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<title>Nursing RSS : Gourt</title>
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<description></description>
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<dc:rights>Copyright 2007, Gourt.com</dc:rights>
<dc:date>2012-02-03T14:56+32:00
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<dc:publisher>rtruog@gourt.com</dc:publisher>
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<title>Animal Fat Consumption Before Conception Linked To Gestational Diabetes Risk</title>
<link>http://www.medicalnewstoday.com/releases/240833.php</link>
<description><![CDATA[Women who consumed a diet high in animal fat and cholesterol before pregnancy were at higher risk for gestational diabetes than women whose diets were lower in animal fat and cholesterol, according to researchers at the National Institutes of Health and Harvard University. Gestational diabetes is a form of diabetes seen during pregnancy...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/articles/240826.php">
<title>Rise In Home Births In US</title>
<link>http://www.medicalnewstoday.com/articles/240826.php</link>
<description><![CDATA[After falling for 14 years, the percentage of home births in the US from 2004 to 2009 rose by 29%  to the highest level since  data collection on this began in 1989.  However, although this looks like a big surge, the overall proportion of American women giving  birth at home is still low: in 2004 only 0.56% of births were at home, rising to 0.72% in 2009...]]></description>
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<item rdf:about="http://www.medicalnewstoday.com/releases/240530.php">
<title>Study Finds Good Intentions Ease Pain, Add To Pleasure</title>
<link>http://www.medicalnewstoday.com/releases/240530.php</link>
<description><![CDATA[A nurse's tender loving care really does ease the pain of a medical procedure, and grandma's cookies really do taste better, if we perceive them to be made with love - suggests newly published research by a University of Maryland psychologist. The findings have many real-world applications, including in medicine, relationships, parenting and business...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/240537.php">
<title>Improving Maternal And Neonatal Care In Africa Saves Lives</title>
<link>http://www.medicalnewstoday.com/releases/240537.php</link>
<description><![CDATA[A large regional hospital in Ghana saw a reduction in maternal and infant deaths after continuous quality improvement (QI) initiatives were put into place through a collaborative partnership. New research from lead author Medge Owen, M.D...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/240446.php">
<title>The RN And The EHR - Better Together</title>
<link>http://www.medicalnewstoday.com/releases/240446.php</link>
<description><![CDATA[With the prodding of new federal legislation, electronic health records (EHRs) are rapidly becoming part of the daily practice of hospital nurses - the frontline providers of care...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/240403.php">
<title>Key Factors Affecting 3 Generations Of Nurses Identified By Retention Study</title>
<link>http://www.medicalnewstoday.com/releases/240403.php</link>
<description><![CDATA[If organisations want to retain qualified nurses they need to tackle the different work factors that are important to the three key age groups and build on the strong attachment that many nurses feel to the profession. Those are the key messages to emerge from a large-scale survey of nurses published in the January issue of the Journal of Advanced Nursing...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/239415.php">
<title>Midwives Use Rituals To Send Message That Women&#x27;s Bodies Know Best</title>
<link>http://www.medicalnewstoday.com/releases/239415.php</link>
<description><![CDATA[In reaction to what midwives view as the overly medicalized way hospitals deliver babies, they have created birthing rituals to send the message that women's bodies know best...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/239726.php">
<title>Loyola&#x27;s Advanced Practice Nursing Program Receives National Accreditation At Maximum Level</title>
<link>http://www.medicalnewstoday.com/releases/239726.php</link>
<description><![CDATA[The Doctor of Nursing Practice (DNP) program at Loyola University Chicago Marcella Niehoff School of Nursing (MNSON) has been granted accreditation for a five-year term, the maximum number of years possible, by the Commission of Collegiate Nursing Education (CCNE). MNSON introduced the DNP program for advanced practice nursing students in the fall semester of 2009...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/239523.php">
<title>New Approach To Nursing Education Gives Students The Chance To &#x27;Live Like A Nurse&#x27;</title>
<link>http://www.medicalnewstoday.com/releases/239523.php</link>
<description><![CDATA[Since they were pre-teens, Kathrine McKay and Kathryn Lito had aspirations of pursuing a nursing career. So when they applied to the Bachelor of Science in Nursing (B.S.N.) program at The University of Texas Health Science Center at Houston (UTHealth) School of Nursing, they decided to take an accelerated approach to their education with the new Pacesetters program...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/239520.php">
<title>NSU Nursing Program To Become Its Own College</title>
<link>http://www.medicalnewstoday.com/releases/239520.php</link>
<description><![CDATA[Nova Southeastern University will create the College of Nursing on Jan. 1., 2012. Formally a part of NSU's College of Allied Health and Nursing, the new college has emerged because of the nursing program's growth and success over the last five years...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/239330.php">
<title>Key Interventions To Reduce Maternal, Newborn And Child Deaths Identified By 3-Year Study</title>
<link>http://www.medicalnewstoday.com/releases/239330.php</link>
<description><![CDATA[Some 56 evidence-based interventions will sharply reduce the 358,000 women who still die each year during pregnancy and childbirth and the 7.6 million children who die before the age of 5, according to a massive three-year global study...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/239071.php">
<title>Cellular Processing Of Proteins Found In Congolese Child Birthing Tea</title>
<link>http://www.medicalnewstoday.com/releases/239071.php</link>
<description><![CDATA[Many plants produce compounds that serve as a defense against predators or pathogens. Some are also used by humans for a variety of beneficial purposes, such as in medicines. As recently as the early 1990s, a unique class of proteins previously unknown to science, the cyclotides, was discovered...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/239017.php">
<title>New Study Finds Nursing One Of The Least Mobile Professions</title>
<link>http://www.medicalnewstoday.com/releases/239017.php</link>
<description><![CDATA[A study on the geographic mobility of registered nurses (RNs) recently published in the December Health Affairs magazine suggests that the profession's relative lack of mobility has serious implications for access to health care for people in rural areas. According to the study - part of the RN Work Project funded by the Robert Wood Johnson Foundation - more than half (52...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/articles/239018.php">
<title>Up To 4,000 Nurses To Strike, Says Nursing Union, California</title>
<link>http://www.medicalnewstoday.com/articles/239018.php</link>
<description><![CDATA[On December 22, up to 4,000 nurses who work for the Sutter Corporation are going on strike, protesting against sweeping cuts in healthcare coverage and patient care protections, according to the California Nurses Association/National Nurses United...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/238919.php">
<title>To Keep Nurses, Improve Their Work Environments</title>
<link>http://www.medicalnewstoday.com/releases/238919.php</link>
<description><![CDATA[ Nurses working in hospitals around the world are reporting they are burned out and dissatisfied with their jobs, reported researchers at the University of Pennsylvania School of Nursing's Center for Health Outcomes and Policy Research in a study of 100,000 nurses in nine countries...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/238915.php">
<title>To Keep Nurses, Improve Their Work Environments</title>
<link>http://www.medicalnewstoday.com/releases/238915.php</link>
<description><![CDATA[Nurses working in hospitals around the world are reporting they are burned out and dissatisfied with their jobs, reported researchers at the University of Pennsylvania School of Nursing's Center for Health Outcomes and Policy Research in a study of 100,000 nurses in nine countries...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/238677.php">
<title>Nursing Shortage May Be Easing</title>
<link>http://www.medicalnewstoday.com/releases/238677.php</link>
<description><![CDATA[The number of young people becoming registered nurses has grown sharply since 2002, a trend that should ease some of the concern about a looming nursing shortage in the United States, according to a new study. The number of people aged 23 to 26 -- primarily women -- who became registered nurses increased by 62 percent from 2002 to 2009, approaching numbers not seen since the mid-1980s...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/238503.php">
<title>Home Births - Then And Now</title>
<link>http://www.medicalnewstoday.com/releases/238503.php</link>
<description><![CDATA[A comparison of home-birth trends of the 1970s finds many similarities - and some differences - related to current trends in home births. For instance, in the 1970s - as now - women opting to engage in home births tended to have higher levels of education...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/articles/238517.php">
<title>For-Profit Nursing Homes Have Low Staffing and Poor Quality of Care</title>
<link>http://www.medicalnewstoday.com/articles/238517.php</link>
<description><![CDATA[According to a study published online in advance of print publication in Health Services Research, the largest for-profit nursing homes in the nation deliver considerably lower quality of care as they often have fewer staff nurses compared with non-profit and government-owned nursing homes...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/238473.php">
<title>Physical Environment, Workgroup Cohesion Play Significant Roles In Nurses&#x27; Ratings Of Quality Of Patient Care</title>
<link>http://www.medicalnewstoday.com/releases/238473.php</link>
<description><![CDATA[While nurse-to-patient ratios are widely recognized as an important factor in determining the quality of patient care, those ratios are not always easy to change without significant cost and investment of resources. What's more, the projected nursing shortage will make it even more difficult for hospitals to increase nurse staffing...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/238436.php">
<title>Nation&#x27;s For-Profit Nursing Homes Provide Poor Quality Of Care, Low Staffing</title>
<link>http://www.medicalnewstoday.com/releases/238436.php</link>
<description><![CDATA[The nation's largest for-profit nursing homes deliver significantly lower quality of care because they typically have fewer staff nurses than non-profit and government-owned nursing homes. That's the finding of a new UCSF-led analysis of quality of care at nursing homes around the country. It is the first-ever study focusing solely on staffing and quality at the 10 largest for-profit chains...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/238367.php">
<title>Progress In Pursuit Of Global Reproductive Health And Rights May Be Hampered By Good Intentions</title>
<link>http://www.medicalnewstoday.com/releases/238367.php</link>
<description><![CDATA[Serious global discussions have begun in the lead-up to the Millennium Development Goal (MDG) deadline of 2015. Governments and international agencies are asking what has been achieved, what still needs to be done and how best to proceed after the deadline...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/237921.php">
<title>Off To A Flying Start: Online Course For Newly Qualified Nurses, Midwives And AHPs</title>
<link>http://www.medicalnewstoday.com/releases/237921.php</link>
<description><![CDATA[Newly qualified nurses, midwives and allied health professionals who took part in an online course during their first year of employment reported increased clinical skills development and confidence. However the survey on the Flying Start NHS™ programme, published in the December issue of the Journal of Clinical Nursing, found that mentors needed more training and time to provide support...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/237900.php">
<title>Nursing Grads Beat Employment Odds, Debunk Hiring Myths</title>
<link>http://www.medicalnewstoday.com/releases/237900.php</link>
<description><![CDATA[Numerous polls show recent college grads have been hit hard by the recession and are facing tough odds in finding well-paying employment. Others show the classes of 2010 and 2011 to be underemployed, with many not finding jobs in their preferred fields or geographic locations. That's the bad news; the good news is that nursing grads might be proving to be the exception to the polls...]]></description>
</item>

<item rdf:about="http://www.medicalnewstoday.com/releases/237429.php">
<title>Home Visits Benefit New Mothers, Newborns</title>
<link>http://www.medicalnewstoday.com/releases/237429.php</link>
<description><![CDATA[Home nursing visits are as safe and effective as office-based care for initial post-delivery well-baby check-ups, according to medical researchers. "Generally, moms and babies are discharged from the hospital less than 48 hours after delivery," said Ian Paul, M.D., professor of pediatrics and public health sciences, Penn State College of Medicine...]]></description>
</item>

<item rdf:about="http://jrn.sagepub.com/cgi/reprint/17/1/3?rss=1">
<title>Editorial</title>
<link>http://jrn.sagepub.com/cgi/reprint/17/1/3?rss=1</link>
<description><![CDATA[ ]]></description>
</item>

<item rdf:about="http://jrn.sagepub.com/cgi/reprint/17/1/6?rss=1">
<title>Guest Editorial: Exogenous and endogenous research in nursing revisited</title>
<link>http://jrn.sagepub.com/cgi/reprint/17/1/6?rss=1</link>
<description><![CDATA[ ]]></description>
</item>

<item rdf:about="http://jrn.sagepub.com/cgi/reprint/17/1/9?rss=1">
<title>Board Editorial: Quantitative vs qualitative research: A false dichotomy</title>
<link>http://jrn.sagepub.com/cgi/reprint/17/1/9?rss=1</link>
<description><![CDATA[ ]]></description>
</item>

<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/17/1/12?rss=1">
<title>Quality of life in older Norwegian adults living at home: a cross-sectional survey</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/17/1/12?rss=1</link>
<description><![CDATA[
The term quality of life (QoL) has been used in nursing for several years despite having neither a common conceptual model nor a common definition. The Wilson and Cleary Model (WCM), defined in 1995, is used as a conceptual model to identify suitable variables important in planning nursing care in a study among Norwegian older adults. The objective of this study was to investigate how the relationships among depressive symptoms, physical function, health satisfaction, age and environment may predict QoL in a model based on the WCM. The overall model provides empirical evidence for linkages in the WCM. Results showed that QoL is likely to be influenced by the direct effects of environmental conditions, health satisfaction and age. In addition, environmental conditions and age had indirect effects on QoL, in particular via depressive symptoms. Environment had both a significant direct and an indirect effect on QoL. An indirect effect of environment on QoL was shown with depressive symptoms, physical function and perceived health as mediators. There was only a small amount of evidence for age predicting QoL. This model may help nurses and other health care workers to collect and assess information, to suggest suitable interventions and to guide decision making.
]]></description>
</item>

<item rdf:about="http://jrn.sagepub.com/cgi/reprint/17/1/30?rss=1">
<title>Review: Quality of life in older Norwegian adults living at home: a cross-sectional survey</title>
<link>http://jrn.sagepub.com/cgi/reprint/17/1/30?rss=1</link>
<description><![CDATA[ ]]></description>
</item>

<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/17/1/32?rss=1">
<title>The impact of lifestyle modification in preventing or delaying the progression of type 2 diabetes mellitus among high-risk people in Jordan</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/17/1/32?rss=1</link>
<description><![CDATA[
               Purpose: To investigate (1) the effectiveness of educational interventions in reducing the risk for developing type 2 diabetes mellitus (DM) among Jordanian adults at high risk, and (2) whether levels of self-esteem and self-efficacy affect the responses of participants towards educational interventions in reducing risks for developing type 2 DM.
               Design: A comparative experimental pretest&ndash;post-test control group design was used. One hundred and thirteen participants at high risk for developing type 2 DM were randomly assigned to a study group (n = 57) and a control group (n = 56) based on the matching technique according to the risk factors.
               Methods: The participants in the study group received 12 educational sessions about healthy diet guidelines and five educational sessions about guidelines for moderately intense physical activity. Participants in the control group received general written information about diet and exercises, but no specific individualised interventions were offered to them.
               Results: The risk of type 2 DM among the study group was reduced by 28%. The results also indicated that participants in the study group had significant reduction in their body weight, and body mass index, and fasting blood sugar level. Participants in the study group with higher self-esteem and self-efficacy levels before receiving interventions achieved lower weight loss comparing to those who had lower self-esteem and self-efficacy levels.
               Implications: The findings of the present study confirmed that lifestyle interventions concerned with educational sessions about dietary behaviours and exercises illustrate promising results in preventing or delaying the risk of developing type 2 DM by modifying its risk factors.
]]></description>
</item>

<item rdf:about="http://jrn.sagepub.com/cgi/reprint/17/1/45?rss=1">
<title>Review: The impact of lifestyle modification in preventing or delaying the progression of diabetes mellitus among high risk people in Jordan</title>
<link>http://jrn.sagepub.com/cgi/reprint/17/1/45?rss=1</link>
<description><![CDATA[ ]]></description>
</item>

<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/17/1/47?rss=1">
<title>Ready, willing and able? Specialist community public health nurses&#x27; views of their public health role</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/17/1/47?rss=1</link>
<description><![CDATA[
This paper is a report of a research study to explore specialist community public health nurses&rsquo; views of their public health role. Three key objectives were set:to identify what their public health role was;

to explore what the influences are on that role are;

to investigate what they felt the solutions were to enhance this aspect of their role.
            
The study design consisted of a small qualitative study that used three focus groups to collect data from practice teachers from health visiting, occupational health nursing and school nursing. The data was combined for thematic analysis of their responses to the three key topics identified. The results showed that the participants were somewhat knowledgeable about their role as public health nurses; were influenced by lack of resources, poor understanding from others of their role and tensions with managers and the wider team as to the importance of their public health role; and they offered solutions that included role clarity for effective skill mix, a shared vision for practice and debated the role of a specific public health nurse in the team. Recommendations for clear roles and responsibilities, clear protocols for assessing need and identifying priorities and performance management frameworks are offered.
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<item rdf:about="http://jrn.sagepub.com/cgi/reprint/17/1/64?rss=1">
<title>Review: Ready, willing and able? Specialist community public health nurses&#x27; views of their public health role</title>
<link>http://jrn.sagepub.com/cgi/reprint/17/1/64?rss=1</link>
<description><![CDATA[ ]]></description>
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<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/17/1/66?rss=1">
<title>Nurse-led detoxification in primary care. Can it be done?</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/17/1/66?rss=1</link>
<description><![CDATA[
This paper describes the community alcohol detoxifications (detox) carried out in primary care by the nurse specialist for alcohol in Islington, as an independent prescriber. It is argued that this service is a valuable resource and can enable a better space for preparation for the client, who can then be more insightful and motivated before entering the detox in primary care. It also shows that the guidelines for the assessment and detoxification of patients entering this modality are important in ensuring a potentially good outcome. This is beneficial for the patient and can ensure a break from dependent drinking for 6 months to 1 year. Importantly, it also shows the crucial and beneficial role a nurse specialist can play in treating patients in the clinical speciality of alcohol misuse. The role of the nurse has changed over time, and can now initiate services in primary care. One such role has set up a service that supports GPs and practice staff in the area of alcohol. Often this is seen as specialist area crossing over into mental health. However, many patients can be managed and prescribed for in primary care with the support of an experienced and knowledgeable specialist nurse. This paper illustrates that through basic audit and research, good outcomes are possible for nurses working on the clinical &lsquo;frontline&rsquo;. Also, nurses are capable of producing excellent prescribing guidelines in the field of substance misuse.
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<item rdf:about="http://jrn.sagepub.com/cgi/reprint/17/1/76?rss=1">
<title>Review: Nurse-led detoxification in primary care: can it be done?</title>
<link>http://jrn.sagepub.com/cgi/reprint/17/1/76?rss=1</link>
<description><![CDATA[ ]]></description>
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<item rdf:about="http://jrn.sagepub.com/cgi/content/abstract/17/1/78?rss=1">
<title>Nurse religiosity and end-of-life care</title>
<link>http://jrn.sagepub.com/cgi/content/abstract/17/1/78?rss=1</link>
<description><![CDATA[
Much has been written about nurses&rsquo; responsibility to support patients&rsquo; spiritual needs. A plethora of literature explores patients&rsquo; religiosity and its effect on their approach and/or response to healthcare issues. There is little literature exploring the influence of healthcare providers&rsquo; religiosity on the care they deliver to patients. This research examines the relationship between nurses&rsquo; religiosity, their perceived self-efficacy, and the importance they place on aspects of care provided to patients at the end of life. This study further supports the body of literature suggesting that end-of-life care is complex and multidimensional. It presents findings that show significant relationships between religiosity, self-efficacy, and the importance that nurses report regarding end-of-life care, and demonstrates the need for ongoing research that investigates aspects of nursing and end-of-life care.
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<item rdf:about="http://jrn.sagepub.com/cgi/reprint/17/1/92?rss=1">
<title>Review: Nurse religiosity and end-of-life care</title>
<link>http://jrn.sagepub.com/cgi/reprint/17/1/92?rss=1</link>
<description><![CDATA[ ]]></description>
</item>

<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/1?rss=1">
<title>What is quality in qualitative health research?</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/1?rss=1</link>
<description><![CDATA[ Assessing whether the research we are reading is any good is often a challenge. If we are going to use a study's findings to change how we think and how we practice, we want to have confidence in the findings. What do you need to look for in qualitative research to show that the study is of high quality? The answer is not straightforward, even though there are many different criteria available for judging qualitative research &ndash; Dixon-Woods et al1 reports there are over 100 proposals for identifying quality in qualitative research. Spencer et al2 drew on 29 existing frameworks to produce a framework to assess quality, which consists of an extensive 18 different domains. Some researchers argue against criteria for judging qualitative research. Bochner3 points out that it is not that one side believes you should judge research quality and another side...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/e1?rss=1">
<title>Purpose and procedure</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/e1?rss=1</link>
<description><![CDATA[ The general purpose of Evidence-Based Nursing is to select from the health-related literature* those articles reporting studies and reviews that warrant immediate attention by nurses attempting to keep pace with important advances in their profession. These articles are described, critiqued and commented on by nurses and other health professionals. The specific purposes of Evidence-Based Nursing are: to identify, using predefined criteria, the best quantitative and qualitative original and review articles on the meaning, cause, course, assessment, prevention, treatment, or economics of health problems managed by nurses and on quality improvement   to provide a description and expert commentary on the context of each article, its methods, and the clinical applications that its findings warrant   to disseminate the summaries in a timely fashion to nurses  The RCN Publishing Company Limited and the BMJ Publishing Group publish Evidence-Based Nursing. Criteria for selection and...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/2?rss=1">
<title>Qualitative data analysis</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/2?rss=1</link>
<description><![CDATA[ Good qualitative research uses a systematic and rigorous approach that aims to answer questions concerned with what something is like (such as a patient experience), what people think or feel about something that has happened, and it may address why something has happened as it has. Qualitative data often takes the form of words or text and can include images. Qualitative research covers a very broad range of philosophical underpinnings and methodological approaches. Each has its own particular way of approaching all stages of the research process, including analysis, and has its own terms and techniques, but there are some common threads that run across most of these approaches. This Research Made Simple piece will focus on some of these common threads in the analysis of qualitative research. So you have collected all your qualitative data &ndash; you may have a pile of interview transcripts, field-notes, documents and notes...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/3?rss=1">
<title>In smokers not willing to quit, counselling on smoking reduction plus free nicotine replacement therapy, compared with one-off cessation advice, increases the proportion achieving abstinence or reduction in smoking rate at 6 months</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/3?rss=1</link>
<description><![CDATA[ Implications for practice and research  Counselling for smoking reduction along with free nicotine replacement therapy (NRT) are effective nursing interventions in reducing cigarette consumption and facilitating smoking cessation with the person who is not motivated to quit.   Counselling about adherence to NRT may not be effective, however, further research about this intervention is warranted.  Context Smoking rates have decreased but remain a global health problem. Intervention with smokers, such as the 5A's (ask, advise, assess, assist, arrange), has traditionally been dedicated to the person who wants to quit smoking.1 This study adds to the growing research that supports intervention with smokers who do not want to quit. The researchers sought to determine the effectiveness of smoking reduction counselling along with free NRT in reducing the daily cigarette consumption of smokers who did not want to quit. They also explored the...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/5?rss=1">
<title>Three-year follow-up after introduction of Canadian best practice guidelines for asthma and foot care in diabetes suggests that monitoring of nursing-care indicators using an electronic documentation system promotes sustained implementation</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/5?rss=1</link>
<description><![CDATA[ Implications for practice  Use of reminders in chart-based documentation aids adherence to guidelines.   Use of electronic health records technologies enables guideline implementation and evaluation.   Sustainable guidelines' implementation requires individual and system changes.  Implications for research  Development and evaluation of strategies to support evidence-informed practice are required.  Context Higuchi and colleagues set out the results from a 3-year follow-up study of a set of clinical practice guidelines implemented within two community diabetes education and care sites in Canada. The specific aim was to determine the sustainability of the guidelines' implementation over time. The guidelines under investigation related to two chronic conditions: asthma and diabetes. More specifically, the diabetes guideline looked at reducing risks for foot complications. The specific questions addressed were as follows: 3 years following guideline implementation, what clinical nursing care was being provided according to...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/6?rss=1">
<title>Review of research findings suggesting nurses overreport their use of research</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/6?rss=1</link>
<description><![CDATA[ Implications for practice and research  The authors suggest nurses may have been overreporting the use of research in their practice thus implying evidence-based practice is not advancing as rapidly as desired.   Its appears nurses in leadership positions make more use of research than staff nurses.   Standardised measures in research are needed to assess how much research and the quality of research is used by nurses and its impact on patient care outcomes.   Research of this type needs more rigorous methodologies and methods.  Context It is assumed that nursing care based upon research evidence will lead to better outcomes for patients. A research-practice gap has been identified and it may take years for evidence to be incorporated into practice. This paper examines the extent to which nurses use research in clinical practice.  Methods A systematic review of...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/7?rss=1">
<title>Use of real-time continuous glucose monitoring versus traditional self-monitoring of blood glucose levels improves glycaemic control in patients with type 1 diabetes</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/7?rss=1</link>
<description><![CDATA[ Implications for nursing practice and research  Use of real-time continuous blood glucose monitoring (RT-CGM) as part of treatment of type 1 diabetes results in decreased HbA1c levels when compared with self-monitoring of blood glucose (SMBG).   The improvement in glycaemic control with RT-CGM use was especially pronounced in patients with poorer glycaemic control and in those who used the technology more frequently.   Use of RT-CGM may decrease exposure to hypoglycaemia in some patients.   This model is able to predict cost-effectiveness of RT-CGM in the clinical setting based on glycaemic control, sensor usage and age of patient.  Context In patients with type 1 diabetes (T1DM), tight glycaemic control is associated with profound reductions in risks for long-term diabetes complications.1 Attaining glycaemic control usually requires intensive insulin therapy regimens and frequent SMBG for determining appropriate insulin doses in response...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/9?rss=1">
<title>Best interest standards do not correlate with the reality of physicians&#x27; decision making in life and death choices</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/9?rss=1</link>
<description><![CDATA[ Implications for nursing practice and research  Clinicians appear to take decisions relating to resuscitation and non-resuscitation that do not always adhere to the best interest standard used in clinical ethical guidelines.   Discrepancies between best interest valuation and the respect of families' requests not to resuscitate shows that shared decision making is lacking in most cases.   There is a need for a shared decision making process with all patients and surrogates.   Further research is needed to explore decision making in this context.  Context The best interests standard is widely used in clinical ethical guidelines to frame emergency medicine practice in the absence of guidance by patients or their family. It is at the heart of the beneficence principle1 and cited in many bioethical guidelines. However, little empirical data demonstrate as how such standards are used in practice...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/10?rss=1">
<title>Pregnant women who experienced late stillbirth appear less likely to have slept on their left</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/10?rss=1</link>
<description><![CDATA[ Implications for nursing practice  There is some evidence that settling to sleep in the left position may reduce the risk of stillbirth.   For women in late pregnancy getting up more than once overnight may also reduce the risk of stillbirth.  Implications for nursing research  There is a need for further research to ascertain the extent to which sleeping on the left side is protective for stillbirth.   This research should also explore the point in the pregnancy at which it is important to adopt a left-lying sleeping position.  Context Research into modifiable and preventive risk factors for stillbirth is emerging as an area of research interest across the globe.1 Adding to this body of research is a new study conducted in New Zealand.  Methods A total of 465 women were enrolled in this...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/11?rss=1">
<title>2009/H1N1 infection in pregnancy association with adverse perinatal outcomes</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/11?rss=1</link>
<description><![CDATA[ Implications for practice and research  2009/H1N1 infection is associated with increased risk of perinatal death and preterm birth.   Infected women delivering preterm were more likely to be infected in the third trimester, be admitted into intensive care unit and have secondary pneumonia.   Further evaluation using larger sample size, rigorous matching of controls and consideration for variables lacking in current study will be advantageous.  Context Since identification of the 2009/H1N1 influenza virus, the increased risk of maternal morbidity and mortality from this novel infection has been highlighted.1 Past pandemics and seasonal flu have shown inconsistent perinatal effects. Some data have shown increased risk of preterm birth and fetal death.2 Other studies have indicated no increased fetal risk, supported by the absence of transplacental transmission of influenza virus in the umbilical cord sera of women with laboratory-confirmed flu...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/13?rss=1">
<title>Installation of safety devices reduces the risk of home injury in children</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/13?rss=1</link>
<description><![CDATA[ Implications for nursing practice  Installation of simple safety equipment such as stair gates, cabinet locks and smoke detectors can significantly reduce the exposure to safety hazards in the home and the rate of medically attended injuries.   Families should receive education regarding the risk of home injury in children.  Implications for nursing research  Research is needed to further identify the best mode of intervention delivery and the contextual effects that influence intervention effectiveness in different cultures and settings.   A cost&ndash;benefit analysis is recommended.  Context The home is a principal setting for injury mortality and morbidity, especially for those younger than 15 years of age.1 The specific types and causes of childhood injuries vary according to age and development. Fires and burns, inhalation and suffocation and drowning are the leading causes of unintentional home injury death...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/14?rss=1">
<title>Provision of essential newborn care training to midwives in Zambia is a low-cost intervention that reduces neonatal mortality</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/14?rss=1</link>
<description><![CDATA[
Commentary on: 
Manasyan A, Chomba E, McClure EM, et al.. Cost-effectiveness of essential newborn care training in urban first-level facilities. Pediatrics2011;127:e1176&ndash;81.

]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/15?rss=1">
<title>Nurse:patient ratios influence the achievement of oxygen saturation targets in premature infants</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/15?rss=1</link>
<description><![CDATA[ Implications for practice and research  Addressing optimum saturation limits is essential to limit the incidence of morbidity related to oxygen damage namely retinopathy of prematurity and chronic lung disease.   Nurses caring for premature neonates should be mindful of the long-term consequences of neonatal care; oxygen therapy is one factor that must be considered.   The study highlights the issue of what is the optimum saturation range in premature neonates in relation to improving outcomes for this population. This is an area still to be agreed and which is the subject of ongoing, prospective trials.   As it is not feasible to make firm links between staffing and patient outcomes based on a small study using single unit data, there is a need for this study to be replicated on a wider scale.  Context This study investigates a potential relationship between...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/17?rss=1">
<title>Diabetes management can be safely transferred to practice nurses</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/17?rss=1</link>
<description><![CDATA[ Implications for nursing practice  Practice nurses (PNs) following protocols provide as effective care for patients with type 2 diabetes as general practitioners (GPs).   Patients are more satisfied with PNs helping them with diabetes management compared with GPs.  Implications for nursing research  Further large-scale studies need to be conducted to trial models of care delivered by PNs in this context as well as more generally.   Economic analyses need to be performed to ascertain the comparative cost-effectiveness of the two models of care.   Qualitative and observational studies would provide further explanation of the different models of care.  Context People with chronic diseases such as type 2 diabetes need a team approach to their care, and many models have been trialled to deliver cost-effective, continuous, comprehensive and coordinated care.1 2 It is thus...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/18?rss=1">
<title>Nurse case management with a therapeutic algorithm for people living with diabetes, hypertension and raised LDL cholesterol: after 1 year 22% of those receiving the intervention have all three parameters under control versus 10% of those receiving usual care</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/18?rss=1</link>
<description><![CDATA[ Implications for practice and research  Nurse case managers can improve simultaneous control of hypertension, hyperglycaemia and hyperlipidaemia among patients living with Type 2 diabetes with the use of an algorithm guiding changes in medications versus usual care.   Frequent patient contact with nurse case managers can lead to improved lifestyle modifications and intensified medication regimes which reduce cardiometabolic risk.   Clinical inertia by primary care providers is an issue when managing diabetes as well as other chronic illnesses.   The use of algorithms and/or protocols by nurse case managers who have more frequent patient contact can assist in reducing the deleterious health outcomes of not treating to target.  Context Type 2 diabetes mellitus is a disease that serves to accelerate cardiovascular disease. Too often when attempting to modify risk factors among patients with diabetes, clinicians focus primarily on glycaemic control alone....]]></description>
</item>

<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/20?rss=1">
<title>Social aspect of activity stimuli is related to positive affect in persons with Alzheimer&#x27;s disease</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/20?rss=1</link>
<description><![CDATA[ Implications for nursing practice  Social stimuli, including simulated stimuli, generate the most positive affect among persons with moderate to severe dementia compared with various other types of stimuli.   Nursing home residents with Alzheimer's benefit from increased pleasure and interest during activities that involve social stimuli, particularly when it reflects their self-identity.  Implications for nursing research  There is a need to extend current findings by determining how to sustain mean levels of positive affect over extended periods during the day.   Techniques to effectively deliver social stimuli to small groups need further evaluation as most facilities cannot offer one-on-one programming.   Methods by which pleasure and interest are enhanced merit further research to clarify whether the content of activity programming or the means in which it is delivered explains participants' responses.  Context Dementia scholars continue to discuss...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/21?rss=1">
<title>End-of-life care in two Norwegian nursing homes: family perspectives</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/21?rss=1</link>
<description><![CDATA[ Implications for practice and research nursing practice  &lsquo;Good care&rsquo; and a good death as far as relatives of care home residents are concerned includes taking care of the family; being treated with dignity and respect; attention to detail in terms of physical care as well as good symptom control.   Excellent communication from the nurse is of great importance to families.   Patients dying alone at night caused the most distress. There was also room for improvement concerning mouth care.   Further research is needed from the older care home residents' viewpoint about what constitutes a good death and good care.   Further research is needed to evaluate the effectiveness of educational interventions for nurses and care staff aimed at improving communication skills and physical care for care home residents.  Context End-of-life care is provided in a variety of contexts...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/22?rss=1">
<title>In previously continent adults, aged 70 or older, use of urinary catheters or diapers while in hospital increases the risk of new urinary incontinence</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/22?rss=1</link>
<description><![CDATA[ Implications for nursing practice of this research  The rationale for the use of all continence containment products should be documented in the nursing notes.   The use of reliable and valid urinary continence assessment measures are crucial in the identification of risk factors predisposing to the development of urinary incontinence in older people.   Implementing urinary continence promotion strategies to prevent the development of new onset urinary incontinence (UI) in hospitalised older people should be incorporated into nursing practice.  Implications for nursing research in light of this study  There is a need for further exploration of the reasons for the continued use of containment products in hospitalised older people.   Further research into the triggers that predispose UI in older people while in hospital is required.   There is a need for continued exploration of urinary continence promotion...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/23?rss=1">
<title>Reviewing the evidence base for nurse staffing and quality of care in nursing homes</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/23?rss=1</link>
<description><![CDATA[ Implications for practice and research  There is some evidence that the registered nurse to nursing auxiliary ratio has an impact on the quality of care but further research is needed.   There is a need to consider other factors such as staff turnover and the use of agency staff when considering the quality of care in nursing homes (NHs).   Further research is needed to identify quality indicators that take into account what is important to residents and their families.   There are a number of methodological challenges to undertaking research in this area.  Context This research comes at a time when NHs are being increasingly asked to do more with less. Revenues for NHs do not appear to be keeping up with inflation. Given that staffing accounts for the largest cost in operating an NH, cuts to staffing levels are...]]></description>
</item>

<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/25?rss=1">
<title>Review: comprehensive geriatric assessment increases a patient&#x27;s likelihood of being alive and in their own home at up to 12 months</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/25?rss=1</link>
<description><![CDATA[ Implications for research and practice  Comprehensive geriatric assessment (CGA) is associated with improved functional and mortality outcomes for hospitalised older adults.   The benefits of CGA are more predominate in dedicated wards, as compared with CGA mobile teams.   Future research should focus on methods of identifying older adults most likely to benefit from CGA and delineating the roles of acute and stepdown models of CGA.  Context As the number of older adults continues to rise at an unprecedented rate globally, older patients represent the core consumer of acute care services. The physical, psychological and social complexity of the critically ill older adults' demand a multi-disciplinary, function-focused approach to assessment and clinical management. CGAs provide this approach through mobile multi-disciplinary teams or through dedicated geographic units.  Methods Data were sourced by handsearching high-yield journals and from searching the following databases:...]]></description>
</item>

<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/26?rss=1">
<title>Improving the ability to predict falls among older adults following inpatient rehabilitation</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/26?rss=1</link>
<description><![CDATA[ Implications for practice and research  The simple tool furthers our understanding of the key variables that could be predictive of falls following a rehabilitation stay.   Collaboration with other members of the healthcare team may be necessary to complete the tool such as sway assessment since nurses may not be readily trained in how to complete one.   Future research should focus on testing the predicted probability of falling in high-risk groups after being discharged from rehabilitation such as stroke survivors and those with cognitive impairments.  Context Falls in the older people continue to challenge healthcare providers in all care settings. This is especially true in rehabilitation settings where the goals focus on restoration of the clients' function and independence. As a result, clients are encouraged to be as mobile as possible which also increases their risk for falling, especially if their...]]></description>
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<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/28?rss=1">
<title>Relationships between patients, informal caregivers and health professionals in care homes</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/28?rss=1</link>
<description><![CDATA[ Implications for nursing practice  Care delivery in the home creates a unique and potentially challenging set of relational issues for the nurse, client and informal carer.   The communication skills, values, attitudes and behaviours of the nurse are influential in determining the dynamic of the nurse-client-informal carer relationship in the home.  Implications for nursing research  Further research is needed to examine the views of stakeholders on the factors that influence nurse-client-informal carer relationships in the home-care setting.   Further research is needed to examine the success of interventions to promote positive relationships among stakeholders in the home-care setting.  Context Care provision in the home is becoming increasingly common. To date, there is little available research which examines the home as workplace and the impact home care can have on interpersonal relationships between the visiting health professional, client and...]]></description>
</item>

<item rdf:about="http://ebn.bmj.com/cgi/content/short/15/1/29?rss=1">
<title>Complementary and alternative medicine is popular among chronic renal failure patients - renal teams must increase their competence to advise patients with respect to efficacy and safety</title>
<link>http://ebn.bmj.com/cgi/content/short/15/1/29?rss=1</link>
<description><![CDATA[ Implications for practice and research  Renal nurses should realise that a substantial subset of their patients use complementary and alternative medicine (CAM) to treat their renal disease.   Active inquiry about CAM is warranted, as some products may be harmful for the patient (eg, by causing interactions with medication).   To better advise patients, nurses and physicians need to improve their knowledge about efficacy and safety of CAM.   For the sake of the patient's safety, research on nurses' communication skills is warranted. Nurses need to be trained to inquire successfully about CAM usage, (eg, by using structured questionnaires).  Context
