Journal of clinical nursing
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Randomized Controlled Trial
'It's not worth stopping now': why do smokers with chronic obstructive pulmonary disease continue to smoke? A qualitative study.
This study aims to explore the experience of cigarette smokers with Chronic obstructive pulmonary disease (COPD) who have received smoking cessation support and describe their personal decision-making processes regarding their smoking behaviour. ⋯ Smoking cessation is associated with ambivalence in this population. Health professionals need to understand the volatility of patients' decision-making and tailor advice and support to achieve more realistic goals such as reduced consumption.
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The aim of this paper is to offer an alternative knowing-how knowing-that framework of nursing knowledge, which in the past has been accepted as the provenance of advanced practice. ⋯ What has inevitably been neglected is that there are various other variables which when transposed into the existing knowing-how knowing-that framework allows for advanced knowledge to be better defined. One of the more notable variables is pattern recognition, which became the focus of Benner's work on expert practice. Therefore, if this is included into the knowing-how knowing-that framework, the knowing-how becomes the knowledge that contributes to advancing and advanced practice and the knowing-that becomes the governing action based on a deeper understanding of the problem or issue.
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This paper aims to explore the effectiveness of the mental health nurse practitioner role in the emergency department in the context of the growing use of special units or segregated areas to manage particular kinds of mental health presentations, often complicated by substance use. ⋯ It is expected that those presenting with mental health issues to the emergency department will benefit through the increased assessment and management skills of staff.
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The aim of the study was to test the efficacy of sleep care guidelines for controlling night-time noise and improving sleep quality of patients in a surgical intensive care unit. ⋯ Nurses should try to reduce external environmental stimuli and maintain an almost undisturbed period between midnight and 5:00 a.m. to enhance patients' sleep in a surgical intensive care unit.
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The purpose of this systematic review was to establish whether warmed irrigation fluid temperature could decrease the drop of body temperature and incidence of shivering and hypothermia. ⋯ Warming irrigating fluid should be considered standard practice in all endoscopic surgeries.