Article
Nursing
Lorena Sanchez-Rubio, Lisa M. Cleveland, Maria Mercedes Duran de Villalobos, Jacqueline M. McGrath
Summary: The development of nursing knowledge relies on a close relationship between theory, research, and practice. Analyzing the concept of parental decision-making in pediatric critical care involves considering factors such as parents' abilities, health conditions, and the influence of healthcare teams on their parental roles.
JOURNAL OF PEDIATRIC NURSING-NURSING CARE OF CHILDREN & FAMILIES
(2021)
Review
Nursing
Angela Yee
Summary: The aim of this study was to define clinical decision-making in the context of intensive care unit nursing. The research found that clinical decision-making in the intensive care unit is a complex cognitive process, requiring prompt recognition and response to the rapidly changing health status of patients. Further research is needed to enhance nurse performance and patient outcomes in intensive care.
INTENSIVE AND CRITICAL CARE NURSING
(2023)
Review
Nursing
Justine Connor, Tracy Flenady, Deb Massey, Trudy Dwyer
Summary: The aim of this study was to develop a contemporary operational definition of Clinical Judgement in nursing. Using Rodgers' evolutionary method of concept analysis, a detailed definition was developed, describing the characteristics and elements of the process of clinical judgement.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Education, Scientific Disciplines
Daniel J. Schumacher, Catherine Michelson, Ariel S. Winn, David A. Turner, Ethan Elshoff, Benjamin Kinnear
Summary: This study investigates the factors influencing prospective entrustment decisions made by medical education committees. It found that trainees' ability to know their limits and seek help is the foundation of these decisions, but default decisions and lack of sufficient data are common challenges.
Article
Psychology, Multidisciplinary
Jisoo Kim, James G. Phillips, Rowan P. Ogeil
Summary: The study suggests that decision-making styles can impact quality of life and help-seeking behaviors, particularly among individuals who are hesitant to engage with offline mental health services.
COMPUTERS IN HUMAN BEHAVIOR
(2022)
Article
Psychology, Multidisciplinary
Yaping Bi, Shaoyu Mou, Ge Wang, Mingyan Liao
Summary: This study aimed to explore the career decision-making difficulties among postgraduate nursing students in China, and found that these students face high levels of career decision-making difficulties. Professional self-concept and career decision-making self-efficacy were found to have a negative impact on career decision-making difficulties, with career decision-making self-efficacy playing a partial mediating role between professional self-concept and career decision-making difficulties.
FRONTIERS IN PSYCHOLOGY
(2023)
Review
Nursing
Ottonello Giulia, Napolitano Francesca, Musio Maria Emma, Catania Gianluca, Zanini Milko, Aleo Giuseppe, Timmins Fiona, Sasso Loredana, Bagnasco Annamaria
Summary: This literature analysis reveals that there is no consistent definition of the concept of fundamental care. The main findings of the study emphasize the importance of communication, the contextual environment, leadership influence, and nurse-patient relationship in providing effective and high-quality care. This definition of fundamental care will have an impact on nurse leaders and researchers in promoting and enhancing the examination and application of fundamental care in clinical practice.
JOURNAL OF ADVANCED NURSING
(2023)
Article
Geriatrics & Gerontology
Dan Zhang, Rui Wang, Yinong Tian, Chun Qi, Fuchang Zhao, Yonggang Su
Summary: Globally, older adults, especially nursing home residents, have a higher risk of suicide. This study investigated the lives and help-seeking experiences of nursing home residents with suicidal ideations. The analysis of 19 semi-structured interviews revealed that suicidal ideations among nursing home residents are associated with negative personal and institutional life experiences. These experiences include a desire for death, emotional loneliness, discomfort due to incapacity, feeling like a burden on children, and dealing with low-quality services. Older adults' negative attitudes towards seeking assistance, limited resources, and ineffective help-seeking hinder them from finding adequate support or treatment. This study contributes to the growing research on late-life suicide in institutional settings and provides valuable insights for improving the quality of life for nursing home residents and developing suicide-prevention strategies.
Article
Medicine, General & Internal
Karen Devries, Ilan Cerna-Turoff, Camilla Fabbri, Ellen Turner, Robert Nyakuwa, Charles Muchemwa Nherera, Tendai Nhenga-Chakarisa, Beaulah C. Nengomasha, Ratidzai Moyo
Summary: This study explores the knowledge and help-seeking behavior of violence among children in Zimbabwe. It found that nearly one-third of the surveyed children have experienced violence, but most of them do not know where to seek help. Boys are more likely to know where to seek help, while girls are more likely to actually seek help. Childline is an important organization that can provide support, but additional efforts are needed to reach out to boys and receive more reports of school-related violence.
Article
Psychology, Multidisciplinary
Jesse S. Y. Tse, Nick Haslam
Summary: This study found that Asian Americans demonstrate lower levels of help-seeking compared to White Americans, primarily due to higher levels of stigma and narrower understanding of the concept of mental disorders within the Asian American population. Both stigma and concept breadth partially mediated the impact of group differences on attitudes.
FRONTIERS IN PSYCHOLOGY
(2021)
Review
Multidisciplinary Sciences
Tayebeh Moradi, Mohsen Adib-Hajbaghery, Mansour Dianati, Fatemeh Moradi
Summary: Rationing of nursing care (RONC) refers to necessary nursing tasks that nurses refuse or fail to do because of limited time, staffing level, or skill mix. This concept analysis study aimed to define and analyze the meaning, attributes, dimensions, antecedents, and consequences of RONC. Thirty-three articles, both qualitative and quantitative, were collected from electronic databases without date limitation. The study identified the four defining attributes of RONC, including the duty of performing nursing care, dealing with problems of doing nursing care, decision-making and prioritizing, and outcome. A theoretical definition and conceptual model of RONC were developed, which can be beneficial for nursing education, research, and organizational planning.
Article
Information Science & Library Science
M. Mahdi Roghanizad, Ozgur Turetken
Summary: Resource seeking is crucial for success, but the effectiveness of the communication method in convincing resource providers is important. Face-to-face resource seeking is more effective than email requests, but requesters often underestimate the difference between the two channels. Psychological factors such as embarrassment and fear influence the choice of less effective email channel.
INTERNATIONAL JOURNAL OF INFORMATION MANAGEMENT
(2024)
Article
Health Care Sciences & Services
Gabriella Santos Lima, Ana Laura Galhardo Figueira, Emilia Campos de Carvalho, Luciana Kusumota, Silvia Caldeira
Summary: This article examines the concept of resilience in older people. Through concept analysis and integrative review, two attributes of resilience in older people were identified: available resources and positive behaviors. The results of the study provide sensitive indicators for nursing care in the context of adversity.
Article
Education & Educational Research
Chih-Yueh Chou, Chun-Ho Chang
Summary: Help-seeking is an important self-regulated learning strategy, but some students exhibit poor help-seeking behaviors which can result in lower learning performance. Adaptive help-seeking regulation mechanisms are necessary for different help-seeking tendencies. Studies have shown that with adaptive mechanisms in place, students demonstrate better learning performance and behaviors.
EDUCATIONAL TECHNOLOGY & SOCIETY
(2021)
Article
Audiology & Speech-Language Pathology
Indira Chenthamara Pazhayapisharath, Sandeep Maruthy
Summary: This study investigated the factors associated with help seeking behavior in parents of children with hearing loss and their relationship with the age of identification of hearing loss. The findings revealed multiple factors related to awareness, accessibility, and affordability. Effective public awareness programs, newborn hearing screening programs, and provisions for affordable hearing healthcare can help reduce the age of identification of pediatric hearing loss in India.
INTERNATIONAL JOURNAL OF AUDIOLOGY
(2023)
Article
Health Care Sciences & Services
Elaine Meehan, Catherine Sweeney, Tony Foley, Elaine Lehane, Art Burgess Kelleher, Ruth M. Hally, Deirdre Shanagher, Bettina Korn, Mary Rabbitte, Karen Margaret Detering, Nicola Cornally
Summary: This study examined current practices, attitudes, and levels of confidence in advance care planning (ACP) among healthcare professionals in Ireland who work with patients with chronic obstructive pulmonary disease (COPD). The majority of participants cared for COPD patients on a weekly basis, but only a small percentage had initiated ACP discussions in the previous six months. While participants demonstrated positive attitudes towards ACP, their confidence levels were low. Education targeted at improving knowledge and confidence levels among healthcare professionals, as well as increasing public awareness of ACP, may help increase the uptake of ACP for COPD patients.
BMJ SUPPORTIVE & PALLIATIVE CARE
(2022)
Article
Nursing
S. Timmons, C. O'Loughlin, C. Buckley, N. Cornally, I. Hartigan, E. Lehane, C. Finn, A. Coffey
Summary: Many people with dementia in long-term care lack adequate palliative care knowledge and awareness, requiring tailored staff education interventions. Staff express confidence in their ability to implement change, but face challenges of demotivation, powerlessness, staffing levels, risk management, and resistance from others. Educational interventions addressing specific care contexts, staff learning needs, and barriers to change are essential for successful implementation.
NURSE EDUCATION IN PRACTICE
(2021)
Article
Public, Environmental & Occupational Health
Laura Bavelaar, Maria Nicula, Sophie Morris, Sharon Kaasalainen, Wilco P. Achterberg, Martin Loucka, Karolina Vlckova, Genevieve Thompson, Nicola Cornally, Irene Hartigan, Andrew Harding, Nancy Preston, Catherine Walshe, Emily Cousins, Karen Harrison Dening, Kay De Vries, Kevin Brazil, Jenny T. van der Steen
Summary: This study aimed to develop question prompt lists (QPLs) for family caregivers of nursing home residents with advanced dementia and explore cross-national differences. The findings revealed that family caregivers have many questions about dementia palliative care, but the local context may influence the specific questions asked.
PATIENT EDUCATION AND COUNSELING
(2022)
Review
Health Care Sciences & Services
Silvia Gonella, Gary Mitchell, Laura Bavelaar, Alessio Conti, Mariangela Vanalli, Ines Basso, Nicola Cornally
Summary: This study found that key interventions to support family caregivers of people with advanced dementia at the end of life include engaging healthcare professionals in ongoing dialogues with caregivers, providing adequate time and space for sensitive discussions, and offering tailored psychoeducational programs and regular family meetings.
PALLIATIVE MEDICINE
(2022)
Review
Medicine, General & Internal
Neah Albasha, Ruth McCullagh, Nicola Cornally, Sheena McHugh, Suzanne Timmons
Summary: This study aims to conduct a systematic review to identify the implementation strategies used in fall prevention interventions in long-term care facilities (LCFs), and describe the effectiveness of these strategies in terms of key implementation outcomes and fall reduction. The study will involve searching for scientific papers, data extraction and quality assessments. The results will be reported through a narrative synthesis.
Article
Environmental Sciences
Silvia Gonella, Paola Di Giulio, Alexandra Antal, Nicola Cornally, Peter Martin, Sara Campagna, Valerio Dimonte
Summary: This study explores the difficulties faced by Italian nursing home staff in end-of-life conversations with family caregivers during the COVID-19 pandemic and highlights their educational needs. The findings reveal that healthcare professionals need to deal with diverse challenging situations and complex emotions, and employ strategies such as active listening, supportive communication, and explicit acknowledgement of emotions. Practical communication training is highly valued by healthcare professionals.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Environmental Sciences
Nicola Cornally, Caroline Kilty, Catherine Buckley, Ronan O'Caoimh, Mark R. O'Donovan, Margaret P. Monahan, Caroline Dalton O'Connor, Serena Fitzgerald, Irene Hartigan
Summary: The COVID-19 pandemic has led to visitor restrictions in long-term residential care facilities, affecting the quality of care and the well-being of families. This study explores the consequences of these restrictions on individuals and their families, identifying themes such as altered communication, emotional impact, and the role of staff and families. The study emphasizes the importance of maintaining the psychosocial and emotional well-being of families during restrictive measures.
INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
(2022)
Article
Health Care Sciences & Services
Laura Bavelaar, Adrienne McCann, Nicola Cornally, Irene Hartigan, Sharon Kaasalainen, Hana Vankova, Paola Di Giulio, Ladislav Volicer, Marcel Arcand, Jenny T. van der Steen, Kevin Brazil
Summary: This study analyzed and compared the adaptations of a family booklet on end-of-life care for family caregivers of people with dementia in different European countries. The results showed variations in the types of treatment addressed, provision of medical details, tone of information, and discussion of prognosis. However, all booklets addressed all domains of palliative dementia care.
BMC PALLIATIVE CARE
(2022)
Review
Health Care Sciences & Services
Sophie Mulcahy Symmons, Karen Ryan, Samar M. Aoun, Lucy E. Selman, Andrew Neil Davies, Nicola Cornally, John Lombard, Regina McQuilllan, Suzanne Guerin, Norma O'Leary, Michael Connolly, Mary Rabbitte, David Mockler, Geraldine Foley
Summary: This systematic review investigated the concordance and discordance in decision-making between patients and family caregivers in palliative care. It found that relational conflict and lack of communication were the main reasons for discordance. Consensus between patients and family caregivers can be fostered through open dialogue about patients' advancing illness and future care.
BMJ SUPPORTIVE & PALLIATIVE CARE
(2022)
Article
Geriatrics & Gerontology
Catherine Buckley, Irene Hartigan, Alice Coffey, Nicola Cornally, Selena O'Connell, Christina O'Loughlin, Suzanne Timmons, Elaine Lehane
Summary: This study examines the application of participatory action research in promoting the implementation of guidance documents in long-term care settings. The study identifies engagement and facilitation as key factors influencing the PAR processes.
INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING
(2022)
Article
Geriatrics & Gerontology
Andrew J. E. Harding, Julie Doherty, Laura Bavelaar, Catherine Walshe, Nancy Preston, Sharon Kaasalainen, Tamara Sussman, Jenny T. van der Steen, Nicola Cornally, Irene Hartigan, Martin Loucka, Karolina Vlckova, Paola Di Giulio, Silvia Gonella, Kevin Brazil
Summary: This study aims to adopt and apply the Family Carer Decisional Support intervention internationally and train nursing home staff to deliver the intervention. The multiple case study design allows for evaluation of the intervention in different contexts. The goal is to have a lasting impact and significance for future advance care planning practice.
Review
Nursing
Lynn Buckley, Louise Gibson, Katherine Harford, Nicola Cornally, Margaret Curtin
Summary: Community paediatric clinics play an important role in supporting developmental outcomes and services for children living in disadvantaged communities. The literature emphasizes the identification of developmental issues, engagement of vulnerable families, relational working with children, families, and local services, building the capacity of parents and practitioners, and addressing barriers to healthcare access.
JOURNAL OF CHILD HEALTH CARE
(2022)
Article
Geriatrics & Gerontology
Neah Albasha, Leanne Ahern, Lauren O'Mahony, Ruth McCullagh, Nicola Cornally, Sheena McHugh, Suzanne Timmons
Summary: Falls are common and have serious consequences for older people in long-term care facilities. This systematic review examined the implementation strategies, outcomes, and clinical outcomes of fall prevention interventions. The study found that educational and training strategies were the most commonly used implementation strategies.
Article
Education, Scientific Disciplines
Lynn Buckley, Margaret Curtin, Nicola Cornally, Katherine Harford, Louise Gibson
Summary: This study aimed to capture student experiences and understand the perceived impact of community-based training on undergraduate medical education. The results showed that exposure to a community-based paediatric clinic influenced medical student training through experiential and transformative learning, enhancing their understanding of child health and development as well as raising awareness of the impact of social deprivation.
MEDICAL SCIENCE EDUCATOR
(2023)
Article
Geriatrics & Gerontology
Laura Bavelaar, Mandy Visser, Catherine Walshe, Nancy Preston, Sharon Kaasalainen, Tamara Sussman, Nicola Cornally, Irene Hartigan, Martin Loucka, Paola di Giulio, Kevin Brazil, Wilco P. Achterberg, Jenny T. van der Steen
Summary: The study aims to investigate the impact of the mySupport advance care planning intervention on family caregivers' uncertainty in decision-making and their satisfaction with care in different countries. The results show that the intervention reduces decisional uncertainty and improves perceptions of care among family caregivers. The number of advance decisions to refuse treatment increases after the intervention, while other advance decisions or hospitalizations remain unchanged.