Journal of clinical nursing
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To explore the experiences and perceptions of hospital staff caring for dying patients in a dedicated patient/family room (named Lotus Room). ⋯ This study provides evidence of how the physical environment can address well-established barriers to quality end-of-life care in acute hospitals.
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We explored perceptions about capnography for procedural sedation and barriers to use in a paediatric emergency department. ⋯ Despite the perceived benefits, a broad implementation plan is required to introduce capnography successfully to the paediatric emergency department.
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To describe how tracheostomised patients in intensive care experience acts of communication and to better understand their experiences in the context of the transitions theory. ⋯ Despite challenges with communication, participants reported that caring and safety provided by health care professionals were significant experiences. They viewed nonverbal communication as being very important.
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To investigate the assessment of psychosocial problems in children with type 1 diabetes by means of clinical estimations made by nurses and paediatricians and by using standardised questionnaires. ⋯ Extending the assessment of psychosocial problems with routine screening on patient-reported outcomes, using validated questionnaires, could be of additional value in tailoring care to the needs of the individual child and parents.
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To understand nurses' views and experiences of four-hour treatment targets in the emergency department and how this impacts clinical decision-making throughout acute secondary care hospitals. ⋯ Policy makers and senior managers should consider the suitability of treatment targets in the emergency department, particularly in relation to working conditions for nurses and other health professionals and its potential for negative impacts on patient care. While targets remain in place, senior nurses and managers should support nurses who breach the target to provide optimum clinical care.