International journal of nursing practice
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The purpose of this study was to identify the family factors affecting on withdrawal of life-sustaining treatment in Korea on the basis of Olson's Circumplex Model. A descriptive study was conducted with 364 Korean adults who had experienced a family member with cancer being hospitalized at least 1 month prior in Korea. Data were analysed by using the Pearson's correlation coefficient and multiple regressions with SPSS/WIN 15.0 program. ⋯ Significant bivariate correlations were found among withdrawal of life-sustaining treatment, family cohesion and family communication. Family factors predicting withdrawal of life-sustaining treatment were family cohesion and family communication. This study demonstrated that balanced families with optimal family cohesion and communication are predicted to easily accept withdrawal of life-sustaining treatment for their family member at the terminal stage in Korea.
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Clinical handover is the primary source of patient information for nurses; however, inadequate information transfer compromises patient safety. We investigated the content and organization of information conveyed at 81 handovers. ⋯ This approach covers essential information while allowing for prioritization of information when required. Further research into the impact of ICCCO on patient safety is in progress.
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The present study was conducted to investigate the frequency of hyperthermia during the first 72 h after acute brain injury, and to compare subjects that developed hyperthermia with those that did not with respect to blood pressure, intracranial pressure (ICP), cerebral perfusion pressure (CPP), Glasgow Coma Scale (GCS) score and mortality. This study was conducted by performing a retrospective medical record review of 126 brain injury patients admitted to the neurological intensive care unit of a university hospital located in Incheon, South Korea. ⋯ Hyperthermic subjects demonstrated higher mortality and ICP, and lower CPP and GCS scores than non-hyperthermic subjects, indicating a reduced cerebral blood flow. The findings may provide a possible explanation for poor clinical outcome and offer justification for the careful monitoring of body temperature in patients with acute brain injury.
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Hospitalized children are often inadequately treated for their pain. Paediatric nurses experience these inadequacies more than other health-care team members. This research was an attempt in the form of a phenomenological study to reveal some major barriers in children pain management as the nurses had perceived. ⋯ Additional factors that relate to the child specifications like age, temperament, behaviour, expression and gender affect the assessment and treatment of pain. The results revealed identified barriers in real context. It seems that some guidelines are needed to achieve optimal pain management.
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Randomized Controlled Trial
Distracting children during blood draw: looking through distraction cards is effective in pain relief of children during blood draw.
This study aims to investigate the effects of distraction method by way of looking through distraction cards/Flippits® to reduce procedural pain and anxiety during blood draw. In this method we distract attention of the children with distraction cards/Flippits®. Flippits® consist of various eye-catching pictures and shapes. ⋯ Results show that pre-procedural anxiety did not differ significantly. However, the experimental group had significantly lower pain levels than the control group during the blood draw procedure. Also experimental group had significantly lower anxiety levels than the control group.