Journal of clinical nursing
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Multicenter Study
Delivering 'Gold Standards' in end-of-life care in care homes: a question of teamwork?
This paper reports findings from a study which investigated the introduction of the Gold Standards Framework for improving end-of-life care into care homes in England. ⋯ Effective teamwork appears to be a pre-requisite for successful implementation of new programmes of care. Organisations wishing to implement such programmes should assess the quality of teamwork and may need to address this first.
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Randomized Controlled Trial Multicenter Study Retracted Publication
Manuka honey vs. hydrogel--a prospective, open label, multicentre, randomised controlled trial to compare desloughing efficacy and healing outcomes in venous ulcers.
Comparison of desloughing efficacy after four weeks and healing outcomes after 12 weeks in sloughy venous leg ulcers treated with Manuka honey (Woundcare 18+) vs. standard hydrogel therapy (IntraSite Gel). ⋯ This study confirms that Manuka honey may be considered by clinicians for use in sloughy venous ulcers. Additionally, effective desloughing significantly improves healing outcomes.
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Randomized Controlled Trial Multicenter Study
Physical fitness of older adults in senior activity centres after 24-week silver yoga exercises.
Promoting physical fitness of young-older adults is essential in reducing healthcare expenditures which would occur in the future for those with chronic health problems. The silver yoga exercise programme was developed to accommodate the reduced body flexibility experienced by many older adults and was critically reviewed by experts and pilot-tested with community-dwelling older adults. This study aimed to test older adults' physical fitness after a 24-week silver yoga exercise programme and to examine whether the programme could be further shortened to fit senior activity centres' programme designs. ⋯ The shortened silver yoga exercise programme is recommended to be incorporated as an activity programme in community-settings to promote the physical fitness of older adults.
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Multicenter Study
Passing the audition - the appraisal of client credibility and assessment by nurses at triage.
This paper presents the findings of one aspect of a larger study aiming to build a substantive grounded theory of the process of initial assessment at triage. ⋯ Nursing practice and research need to account for the patient's contribution to the decision-making process at triage.
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Randomized Controlled Trial Multicenter Study
Group intervention to improve quality of life in haemodialysis patients.
The purpose of this study was to investigate the effects of group intervention on depression, self-efficacy and quality of life in haemodialysis patients. ⋯ The present study was conducted with a group of outpatients, did not require expensive resources and was not time intensive, making it a viable therapy, clinically suitable for haemodialysis patients.