Abstract:
BACKGROUND:Oral care of intubated patients is essential to the prevention of infection and patient discomfort. However, barriers to oral access and delivery of oral care have received little attention. OBJECTIVE:To determine prevalence and predictors of oral access difficulty. DESIGN:A prospective, observational, multi-center study. SETTINGS:Four intensive care units in Toronto, Canada. PARTICIPANTS:Adult patients orally intubated for ≥48 h. METHODS:We screened consecutive admissions once a week to identify eligible participants. We observed each patient and asked the patient's nurse about presence or absence of difficulty accessing the mouth to deliver oral care across three categories: (1) visualizing inside the mouth; (2) obtaining patient cooperation, or (3) inserting instruments for delivery of oral care. We asked nurses to identify presence of patient behaviors contributing to oral access difficulty and perceived level of difficulty on a Likert response scale. We examined patient and treatment characteristics associated with extreme difficulty (i.e., difficulty in all 3 categories) using a generalized estimating equation regression model. RESULTS:A total of 428 patients were observed, 58% admitted with a medical diagnosis. More than half (57%) had ≥2 oral devices up to maximum of 4. Oral care difficulty was identified in 83% of patients and rated as moderate to high for 217 (51%). Difficulty concerned visibility (74%), patient cooperation (55%), and space to insert instruments (53%). Patient behaviors contributing difficulty included coughing/gagging (60%), mouth closing (49%), biting (45%) and localizing (27%) during care. Variables associated with extreme difficulty included neurological (OR 1.92, 95% CI 1.42-2.60) or trauma admission (OR 1.83, 95% CI 1.16-2.89), lack of pain assessment or treatment in the 4 h prior to oral care (OR 1.43, 95% CI 1.14-1.80), more oral devices (OR 1.40, 95% CI 1.05-1.87), and duration of intubation (OR 1.05, 95% CI 1.01-1.10). Absence of documented agitation in the 4 h prior to oral care was associated with less difficulty (OR 0.68, 95% CI 0.54-0.86). CONCLUSIONS:Oral care is complex and difficulties are experienced in a vast majority of intubated patients. Some difficulties are amenable to correction such as pain management.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Dale CM,Smith O,Burry L,Rose Ldoi
10.1016/j.ijnurstu.2017.12.009subject
Has Abstractpub_date
2018-04-01 00:00:00pages
36-40eissn
0020-7489issn
1873-491Xpii
S0020-7489(17)30284-5journal_volume
80pub_type
杂志文章,多中心研究abstract:BACKGROUND:Child-to-parent violence is an often hidden serious problem for parental caregivers of mentally ill adult children who experience violence toward them. To date, the comprehensive dyadic parent-adult child intervention to manage child-to-parent violence is scarce. OBJECTIVE:To evaluate the effect of Child- a...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2016.03.002
更新日期:2016-08-01 00:00:00
abstract::Recruitment and retention of nursing personnel is a major problem in many parts of the world, particularly developing countries. Strategies for promoting job satisfaction can help reduce the costs of high turnover and increase the quality of patient care. As part of a larger international study on women's health, a co...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/0020-7489(96)00001-6
更新日期:1996-10-01 00:00:00
abstract:BACKGROUND:Healthcare aims to deliver good patient outcomes. For many clinical procedures there are multiple alternative task sequences that can be performed. These deviations can influence procedure reliability, efficiency of usage of hospital resources and risk to staff and patient safety. Venepuncture is one of the ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.12.010
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:The Waterlow scale is one of the pressure ulcer risk assessment scales which are frequently criticised for their low reliability. It is widely used in the United Kingdom, Europe and all over the world. OBJECTIVES:The study objectives were to systematically review and evaluate inter- and intrarater reliabili...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2008.09.010
更新日期:2009-03-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The detection of common mental disorders in humanitarian crisis settings requires a screening tool that is feasible to use as well as sensitive and specific. The Self-Report Questionnaire, developed by the World Health Organization in 1994 to detect presence or absence of common mental health dis...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.04.003
更新日期:2015-07-01 00:00:00
abstract::Organized play is not always given a high priority in the hospitalized child's total care with the result that insufficient time is allocated to its provision in the nursing care plan. The effects of such incomplete patient care are far reaching for the immobilized child in hospital. The study was designed to determin...
journal_title:International journal of nursing studies
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/0020-7489(89)90007-2
更新日期:1989-01-01 00:00:00
abstract:BACKGROUND:Korean adolescents' smoking is currently being considered as a crucial factor determining the health status of adolescents and an important public health and social issue. OBJECTIVES:The purpose of the study was to test the applicability of the Transtheoretical model to gain an understanding of smoking beha...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.06.008
更新日期:2006-05-01 00:00:00
abstract::This paper describes the psychometric analysis of the alcohol use disorders identification test (AUDIT) after it was modified for use in Hong Kong and administered to examine the patterns of hazardous and harmful drinking. The modified version of AUDIT was an 18-item instrument in which 10 items were completely adopte...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(99)00052-8
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVE:The purpose of this systematic review was to determine why people are physically restrained in the acute and residential care settings. METHOD:A comprehensive search was undertaken of electronic databases to identify studies addressing the reasons for using physical restraint. Findings were synthesised using...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/s0020-7489(02)00015-9
更新日期:2002-09-01 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/AIMS:The objective of this study is to examine if interpersonal support and digital vaginal palpation (DVP) as part of the pelvic floor muscle exercise (PFME) training is more effective for stress urinary incontinence (SUI) than PFME with a printed handout instruction. METHODS:108 women who presented to the...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2009.03.003
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:A high prevalence of postpartum physical symptoms and depressive symptomatology has been reported in Western countries. Although previous studies have shown postpartum physical symptoms and emotional problems are correlated, a causal relationship between the two variables has not been established. OBJECTIVE...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.02.007
更新日期:2009-09-01 00:00:00
abstract:BACKGROUND:The aim of this review was to examine the extent and nature of published literature on nurses' and nursing students' preparedness to care for older adults in lower and middle-income countries. METHOD:A scoping review with 27 articles, guided by the Arksey and O'Malley (2005) framework was conducted. The fol...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2019.01.018
更新日期:2019-04-01 00:00:00
abstract::The Tel Aviv University post-basic nursing program, established in 1968, was the first step of nursing academization in Israel. Since then, one-third of the nursing schools in Israel have been academized. The objectives of the present study were to document changes in the worklife of the graduates since completion of ...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(93)90094-b
更新日期:1993-02-01 00:00:00
abstract:OBJECTIVE:Determine whether the early detection of parenting problems and developmental problems in young children improves with the help of a validated structured interview. DESIGN:Non-randomized controlled trial held from December 2006 until January 2008. SETTING:Preventive child health care services in the Netherl...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2016.07.001
更新日期:2016-10-01 00:00:00
abstract:BACKGROUND:Nutritional status is associated with physical functioning in older people. Protein-energy malnutrition can limit functional performance. OBJECTIVES:This study examined the effectiveness of a "need-based intervention" on improving the physical functioning of older adults living in nursing homes. DESIGN:A 2...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2015.01.008
更新日期:2015-05-01 00:00:00
abstract::The Community Nursing Project reports the results of a mailed questionnaire survey of the working and educational experience of 689 nurses employed outside hospitals and nursing homes in Victoria in 1985. This paper reports that part of the study relevant to their practice settings, job titles, job content and working...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(91)90047-7
更新日期:1991-01-01 00:00:00
abstract::This study adopted a multiple case study design to develop our understanding of the experiences and adjustments made by women with Parkinson Disease in relation to womanhood. Nineteen women participated in this investigation telling their stories through a combination of individual interviews, group interviews, reflec...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2003.12.004
更新日期:2004-07-01 00:00:00
abstract:PROBLEM STATEMENT:Nurses have one of the highest rates of work-related musculoskeletal injury of any profession. Over the past 30 years, efforts to reduce work-related musculoskeletal disorders in nurses have been largely unsuccessful. SPECIFIC AIMS:The primary goal of this program was to create safer working environm...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2005.09.004
更新日期:2006-08-01 00:00:00
abstract:BACKGROUND:Hip surgery is associated with the risk of postoperative urinary retention. To avoid urinary retention hip surgery patients undergo urinary catheterisation. Urinary catheterisation, however, is associated with increased risk for urinary tract infection (UTI). At present, there is limited evidence for whether...
journal_title:International journal of nursing studies
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.ijnurstu.2013.05.007
更新日期:2013-12-01 00:00:00
abstract::Recent studies suggest that violence in health care environments, especially mental health care, appears to be increasing. Although there is a lack of cross-cultural studies to prove it, this increase in violence would seem to be an international phenomenon. The present study sought to compare the extent and nature of...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/s0020-7489(00)00089-4
更新日期:2001-08-01 00:00:00
abstract::The increased incidence of AIDS in rural areas of the United States has called attention to the practice of universal precautions by rural nurses. The purpose of this research was to determine protective barrier use by 555 nurses living in rural counties in Pennsylvania and New York State and the effect on this use of...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(95)00057-7
更新日期:1996-06-01 00:00:00
abstract::Three maternity hospital practices of post-partum mother-infant contact and breast-feeding promotion on the incidence and continuation of breast-feeding among 375 urban poor healthy Nicaraguan primigravid women were investigated. Infant feeding patterns were evaluated at 1 week and 4 months post-partum. Eighty-seven p...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/0020-7489(90)90033-f
更新日期:1990-01-01 00:00:00
abstract::A large and increasing number of studies have reported a relationship between low nurse staffing levels and adverse outcomes, including higher mortality rates. Despite the evidence being extensive in size, and having been sometimes described as "compelling" and "overwhelming", there are limitations that existing studi...
journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/j.ijnurstu.2016.03.012
更新日期:2016-11-01 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
更新日期:2007-09-01 00:00:00
abstract:BACKGROUND:People with dementia occupy up to one quarter of acute hospital beds. However, the quality of care delivered to this patient group is of national concern. Staff working in acute hospitals report lack of knowledge, skills and confidence in caring for people with dementia. There is limited evidence about the m...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.09.009
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Registered nurses across the globe bear a heavy injury burden. Every shift, nurses are exposed to a variety of hazards that can jeopardize their health, which negatively impacts their ability to provide high-quality patient care. Previous research suggests that inexperienced, or newly licensed nurses, may ha...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2015.06.011
更新日期:2015-11-01 00:00:00
abstract:BACKGROUND:Nurses have played a pivotal role in the delivery of continence services yet little is known about the nature or impact of urinary symptoms experienced by patients in receipt of such care. AIM:To define the nature and impact of urinary symptoms experienced by patients in receipt of community nursing service...
journal_title:International journal of nursing studies
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ijnurstu.2006.09.006
更新日期:2008-03-01 00:00:00
abstract:BACKGROUND:Antiretroviral treatment for HIV is gradually being made available across sub-Saharan Africa. With antiretroviral treatment, HIV can be approached as a chronic, manageable condition rather than a shorter-term issue of palliative care. This treatment involves repeated interaction between health staff and pati...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2010.07.019
更新日期:2011-02-01 00:00:00
abstract::Sense of coherence (SOC) is proposed as a salutogenic approach explaining good health and positive adjustment. This paper reports a study that replicated two previous Swedish studies in 72 Hong Kong Chinese adults with diabetes. This study extended the Swedish studies by using multiple linear regression and partial co...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2003.10.010
更新日期:2004-05-01 00:00:00