Journal of Research in Nursing最新文献

Background: Malnutrition and dehydration in residential aged care (nursing homes) are problematic worldwide, particularly for residents with dementia. However, conducting research to improve residents' nutritional health can be challenging.

Aims: This paper describes challenges, facilitators and recommendations following an intervention to enhance nutrition and hydration care.

Methods: Meaningful Engagement in Nutritional Understanding (MENU; 2018-2021) was a participatory nutrition support intervention initiated in two Tasmanian care homes. Mixed methods evaluation explored nutrition and hydration status, knowledge and care practices with residents with dementia, staff and family; and the challenges to, and facilitators of, project implementation.

Results: This study found nutrition and hydration to be problematic. However, despite multiple challenges, a participatory approach may help engage stakeholders and encourage action in this area. Challenges included resident recruitment, care home and staff engagement, and external factors. Facilitators included Nutrition Champions, the participatory research approach, and tailored resources and education.

Conclusions: The study has implications for conducting more effective nutrition research in residential aged care, particularly with people with dementia, nursing and other care staff, to better understand their experiences and enhance care practices. Nursing staff are key to effective participatory research in residential aged care and to ensuring residents' optimal nutrition and hydration.

Background: Pressure ulcers rank as the third most costly disease to health care services. The prevalence in Iran for hospitalised patients is approximately 19%. This study aimed to compare the effects of Arnebia Euchroma ointment dressings with silver nanoparticle dressings on pressure ulcer healing in patients admitted to intensive care units (ICUs).

Methods: A randomised controlled trial was conducted with patients with pressure ulcers admitted to ICUs. The patients were randomly assigned to either the intervention group, which received the Arnebia Euchroma ointment dressing (n = 30), or the control group, which received silver nanoparticle dressing (n = 30). Three assessments, including one pre-intervention, one during, and one after the intervention on day (1, 7, and 12), were conducted using the Pressure Ulcer Scale for Healing (PUSH) and Nonverbal Pain Scale (NVPS) to evaluate the healing progress and pain intensity levels over time.

Results: The study results revealed that both the Arnebia Euchroma ointment and silver nanoparticles had positive effects on wound healing; there was no significant difference between the two treatments. The mean pain intensity decreased on the first, seventh, and twelfth days; and there was a significant difference between the two groups. Patients in the Arnebia Euchroma ointment group experienced lower pain intensity during and after dressing on the first, seventh, and twelfth days.

Conclusion: Wound healing was expected in the silver nanoparticle group, whereas promising results were also observed in the Arnebia Euchroma ointment dressing group. Since the full effects of silver nanoparticles on humans and the environment are still unknown, the use of locally sourced herbal medicines such as Arnebia Euchroma can be considered as an alternative, or even in combination with silver nanoparticles.

Background: Theoretical and practical classes in nursing management are part of nursing programmes; however, students often state a need for more preparation to apply leadership and management skills in clinical settings, highlighting the need for innovative educational approaches. This gap between theoretical preparation and the practical application of leadership and management skills underscores the importance of understanding students' views on what constitutes effective nurse management.

Aim: This study aimed to explore final-year nursing students' perspectives on the essential skills, practice and attitudes that nurse managers should demonstrate.

Methods: This is a descriptive qualitative study. It comprises written narratives of 35 senior undergraduate nursing students. Data were collected between 23 November 2023, and 4 December 2023. Descriptive thematic analysis was undertaken.

Results: Five themes were identified: (1) What makes a successful nurse manager, (2) Perspectives on effective leadership in nursing, (3) Fostering empowerment in the nursing team, (4) Building and strengthening team cohesion in nursing and (5) Effective care delivery models. Students believe nurse managers should take on a more effective leadership role.

Conclusions: Nursing students' reflections can be utilised to update nursing curricula, to improve student leadership and managerial knowledge and skills as they enter the workforce.