Journal of advanced nursing
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Comparative Study
Is an advance care planning model feasible in community palliative care? A multi-site action research approach.
This article reports a study to determine the feasibility of an advance care planning model developed with Australian community palliative care services. ⋯ An advance care planning model is feasible for community palliative care services. Quality audit processes are an essential component of the Model with documentation of advance care planning discussion established as an important outcome measure.
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We explore variations in handover duration and communication in nursing units. We hypothesize that duration per patient is higher in units facing high task uncertainty. We expect both topics and functions of communication to vary depending on task uncertainty. ⋯ Task uncertainty and its relationship with functions and topics of handover should be taken into account during the design of handover procedures.
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To report findings of a national survey of care closer to home services for children and young people and a typology based on these findings. ⋯ Care closer to home services are an established part of care for children and young people who are ill. They deal with complex and technical care and can prevent or reduce the length of acute hospital admission. Lack of readily available information about caseloads, case mix and costs may hamper their further development.
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Randomized Controlled Trial
Does postoperative 'M' technique massage with or without mandarin oil reduce infants' distress after major craniofacial surgery?
This article is a report of a randomized controlled trial of the effects of 'M' technique massage with or without mandarin oil compared to standard postoperative care on infants' levels of pain and distress, heart rate and mean arterial pressure after major craniofacial surgery. ⋯ Results do not support a benefit of 'M' technique massage with or without mandarin oil in these young postoperative patients. Several reasons may account for this: massage given too soon after general anaesthesia, young patients' fear of strangers touching them, patients not used to massage.
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This article presents a discussion of emerging non-medical roles in emergency care against the current policy context and the issues of role substitution and interprofessional working. ⋯ It is essential to understand the underlying motivation, policy context and key drivers for the development of new nursing and non-medical roles. This allows services to be established successfully, by understanding and addressing the key predicable barriers to implementation and change.