Abstract:
AIMS:To identify the potential sources of inaccuracy in manually measured adult respiratory rate (RR) data and quantify their effects. DESIGN:Quantitative systematic review with meta-analyses where appropriate. DATA SOURCES:Medline, CINAHL, and Cochrane Library (from database inception to 31 July 2019). REVIEW METHODS:Studies presenting data on individual sources of inaccuracy in the manual measurement of adult RR were analysed, assessed for quality, and grouped according to the source of inaccuracy investigated. Quantitative data were extracted and synthesized and meta-analyses performed where appropriate. RESULTS:Included studies (N = 49) identified five sources of inaccuracy. The awareness effect creates an artefactual reduction in actual RR, and observation methods involving shorter counts cause systematic underscoring. Individual RR measurements can differ substantially in either direction between observations due to inter- or intra-observer variability. Value bias, where particular RRs are over-represented (suggesting estimation), is a widespread problem. Recording omission is also widespread, with higher average rates in inpatient versus triage/admission contexts. CONCLUSION:This review demonstrates that manually measured RR data are subject to several potential sources of inaccuracy. IMPACT:RR is an important indicator of clinical deterioration and commonly included in track-and-trigger systems. However, the usefulness of RR data depends on the accuracy of the observations and documentation, which are subject to five potential sources of inaccuracy identified in this review. A single measurement may be affected by several factors. Hence, clinicians should interpret recorded RR data cautiously unless systems are in place to ensure its accuracy. For nurses, this includes counting rather than estimating RRs, employing 60-s counts whenever possible, ensuring patients are unaware that their RR is being measured, and documenting the resulting value. For any given site, interventions to improve measurement should take into account the local organizational and cultural context, available resources, and the specific measurement issues that need to be addressed.
journal_name
J Adv Nursjournal_title
Journal of advanced nursingauthors
Kallioinen N,Hill A,Christofidis MJ,Horswill MS,Watson MOdoi
10.1111/jan.14584subject
Has Abstractpub_date
2020-10-10 00:00:00eissn
0309-2402issn
1365-2648pub_type
杂志文章,评审abstract:AIMS:To describe the characteristics of medication administration (MA) incidents reported to have occurred in patients' own homes (reporters' profession, incident types, contributing factors, patient consequence, and most common medications involved) and to identify the connection terms related to the most common contr...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14532
更新日期:2020-12-01 00:00:00
abstract::This paper presents a hypothetical model of the compliance with self-care of young diabetics, its features, its meaning to them and the preconditions for compliance with self-care. The aim of this research was to develop a model to clarify and expand existing knowledge concerning compliance with self-care among young ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1995.21040729.x
更新日期:1995-04-01 00:00:00
abstract:AIM:This paper is a report of an exploration of the effects of self-efficacy and different dimensions of self-management on quality of life among kidney transplant recipients. BACKGROUND:Self-efficacy is an important factor influencing self-management. Patients with higher self-efficacy have better self-management and...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2009.05243.x
更新日期:2010-04-01 00:00:00
abstract:BACKGROUND:Critical realism is a relatively new philosophical perspective that combines a realist ontology with a relativist epistemology in subscribing to a form of "robust" relativism. The potential benefits of adopting a critical realist approach are considered in two areas of evaluation research: theory-driven prog...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02730.x
更新日期:2003-08-01 00:00:00
abstract::Patients' sexual concerns and problems are a focus for nursing care. Research studies with nurses, patients and healthy adults support this assertion. However, investigations also identify that specific teaching, supporting and/or counselling interventions aimed at managing the effects of illness and treatment on sexu...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.1993.18081219.x
更新日期:1993-08-01 00:00:00
abstract::Trends reflected by Department of Health and Social Security statistics on the nursing workforce are examined and the ratios between grades discussed. Recruitment into nursing degree courses in the UK is considered in relation to overall recruitment into nursing. The somewhat ambiguous position of nursing degree cours...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1982.tb00252.x
更新日期:1982-07-01 00:00:00
abstract:AIMS:This article presents a proposal for the Clinical Nurse Research Consultant, a new nursing role. BACKGROUND:Although healthcare delivery continues to evolve, nursing has lacked highly specialized clinical and research leadership that, as a primary responsibility, drives evidence-based practice change in collabora...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2011.05687.x
更新日期:2011-10-01 00:00:00
abstract:BACKGROUND:The benefits of cardiac rehabilitation programmes have been well documented including reductions in mortality, improved physical performance, and improved quality of life. However, a large number of special needs patients often fail to access these programmes. Of particular concern are elderly patients with ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2003.02518.x
更新日期:2003-01-01 00:00:00
abstract:AIMS:To provide an overview of the literature focusing on the influence of self-efficacy and self-efficacy enhancing interventions on mobility, activities of daily living, depression and quality of life of patients with stroke. BACKGROUND:There is growing evidence for the importance of self-efficacy in the care of peo...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2648.2011.05659.x
更新日期:2011-09-01 00:00:00
abstract::This qualitative study has aimed to explore children's, parents' and health professionals' experience of childhood chronic illness. Seven families and their professional carers participated in semistrucured interviews. The children's interviews were augmented with a 'drawing' technique. A grounded theory approach faci...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:
更新日期:2000-10-01 00:00:00
abstract:AIM:This paper reports a pilot study to test the feasibility of providing genetic nurse counsellor clinics in primary care in the United Kingdom, to develop a questionnaire to evaluate patients' satisfaction with their genetics appointments, and to establish patient and provider costs. BACKGROUND:Genetic counsellors a...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2006.03760.x
更新日期:2006-03-01 00:00:00
abstract:AIM:This paper reports a study conducted to explore how nurses working at advanced practice level in chronic and acute care outpatient contexts responded to decision-making concerns in clinical practice. BACKGROUND:Current theoretical explanations of clinical judgement offer insight into how healthcare professionals p...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2010.05412.x
更新日期:2010-12-01 00:00:00
abstract:AIMS:To investigate newly graduated Chinese nurses' intention to leave their jobs and to explore the association of intention to leave with nurse characteristics, person-environment fit, and social support. DESIGN:This was a cross-sectional descriptive study. METHODS:Newly graduated nurses (N = 1,313) were recruited ...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.14545
更新日期:2020-12-01 00:00:00
abstract:AIM:This study tests a theoretical model where: (a) nurses' dispositional resistance to change is indirectly negatively related to behavioural empowerment through the mediating role of psychological empowerment; and (b) supervisors' empowering management practices buffer both the negative relationship between dispositi...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12665
更新日期:2015-09-01 00:00:00
abstract::The author's personal journey through many years of nursing education as both a student and faculty member lead to a theoretical exploration of a caring pedagogy between students and teachers. The author places this exploration in a historical context and examines education, feminist and nursing literature to evolve c...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1993.18040621.x
更新日期:1993-04-01 00:00:00
abstract:AIM:To explore and understand patterns of mealtime culture, environment and social practice from the perspective of staff, volunteers and visitors on the hospital ward. BACKGROUND:Inadequate food intake is a common and complex problem in hospital and can lead to malnutrition. Mealtime interventions have been implement...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13477
更新日期:2018-03-01 00:00:00
abstract:AIMS:To report observational data collected as part of a multi-phased study examining violence in the health sector. The findings presented detail the nature of verbal abuse experienced by nurses during their everyday interactions with patient, their families, or companions. BACKGROUND:Nurses have unacceptably high le...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.12074
更新日期:2013-09-01 00:00:00
abstract::Waiting to ascertain the nature of an undiagnosed breast abnormality is an intensely stressful experience for many women. Uncertainty surrounding the aetiology of symptoms is underpinned by the threat of malignancy, and the 'need to know' the diagnosis is of primary concern at this time. Seeking out threat-relevant in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2000.01345.x
更新日期:2000-04-01 00:00:00
abstract:AIM:This paper is a report of an analysis of the evolution of the concept of knowing in nursing. BACKGROUND:Following the seminal contribution of Carper in 1978, knowing has been discussed with increasing frequency in the nursing literature with reference to the development of nursing knowledge. Various patterns of kn...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.2008.04951.x
更新日期:2009-06-01 00:00:00
abstract::The purpose of this paper is to describe and evaluate the ability of instruments to produce information about the presence and intensity of fear before, during and after coronary arteriography. Information about patient fear was measured from cognitive, physiological and behavioural dimensions. The sample of the study...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.1998.00764.x
更新日期:1998-07-01 00:00:00
abstract:BACKGROUND:Recent mortality profiles in Brazil show that circulatory diseases are the leading cause of death in Brazil. These disorders contribute to 34% of deaths, with 50% of those deaths occurring in people under 50 years of age, that is, in people who are still active in the workforce. We assume that the growing in...
journal_title:Journal of advanced nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2648.2003.02753.x
更新日期:2003-09-01 00:00:00
abstract::The literature on group coping skills training is reviewed and a model involving the use of a wide range of coping strategies with patients heterogeneous in terms of presenting problem is advocated. This study evaluates the effect of such an approach with a chronic inpatient and day-hospital patient population (n = 36...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1988.tb01430.x
更新日期:1988-05-01 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:AIMS OF THE PAPER:This paper aims to explore through historical analysis some of the means by which medicine successfully appropriated and medicalized pregnancy and childbirth and to consider the impact that this has had on women's experiences within maternity care. BACKGROUND AND RATIONALE:The appropriation and medic...
journal_title:Journal of advanced nursing
pub_type: 历史文章,杂志文章
doi:10.1046/j.1365-2648.2001.01669.x
更新日期:2001-02-01 00:00:00
abstract::An intrasystem-intersystem model developed by Alfred Kuhn has been integrated into the nursing process model to serve as a model for patient-nurse interaction. In this conceptual model the patient and the nurse represent intrasystems with three components, the detector, selector and effector, which act to supply infor...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1983.tb00301.x
更新日期:1983-03-01 00:00:00
abstract::The reality of health care is continuously changing. Therefore, nursing teachers have to encourage and promote a critical, inquiry-oriented approach to work. This demands self-reflection during the teacher education. Teaching training crystallizes the objectives of teacher education; the process of self-reflection sho...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1990.tb01801.x
更新日期:1990-02-01 00:00:00
abstract:AIM:A discussion of issues associated with Values Based Recruitment (VBR) for nurse education programmes. BACKGROUND:Values Based Recruitment is a mandatory element in selection processes of students for Higher Education healthcare courses in England, including all programmes across nursing. Students are selected on t...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/jan.13512
更新日期:2018-05-01 00:00:00
abstract:AIM OF THE STUDY:This paper reports a two-part study relating to the further psychometric development of the Mental Health Problems Perceptions Questionnaire. BACKGROUND:The instrument was developed and used originally in a study to investigate the role of district nurses in caring for people with mental health proble...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1046/j.1365-2648.2001.01696.x
更新日期:2001-03-01 00:00:00
abstract::The extensive literature in the field of competence and performance is reviewed in this paper, which argues that there is much confusion between these different constructs. It concludes that since nurse pre-registration education is concerned with producing nurses who consistently provide care of a high quality, great...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1994.tb02391.x
更新日期:1994-09-01 00:00:00
abstract::The patient allocation paradigm of nursing care is slowly superseding the task allocation paradigm. A research study reported here upon the introduction of patient allocation in a maternity hospital found that patients experienced few significant changes in their satisfaction; similar to previous studies this research...
journal_title:Journal of advanced nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2648.1986.tb01292.x
更新日期:1986-09-01 00:00:00