International journal of nursing studies
-
Randomized Controlled Trial
Mitigating procedural pain during venipuncture in a pediatric population: A randomized factorial study.
Evidence suggests that a significant number of children receive less than optimal management of procedure-related pain. ⋯ Findings support the use of both mechanical vibration and topical anesthetic as effective in children regardless of age group or sex. Further, the interaction between ethnic group and treatment contributes to a growing body of knowledge that suggests ethnic group is an important factor in the pain response and requires further study in an effort to better customize approaches to pain management in children.
-
Randomized Controlled Trial
The effects of a tailored intensive care unit delirium prevention protocol: A randomized controlled trial.
A decreased incidence of delirium following the application of non-pharmacologic intervention protocols to several patient populations has been previously reported. However, few studies have been conducted to examine the effects of their application to intensive care unit (ICU) patients. ⋯ Application of a tailored delirium prevention protocol to acute stage patients during the first 7 days of ICU hospitalization appeared to reduce the 7-day in-hospital risk of mortality only for this patient population.
-
Randomized Controlled Trial
Effect of repeated Kangaroo Mother Care on repeated procedural pain in preterm infants: A randomized controlled trial.
Preterm infants' repeated exposure to painful procedures may lead to negative consequences. Thus, non-pharmacological pain management is essential due to medication side effects. Kangaroo Mother Care, which aims at offering human care to neonates, has been established for the treatment of a single painful procedure, but the effectiveness of Kangaroo Mother Care across repeated painful procedures is unknown. ⋯ The effect of repeated Kangaroo Mother Care analgesia remains stable in preterm infants over repeated painful procedures. Given the many invasive procedures that are part of clinical care in preterm infants and most mothers preferred to provide comfort for their infants during painful procedures, Kangaroo Mother Care may be a safe analgesic alternative in preterm infants in whom it is feasible.
-
Randomized Controlled Trial
The impact of an emergency department nursing intervention on continuity of care, self-care capacities and psychological symptoms: secondary outcomes of a randomized controlled trial.
As yet there is no firm evidence about the types of intervention that can reduce emergency room revisits. However, the literature on emergency room revisits suggests patient difficulties with managing their health problems and treatments after discharge may play a role. ⋯ Although the intervention did not influence emergency department revisits it did improve secondary outcomes, suggesting pathways for future research.
-
Randomized Controlled Trial Comparative Study
Therapist differences in a randomised trial of the outcome of cognitive behaviour therapy for health anxiety in medical patients.
Health anxiety is common in medical settings and can be treated successfully by cognitive behaviour therapy. However it is not clear who might be best placed to deliver this therapy. ⋯ General nurses, after suitable training, are very effective therapists for patients with health anxiety in medical clinics and should be the therapists of choice for patients in these settings.