International journal of nursing studies
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Telehealth care was developed to provide home-based monitoring and support for patients with chronic disease. The positive effects on physical outcome have been reported; however, more evidence is required concerning the effects on family caregivers and family function for heart failure patients transitioning from the hospital to home. ⋯ The results provide evidence that telehealth care combined with discharge planning could reduce family caregiver burden, improve stress mastery, and improve family function during the first 30 days at home after heart failure patients are discharged from the hospital. Telenursing specialists cared caregivers with the concepts of providing transitional care to help them successful cross the critical transition stage.
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Retaining skilled and engaged nurses is critical during a time of shortage, however growing reports of workplace bullying threaten nurses' health and wellbeing, especially the transition of newly graduated nurses entering the profession. High rates of burnout and turnover among new nurses puts additional strain on limited financial resources in healthcare organizations and can compromise the quality of care provided to patients. ⋯ The findings from this study demonstrate the fundamental importance of authentic leadership in creating supportive working environments. An authentic leadership style may reduce the probability of a unit culture of workplace bullying developing, contributing to a nursing workforce that is less burned out, more satisfied with their job, and ultimately, less likely to leave their position.
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Pain continues to be a common problem for older hospitalised patients, but little is known about how the complexities of actual clinical practice affect pain assessment and management in these patients. ⋯ This study demonstrated the intricacies associated with how analgesic needs are addressed in older patients, especially those with communication deficits, the complex nature of older patients' painful experiences, and the precarious balance of attempting to treat pain effectively while avoiding adverse effects of analgesics.
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Post-operative delirium after cardiac surgery is an adverse event that affects patients' recovery and complicates the delivery of nursing care. Numerous risk factors for delirium are uncontrollable; however, nurses' pro re nata drug administration of sedatives may be a controllable risk factor. ⋯ Nurses play an important role in the prediction, assessment and prevention of post-operative delirium. Sedatives should be administered with caution because they increase a patient's risk of developing delirium. Nurses' decisions regarding sedation administration must be informed by empirical knowledge, accurate assessment data and clear rationale with consideration of how these actions may contribute to the development of delirium.
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Effective self-care is important in the management of dysmenorrhea. Yet measures of adolescents' capabilities or self-care agency to exercise self-care to cope with dysmenorrhea are limited in the Chinese population. ⋯ The current study provides initial psychometric properties of the Chinese-Cantonese version of the ESCAS and supports it as a reliable and valid instrument to measure self-care agency in adolescent girls with dysmenorrhea. It provides health care professionals with a useful tool to assess the extent to which adolescent girls take action towards their problem of dysmenorrhea.