International journal of nursing studies
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Most studies of counterproductive work behavior (CWB) are criticized for overreliance on single-source self-reports. This study attempts to triangulate on behaviors and perceptions of the work environment by linking job incumbent self-report with coworker report of the job incumbent's behaviors. Theoretical framework is the Demand-Induced Strain Compensation (DISC) Model, which proposes in general that specific job resources should match specific job demands to reduce deviant behavioral outcomes such as CWB. ⋯ The current findings provide stronger evidence that (multi-source measured) CWB is associated with job demands and job resources than has been provided in the past. Moreover, the present study implies that DISC theory has the potential of making a profound contribution to our understanding of counterproductive working behaviors in health care work. Future longitudinal studies should investigate this kind of relations more intensely.
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Describe the utilization of analgesic and sedative medications and documentation of pain scores in a cohort of critically ill infants in a neonatal intensive care unit. ⋯ There was substantial and varied analgesic and sedative use in this cohort of infants, yet infrequent documentation of pain assessment scores. These practices highlight important clinical implications for sick infants requiring careful consideration of pain and distress management.
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Data describing use of non-invasive ventilation (NIV) in the emergency department (ED) setting consist primarily of physician surveys. Our objective was to conduct a prospective study to document the characteristics of patients receiving NIV, interfaces, mode, and parameters used as well as NIV duration and decision-making responsibility. ⋯ Acute exacerbations of CPO and COPD were the most common indications for NIV. Clinicians demonstrated a preference for NIPPV for all patient aetiologies except ACPO. Responsibility for NIV management was shared by ED nurses and physicians.
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A new form of literature review has emerged, Mixed Studies Review (MSR). These reviews include qualitative, quantitative and mixed methods studies. In the present paper, we examine MSRs in health sciences, and provide guidance on processes that should be included and reported. However, there are no valid and usable criteria for concomitantly appraising the methodological quality of the qualitative, quantitative and mixed methods studies. ⋯ A scoring system is proposed for concomitantly appraising the methodological quality of qualitative, quantitative and mixed methods studies for SMSRs. This scoring system may also be used to appraise the methodological quality of qualitative, quantitative and mixed methods components of mixed methods research.
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Randomized Controlled Trial
Preventing the use of physical restraints on residents newly admitted to psycho-geriatric nursing home wards: a cluster-randomized trial.
Although there is an urgent need for restraint-free care, the number of randomized clinical trials on preventing or reducing physical restraints has been limited. ⋯ An educational programme combined with the consultation of a nurse specialist does not prevent the use of physical restraints on residents newly admitted to psycho-geriatric nursing home wards. Although other studies have shown promising results with the effectiveness of these types of intervention on restraint reduction, the development of additional interventions to prevent restraint usage is recommended.