intervention using cognitive interviewing with childbearing-aged people with sickle cell disease (SCD) or trait (SCT). Ten control group participants completed the SCKnowIQ twice. Ten intervention group participants completed the SCKnowIQ before and after the CHOICES intervention. ⋯ Participants' responses indicated that the information on SCD and SCT and reproductive options was understandable, balanced, important, and new to some. Internal consistency and test-retest reliability were adequate (.47 to .87) for 4 of the 6 scales, with significant within-group changes in knowledge scores for the intervention group but not for the control group. Findings show evidence for potential efficacy of the intervention, but proof of efficacy requires a larger randomized study.
-
Clinical nursing research · Apr 2014
Randomized Controlled Trial Multicenter StudyBarriers and facilitators to implementing delirium rounds in a clinical trial across three diverse hospital settings.
Delirium occurs in more than half of hospitalized older adults with dementia, substantially worsening outcomes. The use of multiple strategies and a local opinion leader, unit champion, has cumulative and lasting effects compared with single-strategy interventions. The purpose of this article is to describe the early barriers and facilitators to rounding with unit champions in a cluster randomized clinical trial in Year 2 of a 5-year trial (5R01NR011042-02). ⋯ Qualitative data were thematically analyzed. On average, rounds lasted 25.54 min (SD = 13.18) and were conducted with the unit champion 64% of the time. This is one of the first studies to systematically address quantitative and qualitative barriers and facilitators to nurse-led delirium rounds, demonstrating the gradual adoption of an intervention in diverse clinical settings.
-
Clinical nursing research · Feb 2013
The experience of delirium care and clinical feasibility of the CAM-ICU in a Korean ICU.
This study aimed to assess intensive care unit (ICU) nurses' experiences caring for delirious patients and the empirical evaluation of the clinical feasibility of the confusion assessment method (CAM) for ICU (CAM-ICU). In Korea, neither regular assessment of early-stage delirium nor preventive interventions are carried out properly in the ICU. This study was conducted using a qualitative research design with focus group interviews. ⋯ None of the nurses had heard of the CAM-ICU before the study, and many complained that it was very challenging to use. One positive outcome of the CAM-ICU trial was that the clinical interest in delirium increased. The CAM-ICU could be used to facilitate communication once the instrument becomes well-known among health care professionals.
-
Clinical nursing research · Aug 2012
Knowledge and practice of Jordanian emergency nurses caring for patients with drug-seeking behaviors.
The purpose of this study was to investigate the meaning and knowledge level and practices of emergency nurses in Jordan in relation to drug-seeking behaviors in the emergency units in Jordan. A descriptive correlation design was used. ⋯ The analyses also showed that the ED nurses had negative attitudes toward drug-seeking behaviors, and lacked the ability to manage drug-seeking behaviors, when identified. Nurses in the EDs who completed the questionnaires identified a need for more drug seeking-behavior knowledge and skills to assess and manage this condition more effectively.
-
Clinical nursing research · Feb 2012
Randomized Controlled TrialThe Nursing Home Falls Self-Efficacy Scale: development and testing.
We examined a brief measure of falls self-efficacy in nursing home residents participating in a pilot randomized controlled trial to study the effects of hip protectors on the prevention of fractures (N = 116, mean age 82 ± 8, 72% female). Internal consistency reliability was acceptable with Cronbach's alpha of .79. Factor analysis supported two factors representing self-efficacy expectations and outcome expectancy. ⋯ We found lower falls self-efficacy in participants who needed help with mobility, in people with lower executive function, and in participants who reported fear of falling. Scores were not associated with prospective falls or adherence with hip protector use. The findings of this study provide preliminary support for the reliability and validity of the scale for future research.