Journal of Clinical Nursing

Cover image for Vol. 23 Issue 21-22

Edited By: Editor-in-Chief: Debra Jackson Editors: Sue Barnason, Carol Haigh, Leslie Gelling and Graeme D Smith

Impact Factor: 1.233

ISI Journal Citation Reports © Ranking: 2013: 28/104 (Nursing (Social Science)); 32/106 (Nursing (Science))

Online ISSN: 1365-2702

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JCN is currently seeking new reviewers to join our team. Reviewers are charged with providing analysis to the JCN editors regarding the quality of submissions, considering their merit and contribution to the field.

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Read the latest Virtual Issue: on Managing Care Transitions edited by Sue Barnason

Managing Care Transitions
Managing patients’ transitions of care continues to be a challenging and evolving healthcare issue. Poorly orchestrated care transitions (e.g. transition from hospital to home) can result in increased mortality and rehospitalization. Read the articles for free here.

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Editor's Choice - November

Editor's Choice

The impact of virtual admission on self-efficacy in patients with chronic obstructive pulmonary disease- a randomised clinical trial
Christina Emme, Erik L Mortensen, Susan Rydahl-Hansen, Birte Østergaard, Anna Svarre Jakobsen, Lone Schou and Klaus Phanareth

Globally, chronic obstructive pulmonary disease (COPD) is an increasing challenge to health care providers. Acute exacerbations of COPD often lead to hospital admission and it accounts for many premature deaths. Preventing hospitalization following exacerbation is one of the major goals of COPD management. It has been suggested that remote healthcare technologies, such as telemedicine, may reduce the need for hospitalization in COPD. Telemedicine solutions have also been seen as a way to increase patient self-efficacy. However, to date little is known about the affect of telemedicine-based virtual admission on patients’ self-efficacy, as a alternative to conventional hospital admission. In a non-blinded, randomized clinical trial Emme et al. provide some new insights into the affect telemedicine virtual admission can have on self-efficacy in COPD patients. Despite a shortfall in their anticipated sample size this study shows that there is little difference between self-efficacy in COPD patients undergoing virtual hospital admission, compared to hospitalization. For me, one of the main strengths of this experimental COPD study is the contribution it makes towards understanding levels of self-efficacy during and after an acute exacerbation. As telemedicine may not be a sufficient solution on its own, this important information provides health care professionals that may help them adjust activities in a way that takes the COPD patients’ abilities and needs into consideration. I would highly recommend this paper to anyone with an interest in the management of this chronic respiratory disorder.

Professor Graeme D. Smith



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