Abstract:
AIM:The purpose of the study is to examine factors associated with do-not-resuscitate orders, do-not-hospitalise orders and hospice care in older nursing home residents at admission. BACKGROUND:Although hospice care is viewed as the 'gold standard,' geographic availability and financial reimbursement limits its use. Treatment restriction orders may represent alternative approaches to defining wishes for end-of-life care. DESIGN:A descriptive correlational study design was employed to examine the use of four care directives and hospice in newly admitted older people NH residents using Maryland Minimum Data Set 2.0 and the On-Line Survey Certification and Reporting in 2000. Analyses reflected 10,023 unduplicated admission records from 77 NHs. RESULTS:The prevalence of do-not-resuscitate and do-not-hospitalise orders at admission was 28 and 3.4%, respectively. A very small percentage of residents received hospice care on admission (1.7%). Appropriately, health-related characteristics had a strong influence on use of do-not-resuscitate orders, do-not-hospitalise orders and hospice care. However, identified predictors were varied among do-not-resuscitate orders, do-not-hospitalise orders and hospice care. Moreover, multivariate logistical modelling found that non-Medicare insurance significantly influenced the likelihood of do-not-resuscitate orders, do-not-hospitalise orders and hospice uses; White race increased the likelihood of having a do-not-resuscitate and do-not-hospitalise order. Treatment restriction orders were associated with an increased of likelihood of hospice use. CONCLUSIONS:As policy and reimbursement barriers to hospice use are likely to persist, treatment restriction orders should be used to focus communication with residents, families and providers, with the ultimate goal of more widespread implementation of hospice care principles. RELEVANCE TO CLINICAL PRACTICE:White race was consistently associated with increasing the likelihood of having do-not-resuscitate and do-not-hospitalise orders, supporting the importance of cultural sensitivity in advanced care planning. With the association between do-not-hospitalise orders and hospice use, treatment restriction orders should be used as potential triggers to prompting end-of-life care.
journal_name
J Clin Nursjournal_title
Journal of clinical nursingauthors
Lu CY,Johantgen Mdoi
10.1111/j.1365-2702.2010.03346.xsubject
Has Abstractpub_date
2011-02-01 00:00:00pages
377-87issue
3-4eissn
0962-1067issn
1365-2702journal_volume
20pub_type
杂志文章abstract:AIM:The aim of this study was to generate a grounded theory of nursing practice in end-of-life care. BACKGROUND:Provision of end-of-life care that meets the needs of the dying person and their family is complex. While symptom control, disease management and psychosocial care are well understood, there is less evidence...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03543.x
更新日期:2011-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:To draw out the similar complexities faced by staff around truth-telling in a children's and adult population and to interrogate the dilemmas faced by staff when informal carers act to block truth-telling. BACKGROUND:Policy encourages normalisation of death, but carers may act to protect or prevent...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12634
更新日期:2015-04-01 00:00:00
abstract:AIM:Evaluate whether symptoms of vaginal dryness, low libido, less intense or delayed orgasm could be improved in women with multiple sclerosis who took part in an education or education plus counselling programme. BACKGROUND:Sexual dysfunction, a prevalent symptom in women with multiple sclerosis, can negatively affe...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/j.1365-2702.2005.01437.x
更新日期:2006-06-01 00:00:00
abstract:BACKGROUND:Routine lateral turning of patients has become an accepted standard of care to prevent complications of immobility. The haemodynamic and oxygenation effects for patients in both lateral positions (45°) are still a matter of debate. We aimed to study the effect of these positions on blood pressure, heart rate...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03840.x
更新日期:2012-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study set out to explore, from the family's point of view, ways in which nursing staff can promote family health during the child's hospital stay. BACKGROUND:Having a child in hospital is a major source of stress and anxiety for the whole family. Earlier studies have described parental coping ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2004.01041.x
更新日期:2005-02-01 00:00:00
abstract:AIM:To investigate perceptions of graft rejection and different methods to obtain knowledge about graft rejection among adult organ transplant recipients. BACKGROUND:Rejection is the most common cause of graft loss and graft dysfunction in clinical transplantation. Little is known about the recipients' own explanation...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02364.x
更新日期:2008-09-01 00:00:00
abstract:AIMS AND OBJECTIVES:To systematically identify, appraise and synthesise existing qualitative studies exploring nurses' lived experiences of workplace violence by patients, families and hospital visitors, identifying their support needs following workplace violence. BACKGROUND:Workplace violence against nurses is a sig...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/jocn.15492
更新日期:2020-09-16 00:00:00
abstract:AIMS AND OBJECTIVES:The aim of this study was to assess the effect of a supportive educational intervention developed based on the Orem's self-care theory on the self-care ability of patients with myocardial infarction. BACKGROUND:Patients with cardiovascular disease suffer from the lack of knowledge about the disease...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,随机对照试验
doi:10.1111/jocn.12775
更新日期:2015-06-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the frequency, influencing factors and clinical course of shoulder pain in patients following lung resection. BACKGROUND:Thoracoscopes have been introduced in the surgical treatment of lung cancer and allow for less invasive surgery with a minimal incision. However, decubitus position-re...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14163
更新日期:2018-03-01 00:00:00
abstract::Change and transition are different concepts. Transition for practitioners in the workplace is complex. Transition within roles needs a positive tripartite arrangement with teacher and clinical manager. This paper looks at the findings from a study of 100 enrolled nurses undertaking a part-time conversion programme to...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:
更新日期:1998-03-01 00:00:00
abstract:BACKGROUND:In the UK, the number of nurses able to prescribe medicines is rapidly increasing in line with Government policy directives. Whilst a number of research studies have been conducted on nurse prescribing, review and synthesis of the findings from these studies had not been undertaken. AIMS AND OBJECTIVES:The ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1046/j.1365-2702.2003.00839.x
更新日期:2004-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine the coping strategies of family carers of people with early and advanced chronic obstructive pulmonary disease and how those relate to their subjective health. BACKGROUND:Caring for a family member with chronic obstructive pulmonary disease can be a stressful experience. Understanding ho...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12363
更新日期:2014-01-01 00:00:00
abstract::A selected review of the literature on caring in nursing is presented. The review relies on the work of the major theorists in this area. The major conceptualizations of caring are compared and contrasted, along with some of the research approaches which have been applied to investigate the phenomenon of caring in nur...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.1996.tb00230.x
更新日期:1996-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To examine nursing staff's perceptions about how often they provide interventions of emotional support and the level of competence needed on neurosurgical wards to support traumatic brain injury patients' family members. BACKGROUND:Traumatic brain injury in one individual affects the health of thei...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12136
更新日期:2013-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:Based on a secondary analysis of data from a large qualitative study on cancer care communication, we address the question: what do patients with advanced cancer identify as helpful in their communication encounters with health care providers? BACKGROUND:Communication is of critical importance to t...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2009.03158.x
更新日期:2010-07-01 00:00:00
abstract:AIMS OF THE REVIEW:To consider the efficacy of dexamethasone in preventing postoperative nausea and vomiting following general anaesthesia and a range of surgical procedures, compared with a placebo of sodium chloride (normal saline). To inform nurses' pharmacological knowledge of the effects of this medication during ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2006.01895.x
更新日期:2008-01-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore the experience of student support prior to the implementation of a new structure for supporting students and mentors in practice placements (Placement Development Teams) for health care professionals. This study reports findings relating to acute sector adult nursing students and staff. ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03287.x
更新日期:2011-03-01 00:00:00
abstract:AIMS AND OBJECTIVES:To investigate whether nurse-led education and counselling enhance phosphate binder adherence in chronic dialysis patients. BACKGROUND:One in two chronic dialysis patients experiences difficulties in adhering to phosphate binders. The reasons for non-adherence are multifactorial and accordingly req...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03967.x
更新日期:2012-05-01 00:00:00
abstract:AIMS:The main aim was to describe registered nurses' perceptions of violence and threats, as well as their access to prevention measures and routines for handling violent behaviour in municipal care of older people. Another aim was to compare nurses' perceptions working solely in dementia care with those working in gen...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2006.01835.x
更新日期:2007-05-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study examined the degree to which acute wound care documentation by doctors and nurses meets the standards set in the Australian Wound Management Association guidelines, focusing on clinical history with regard to the wound, wound characteristics, evidence of a management plan and factors such...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2010.03265.x
更新日期:2010-08-01 00:00:00
abstract:AIMS AND OBJECTIVES:Adults with moderate-to-severe traumatic brain injury (TBI) may have immediate and chronic cognitive impairments that require use of specific nursing strategies. Nurses must be knowledgeable about strategies to use to accommodate these impairments. However, available clinical guidelines and research...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.14958
更新日期:2019-11-01 00:00:00
abstract:AIMS AND OBJECTIVES:To describe Jordanian mothers' perceptions of nursing support provided during hospitalisation of their children and identify socio-demographic characteristic of mothers and children associated with mothers' perceptions of nursing support. BACKGROUND:Nursing support is crucial to mothers to ease and...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2012.04278.x
更新日期:2013-01-01 00:00:00
abstract:AIMS:The purpose of this study was to undertake a cross-cultural adaptation, translation and psychometric analysis of the Illness Perception Questionnaire Revised for patients with traumatic injury in Taiwan. BACKGROUND:Illness representations are the cognitive understandings and emotional responses individuals develo...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2011.03964.x
更新日期:2012-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:The purpose of this study is to explore the social construction of cultural issues in palliative care amongst oncology nurses. BACKGROUND:Australia is a nation composed of people from different cultural origins with diverse linguistic, spiritual, religious and social backgrounds. The challenge of w...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,评审
doi:10.1111/j.1365-2702.2009.02938.x
更新日期:2009-12-01 00:00:00
abstract:AIMS AND OBJECTIVES:This study was conducted to develop a family relocation stress scale by modifying the Son's Relocation Stress Syndrome Scale, to examine its clinical validity and reliability and to confirm its suitability for measuring family relocation stress. BACKGROUND:The transfer of ICU patients to general wa...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12778
更新日期:2015-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To explore contact with and knowledge regarding chest drain management among nurses. BACKGROUND:Chest drains are commonly used in both adult and paediatric settings, for example, for cardiothoracic patients or postspinal surgery, where they are inserted intra-operatively to drain excess fluid. Desp...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.12299
更新日期:2013-10-01 00:00:00
abstract:AIM AND OBJECTIVES:To explore and understand the current practice, perceptions, and knowledge of general surgery trainees, advanced practice providers, and surgical nurses regarding opioid prescribing and administration. To this end, a novel opioid education and training was introduced to educate these practitioners on...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.15561
更新日期:2020-11-11 00:00:00
abstract:AIMS AND OBJECTIVES:To examine how children with chronic medical conditions view healthcare education and decision-making and to propose the application of the universal design for learning in paediatric settings. BACKGROUND:Children and adolescents with chronic medical conditions tend to be excluded from healthcare d...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/jocn.13703
更新日期:2017-09-01 00:00:00
abstract:AIM:The present study aimed at examining the factorial structure of the Chinese version of the State Anxiety Scale (Short form), using exploratory and confirmatory analyses. BACKGROUND:The factorial structure of the short form of the Chinese version of the State Anxiety Scale for Children has neither been examined by ...
journal_title:Journal of clinical nursing
pub_type: 杂志文章
doi:10.1111/j.1365-2702.2008.02284.x
更新日期:2008-07-01 00:00:00
abstract:AIMS AND OBJECTIVES:To measure the effect of chair resistance training (RT) on the quality of life (QoL) of older long-term care residents with sarcopenic obesity (SO). BACKGROUND:Sarcopenia combined with obesity, commonly called SO, is considered to be related to health-related QoL. Despite concerns regarding SO-rela...
journal_title:Journal of clinical nursing
pub_type: 杂志文章,多中心研究
doi:10.1111/jocn.15277
更新日期:2020-07-01 00:00:00