Nursing research
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Multicenter Study Comparative Study
Predicting pressure ulcer risk in pediatric patients: the Braden Q Scale.
While there are valid and reliable pressure ulcer risk assessment tools available for adult patients, none exist for infants and children. To remedy this, the Braden Scale was adapted for use in pediatrics, calling it the Braden Q Scale. ⋯ The performance of the Braden Q Scale in a pediatric population is similar to that consistently reported for the Braden Scale in adult patients. The Modified Braden Q Scale, with 3 subscales, provides a shorter yet comparable tool.
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Randomized Controlled Trial Clinical Trial
Efficacy and safety of sucrose for procedural pain relief in preterm and term neonates.
Preterm and acutely ill term neonates who are hospitalized in a neonatal intensive care unit are subjected to multiple frequent invasive and painful procedures aimed at improving their outcome. Although several trials to determine the efficacy of sucrose for managing procedural pain in preterm and acutely ill term neonates have been developed, these have generally lacked methodological rigor and have not provided clinicians with clear practice guidelines. ⋯ The combination of sucrose and nonnutritive sucking is the most efficacious intervention for single heel lances. Research on the effects of gestational age on the efficacy and safety of repeated doses of sucrose is required.
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Comparative Study
Predictive validity of the Braden Scale among Black and White subjects.
The Braden Scale for Predicting Pressure Sore Risk (Braden Scale) has been tested for predictive validity, but the cut-off scores for Blacks has not been compared to White populations. ⋯ A score of 18 can be used for identifying Black and White individuals at risk for pressure ulcers.
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Despite its obvious need, a current, research-based list of informatics competencies for nurses is not available. ⋯ The Delphi study had a high rate of participation, demonstrating the great level of interest and need for a list of informatics competencies for nurses. Out of the initial 305 competencies, only 24 items were not validated. Respondents commented during each round about whether computer skills should be considered informatics competencies. The authors propose that computer skills, while not high level, are one set of tools within the larger category of informatics competencies. This sample of experts did not deem programming skills as necessary for informatics nurses. This research study is an initial effort to fill the void of valid and reliable informatics competencies. It is the first study to span four levels of nurses, create competencies for both entry-level and experienced informatics nurse specialists, and examine the categories of computer skills, informatics knowledge and informatics skills.
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Randomized Controlled Trial Clinical Trial
Calming music and hand massage with agitated elderly.
Agitated behavior is a widespread problem that adversely affects the health of nursing home residents and increases the cost of their care. ⋯ Calming music and hand massage alter the immediate environment of agitated nursing home residents to a calm structured surrounding, offsetting disturbing stimuli, but no additive benefit was found by combining interventions simultaneously.