International journal of nursing studies
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End-stage chronic obstructive pulmonary disease (COPD) is a debilitating, life-limiting condition. A palliative approach is appropriate for individuals with end-stage COPD, yet currently few interventions embrace this holistic, multidisciplinary and inclusive perspective. ⋯ Further investigation is required to address the complex personal, provider and system elements associated with managing end-stage COPD. A comprehensive and collaborative approach is required to address the complex and varied needs of individuals with end-stage COPD and their families.
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Randomized Controlled Trial
Oral care with 0.12% chlorhexidine for the prevention of ventilator-associated pneumonia in critically ill children: randomised, controlled and double blind trial.
To test the effectiveness of oral care with 0.12% chlorhexidine in decreasing ventilator-associated pneumonia in critically ill children. ⋯ The use of 0.12% chlorhexidine did not significantly modify the VAP incidence in a sample of mechanically ventilated children.
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Randomized Controlled Trial
Effect of continuous oral suctioning on the development of ventilator-associated pneumonia: a pilot randomized controlled trial.
Both continuous and intermittent aspiration of subglottic secretions by means of specially designed endotracheal tubes containing a separate dorsal lumen that opens into the subglottic region have been shown to be useful in reducing ventilator-associated pneumonia (VAP). However, the high cost of these tubes restricts their use. ⋯ Continuous clearance of oral secretion by the saliva ejector may have an important role to play in reducing the rate of VAP, decreasing the duration of mechanical ventilation, and shortening the length of stay of patients in the ICU.
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The development of pressure ulcers (PUs) impacts quality of life among home care (HC) recipients and increases overall healthcare costs. ⋯ To decrease the development of developing pressure ulcers in new HC recipients, nurses should educate primary caregivers regarding strategies for preventing PUs during potential HC recipient hospitalization. HC nurses should assess PU prevention care of primary caregivers, in addition to assessing the risk of developing PUs by the Braden scale.
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Emergency Nurses are routinely confronted with work related traumatic events and hectic work conditions. Several studies report a high prevalence of post-traumatic stress disorder (PTSD) in these nurses. Coping and social support seem to play an important role in the development of PTSD. ⋯ Emergency Nurses are especially vulnerable to post-traumatic stress reactions due to repetitive exposure to work related traumatic incidents. This not only personally affects the nurses, but can also impact quality of care. Hospital management should act on the findings of this study and invest in supportive, communicative, empathic and anticipatory leadership, and provide time-out facilities, cognitive-behavioral interventions and psychological counseling for Emergency Nurses on demand.