International journal of nursing studies
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Multicenter Study Controlled Clinical Trial
The impact of nurse-directed protocolised-weaning from mechanical ventilation on nursing practice: a quasi-experimental study.
Internationally, nurse-directed protocolised-weaning has been evaluated by measuring its impact on patient outcomes. The impact on nurses' views and perceptions has been largely ignored. ⋯ We conclude that nurse-directed protocolised-weaning had no effect on nurses' views and perceptions due to the high level of satisfaction which encouraged nurses' participation in weaning throughout. Control group changes are attributed to a 'reactive effect' from being study participants. Weaning protocols provide a uniform method of weaning practice and are particularly beneficial in providing safe guidance for junior staff.
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Multicenter Study Controlled Clinical Trial
Effects of a back-pain-reducing program during pregnancy for Korean women: a non-equivalent control-group pretest-posttest study.
Although many pregnant women experience back pain, it has not considered an important health problem. No study has investigated the effects of a back-pain-reducing program (BPRP) during pregnancy for Korean women. ⋯ The findings show that the pain-reducing program developed for this study was effective in reducing the intensity of back pain experienced by pregnant women. Promoting good posture and regular exercise can be recommended as a method to relieve back pain in pregnancy women. Further studies are needed to confirm the effect of the BPRP during pregnancy.
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Multicenter Study Controlled Clinical Trial
Evaluation of a MS specialist nurse programme.
Specialist nurses are being promoted as a means of improving the health care provided to people with multiple sclerosis (MS). ⋯ The specialist nurse programme was found to impact positively on the provision of MS-related health care. However, there was very limited evidence that the programme led to any improvements in disease-related problems, impact or health-related quality of life, These findings were in part explained by the inherent difficulties of measuring effects in evaluations of complex phenomena such as a nursing role. The deterioration observed in the intervention group on the physical outcome measures was explained by a selection bias in which people with worsening health were more likely to seek contact with a specialist nurse. It is contended that future research in this area may be better directed toward identifying specific interventions that nurses and other health professionals might employ in addressing the many problems confronting people with MS.
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Randomized Controlled Trial Multicenter Study
Randomized controlled trial of music during kangaroo care on maternal state anxiety and preterm infants' responses.
The purpose of this randomized controlled trial was to investigate the influences of music during kangaroo care (KC) on maternal anxiety and preterm infants' responses. There are no experimental studies that explore the influences of combination of music and KC on psychophysiological responses in mother-infant dyads. Purposive sampling was used to recruit 30 hospitalized preterm infants body weight 1500 gm and over, gestational age 37 weeks and lower from two NICUs. ⋯ Music during KC also resulted in significantly lower maternal anxiety in the treatment group (p<0.01). Maternal state anxiety improved daily, indicating a cumulative dose effect. The findings provide evidence for the use of music during KC as an empirically-based intervention for bahavioural state stability and maternal anxiety in mother-infant dyads.
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Multicenter Study
Value congruence and job satisfaction among nurses: a human relations perspective.
The relationship between job satisfaction and value congruence within four organizational value areas was studied among nurses at surgery wards. Congruence between perceived and desired human relations values and social climate independently determined attitudes toward the nurse's ward. ⋯ Ward attitudes predicted job satisfaction, although structural equation modeling suggested that human relations value congruence also predicted job satisfaction directly, in addition to its effect through ward attitudes. Human relations value congruence thus appeared as an important ingredient of person-organization fit in nursing.