Abstract:
AIM:This paper is a report of a systematic review and meta-analysis of strategies, other than antimicrobial coated catheters, hypothesized to reduce risk of catheter-related bloodstream infections and catheter colonization in the intensive care unit setting. BACKGROUND:Catheter-related bloodstream infections occur at a rate of 5 per 1000 catheter days in the intensive care unit setting and cause substantial mortality and excess cost. Reducing risk of catheter-related bloodstream infections among intensive care unit patients will save costs, reduce length of stay, and improve outcomes. METHODS:A systematic review of studies published between January 1985 and February 2007 was carried out using the keywords 'catheterization - central venous' with combinations of infection*, prevention* and bloodstream*. All included studies were screened by two reviewers, a validated data extraction instrument was used and data collection was completed by two blinded independent reviewers. Risk ratios for catheter-related bloodstream infections and catheter colonization were estimated with 95% confidence intervals for each study. Results from studies of similar interventions were pooled using meta-analyses. RESULTS:Twenty-three studies were included in the review. The strategies that reduced catheter colonization included insertion of central venous catheters in the subclavian vein rather than other sites, use of alternate skin disinfection solutions before catheter insertion and use of Vitacuff in combination with polymyxin, neomycin and bacitracin ointment. Strategies to reduce catheter-related bloodstream infection included staff education multifaceted infection control programmes and performance feedback. CONCLUSION:A range of interventions may reduce risks of catheter-related bloodstream infection, in addition to antimicrobial catheters.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Ramritu P,Halton K,Cook D,Whitby M,Graves Ndoi
10.1111/j.1365-2648.2007.04564.xsubject
Has Abstractpub_date
2008-04-01 00:00:00pages
3-21issue
1eissn
0309-2402issn
1365-2648pii
JAN4564journal_volume
62pub_type
杂志文章,meta分析,评审abstract:AIM:This article is a report of a study comparing healthcare professionals' and mothers' perceptions of factors that influence the decision to breastfeed or formula feed an infant. BACKGROUND:The World Health Organisation recommends that mothers should breastfeed exclusively for the first 6 months of age and then cont...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05647.x
更新日期:2011-09-01 00:00:00
abstract::A status passage is the process of change from one social status to another and, in this report, transition into the occupational role of nurse is described. The status passage includes the anticipations, entry, reporting of contrasts and changes which are often accompanied by surprise, and reality shock before making...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01715.x
更新日期:1990-10-01 00:00:00
abstract::The validity of studies using translated instruments may be questioned when there is a lack of attention to and/or minimal explanation of the procedures used for determining the equivalence between the primary and secondary language tool. Ensuring equivalence of a translated Chinese version of the Menstrual Distress Q...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1999.00891.x
更新日期:1999-02-01 00:00:00
abstract:AIMS:To understand the impact of urban violence and crime on HIV care delivery. BACKGROUND:Urban violence and crime can put pressure on the healthcare system and on nursing staff. Whilst there is research about the impact this has at the individual level, there is less research that places this in the context of the o...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14022
更新日期:2019-08-01 00:00:00
abstract:AIM:This paper is a report of a study to validate the Discomfort Scale - Dementia of Alzheimer Type in Italian. BACKGROUND:Dementia is a long and highly debilitating illness with a slow course and a steadily rising prevalence. Improving the quality of life of patients with dementia requires instruments to measure thei...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2008.04810.x
更新日期:2008-11-01 00:00:00
abstract::Management of acute pain offers many techniques--peripherally, to reduce the sensory input from the nociceptors and ascending fibres, and centrally by altering cognition, evaluation and emotional arousal to the sensory input. Scientifically-based nursing intervention is imperative. Therefore, nurses needed a better un...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00343.x
更新日期:1984-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:The relationship between mental disturbances - anxiety and depression, somatization and alcohol abuse - on admission to internal medicine units and perceived complexity of care as indicated by the nurse at discharge was studied. The goal was to study the utility of short screeners for mental disturb...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01983.x
更新日期:2001-11-01 00:00:00
abstract::This paper describes the integrated postgraduate programmed recently introduced by the University of Ulster which includes the first Doctor of Nursing Science (DNSc) programme in Europe. It has three exist points: with a Postgraduate Diploma in Advanced Nursing or Midwifery, a Master of Science in Advanced Nursing or ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1996.tb00027.x
更新日期:1996-03-01 00:00:00
abstract::Undergoing diagnostic investigations for symptoms of breast disease constitutes an intensely stressful experience for any woman. The widespread use of contemporary fine-needle techniques throughout specialist breast clinics, whilst removing the necessity of hospitalization and general anaesthesia for many women, has i...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1997.1997025273.x
更新日期:1997-02-01 00:00:00
abstract:AIM OF THE STUDY:This integrative review examined how women interpret, cope with, and manage chronic illness symptoms. BACKGROUND:Women with chronic illness report more symptoms and poorer physical health than men. They also enter the health care system later and sicker than their male counterparts. One possible reaso...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2001.01653.x
更新日期:2001-01-01 00:00:00
abstract:AIMS:To assess the reliance on intuitive and analytical approaches during clinical decision-making among novice clinicians and whether that reliance is associated with accurate decision-making. BACKGROUND:Nurse educators and managers tend to emphasize analysis over intuition during clinical decision-making though nurs...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13202
更新日期:2017-05-01 00:00:00
abstract:AIM:This protocol describes a systematic review that evaluates the effects of physician substitution by mid-level providers (nurse practitioners, physician assistants or nurses) in primary healthcare for older people and long-term care facilities. The secondary aim is to describe facilitators and barriers to the implem...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12759
更新日期:2015-12-01 00:00:00
abstract::Electronic oral thermometry is performed routinely in most medical centres. From the studies available on this subject it seems difficult to find any documentation for this practice. We have conducted clinically controlled studies in which the accuracy of electronic oral thermometry (CRAFTEMP and TERUMO WCT) and that ...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2648.1994.20040660.x
更新日期:1994-10-01 00:00:00
abstract:AIM:This paper is a report of a systematic review to identify and analyse the main factors affecting the utilization of antenatal care in developing countries. BACKGROUND:Antenatal care is a key strategy for reducing maternal mortality, but millions of women in developing countries do not receive it. DATA SOURCES:A r...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2007.04532.x
更新日期:2008-02-01 00:00:00
abstract::The contexts of adherence for African Americans with high blood pressure African American men between the ages of 18 and 49 years have the lowest rates of awareness, treatment and control of high blood pressure (HBP) of all age/race/gender groups in the United States. A qualitative study was done to gain an understand...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01538.x
更新日期:2000-09-01 00:00:00
abstract::Nurses are the major caregivers for the aged with brain failure. The patients' needs and resources must be continually reassessed and care adjusted to the changing situation whether the patient is at home, attending a community ambulatory clinic, or in a hospital or a long-term institution. The nursing role includes h...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1986.tb01262.x
更新日期:1986-07-01 00:00:00
abstract:AIM:This paper presents a substantive theory that explains the transition to motherhood for women with a disability. BACKGROUND:Over the last thirty years, interest in exploring women's experiences of motherhood has increased. Extant theories on transition to motherhood originate, primarily, from the perspective and e...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12635
更新日期:2015-07-01 00:00:00
abstract::Three variables were experimentally manipulated by simulation measurement using six vignettes in a completely randomized, partial hierarchical, experimental design: medical diagnosis (AIDS v. non-AIDS), sexual orientation (heterosexual v. homosexual) and intravenous drug-use history (IVDU v. non-IVDU). Following each ...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1111/j.1365-2648.1992.tb01844.x
更新日期:1992-10-01 00:00:00
abstract:AIM:This study explored the effects of contextual, relational and cognitive factors derived from novice nurses' work experiences on emotions and affective commitment to the profession. BACKGROUND:With an increasing demand for well-trained nurses, it is imperative to investigate which work-related factors most affect t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13709
更新日期:2018-05-13 00:00:00
abstract:AIM:To assess nurse-reported organizational readiness for implementing change in acute care hospitals. BACKGROUND:An organization's success at implementing new policies and programmes depends largely on its stakeholders' readiness for change. Organizational readiness is a multilevel, multifaceted construct associated ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jan.13801
更新日期:2018-12-01 00:00:00
abstract:UNLABELLED:AIMS OF THE STUDY WERE TO: Assess coping strategies of mothers who have a child with vesicoureteric reflex (VUR), determine mothers' understanding of VUR before and after diagnosis, assess mothers' perceived needs for support when coping with their child's VUR and compare the above aims between two groups of...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1046/j.1365-2648.2001.01639.x
更新日期:2001-01-01 00:00:00
abstract:AIM:This paper is a report of a study to identify the occupational burnout profiles of a sample of nurses in Turkey and to examine alternative developmental models of burnout based on these profiles. BACKGROUND:Previous findings on causal links between components of occupational burnout have largely been inconclusive....
journal_title:Journal of advanced nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/j.1365-2648.2008.04818.x
更新日期:2008-12-01 00:00:00
abstract:AIM:This paper reports a study to ascertain the views of acute ward-based mental health nursing staff on the delivery, content and personal impact of an innovative 18-day, whole team educational intervention in acute mental health care. BACKGROUND:There are grave concerns internationally about the quality of inpatient...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2005.03519.x
更新日期:2005-09-01 00:00:00
abstract:AIM:This study investigates the effect of a participatory organizational intervention on social capital and organizational readiness for change. DESIGN:Cluster randomized controlled trial. METHODS:In 2016, 27 departments from five hospitals in Denmark were randomly allocated at the department level to 1 year of parti...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14441
更新日期:2020-10-01 00:00:00
abstract::Approximately 60%-80% of all multiple sclerosis (MS) patients are heat sensitive. The aim of this study was to gain information on the effects of an assistive device, the cooling-suit, on MS-patients' self-care ability and also practical implications. A single-case approach was adopted in a quasi- experimental before-...
journal_title:Journal of advanced nursing
pub_type: 临床试验,杂志文章
doi:10.1046/j.1365-2648.1999.01032.x
更新日期:1999-06-01 00:00:00
abstract:AIM:This paper reports a study to determine the factors affecting community-dwelling older Chinese people's health-promoting behaviour in the domains of physical activity, healthy dietary practices and stress management, and to identify any barriers to these behaviours. BACKGROUND:Previous studies have identified fact...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.04132.x
更新日期:2007-03-01 00:00:00
abstract::In this paper the author discusses her experiences as a feminist, nurse and sociologist carrying out a study of hysterectomy. Difficulties in setting up the research, carrying out interviews and publishing reports result from masculine models of sociological research and from the fact that nursing work, including rese...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1984.tb00368.x
更新日期:1984-05-01 00:00:00
abstract:BACKGROUND:Earlier research has shown that the care of families expecting a malformed child should be intensified and that the topic is understudied. AIM:This study aimed at generating a practical nursing theory of interaction between caregivers and families expecting a malformed child, as experienced by families. ME...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02577.x
更新日期:2003-04-01 00:00:00
abstract::Capturing essential elements of the client-nurse relationship is an ongoing quest for nursing theorists and practitioners. The concepts which can describe this relationship may in fact have a long history of study in nursing and related disciplines. The concept of intimacy does have a trail of previous study. Giving c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.1994.tb01073.x
更新日期:1994-02-01 00:00:00
abstract::This paper examines the life stories of 14 men and women who spent time in religious communities and who subsequently took up work in the caring professions. Their accounts reflect the alignment between the ethics of care and those of religious life, the centrality of contemplation and self-examination to both Christi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00686.x
更新日期:1998-07-01 00:00:00