《高级护理杂志》2016年11月总第72卷第11期
Journal of Advanced Nursing
November 2016
Volume 72, Issue 11
Pages 2569–2948
Issue Information
Issue Information (page 2569)
EDITORIAL
External scrutiny, faculty research culture and the changing university (pages 2571–2574)
外部考察、教师研究文化及不断变化的大学
Worldwide, the ground of higher education and indeed the nature of the universities where we work and prepare students, are shifting sands beneath our feet (Darbyshire 2014). The landscape of nursing and midwifery education and the academy that many of us entered, possibly many years ago, is scarcely recognizable in today's globalized university and ‘knowledge economy’ (Girot 2010). The world that may have worked for us in higher education 10 or 20 years ago is unlikely to work for us now or in the future.
EVIDENCE SYNTHESIS
Review Papers
Systematic review and meta-analysis of the diagnostic accuracy of the water swallow test for screening aspiration in stroke patients (pages 2575–2586)
对水吞咽试验检查脑卒中患者误吸的诊断准确性的系统回顾与荟萃分析
A systematic review and meta-analysis was conducted to provide a synthetic and critical appraisal of the included studies. The water swallow test is a simple bedside screening tool for aspiration among stroke patients in nursing practice, but results from different studies have not been combined before.
The influence of intensive lifestyle intervention on patients with isolated impaired fasting glucose: a meta-analysis (pages 2587–2597)
生活方式强化干预对孤立性空腹葡萄糖受损患者的影响
The application of lifestyle intervention to clinical nursing can help improve outcomes of patients with impaired fasting glucose. To evaluate the effect of intensive lifestyle intervention on patients with isolated impaired fasting glucose.
Systematic review of self-management in patients with schizophrenia: psychometric assessment of tools, levels of self-management and associated factors (pages 2598–2611)
精神分裂症患者自我管理系统回顾：工具的心理属性评估、自我管理水平及相关因素
Self-management empowers patients with chronic conditions to manage their illness and psychosocial consequences. With respect to patients with schizophrenia, knowledge concerning self-management is scarce. A systematic review of existing literature focusing on self-management in these patients may contribute to further research programming and practice development.
Quantitative systematic review of the effects of non-pharmacological interventions on reducing apathy in persons with dementia (pages 2612–2628)
对非药理性干预降低痴呆患者情感淡漠效果的定量系统综述
To review the quantitative evidence concerning the effects of non-pharmacological interventions on reducing apathy in persons with dementia.
Concept Analysis
Coping, adapting or self-managing – what is the difference? A concept review based on the neurological literature (pages 2629–2643)
应对、生态或自我管理 – 区别在哪？基于神经学文献的概念综述
Apathy, a prevalent behavioural symptom among persons with Alzheimer Disease, is defined as a disorder of motivation with deficits in behavioural, emotional and cognitive domains and is associated with serious social and physical obstacles. Non-pharmacological interventions show promise as symptom control modalities among persons with dementia.
Transformational leadership in nursing: a concept analysis (pages 2644–2653)
护理中的变革型领导：概念分析
Tasked with improving patient outcomes while decreasing the cost of care provision, nurses need strategies for implementing reform in health care and one promising strategy is transformational leadership. Exploration and greater understanding of transformational leadership and the potential it holds is integral to performance improvement and patient safety.
Discussion Paper
Career development tips for today's nursing academic: bibliometrics, altmetrics and social media (pages 2654–2661)
当今护理学术人士职业发展小贴士：文献计量学、替代计量学及社交媒体
Today's nursing academic faces myriad challenges in balancing their daily life and, in recent years, academic survival has been increasingly challenged by the various research assessment exercises that evaluate the performance of knowledge institutions. As such, it is essential that today's nursing academic keep up to date with the core competencies needed for survival in a modern research career, particularly the intersecting triad of bibliometrics, altmetrics and social media.
RESEARCH PAPERS
Original Research: Empirical Research – Qualitative
The treatment experiences of people living with ileostomies: an interpretative phenomenological analysis (pages 2662–2671)
回肠造口患者的治疗体验：说明性现象学分析
Ileostomies, where the small intestine is re-directed out of a stoma in the abdominal wall so waste is collected using a bag, are used to treat conditions including inflammatory bowel disease. Existing research suggests that although life with a stoma can be challenging, ileostomy patients are largely supported by multi-disciplinary teams. However, more research is needed to understand the nuances of these relationships and experiences of treatment, with a view to improving clinical care.
Perceptions about traditional and novel methods to learn about postoperative pain management: a qualitative study (pages 2672–2683)
对今后疼痛管理传统及新型学习方法的看法：定性研究
Patient education is an important part of postoperative care. Contemporary technology offers new ways for patients to learn about self-care, although face-to-face discussions and brochures are the most common methods of delivering education in nursing practice.
Experience of hypertensive patients with self-management of health care (pages 2684–2694)
高血压患者的健康保健自我管理经验
Hypertension is one of the most prevalent chronic diseases worldwide. The involvement of individuals in the management of their health care to treat this disease is fundamental, with aid and advice from healthcare professionals, especially nurses, so that hypertensive patients can effectively self-manage their health care.
Living with illness and self-transcendence: the lived experience of patients with spinal muscular atrophy (pages 2695–2705)
带病生活与自我超载：脊髓性肌萎缩患者的生活经验
Existing research studies on spinal muscular atrophy address the physical and psychological effects and complications of the disease; they also provide suggestions for how to improve the current management of this disease. However, information is limited on the disease process and the lived experience of spinal muscular atrophy patients.
Factors influencing decision-making around family presence during resuscitation: a grounded theory study (pages 2706–2717)
复苏期间家人在场时影响决策的因素：扎根理论研究
Family presence during resuscitation was introduced in the 1980s, so family members/significant others could be with their loved ones during life-threatening events. Evidence demonstrates important benefits; yet despite growing support from the public and endorsement from professional groups, family presence is practiced inconsistently and rationales for poor uptake are unclear.
“You are either out on the court, or sitting on the bench”: understanding accountability from the perspectives of nurses and nursing managers (pages 2718–2727)
“要么去球场，要么坐板凳”：从护士和护理经验角度理解责任性
Despite the importance attributed to accountability in nursing education and practice, empirical research lacks clarity regarding how nurses perceive accountability and decide whether or not to act accountably.
The quest of pain education leaders in Canada and the United States: a qualitative study (pages 2728–2737)
加拿大及美国疼痛教育领导的探索：定性研究
The assessment and management of acute and chronic pain remains a challenge and the pain education of pre-licensure/undergraduate health professionals (e.g. nurses, physicians, etc.) continues to be suboptimal. Understanding the motivations of pain leaders may provide insights to facilitate the future development of pain clinicians.
The first year: the support needs of parents caring for a child with an intellectual disability (pages 2738–2749)
第一年：照护智力障碍儿童的父母的支持需求
Parents of children with intellectual disabilities face significant challenges during the first year of their child's life which is an important developmental period not previously addressed in the literature. The provision of support by health professionals, particularly nurses and midwives, during this crucial period can impact on parental well-being and on the health and developmental outcomes of their children. However, parents often feel unsupported.
Original Research: Empirical Research – Quantitative
Patients' assessment of quality of care in public tertiary hospitals with and without accreditation: comparative cross-sectional study (pages 2750–2761)
患者对认证及未认证公立三级医院护理质量的评估
Healthcare institutions worldwide are increasingly adopting accreditation as continuing initiative aimed at improving structures, processes and outcomes associated with quality of care. Patients being recipients of health care need to participate in assessing the quality of care they experienced while confined for therapeutic management.
Effects of work–family–school role conflicts and role-related social support on burnout in Registered Nurses: a structural equation modelling approach (pages 2762–2772)
工作家庭学校角色冲突及角色相关社会支持对注册护士职业倦怠的影响：结构方程模型研究
Nurses were found to be a high-risk group for burnout, even more so among nurses pursuing an advanced degree. When nurses with a professional career marry and decide to become students, inter-role conflicts and burnout are possible outcomes of the resulting multiple roles.
Symptom trajectory and symptom burden in older people with multimorbidity, secondary outcome from the RCT AGe-FIT study (pages 2773–2783)
共病老人的症状轨迹与症状负担，来自RCTAGe-FIT研究的次要结果
Older community-dwelling people with multimorbidity suffer from a high symptom burden with a wide range of co-occurring symptoms often resulting to decreased health-related quality of life. There is a need to move from a single-disease model and address the complexity of older people living with multimorbidity.
Do student nurses experience Imposter Phenomenon? An international comparison of Final Year Undergraduate Nursing Students readiness for registration (pages 2784–2793)
护士生会有冒名顶替综合症吗：对本科护理生最后一年注册准备情况的国际性比较
The transition shock or Imposter Phenomena sometimes associated with moving from student to Registered Nurse can lead to feelings of self-doubt and insecurity especially with the increased expectations and responsibilities that registration brings.
Nurse safety outcomes: old problem, new solution – the differentiating roles of nurses’ psychological capital and managerial support (pages 2794–2805)
护士安全结果：老问题，新方法 – 护士心理资本和管理支持鉴别作用
The transition shock or Imposter Phenomena sometimes associated with moving from student to Registered Nurse can lead to feelings of self-doubt and insecurity especially with the increased expectations and responsibilities that registration brings.
The relationships between perceived organizational support, affective commitment, psychological contract breach, organizational citizenship behaviour and work engagement (pages 2806–2817)
组织支持感、情感承诺、心理契约违约、组织公民行为及工作投入之间的关系
Nurses play a critical role in delivering exemplary health care. For nurses to perform at their best, they need to experience high engagement, which can be achieved by providing them necessary organizational support and proper working environment.
Performance indicators; the association between the quality of preventive care and the prevalence of hospital-acquired skin lesions in adult hospital patients (pages 2818–2830)
绩效指标；成年住院患者预防性保健质量与医院获得性皮肤损害普遍性的相关性
Performance measurements using indicators has become standard practice in recent years. The prevalence of pressure ulcers with or without incontinence dermatitis is widely used as an indicator of the quality of nursing care.
Top 10 research priorities relating to stroke nursing: a rigorous approach to establish a national nurse-led research agenda (pages 2831–2843)
与卒中护理相关的10大研究优先： 严格制订全国性护士领导的研究议程
It is important that stroke nurses build their research capability and capacity. This project built on a previous James Lind Alliance prioritization project, which established the shared stroke research priorities of stroke survivors, carers and health professionals.
Primary care nurses' communication and its influence on patient talk during motivational interviewing (pages 2844–2856)
初级保健护士的沟通及对动机干预治疗患者谈话的影响
Motivational interviewing is a collaborative conversational style. It has been shown to be effective, in addressing health behaviours such as diet, exercise, weight loss and chronic disease management. In Sweden, it is one of the approaches to disease prevention conversations with patients recommended in the National Guidelines for Disease Prevention. Research on the mechanisms underlying motivational interviewing is growing, but research on motivational interviewing and disease prevention has also been called for.
Knowledge expectations of recently diagnosed patients with knee osteoarthritis(pages 2857–2868)
刚诊断出膝骨关节炎患者的知识预期
Patient counselling and information provision are recommended for all patients with knee osteoarthritis. In healthcare centres, there is a good possibility to establish the knowledge expectations of patients with knee osteoarthritis during counselling. Recent empirical evidence indicates a lack of research on knowledge expectations among recently diagnosed patients with knee osteoarthritis.
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