Nursing research
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Comparative Study Clinical Trial Controlled Clinical Trial
Isopropyl alcohol inhalation: alternative treatment of postoperative nausea and vomiting.
The mechanisms for postoperative nausea and vomiting are numerous and pathways not well elucidated. Although many medications have been developed to help prevent postoperative nausea and vomiting, the search for better approaches to recovery treatment continues. ⋯ Further research is recommended to evaluate the length of effectiveness, standard dose needed, most effective mode of inhalation, and factors blocking IPA effectiveness.
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Randomized Controlled Trial Clinical Trial
Describing an episode of home nursing care for elderly postsurgical cancer patients.
While studies have documented the beneficial effect of home care for cancer patients, the actual interventions implemented during these studies have not been well described. ⋯ These nurses responded to complex problems and used a variety of interventions to assist patients and families in management of the illness experience. They also tailored their care to each patient's location along the illness trajectory. These findings provide beginning support for the clinical utility of Nursing Intervention Lexicon and Taxonomy as a way to quantify an episode of nursing care.
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Meta Analysis
Reducing venipuncture and intravenous insertion pain with eutectic mixture of local anesthetic: a meta-analysis.
The eutectic mixture of local anesthetics (EMLA), by producing dermal anesthesia through contact with intact skin, has become a major indication for the reduction of pain experienced during venipuncture (VE) and intravenous (IV) insertion. ⋯ EMLA cream can significantly decrease VE and IV insertion pain in 85% of the population.
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The process of attaining and maintaining data integrity is critical to ensure a successful randomized clinical trial. Methodologic strategies to achieve data integrity when repeated measures are used has not been discussed in detail in the literature. The National Institutes of Health requires that data integrity and safety monitoring boards or plans be established for randomized clinical trials. ⋯ Investigators conducting clinical trials need to consider all issues involved in achieving data integrity and have tested protocols in place throughout the study. These approaches will not only help maintain study validity but also help ensure data of sufficient quantity and quality to achieve the desired statistical power.