International Journal of Nursing Practice

Cover image for Vol. 22 Issue 3

Early View (Online Version of Record published before inclusion in an issue)

Edited By: Lin Perry

Impact Factor: 0.98

ISI Journal Citation Reports © Ranking: 2015: 64/114 (Nursing (Social Science)); 67/116 (Nursing (Science))

Online ISSN: 1440-172X


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  1. Research Papers

    1. Sleep problems, anxıety, depressıon and fatıgue on famıly members of adult intensıve care unıt patıents

      Sevim Çelik, Gizem Genç, Yasemin Kinetli, Meral Aşılıoğlı, Merve Sarı and Meral Madenoğlu Kıvanç

      Version of Record online: 29 JUN 2016 | DOI: 10.1111/ijn.12451

    2. Effects of combination oral care on oral health, dry mouth and salivary pH of intubated patients: A randomized controlled trial

      Chun Sun Jang and Yong Soon Shin

      Version of Record online: 28 JUN 2016 | DOI: 10.1111/ijn.12460

      Summary Statement

      What is already known about this topic

      • Oral care is an important nursing practice for critically ill patients who have been intubated.
      • There are practical limitations to assessments of the oral cavity because of the presence of an endotracheal tube and oral airway, as well as concerns about unexpected removal of the tube.
      • There is insufficient evidence regarding the effects of combination oral care that includes tooth brushing, chlorhexidine and cold water.

      What this paper adds

      • Tooth brushing and swabbing with 0.1% chlorhexidine followed by swabbing with cold water every two hours improved mouth dryness and increased salivary pH.
      • The mouth dryness of patients who were mechanically ventilated was lower than normal.

      The implications of this paper

      • Combination oral care can be provided to intubated patients in general wards as well as in the intensive care unit.
      • Our findings increase the understanding of critical care nurses regarding the importance of basic nursing care and can be used to design fundamental nursing education programmes concerning effective hygiene care practices.
    3. Educational attainment moderates the associations of diabetes education with health outcomes

      Su Hyun Kim

      Version of Record online: 21 JUN 2016 | DOI: 10.1111/ijn.12454

      Summary Statement

      What is already known about this topic?

      • Inadequate diabetes education is one of the main issues hindering an individual's ability to engage in self-care.
      • Lower education attainment is associated with poor self-care and quality of life in patients with diabetes.

      What this paper adds

      • The association between diabetes education and glycaemic control differed according to participants' levels of educational attainment.
      • Attending diabetes education was positively associated with optimal glycaemic control among patients with more than a high school education but was negatively associated with it among those with less than middle school education.

      The implication of this paper

      • When delivering diabetes education in clinical practice, the population's level of educational attainment and ability to understand and obtain health information should be assessed.
      • The contents and methods of diabetes education must be tailored to the individuals to achieve optimal benefits for health.
    4. Crushing oral solid drugs: Assessment of nursing practices in health-care facilities in Auvergne, France

      Hélène Clauson, Françoise Rull, Magali Thibault, Audrey Ordekyan and Jérôme Tavernier

      Version of Record online: 11 JUN 2016 | DOI: 10.1111/ijn.12446

      Summary information

      What is already known about this topic?

      • Crushing oral solid drugs is a common practice in hospitals internationally.
      • Altering medication formulations is known to be hazardous.
      • Most of iatrogenic outcomes can be avoided by following current recommendations.

      What this paper adds?

      • Crushing oral solid drugs is a current practice in the hospitals of Auvergne, especially in geriatric units.
      • Medications are often crushed all together, risking drug interactions.
      • The pharmacist, who is the medication referring professional, is too rarely requested where any doubts exists regarding crushing oral solid drugs.

      Implications for practice

      • The practice of crushing medication, which can sometimes be necessary, needs to be framed by procedures.
      • Nurses have to be informed about the risk of interactions due to crushing medication all together.
      • Drug manufacturers should expand liquid forms.
    5. Parental presence at anaesthesia induction: A systematic review

      Eunice K. Erhaze, Dr Maura Dowling and Professor Declan Devane

      Version of Record online: 7 JUN 2016 | DOI: 10.1111/ijn.12449

      Summary Statements

      What is already known about this topic?

      • Parental presence at anaesthesia induction is believed to facilitate smooth induction. However, parental presence can have an impact on the both child and parent behaviour if the intubation is difficult.
      • In accordance with the family-centred care paradigm, many institutions worldwide promote parental presence at induction.

      What this paper adds?

      • This review provides further evidence that parental presence alone at anesthesia induction results in no statistically significant difference in the level of anxiety in both children and their parents either at separation or induction when compared with parental absence.
      • Premedication is more effective than parental presence in reducing the level of anxiety in children at induction and the anxiety level of parents at separation.

      The implications of this paper for policy/practice/research/education:

      • Future trials should focus on the use of reliable and validated tools to enable consistent reporting of outcome measures. Future trials should also consider the influence of parental presence at anesthesia induction on children at each developmental stage.
      • Organizations can assist nurses in making informed decisions on parental presence at induction by developing written policies and providing in-service educational programmes.
    6. Home-based walking during pregnancy affects mood and birth outcomes among sedentary women: A randomized controlled trial

      Professor Chie Taniguchi and Physician Chifumi Sato

      Version of Record online: 7 JUN 2016 | DOI: 10.1111/ijn.12453

      Summary statement

      What is already known about this topic:

      • Regular exercise appears to be beneficial to pregnant women's physical and psychological well-being.
      • Japanese women over 16 weeks' gestation are advised to engage in 60 min of moderate exercise, 2–3 times per week.
      • A recent Cochrane review found that available data on exercise during pregnancy are insufficient to infer important risks or benefits for mother or infant.

      What this paper adds:

      • Engaging in brisk walking for at least 30 min per day improved pregnant women's mood.
      • Engaging or not engaging in brisk walking for at least 30 min per day did not affect pregnancy or delivery outcomes.

      The implications of this paper:

      • Sedentary women should be encouraged to walk during pregnancy to help improve their mood.
      • Our results may also be applicable to women living in other developed countries and to women with a sedentary lifestyle who are not pregnant.
    7. Information needs of patients with heart failure: Health professionals' perspectives

      Mingming Yu, Sek Ying Chair, Carmen WH Chan and Kai Chow Choi

      Version of Record online: 1 JUN 2016 | DOI: 10.1111/ijn.12442

    8. Symptom management strategies of Jordanian patients following coronary artery bypass grafting surgery

      Zaher Mohammed Al-Daakak, Ali Ahmad Ammouri, Chandrani Isac, Huda Gharaibeh and Ibtisam Al-Zaru

      Version of Record online: 30 MAY 2016 | DOI: 10.1111/ijn.12445

      What is already known about this topic?

      • •The physical and psychological discomforts experienced by patients after CABG have been comprehensively illuminated in literature.
      • •The manner in which these symptoms are managed by post CABG patients has not been consistently or comprehensively explored internationally.

      What this paper adds:

      • •The most frequently symptom management strategies employed by CABG patients were use of medications (79%), repositioning (54%) and rest (45%).
      • •Symptom management strategies utilized by post CABG patients for poor appetite, sleeping problem and fatigue had significant associations with demographic variables.

      The implications of this paper:

      • •The study findings provide benefits for the pre and postoperative CABG patients.
      • •By providing information on the symptoms expected after surgery and the possible ways to manage them, it psychologically strengthens patients that the CABG experience is within the realm of self-management and coping.


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