Nursing research
-
Randomized Controlled Trial Clinical Trial
Effects of immediate versus delayed pushing during second-stage labor on fetal well-being: a randomized clinical trial.
Although there are two methods of caring for women with epidural anesthesia during second-stage labor (coached closed-glottis pushing immediately at 10-cm cervical dilation or delayed pushing until the woman feels the urge to push, passive fetal descent, and encouragement of open-glottis pushing when the woman has the urge to push), there are limited data concerning which method is most optimal for fetal well-being. ⋯ Delayed pushing results in less fetal oxygen desaturation and less > or =2-min epochs of fetal oxygen saturation <30% during second-stage labor than the immediate pushing method; thus, delayed pushing is more favorable for fetal well-being as measured by fetal oxygen saturation.
-
The rules for reporting the results of randomized controlled trials (RCTs) in published manuscripts have been elusive, and many nurse scientists have learned to write research reports by trial and error. ⋯ Reports of RCTs that use CONSORT are easier to read, interpret, and evaluate for relevancy to clinical practice. In addition, excellent reports of research increase the visibility of nursing research beyond our discipline. The CONSORT adds value to nursing research because researchers and readers alike will benefit if it is used more often.
-
In nursing research, the interest in using large health care databases to predict nursing sensitive outcomes is growing rapidly. Traditionally, one of the most frequently used methods is logistic regression (LR), which, although powerful and familiar, has several limitations when used in the analysis of large databases. As a result, innovative approaches are required. ⋯ Outcome studies, such as those undertaken by nurse researchers, may benefit from the examination and use of innovative approaches such as BNs to the analysis of very large and complex health care data sets.
-
Randomized Controlled Trial Clinical Trial
Motivational interviewing as a smoking cessation intervention for patients with cancer: randomized controlled trial.
Smoking cessation of patients with cancer can improve treatment efficacy and survival. ⋯ Future efforts to improve smoking cessation in this patient group might focus on the delivery of more direct methods for encouraging spouse cessation and support to the patient in quitting, and the use of bupropion (Zyban) as an adjunct to cessation for this heavy smoking patient group.
-
Different concepts and measures have been used to evaluate the work environment of nurses in hospital settings. There is increasing need for updated measurement tools that reflect the evolving nature of the work environment. ⋯ The PNWE, a measure of the work environment as perceived by nurses, represents the latest version of the Nursing Work Index-Revised based on current practice. In this study, it exhibited sound psychometric properties. Further application and testing of the PNWE in various patient care settings is recommended.