Abstract：
BACKGROUND:Clinicians hand position and advised pushing techniques may impact on rates of perineal injury. OBJECTIVE:To assess the association of four techniques used in management of second stage with risk of moderate and severe perineal injury. DESIGN:Retrospective cross-sectional study. SETTING:A metropolitan maternity hospital and a private maternity hospital in Brisbane, Australia. PARTICIPANTS:Term women with singleton, cephalic presentation experiencing a non-operative vaginal birth from January 2011 to December 2016. METHODS:The research sites perinatal database recorded data on clinicians approach to instructing women during second stage and hand position at birth. Women were identified from matching the inclusion criteria (n = 26,393) then grouped based on combinations of hands-on, hand- poised, directed and undirected pushing. The associations with perineal injury were estimated using odds ratios obtained by multivariate analysis. Primary outcomes were the risk of moderate and severe perineal injury. The significance was set at 0.001. RESULTS:In Nulliparous women there was no difference in the risk of moderate or severe perineal injury between the different techniques. In multiparous women the use of a hands-on/directed approach was associated with a significant increase in the risk of moderate (AOR 1.18, 95% CI 1.10-1.27, p < 0.001) and severe perineal injury (AOR 1.50, 95% CI 1.20-1.88, p < 0.001) compared to hands-poised/undirected. CONCLUSIONS:A hands poised/undirected approach could be utilised in strategies for the prevention of moderate and severe perineal injury.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Lee N,Firmin M,Gao Y,Kildea Sdoi
10.1016/j.ijnurstu.2018.04.002subject
Has Abstractpub_date
2018-07-01 00:00:00pages
11-17eissn
0020-7489issn
1873-491Xpii
S0020-7489(18)30083-Xjournal_volume
83pub_type
杂志文章abstract：BACKGROUND:Nurses caring for the large numbers of people with leg ulceration play a key role in promoting quality in health via their diagnostic and treatment clinical judgements. In the UK, audit evidence suggests that the quality of these judgements is often sub optimal. Misdiagnosis and incorrect treatment choices a...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2014.09.004
更新日期：2015-01-01 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：BACKGROUND:Although many pregnant women experience back pain, it has not considered an important health problem. No study has investigated the effects of a back-pain-reducing program (BPRP) during pregnancy for Korean women. OBJECTIVE:The purpose of this study was to evaluate the effect of a program designed to reduce...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijnurstu.2005.11.016
更新日期：2007-01-01 00:00:00
abstract：BACKGROUND:Aging is a normal degenerative process that results in a decline in the gait and balance performance of older adults. Interactive cognitive motor training is an intervention that integrates cognitive and motor tasks to promote individuals' physical and cognitive fall risk factors. However, the additive effec...
journal_title：International journal of nursing studies
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ijnurstu.2018.03.015
更新日期：2018-06-01 00:00:00
abstract：BACKGROUND:Parents with young children often worry about whether or not to seek medical help for a sick child. Previous research identified parents' anxieties surrounding help seeking from health services but did not explore or explain the underlying psychosocial processes taking place in families at these times. OBJE...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2011.11.007
更新日期：2013-06-01 00:00:00
abstract：:This study queried 508 persons diagnosed with multiple sclerosis (MS) regarding what conditions made performing their work or tasks 'difficult' and 'easier'. The subjects represented four groups: employed outside the home, homemakers, unemployed, and retired. Their written responses were content analysed. Conditions r...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/0020-7489(89)90017-5
更新日期：1989-01-01 00:00:00
abstract：BACKGROUND:Incorporating consumers' voices in tertiary education curricula is an ongoing initiative of educators of health professions in order to facilitate students' readiness for consumer-based practice and to meet accreditation standards. Consequently, educators within these professions use a range of different str...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2020.103619
更新日期：2020-09-01 00:00:00
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：OBJECTIVES:The aim of this study was to assess the impact of adding assistants in nursing to acute care hospital ward nurse staffing on adverse patient outcomes using administrative health data. DESIGN:Logistic regression modelling was used with linked administrative health data to examine the association between seve...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2016.09.008
更新日期：2016-11-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:Positive aspects of caring are commonly cited by carers and can potentially mediate carer strain. However, in outcome assessment for carers, it is still common practice to focus on the negative aspects of caring. This study explored the feasibility and validity of including positive items in a ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2009.12.015
更新日期：2010-08-01 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：OBJECTIVES:There is some evidence that mental health nurses have poor attitudes towards people with a diagnosis of borderline personality disorder and that this might impact negatively on the development of helpful therapeutic relationships. We aimed to collate the current evidence about interventions that have been de...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2015.10.019
更新日期：2016-04-01 00:00:00
abstract：BACKGROUND:Variations in rural nurses' sense of community and engagement in rural communities are poorly understood, although there is evidence that these are linked to community cohesion and perceived community resilience. OBJECTIVE:The aim of our research was to develop descriptive profiles of rural nurses who exhib...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2018.07.018
更新日期：2018-12-01 00:00:00
abstract：BACKGROUND:Measuring pain is important for the adequate pain management of postoperative patients. The actual compliance with pain assessment in postoperative patients after implementation of a national safety program is unknown. OBJECTIVES:The aim of this study is to examine the compliance with pain assessment in pos...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2016.09.001
更新日期：2016-11-01 00:00:00
abstract：OBJECTIVES:The aim of this review was to identify best practices of formal new graduate nurse transition programs. This information would be useful for organizations in their support and development of formal transition programs for newly hired nurses. DESIGN:An integrative review of the nursing research literature (2...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2012.06.009
更新日期：2013-03-01 00:00:00
abstract：BACKGROUND:Fatigue is a complex phenomenon associated with multiple antecedents and detrimental consequences. Although this symptom is prevalent in the older population, it is not easily recognized by nurses and has been under treated. AIM:The purpose of this review is to describe the existing research on fatigue on o...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2009.05.009
更新日期：2010-02-01 00:00:00
abstract：BACKGROUND:Maternal mortality from postpartum hemorrhage remains high globally, in large part because women give birth in rural communities where unskilled (traditional birth attendants) provide care for delivering mothers. Traditional attendants are neither trained nor equipped to recognize or manage postpartum hemorr...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2011.03.001
更新日期：2011-10-01 00:00:00
abstract：BACKGROUND:Acupressure has been used as an effective way in treating with stomach upset. However the efficacy of acupressure in preventing chemotherapy-induced nausea and vomiting is uncertain. OBJECTIVE:To assess the effectiveness of acupressure on three categories of chemotherapy-induced nausea and vomiting. DATA S...
journal_title：International journal of nursing studies
pub_type： 杂志文章,meta分析,评审
doi：10.1016/j.ijnurstu.2017.02.014
更新日期：2017-05-01 00:00:00
abstract：:A solution to safeguard high quality diabetes care may be to allocate care to the nurse specialist. By using a one group pretest-posttest design with additional comparisons, this study evaluated effects on patient outcomes of a shared care model with the diabetes nurse as main care-provider for patients with type 2 di...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/s0020-7489(01)00046-3
更新日期：2002-05-01 00:00:00
abstract：INTRODUCTION:Women's traditional way of breastfeeding has altered in Jordan with rates declining in recent years. OBJECTIVE:The objectives of this study were to test whether the introduction of an educational program supporting breastfeeding would increase the proportion of women who breastfed fully to six months, imp...
journal_title：International journal of nursing studies
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ijnurstu.2011.02.001
更新日期：2011-09-01 00:00:00
abstract：BACKGROUND:Previous studies about the prevalence and impact of lower urinary tract symptoms (LUTS) were focused on urinary incontinence or overactive bladder in the general population. Little research has been focused on the role that the workplace has in employed women's experiences with LUTS or the impact of LUTS on ...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2008.12.001
更新日期：2009-05-01 00:00:00
abstract：BACKGROUND:Advances in HIV care have resulted in increasing numbers of HIV patients receiving antiretroviral therapy and achieving viral control. This has led to a focus on the biomedical aspects of care, leaving the data on psychological and social problems relatively neglected; in fact they have never before been sys...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2014.01.015
更新日期：2014-08-01 00:00:00
abstract：BACKGROUND:Parents who are connected into strong family and community networks are said to have high social capital enabling them to provide a positive context where their children's social, emotional and educational needs are met. OBJECTIVES:To identify parent satisfaction with, strengths and weaknesses of, opportuni...
journal_title：International journal of nursing studies
pub_type： 杂志文章,多中心研究
doi：10.1016/j.ijnurstu.2006.09.008
更新日期：2008-03-01 00:00:00
abstract：:The project focused on individual experiences, from 45 participants, of living with a fungating wound and the performance of wound dressings in reducing the impact of the wounds on daily living. A case study design was adopted. This posed a key methodological challenge in the form of the contentious epistemological is...
journal_title：International journal of nursing studies
pub_type： 临床试验,杂志文章
doi：10.1016/s0020-7489(00)00098-5
更新日期：2001-10-01 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
doi：10.1016/j.ijnurstu.2019.103487
更新日期：2020-03-01 00:00:00
abstract：OBJECTIVES:To examine effects of sedative music on cancer pain. DESIGN:A randomized controlled trial. SETTINGS:Two large medical centers in Kaoshiung City, in southern Taiwan. PARTICIPANTS:126 hospitalized persons with cancer pain. METHODS:Participants were randomly assigned to an experimental (n=62) or a control g...
journal_title：International journal of nursing studies
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.ijnurstu.2010.03.008
更新日期：2010-11-01 00:00:00
abstract：BACKGROUND:The handover and transport of critically ill pediatric patients requires communication amongst multiple disciplines. Poor communication is a leading cause of sentinel events and human factors affect handover and transport. OBJECTIVES:To synthesize published data on pediatric handover and transport and ident...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2016.07.020
更新日期：2016-10-01 00:00:00
abstract：BACKGROUND AND OBJECTIVE:The number of studies in the area of self-care is growing and international researchers are increasingly developing self-care interventions to improve outcomes of individual patients and communities. However, growth of the evidence is still slow due to challenges with designing and testing self...
journal_title：International journal of nursing studies
pub_type： 杂志文章
doi：10.1016/j.ijnurstu.2020.103555
更新日期：2020-05-01 00:00:00
abstract：BACKGROUND:Insomnia is a common health problem, and most people who seek help for insomnia consult primary care. In primary care, insomnia treatment typically consists of hypnotic drugs, although cognitive behavioral therapy for insomnia is the recommended treatment. However, such treatment is currently available to fe...
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：BACKGROUND:Cancer patients often experience psychological distress. Life review has increasingly been used to enhance their mental health and well-being. However, no systematic review has synthesized the evidence, and its effects remain unclear. OBJECTIVE:To examine and synthesize the best available evidence on the ef...
journal_title：International journal of nursing studies
pub_type： 杂志文章,评审
doi：10.1016/j.ijnurstu.2017.06.012
更新日期：2017-09-01 00:00:00
