To participate or not to participate: The troublesome question of nurses' conscientious objection to abortion: A qualitative study.

Aim: To report a study investigating the implementation of the "conscience clause" by practising nurses in two National Health Service Hospital Trusts in the UK.

Design: A qualitative study.

Methods: Data were collected from 2018 to 2020 through qualitative face-to-face interviews with 20 nurses, transcribed verbatim and analyzed by thematic analysis.

When New Life Meets Death: Three Hermeneutic Case Studies From Switzerland.

Pregnant women in Switzerland expect safe and healthy birth outcomes for themselves and their babies. However, in 2018, 691 died in infancy with gaps identified in the provision of services to parents in such circumstances. Our study aims to illustrate these gaps and how, from participants' perspectives, they were addressed.

Theory and application of research principles and philosophical underpinning for a study utilising interpretative phenomenological analysis.

Introduction: Qualitative research approaches have potential to provide unique and valuable insights intoperceptions, experiences and behaviours. Reports however indicate that papers often fail to sufficiently detail the underlying principles that explain the philosophical assumptions and ontological, epistemological and methodological perspectives. Primarily directed towards radiographers considering a qualitative approach for doctoral research, this paper will also be informative for other health and social care practitioners.

The journey to advanced practice: An Interpretative Phenomenological Analysis of reaching destination and beyond for reporting radiographers in Scotland.

Introduction: Optimising radiographer and radiologist skill-mix is essential to increase efficiency and ensure quality patient care and safety in radiology services. Radiographer reporting, well established within the UK, has been legally and legitimately identified within the scope of radiographer practice for many years. Little research however has focused on perceptions and experiences of practitioners as they journey towards advanced practice in skeletal trauma reporting.

The prevalence of faecal incontinence in myotonic dystrophy type 1.

Faecal incontinence is recognised as a feature of myotonic dystrophy along with other symptoms of bowel dysfunction, but its prevalence is poorly defined. We have surveyed 152 unselected myotonic dystrophy patients. We identified issues with bowel control in 104 (68% of the study population).

A critical analysis of articles using a Gadamerian based research method.

It is over 20 years since Michael Crotty's groundbreaking critique of phenomenological research in nursing. However, rather than entering into the acrimonious discussions that followed, we developed a research method that we believed translated Gadamer's philosophy into the world of empirical research. Fundamental to that work was our differentiation of hermeneutics from phenomenology.

Maternal emotions during the first three postnatal months: Gaining an hermeneutic understanding.

Background: Maternal emotions in the first three postnatal months are rarely explored yet in the German context despite it is known that they play an important role in the complexity of maternal health and well-being.

Aim: Gaining understanding of maternal emotions and how the developmental process of the infant circadian rhythm influences them during the first three months of the postnatal period.

Methods: A Gadamerian-based research method was used to explore the experiences of 15 mothers in Germany.

De novo repeat interruptions are associated with reduced somatic instability and mild or absent clinical features in myotonic dystrophy type 1.

Myotonic dystrophy type 1 (DM1) is a multisystem disorder, caused by expansion of a CTG trinucleotide repeat in the 3'-untranslated region of the DMPK gene. The repeat expansion is somatically unstable and tends to increase in length with time, contributing to disease progression. In some individuals, the repeat array is interrupted by variant repeats such as CCG and CGG, stabilising the expansion and often leading to milder symptoms.

Potential conflicts in midwifery practice regarding conscientious objection to abortions in Scotland.

Background:: This study was developed as a result of a court case involving conflicts between midwives' professional practice and their faith when caring for women undergoing abortions in Scotland.

Research Questions:: What are practising Roman Catholics' perspectives of potential conflicts between midwives' professional practice in Scotland with regard to involvement in abortions and their faith? How relevant is the 'conscience clause' to midwifery practice today? and What are participants' understandings of Canon 1398 in relation to midwifery practice?

Research Design:: The theoretical underpinning of this study was Gadamer's hermeneutic out of which the method developed by Fleming et al. involving a five-stage approach was utilised.

Correction: Elevated plasma levels of cardiac troponin-I predict left ventricular systolic dysfunction in patients with myotonic dystrophy type 1: A multicentre cohort follow-up study.

[This corrects the article DOI: 10.1371/journal.pone.

Elevated plasma levels of cardiac troponin-I predict left ventricular systolic dysfunction in patients with myotonic dystrophy type 1: A multicentre cohort follow-up study.

Objective: High sensitivity plasma cardiac troponin-I (cTnI) is emerging as a strong predictor of cardiac events in a variety of settings. We have explored its utility in patients with myotonic dystrophy type 1 (DM1).

Methods: 117 patients with DM1 were recruited from routine outpatient clinics across three health boards.

The technique of delivery of peri-operative analgesia does not affect the rehabilitation or outcomes following total knee arthroplasty.

Aims: This non-blinded randomised controlled trial compared the effect of patient-controlled epidural analgesia (PCEA) versus local infiltration analgesia (LIA) within an established enhanced recovery programme on the attainment of discharge criteria and recovery one year after total knee arthroplasty (TKA). The hypothesis was that LIA would increase the proportion of patients discharged from rehabilitation by the fourth post-operative day but would not affect outcomes at one year.

Patients And Methods: A total of 242 patients were randomised; 20 were excluded due to failure of spinal anaesthesia leaving 109 patients in the PCEA group and 113 in the LIA group.

An exploratory qualitative analysis of student midwives views of teaching methods that could build their confidence to deliver perinatal bereavement care.

Background: Equipping student midwives with confidence to deliver bereavement care to childbearing women is a challenge for midwifery lecturers.

Objective: To explore qualitative data provided by student midwives who evaluated the workbook Bereavement care for childbearing women and their families (Hollins Martin & Forrest, 2013) to explore their views of potential teaching strategies that could build their confidence to deliver real bereavement care.

Method: An exploratory qualitative thematic analysis was used to provide, analyse and report themes identified within data collected in a prior study.

A multicentre postal survey investigating the contribution of illness perceptions, coping and optimism to quality of life and mood in adults with muscle disease.

Objective: To replicate the finding that illness perceptions influence quality of life in adults with muscle disease and to explore the additional influence of coping and optimism on quality of life and mood.

Design: A postal survey including questionnaires recording quality of life, mood, illness perceptions, optimism, coping and functional impairment.

Setting: National Health Service muscle clinics in the United Kingdom.

Women's views about the importance of education in preparation for childbirth.

Background: This paper reports original research that embraces childbearing women's views about the importance of education in preparation for childbirth. A survey was carried out using the Birth Satisfaction Scale developed by Hollins Martin and Fleming (2011). All of the items in the questionnaire include a space where the women can add their own comments to allow them to document what is important to them.

'Show us you know us': using the Senses Framework to support the professional development of undergraduate nursing students.

As students, fledgling nurses need to feel they belong to a community of academics, peers and mentors who value their contribution to learning and knowledge. Creating a sense of community allows students to experience academic and practice integration at the beginning of their professional journey, recognising that positive learning experiences at an early stage of professional maturation can shape lifelong attitudes to learning and discovery. The Senses Framework has been used to develop supportive working in relation to older adults; it also has resonance for the development of undergraduate nurses.

The effectiveness of interventions to reduce undernutrition and promote eating in older adults with dementia: A systematic review.

Background Older adults with dementia may have feeding difficulties for several reasons: they may experience deterioration in motor and cognitive skills making eating difficult, they may forget to eat, fail to recognise food or they may suffer from dysphagia. Food intake is often poor and malnutrition is common, leading to adverse health outcomes.This review specifically focussed on how best to promote and achieve 'normal' eating and feeding in older adults with dementia, in order that undernutrition and its consequences could be avoided.

The duality of professional practice in nursing: academics for the 21st century.

Although pre-registration nursing in the United Kingdom (UK) is moving towards a graduate exit, the vocational/professional debate is still live and continues to be played out in both popular and professional literature. This study considers the nature of contemporary academic communities and the challenge of duality in professional nursing life. More than a decade after the move into higher education (HE) however the role of the academic is still controversial, with much of the debate focussed on the nature of clinical credibility.

Hermeneutic research in nursing: developing a Gadamerian-based research method.

This paper takes the stance that although there are many different approaches to phenomenological and hermeneutic research, some of these have become blurred due to multiple interpretations of translated materials. Working from original texts by the German philosophers, this paper reconsiders the relevance of phenomenology and hermeneutics to nursing research. We trace the development of Gadamer's philosophy in order to propose a research method based in this tradition.

Measurement of clinical performance of nurses: a literature review.

Despite a 40-year history of researching and developing an instrument for measurement of clinical competence in nursing, there are none that are universally accepted for this purpose. This article presents a critical review of the research, which has been carried out to explore the measurement of nurses' clinical performance. To search the literature in a systematic manner, the criteria stipulated by the Cochrane Research Database were applied.

Family nursing in intensive care. Part two: The needs of a family with a member in intensive care.

It was demonstrated in Part one that the family is a justifiable concern to nurses in intensive care and that family-focused care is appropriate in such an area. If this approach to care is to be considered, it is necessary to identify the needs of families when they have a member in an intensive care unit. This is a well-researched area and some of the relevant literature is discussed within this paper.

Family nursing in intensive care. Part One: Is family nursing appropriate in intensive care?

Over the past 10 years there has been a growing body of literature on family nursing. Although the term 'family nursing' is not one which is in common use in the UK, a significant amount of literature has appeared which discusses issues relating to the nursing support of families with a member who is ill. This paper will review the concepts involved and will then discuss the appropriateness of such an approach within the specialty of intensive care.

Ethical considerations relating to terminal weaning in intensive care.

The ethical considerations relating to terminal weaning from mechanical ventilation will be discussed within this paper. The principles of beneficence, non-maleficence and autonomy are seen to be the key considerations within the discussion. The difference between terminal weaning and regular weaning from a ventilator is that it proceeds as vital signs deteriorate and the expected outcome is death of the patient.

Have nursing models a place in intensive care units?

The usefulness of conceptual models to guide nursing practice within an intensive care unit is explored within this paper. In order to do this, the term 'nursing model' is first of all defined and the three key types identified. The benefits and difficulties of utilizing a nursing model are then considered.