Journal of Research in Nursing最新文献

Background: Pain and anxiety during arteriovenous fistula (AVF) puncture are crucial factors affecting haemodialysis (HD) patients' quality of life.

Aim: The aim of this study is to assess the effect of virtual reality (VR) distraction on pain, anxiety, satisfaction and haemodynamics during AVF puncture.

Methods: This randomised controlled trial study was conducted in a Haemodialysis unit at Mansoura University Hospital. Ninety-six patients were randomly divided into the intervention (n = 48) and control (n = 48) groups. Six minutes prior to the puncture, patients in the intervention group used VR glasses to experience a 360° 'Relax River VR tour', whereas patients in the control group received no intervention.

Results: Following the intervention, pain, anxiety, systolic blood pressure and heart rate were significantly lower, and satisfaction scores were significantly higher in the intervention group than in the control group (p < 0.05).

Conclusion: VR distraction may help alleviate pain, anxiety and increase satisfaction. It may be considered a safe and cost-effective non-pharmacological therapy for HD patients undergoing AVF puncture.

Background: Parenteral nutrition (PN) provides the body with essential nourishment through intravenous infusion. Home parenteral nutrition (HPN) has a significant impact on the lives of its users; however, very few studies explore the phenomenon of homecare nurse provided assistance for the management and administration of HPN.

Method: The phenomenological approach, Reflective Lifeworld Research, was utilised. Data were collected through semi-structured interviews with five patients with intestinal failure. The analysis was performed according to the instructions of Reflective Lifeworld Research.

Results: Four constituents were identified: (1) balanced nursing experience, (2) correct handling of procedures, (3) reversed expert roles and (4) the homecare nurse as a lifeline. Control was found to be the essence of the phenomenon, multi-faceted and characterised by the participants' ambivalent feelings.

Conclusion: The participants were ambivalent about receiving assistance from the homecare nurses. HPN is a complex treatment in which demands are placed on the homecare nurses' competencies to deliver a high quality of care. The patients live with a constant fear of complications and hospitalisations. The participants felt compelled to perform control, monitoring the homecare nurses' work, to ensure that errors did not occur. As more assistance was received from homecare nurses, the participants experienced a loss of control. However, the assistance did also give a sense of security, whereby the homecare nurse was perceived as a lifeline.From a sociological perspective, the need for control can be a result of the constant development of society, where greater demands were placed on citizens' commitment and responsibility for their own treatment, prompting a larger need for individual control.

Background: In the intensive care unit (ICU), oral flora changes and bacterial growth starts, negatively affecting oral health.

Aims: This study aimed to evaluate the status of the oral mucus membranes of patients in ICUs and the factors affecting oral health.

Methods: A descriptive and correlation design was used. The study included 151 patients in ICUs for five consecutive days. The assessments were performed using the Patient Form, Eilers Oral Health Assessment Scores and the Oral Health Assessment Chart.

Results: Decayed teeth, magnesium levels and Glasgow coma scale were found to be effective in the first day oral health change of ICU patients and explained 22% of the oral health change, respectively. Age, decayed teeth, number of drugs used and Glasgow coma scale were found to be effective in the change in oral health of ICU patients on the fifth day and explained 35% of the change in oral health.

Conclusions: Oral mucus membranes should be assessed closely and systematically in all critically ill patients who are of advanced age and are receiving a small number of medications, with a history of hyperglycaemia, high BUN, low albumin, hypocalcaemia, low Glasgow Coma Scale and decayed teeth.

Aims: (1) Identify and characterise the nursing contribution to impact case studies submitted to Research Excellence Framework (REF) 2021 across all Units of Assessment and compare this to those submitted to REF 2014; (2) Identify and characterise those impact case studies of relevance to nursing that did not include a nurse in the research team; (3) Compare the characteristics of impact case studies identified in Aim 2 with those that did include a nurse in the research team.

Design: Desk-based analysis of REF2021 published data.

Methods: We searched the REF2021 impact database with the term nurs* then sorted case studies into categories representing the involvement of nurses on the research team. We developed variables with which to examine the impact case studies (ICSs) and make comparisons.

Results: One-fifth of ICSs involving a nurse researcher do not contribute to a visible body of 'nursing research' and is 'hidden' in other disciplines; research teams persistently fail to involve nurse researchers when researching topics of clear relevance to nurses and nursing.

Conclusion: Our findings provide insight into two topics of importance for nursing research: reputation, and failure to benefit from transdisciplinarity.

Impact: Benefit to nurse researchers from involvement in transdisciplinary research is still limited; some nursing research remains hidden.