Journal of advanced nursing
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Review Comparative Study
Protocolized vs. non-protocolized weaning for reducing the duration of mechanical ventilation in critically ill adult patients: Cochrane review protocol.
This paper is a report of the protocol for a review to identify, critically appraise and synthesize the best current evidence supporting the use of weaning protocols compared to non-protocolized practice in liberating patients from mechanical ventilation. ⋯ This review will provide much needed direction for healthcare professionals in intensive care in terms of both research and practice.
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Multicenter Study
HIV/AIDS knowledge, attitudes, practices and perceptions of rural nurses in South Africa.
This paper is a report of a study exploring HIV/AIDS-related knowledge, attitudes, practices and perceptions of nurses in the largely black and rural Limpopo Province of South Africa. ⋯ There is a need for accelerated HIV/AIDS training of rural nurses and for wider implementation of universal precautions and postexposure prophylaxis availability in public health facilities in southern Africa.
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This paper is a report of a study exploring nurses' perceptions of the components of competence in the operating theatre. ⋯ These findings have identified that competence in respect to components of knowledge, teamwork and communication, and the ability to coordinate and manage are important and should be incorporated in operating theatre Competency Standards. Additionally, findings may assist in the development of an instrument to measure operating nurses' perceived competence.
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Randomized Controlled Trial
Daily interruption of sedative infusions in an adult medical-surgical intensive care unit: randomized controlled trial.
This article is a report of a study conducted to determine if a nursing-implemented protocol of daily interruption of sedative infusions vs. sedation as directed by the intensive care unit team would decrease duration of mechanical ventilation. ⋯ The nursing-implemented protocol of daily interruption of sedative infusions was neither beneficial nor harmful compared with usual practice, which has as its primary target the earliest possible awakening of patients.
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Review
Pain assessment tools for unconscious or sedated intensive care patients: a systematic review.
This paper is a report of a systematic review describing instruments developed for pain assessment in unconscious or sedated intensive care patients. ⋯ All instruments were reasonably new. In most of them psychometric testing was in an early stage or even absent. Before any of the reported instruments can be chosen in preference to others, it is essential to test their validity, reliability and feasibility further.