Abstract:
BACKGROUND: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. OBJECTIVES:We carried out a randomized trial of an emergency department-based nursing intervention, but results showed no reduction in revisits (primary outcome). This paper describes the secondary outcomes of the trial: patient perceptions of continuity of care, illness perceptions, self-care capacities, psychological symptoms and medication adherence 30 days after emergency room discharge. DESIGN:Randomized, controlled trial. SETTINGS:The trial was conducted in the emergency department of a tertiary cardiac hospital in Montreal, Canada between November 2007 and March 2010. PARTICIPANTS:The study involved 203 patients, including 108 in the experimental group and 95 in the control group. METHODS:The intervention included one nurse patient encounter before discharge and two phone calls in the 10 days after discharge. Participants provided data 30 days post-discharge on secondary outcomes potentially related to emergency department revisits. RESULTS:Although, as previously reported, the intervention had no impact on the primary outcome of emergency department revisits, the present study demonstrated a significant positive effect on patients' perceived continuity of care (p=.033), self-care capacities (p=.037), anxiety (p=.007) and depressive symptoms (p=.043), and the illness perceptions treatment control subscale (p=.037). No differences were found for other illness perception subscales or medication adherence (all p's>.05). CONCLUSION:Although the intervention did not influence emergency department revisits it did improve secondary outcomes, suggesting pathways for future research.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Cossette S,Frasure-Smith N,Vadeboncoeur A,McCusker J,Guertin MCdoi
10.1016/j.ijnurstu.2014.12.007subject
Has Abstractpub_date
2015-03-01 00:00:00pages
666-76issue
3eissn
0020-7489issn
1873-491Xpii
S0020-7489(14)00337-Xjournal_volume
52pub_type
杂志文章,随机对照试验abstract:BACKGROUND:Systematic reviews of literature are increasingly important in healthcare. While reviewers are expected to follow reporting guidelines, inconsistencies may be observed in presentation of reviews, potentially detracting from the credibility of findings. Predetermined eligibility criteria are fundamental to th...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2015.02.002
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:The concept of empowerment seems promising for people living with dementia to live their life as they want to for as long as possible. Therefore, this study aimed to explore what the concept of empowerment means and includes for people living with dementia from the perspectives of people livin...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2020.103823
更新日期:2021-02-01 00:00:00
abstract::This article discusses a questionnaire study carried out to investigate knowledge and attitudes towards sexuality among 50 trained nurses working in gynaecological and non-gynaecological wards in the U.K. Knowledge levels were low and attitudes were traditional, and the gynaecology nurses' scores showed them to be les...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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更新日期:1988-01-01 00:00:00
abstract:OBJECTIVES:The objective of this study was to examine the association between number of Baby Friendly hospital practices (based on World Health Organization/United Nations Children's Fund Ten Steps to successful breastfeeding) experienced by mothers and breastfeeding initiation during hospital stay, breastfeeding at 1 ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2006.05.015
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abstract:BACKGROUND:Absence of medical documents damages the quality of treatment and service. Despite the computerized medical folder, its use is still limited, and not all countries have a national health communications systems. That is why the patients are asked to bring with them the documents they hold. However, some patie...
journal_title:International journal of nursing studies
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abstract::The aim of this study was to investigate staff experiences in implementing guidelines for Kangaroo Mother Care in neonatal care. The study was part of a randomized controlled trial, the overall goal of which was to assess the impact of external facilitation. A total of eight focus group interviews were held at two int...
journal_title:International journal of nursing studies
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更新日期:2005-01-01 00:00:00
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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更新日期:2006-05-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2014-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.09.005
更新日期:2014-05-01 00:00:00
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更新日期:2011-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
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journal_title:International journal of nursing studies
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pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2007.05.009
更新日期:2008-08-01 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.2009.08.009
更新日期:2010-04-01 00:00:00
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更新日期:2010-05-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
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更新日期:2011-01-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2015-01-01 00:00:00
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更新日期:2020-03-14 00:00:00