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    《国际护理研究杂志》总第59卷
    日期:2016-06-29 11:25:52    来源:ISPN 周老师
    《国际护理研究杂志》2016年7月总第59卷
    International Journal of Nursing Studies
    July 2016 Volume 59, p1-208

    注:感谢读者的关心和热心建议。为避免标题翻译不当引起论文解读错误,帮助读者更好地理解原文主旨,从本期起本站将在提供论文标题翻译的基础上,增加论文摘要节选供读者参考。
     
    Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in Home Care settings: A systematic review p1–14
    与家庭护理机构治疗和护理服务期间患者和照护人员之间身体互动相关的安全风险:系统回顾
    The risk factors are reported using the modified model of human factors of health care in the home to represent the roles of both patients and caregivers in the system. The results are grouped as environment (health policy, physical and social), artefacts (equipment and technology), tasks (procedures and work schedules) and care recipient/provider. These include permanent and temporary building design and access, communication and lone working, provision of equipment and consumables, and clinical tasks. The topics with strong evidence from at least 2 papers relate to risks associated with awkward working positions, social environment issues (additional tasks and distractions), abuse and violence, inadequate team (peer) support, problems with workload planning, needle stick injuries and physical workload (moving and handling patients). As home care increases, there is a need to ensure the safety of both patients and caregivers with an understanding of the physical interactions and tasks to manage safety risks and plan safer care delivery systems.
    Using Twitter™ to drive research impact: A discussion of strategies, opportunities and challenges p15–26
    利用Twitter™扩大研究的影响:对其策略、机遇和挑战的讨论
    This paper explores how using social networking platforms, notably Twitter™ offers potential new ways for communicating research findings, accessing diverse and traditionally hard-to-reach audiences, knowledge exchange at an exponential rate, and enabling new means of capturing and demonstrating research impact. The paper discusses approaches to initiate the setup of social networking platforms in research projects and considers the practical challenges of using Twitter™ in nursing and healthcare research. The discussion is illuminated with examples from our current research. In summary, we suggest that the use of social media micro-blogging platforms is a contemporary, fast, easy and cost effective way to augment existing ways of disseminating research which helps drive impact.
    The daily relationships between staffing, safety perceptions and personality in hospital nursing: A longitudinal on-line diary study p27–37
    医院护理编制、安全观念和人格之间的日常关系:纵向在线日记研究
    The findings elucidate the potential mechanisms by which patient safety risks arise within hospital nursing, and suggest that nurses may not respond to staffing conditions in the same way, dependent upon personality. Further understanding of these relationships will enable staff to be supported in terms of work environment conditions on an individual basis.
    Research letter: Metasynthesis – Fairy tale of a nursing sleeping beauty p38–40
    研究通信:元综合 - 护理睡美人的童话
    Two recent papers published in Nature (Cressey, 2015) and Scientific American (Williams, 2016) popularized the phenomenon of Sleeping Beauties (SB) in science. SB is a publication, unnoticed (sleeping) for a long time and then almost suddenly (a prince is awaking it) become interesting and highly cited (VanRaan, 2004). Sleeping beauties presents interesting findings in science and their specific characteristics made the search for them “not just an exotic whim, but a necessity in order to have an answer to Mendel-like claims” (VanRaan, 2004, p.
    A multi-centre study of interactional style in nurse specialist- and physician-led Rheumatology clinics in the UK p41–50
    对护理专家和医生领导的英国风湿病诊所的相互作用风格的多中心研究
    RIAS results illuminated differences between practitioners that can be classified as ‘socio-emotional’ versus ‘task-focussed’. Specifically, nurse specialists and their patients engaged significantly more in the socio-emotional activity of ‘building a relationship’. This research enhances understanding of nurse specialist consultation styles in Rheumatology, specifically the value of their socio-emotional communication skills to enhance patient participation.
    Heparin versus 0.9% sodium chloride intermittent flushing for the prevention of occlusion in long term central venous catheters in infants and children: A systematic review p51–59
    肝素与0.9%氯化钠间歇冲管预防婴儿和儿童长期中央静脉导管阻塞效果比较:系统回顾
    Three trials with a total of 245 participants were included in this review. The three trials directly compared the use of normal saline and heparin. However, between studies, all used different protocols with various concentrations of heparin and frequency of flushes. The quality of the evidence ranged from low to very low. The estimated rate ratio for CVC occlusion per 1000 catheter days between the normal saline and heparin group was 0.75 (95% CI 0.10 to 5.51, two studies, 229 participants, very low quality evidence). The estimated rate ratio for CVC-associated blood stream infection was 1.48 (95% CI 0.24 to 9.37, two studies, 231 participants; low quality evidence). It remains unclear whether heparin is necessary for CVC maintenance. More well-designed studies are required to understand this relatively simple, but clinically important question.
    Patient satisfaction, stress and burnout in nursing personnel in emergency departments: A cross-sectional study p60–67
    急诊患者满意度及护理人员的压力和倦怠:横断面研究
    No significant association was observed between experiences of stress and burnout dimensions by nursing professionals and the satisfaction with care received reported by their patients. These findings could be explained by the professional and organizational characteristics of the unit. Finally, the limitations and implications of the study are discussed, as well as future research questions related to research of the associations between occupational stress, burnout and patient satisfaction.
    Relationships between perineal pain and postpartum depressive symptoms: A prospective cohort study p68–78
    会阴部疼痛与产后抑郁症状之间的关系:前瞻性队列研究
    Our study provides robust evidence that perineal pain 4–6 weeks postpartum is associated with depressive symptoms 4–6 weeks and 6 months postpartum; pain at 3–5 days postpartum predicts depressive symptoms at 3 months postpartum; and previous postnatal depressive symptoms, particularly depressive symptoms 3–5 days postpartum, predict depressive symptoms during the 6-month postpartum period.
    Epidemiology and neonatal pain management of heelsticks in intensive care units: EPIPPAIN 2, a prospective observational study p79–88
    重症监护病房足跟病流行病学与新生儿疼痛管理:EPIPPAIN 2前瞻性观察性研究
    The mean (SD) gestational age was 33.3 (4.4) weeks and duration of participation was 7.5 (4.4) days. The mean (SD; range) of heelsticks per neonate was 16.0 (14.4; 1–86) during the study period. Of the 8995 heelsticks studied, 2379 (26.4%) were performed with continuous analgesia, 5236 (58.2%) with specific preprocedural analgesia. Overall, 6764 (75.2%) heelsticks were performed with analgesia (continuous and/or specific). Heelstick was very frequently performed in NICUs. Although, most heelsticks were performed with analgesia, this was not systematic. The high frequency of this procedure and the known adverse effects of repetitive pain in neonates should encourage the search of safe and effective strategies to reduce their number.
    How do patients’ values influence heart failure self-care decision-making?: A mixed-methods systematic review p89–104
    患者价值观如何影响患者的心力衰竭自我保健决策?:混合方法系统性回顾
    Values are integral to how patients approach and undertake HF self-care. These values both affect and respond to this self-care and the severity of HF symptoms. Values extend to those relating to the self and others and incorporate a range of personal, life, and social dimensions. Values cannot be assumed to be fixed, normative or similar to those held by nurses and other health professionals. Future interventions to improve HF self-care must address and respond to the complexity of patients’ values and how they influence patient behavior in undertaking heart failure self-care.
    Sleep and health-related quality of life in pregnant women: Actigraphic and questionnaire survey p105–106
    孕妇的睡眠和健康相关生活质量:体动周期及问卷调查
    The PaArticular Scales – A new outcome measure to quantify the impact of joint contractures on activities and participation in individuals in geriatric care: Development and Rasch analysis p107–117
    PaArticular量表 – 量化关节挛缩对老年护理个体活动及参与度影响的新结果测量工具:发展与Rasch分析
    The PaArticular Scales, a new patient-centred and psychometric sound outcome measures to comprehensively assess the impact of joint contractures in geriatric care, are available now. These developed scales will serve as primary outcomes in a scheduled evaluation of a complex intervention to improve participation and quality of life in nursing home residents with joint contractures.
    Parent education interventions designed to support the transition to parenthood: A realist review p118–133
    支持父母关系过渡的家长教育干预措施:现实回顾
    Seventy-two papers informed this review: 13 systematic reviews/meta-analyses, 34 intervention studies, 9 opinion papers, 8 programme reviews, and 8 grey literature reports. It is unlikely that a single standardized format or programme will meet all the specific learning needs of parents. Multiple approaches that will allow people to access information or education at a time and in a format that suits them may be of value. The importance of the transition to parenthood and its impact on parent and child wellbeing warrant careful consideration of current programming and careful evaluation of future initiatives.
    Nurses’ ‘worry’ as predictor of deteriorating surgical ward patients: A prospective cohort study of the Dutch-Early-Nurse-Worry-Indicator-Score p134–140
    护士“担心”作为外科病房患者恶化的预测因子:对荷兰早期护士担心指标量表的前瞻性队列研究
    In 3522 patients there were 102 (2.9%) patients with unplanned Intensive Care Unit/High Dependency Unit-admissions or unexpected mortality. ‘Worry’ (0.81) and the DENWIS-model (0.85) had a lower area under the receiver-operating characteristics curve than the Early Warning Score (0.86). In this single-center study we showed that adding the Early Warning Score based on vital signs to the DENWIS-indicators improves prediction of unplanned Intensive-Care/High-Dependency-Unit admission or unexpected mortality.
    The effectiveness of manual-guided, problem-solving-based self-learning programme for family caregivers of people with recent-onset psychosis: A randomised controlled trial with 6-month follow-up p141–155
    精神病最新发作患者住家照护员基于手册指导和问题解决的自我学习课程的有效性:对产后6个月随访的随机对照试验
    Problem-solving-based, manual-guided self-learning programme for family caregivers of adults with recent-onset psychosis can be an effective self-help programme and provide medium-term benefits to patients’ and caregivers’ mental health and duration of patients’ re-hospitalisations.
    Skin antiseptics in venous puncture site disinfection for preventing blood culture contamination: A Bayesian network meta-analysis of randomized controlled trials p156–162
    静脉穿刺部位消毒使用皮肤抗菌药预防血培养污染:对随机对照试验的贝叶斯网络荟萃分析
    Different antiseptics may not affect the blood culture contamination rate. Different intervals between the skin disinfection and the venous puncture, the different settings (emergency room, medical wards, and intensive care units) and the performance of the phlebotomy may affect the blood culture contamination rate.
    The burden of diarrhea in the intensive care unit (ICU-BD). A survey and observational study of the caregivers’ opinions and workload p163–168
    重症监护病房的腹泻负担(ICU-BD)。对照护员意见和工作量的调查和观察研究
    Questionnaires were completed by 146 of 204 intensive care unit caregivers (75% nurses; 73% nursing aides). Dealing with diarrhea increases workload for intensive care unit caregivers with consequences on their well-being. Human related costs of diarrhea are substantial and highlight the economic burden of diarrhea episodes in the intensive care unit. A multidisciplinary approach and specific protocols could positively impact the burden of diarrhea in the intensive care unit.
    Giving voice to quality and safety matters at board level: A qualitative study of the experiences of executive nurses working in England and Wales p169–176
    管理层对质量和安全问题的看法:对英格兰和威尔士行政护士工作经验的定性研究
    These highly positioned nurses can provide invaluable advice and support to boards around matters of quality and safety. However, the work of nurse executives remains an under-research area and more work is needed to better understand the ebb and flow of power and influence at play within hospital boards.
    Dressing and securement for central venous access devices (CVADs): A Cochrane systematic review p177–196
    中央静脉通路装置(CVADs)的包扎与固定:Cochrane系统综述
    Medication-impregnated dressing products reduce the incidence of CVAD-related bloodstream infection relative to all other dressing types. There is some evidence that chlorhexidine gluconate-impregnated dressings, relative to standard polyurethane dressings, reduce CVAD-related bloodstream infection for the outcomes of frequency of infection per 1000 patient days, risk of catheter tip colonisation and possibly risk of CVAD-related bloodstream infection. Most studies were conducted in intensive care unit settings. More, high quality research is needed regarding the relative effects of dressing and securement products for CVADs.
    The effects of patient–professional partnerships on the self-management and health outcomes for patients with chronic back pain: A quasi-experimental study p197–207
    患者-专业人员合作对慢性背痛患者自我管理和健康结果的效应:准实验研究
    This study suggests that the increase in patients’ self-management ability may lead to improvement in HRQoL after pain management support provided in a partnership with health professionals. A good patient–professional partnership appears to be beneficial as an augmentation to self-management practice for patients with chronic back pain.
     
    Frontmatter
    Editorial Board/Publication Information IFC
    编委/出版信息
    Reducing inpatient falls: Human Factors & Ergonomics offers a novel solution by designing safety from the patients’ perspective A1–A3
    减少住院病人跌倒:从患者角度设计安全人为因素和人类工效学提供的新颖解决方案
    Patients feel safe in the hospital and perceive they are less likely to fall whereas the opposite can be true if weakness, confusion and/or altered elimination issues are experienced as a result of symptoms, medication and/or procedures. A previous editorial from Grealish and Chaboyer (2015) outlined the scale and scope of this problem with an excellent argument for improving nursing care by valuing essential needs including ambulation, hydration, nutrition and elimination. However, despite many interventions (and models of nursing care) to improve assessment, monitoring and communication (Hignett, 2010), there has been little evidence of sustained reductions in either the number of falls or severity of injuries over the last 60 years (Oliver et al., 2007).




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