Abstract:
BACKGROUND:Pain and stress agitate preterm infants, interrupting their sleep. Frequent high arousal states may affect infants' brain development and illness recovery. Preserving infants' sleep and relieving their pain during painful procedures are both important for their health. OBJECTIVES:To compare the effectiveness of different combinations of non-nutritive sucking (sucking), oral sucrose, and facilitated tucking (tucking) with routine care on infants' sleep-wake states before, during, and after heel-stick procedures. DESIGN:Prospective, randomised controlled trial. SETTING:Level III Neonatal Intensive Care Unit in Taipei. METHOD:A convenience sample of 110 infants (gestational age 26.4-37 weeks) needing heel sticks were randomly assigned to five combinations of non-pharmacological treatments: sucking-oral sucrose-tucking; sucking-oral sucrose; oral sucrose-tucking; sucking-tucking; and routine care. Infant states, measured by a state-coding scheme, included quiet sleep, active sleep, transition, quiet awake, active awake, and fussing or crying. All states were recorded at 1-min intervals during four phases: baseline, intervention, heel-stick procedures, and recovery. RESULTS:Infants receiving sucking-oral sucrose-tucking or sucking-oral sucrose experienced 52.8% (p=0.023) and 42.6% (p=0.063) more quiet-sleep occurrences than those receiving routine care after adjusting for phase, baseline states, non-treatment sucking during baseline and recovery, positioning, and infants' characteristics. Infants receiving oral sucrose-tucking, sucking-oral sucrose, sucking-oral sucrose-tucking, and sucking-tucking experienced 77.3% (p<0.001), 72.1% (p=0.008), 51.5% (p=0.017), and 33.0% (p=0.105) fewer occurrences of fussing or crying, respectively, than those receiving routine care after adjusting for related factors. CONCLUSIONS:The four treatment combinations differentially reduced infants' high arousal across heel-stick procedures. The combined use of oral sucrose-tucking, sucking-oral sucrose, and sucking-oral sucrose-tucking more effectively reduced occurrences of infant fussing or crying than routine care. Treatment combinations of sucking-oral sucrose-tucking and sucking-oral sucrose also better facilitated infants' sleep than routine care. To preserve infants' sleep, clinicians should use combinations of non-nutritive sucking, oral sucrose, and facilitated tucking to reduce agitation during painful procedures.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Liaw JJ,Yang L,Lee CM,Fan HC,Chang YC,Cheng LPdoi
10.1016/j.ijnurstu.2012.08.021subject
Has Abstractpub_date
2013-07-01 00:00:00pages
883-94issue
7eissn
0020-7489issn
1873-491Xpii
S0020-7489(12)00303-3journal_volume
50pub_type
杂志文章,随机对照试验abstract:PURPOSE:To describe the symptom experience of hospitalised Chinese children and adolescents and examine the relationship of symptoms to pre-hospital factors and child behaviour. METHODS:Data were collected at two hospital sites in Hong Kong (HK) and at five hospitals in the Chinese Mainland (CM). A total of 307 hospit...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.02.001
更新日期:2004-08-01 00:00:00
abstract::Ethics is increasingly being included in the training curriculum for health-care professionals. However, debate continues around the appropriate content of ethics courses for such students and the most relevant teaching approaches which will enable students to apply their ethical knowledge in clinical settings. At a t...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(95)00012-m
更新日期:1995-10-01 00:00:00
abstract:BACKGROUND:International studies have shown that motivation and career considerations related to nursing reveal that the decision is determined by a multitude of factors, generally distinguishing between the extrinsic and intrinsic rewards and work values. Although changing values seem to be important with greater emph...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.05.011
更新日期:2012-10-01 00:00:00
abstract::Recognising the potential value of immigrant nurses in multicultural Australia, this study sought to understand immigrant nurses' experiences in order to throw some light on their under representation in the nursing workforce. Using a Heideggerian phenomenological approach the purpose of this study was to explore, des...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(01)00054-2
更新日期:2002-07-01 00:00:00
abstract::Research today is increasingly a very important segment of nursing and is one of the avenues for nurses in expanding their role. Nurses are now wanting to research more diverse problems and to observe clients in more than the traditional hospital systems. Gaining access to clients is not always an easy experience. In ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(88)90036-3
更新日期:1988-01-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to synthesize qualitative studies of how adolescents and young adults with chronic diseases experience the transition from paediatric to adult hospital care. DESIGN:The review is designed as a qualitative metasynthesis and is following Sandelowski and Barroso's guidelines for...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析,评审
doi:10.1016/j.ijnurstu.2013.02.001
更新日期:2014-01-01 00:00:00
abstract:BACKGROUND:The importance of nurse staffing levels in acute hospital wards is widely recognised but evidence for tools to determine staffing requirements although extensive, has been reported to be weak. Building on a review of reviews undertaken in 2014, we set out to give an overview of the major approaches to assess...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:2020-03-01 00:00:00
abstract:BACKGROUND:To adequately describe the advanced psychiatric nursing roles and to distinguish them from the other roles of psychiatric and general nursing care, it is necessary to explore the concrete tasks and activities and the scope of practice of Psychiatric Mental Health Advanced Practice Nurses (APN). OBJECTIVE:to...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2020.103759
更新日期:2020-08-26 00:00:00
abstract:BACKGROUND:Sedation practices in the intensive care unit have evolved from deep sedation and paralysis toward lighter sedation and better pain management. The new paradigm of sedation has enabled early mobilization and optimized mechanical ventilator weaning. Intensive care units in the Nordic countries have been parti...
journal_title:International journal of nursing studies
pub_type: 杂志文章,meta分析
doi:10.1016/j.ijnurstu.2015.04.017
更新日期:2015-08-01 00:00:00
abstract:AIM:To determine from a multi-disciplinary and international perspective current practice in the management of wound odour. BACKGROUND:Malodour is cited by patients and carers as one of the most distressing and socially isolating aspects of their wounds. The absence of a standardised approach to assessment and managem...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.10.013
更新日期:2014-06-01 00:00:00
abstract::There is consensus among health care professionals that patients need and use written and oral patient education to prepare for hospitalisation. The purpose of this study was to re-design information for patients preparing for transurethral surgery (TUR P-B) and describe the effect of this change. A quasi-experimental...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00086-x
更新日期:2003-03-01 00:00:00
abstract:BACKGROUND:Pressure ulcers frequently occur in hospitalised patients. The prevalence of pressure ulcers grade 2 or worse varies from 3% to 12% in hospitalised patients. Incidence figures are not frequently reported. While incidence and prevalence are both measures of disease frequency, they provide different perspectiv...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2006.02.011
更新日期:2007-08-01 00:00:00
abstract:BACKGROUND:Although trust has been investigated in the health context, limited research explores nurse and nurse manager perceptions of trust. OBJECTIVE:To explore the concept of trust amongst nurses and nurse managers at individual, interpersonal and organisational levels. DESIGN:Our paper reports the findings from ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.10.003
更新日期:2014-05-01 00:00:00
abstract:BACKGROUND:The pandemic of COVID-19 is growing, and a shortage of masks and respirators has been reported globally. Policies of health organizations for healthcare workers are inconsistent, with a change in policy in the US for universal face mask use. The aim of this study was to review the evidence around the efficac...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103629
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Ever-growing demands on care systems have increased reliance on healthcare support workers. In the UK, their training has been variable, but organisation-wide failures in care have prompted questions about how this crucial section of the workforce should be developed. Their training, support and assessment h...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2017.11.010
更新日期:2018-03-01 00:00:00
abstract::Nurses in the public and private sectors were compared with regard to occupational stress and its sources and self-reported health and well-being. While both groups reported similar high levels of stress experience, most noticeably arising from high work loads and the experience of death and dying, group differences d...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(91)90002-k
更新日期:1991-01-01 00:00:00
abstract:BACKGROUND:The population is ageing globally. Older people are more likely to have chronic diseases and disabilities and have contact with health services. Attitudes of healthcare professionals affect the quality of care provided and individual career preferences. AIM:To examine the international research relating to ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2012.11.021
更新日期:2013-09-01 00:00:00
abstract::Restorative proctocolectomy has become increasingly the surgical treatment of choice for ulcerative colitis and familial adenomatous polyposis since its inception in 1978 [Parks and Nicholls, 1978. British Medical Journal 2(6130), 85-88]. As Keighley, Grobler and Bain [1993. Gut 34(6), 680-684] point out it not only e...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.02.006
更新日期:2006-02-01 00:00:00
abstract::The development of professionalsim among any group of persons depends on the organization's success in insulating itself from or relating itself to its social context in order to retain a free hand in setting standards and policies. Both structural (i.e., training and professional organization aspects) and attitudina...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(77)90016-5
更新日期:1977-01-01 00:00:00
abstract:PURPOSE:To test the effectiveness of oral care with 0.12% chlorhexidine in decreasing ventilator-associated pneumonia in critically ill children. METHODS:Prospective, randomised, controlled, double-blind clinical trial performed in a paediatric critical care unit at a university hospital. The sample was composed of 96...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2012.06.005
更新日期:2012-11-01 00:00:00
abstract:BACKGROUND:Women with breast cancer demand informed shared decision-making. Guidelines support these claims. OBJECTIVES:To investigate whether an informed shared decision-making intervention for women with 'ductal carcinoma in situ' comprising an evidence-based decision aid with nurse-led decision coaching enhances th...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ijnurstu.2019.01.013
更新日期:2019-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.09.003
更新日期:2014-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2017.03.007
更新日期:2017-07-01 00:00:00
abstract::The latent structure of feeding difficulty in elderly patients with dementia was investigated using multivariate statistical techniques including exploratory and confirmatory factor analysis. A survey design of 345 elderly patients with the diagnosis of dementia using a questionnaire completed by key workers and prima...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1997-12-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.10.011
更新日期:2006-09-01 00:00:00
abstract::In a number of countries throughout the world attention is being paid to the ways in which health and social care research is undertaken and regulated. In the United Kingdom, new research governance frameworks are intended to promote improvement in research quality. This paper draws on our experiences of seeking resea...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(02)00111-6
更新日期:2003-09-01 00:00:00
abstract::The incidence of violence within the National Health Service is rising and attention to the issue is increasing. Due to the ramifications in terms of physical, psychological and economic cost, the need to understand all the dynamics and variables involved in violence becomes evident. If nurses can provide care that re...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00013-9
更新日期:1999-04-01 00:00:00
abstract::The meaning of dignity in health care has been primarily explored using interviews and surveys with various patient groups, as well as with health care practitioners. Philosophical analysis of dignity is largely avoided, as the existing philosophical literature is complex, multifaceted and of unclear relevance to heal...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.06.010
更新日期:2016-09-01 00:00:00
abstract::Anthropology, and its supposed operationalisation within transcultural nursing, is becoming increasingly prominent in educational curricula in the U.K. This increase in interest is driven both by governmental pressure to provide more culturally appropriate care, and an intuitive notion that anthropology, nursing and o...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(96)00014-4
更新日期:1996-12-01 00:00:00
abstract:OBJECTIVES:The primary aim of this study was to examine the effect of a home-based deep-breathing training programme on depressive symptoms as compared with a control condition (i.e., weekly telephone support) in patients with coronary heart disease (CHD). DESIGN:This efficacy trial used a randomised controlled, paral...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
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更新日期:2010-11-01 00:00:00