Comparison of managerial competence of Indonesian first-line nurse managers: a two-generational analysis.

Background: Much research provides evidence that four age groups or generations of nurse managers exist, and it is assumed that they work and act differently according to each generation's characteristics and attitudes, which may influence their managerial competence.

Aims: To compare first-line nurse managers' managerial competence according to generational analysis across public hospitals in Indonesia.

Methods: This study employed a cross-sectional survey in 18 public hospitals in Indonesia with 254 first-line nurse managers selected using simple random sampling.

Nursing Care for Hospitalized Older Adults With and Without Cognitive Impairment.

Background: The presence of cognitive impairment (CI) among hospitalized older adults (aged 85 years and older) could interfere with the identification and treatment of other important symptoms experienced by these patients. Little is known, however, about the nursing care provided to this group. Contrasting the nursing care provided to patients with and without CI may reveal important insights about symptom treatment in the CI population.

Optimizing Nutrition Care for Pressure Injuries in Hospitalized Patients.

It is estimated that up to 50% of hospitalized patients are malnourished. Malnutrition can lead to longer hospital stays, altered immune function, and impaired skin integrity and wound healing. Malnutrition has been found to be a significant factor influencing pressure injury (PI) risk and wound healing.

Differential DNA methylation following chemotherapy for breast cancer is associated with lack of memory improvement at one year.

The biological basis underlying cognitive dysfunction in women with early-stage breast cancer (BC) remains unclear, but could reflect gene expression changes that arise from the acquisition and long-term retention of soma-wide alterations in DNA methylation in response to chemotherapy. In this longitudinal study, we identified differences in peripheral methylation patterns present in women prior to treatment (T1) and 1 year after receiving chemotherapy (T4) and evaluated relationships among the differential methylation (DM) ratios with changes in cognitive function. A total of 58 paired (T1 and T4) blood specimens were evaluated.

Vasopressin SNP pain factors and stress in sickle cell disease.

Purpose: Frequencies of single nucleotide polymorphisms (SNPs) from pain related candidate genes are available for individuals with sickle cell disease (SCD). One of those genes, the arginine vasopressin receptor 1A gene (AVPR1A) and one of its SNPs, rs10877969, has been associated with pain and disability in other pain populations. In patients with SCD, clinical factors such as pain and stress have been associated with increased health care utilization, but it is not known if the presence of the AVPR1A SNP plays a role in this observation.

Implementing primary palliative care best practices in critical care with the Care and Communication Bundle.

Background: Clinician-family communication is a central component of medical decision-making in the intensive care unit (ICU) and the quality of this communication has a direct impact on decisions made regarding care for patients who are critically ill.

Aim: The purpose of the project was to emphasise the need for quality improvement in the medical ICU at the University of Florida Health Hospital in regard to communication between the patients, families and providers.

Method: Interventions included development of a more systemic approach to primary palliative care by using the nationally recognised and published Care and Communication Bundle tool.

The Use of Tai-Chi to Reduce Anxiety Among Nursing Students Undergoing Simulation.

This study sought to examine tai-chi as an anxiety-reducing method to increase self-efficacy and improve performance among baccalaureate nursing students experiencing a patient care simulation. The sample included 63 nursing students enrolled in a traditional or second-degree nursing program. The study used a randomized control group pretest-posttest design.

Relationship of Pain Quality Descriptors and Quantitative Sensory Testing: Sickle Cell Disease.

Background: Chronic pain in adults with sickle cell disease (SCD) may be the result of altered processing in the central nervous system, as indicated by quantitative sensory testing (QST). Sensory pain quality descriptors on the McGill Pain Questionnaire (MPQ) are indicators of typical or altered pain mechanisms but have not been validated with QST-derived classifications.

Objectives: The specific aim of this study was to identify the sensory pain quality descriptors that are associated with the QST-derived normal or sensitized classifications.

A Simulated Approach to Fostering Competency in End-of-Life Care Among Pharmacy Students.

To determine if pharmacy students participating in simulation-based scenarios reported fewer learning needs about the transition from acute to end-of-life (EOL) care compared to students participating in solely case-based scenario delivery. Four end-of-life cases were developed for both paper-based case study and simulation delivery. Pharmacy students on three distant campuses were exposed to the case study approach while four teams of nine to ten pharmacy students were exposed to simulated versions of the same cases.

Pain Quality by Location in Outpatients with Cancer.

Background: The McGill Pain Questionnaire (MPQ) pain quality descriptors have been analyzed to characterize the sensory, affective, and evaluative domains of pain, but have not been differentiated by pain location.

Aim: To examine MPQ pain quality descriptors by pain location in outpatients with lung or prostate cancer.

Design: Cross sectional.

Genetic Variants Associated with Cancer Pain and Response to Opioid Analgesics: Implications for Precision Pain Management.

Objective: To review the current knowledge on the association of genetic variants with cancer pain.

Data Sources: Data-based publications and review articles retrieved from PubMed, CINAHL, and Web of Science, as well as an additional search in Google Scholar.

Conclusion: Genetic variability can influence differential pain perception and response to opioids in cancer patients, which will have implications in the optimal personalized treatment of cancer pain.

Demographics, Psychological Distress, and Pain From Pressure Injury.

Background: There is a knowledge gap regarding factors that influence the intensity of pain associated with pressure injuries.

Objectives: We examined the influence of age, gender, race, and comorbidity on the relationships between pressure injuries, psychological distress, and pain intensity in hospitalized adults.

Methods: This study was a cross-sectional, retrospective secondary analysis using data from a regional acute hospital's electronic health records from 2013 to 2016.

Early mobilisation in intensive care during renal replacement therapy: A quality improvement project.

Objective: To improve mobility for patients undergoing renal replacement therapy within intensive care.

Design: A quality improvement study utilising a step-wise mobility protocol within a before-and-after audit design.

Setting: Twenty-four bed Trauma/Surgical intensive care unit within a level one trauma and academic centre.

Evaluation of Functional Outcomes for Adult Patients After Distal Radius Fracture Treated With Volar Plate Fixation Versus Nonsurgical Care.

Distal radius fractures are one of the most common fractures patients experience. Although there are a variety of treatments, there is a lack of standardization as it relates to treatment of such fractures. The purpose of this study was to compare treatment outcomes between surgical and nonsurgical care of distal radius fractures to inform evidence-based guidelines for the management of distal radius fractures.

Strengthening Inter- and Intraprofessional Collaborations to Advance Biobehavioral Symptom Science.

Purpose: The purpose of this article was to discuss barriers and potential solutions for strengthening inter- and intraprofessional collaborations that will advance biobehavioral symptom science.

Organizing Construct: General and team-based barriers and solutions for advancing biobehavioral symptom science are reviewed with an exemplar discussion that is guided by Carper's patterns of knowing.

Conclusions: Strategic partnerships across nursing associations and organization can help to build collaborations that are focused on symptom science in a specific population, disease, or setting.

Shifting Strategies: Using Film to Improve Therapeutic Communication and Nursing Education.

Narrative pedagogy successfully transformed a previously discordant mental health clinical rotation into a reflective and engaged learning process. Use of the film "Wit" early in the clinical semester was popular with subsequent cohorts of students and helped better engage them in practicing therapeutic communication techniques. This article is an exemplar of the application of narrative pedagogy as a means of embracing the phenomenon of therapeutic communication in health care.

Review: The Perioperative Use of Thromboelastography for Liver Transplant Patients.

Thromboelastography (TEG) is a viscoelastic test that allows rapid evaluation of clot formation and fibrinolysis from a sample of whole blood. TEG is increasingly utilized to guide blood product resuscitation in surgical patients and transfusions for liver transplant patients. Patients with severe liver failure have significant derangement of their clotting function due to impaired production of procoagulant and anticoagulant factors.

Nursing students' diagnostic accuracy using a computer-based clinical scenario simulation.

Background: Being able to make accurate clinical decisions about actual or potential health problems is crucial to provide a safe and effective care. However, nursing students generally have difficulties identifying nursing diagnoses accurately.

Objective: To compare the diagnostic accuracy within and across the NANDA-I diagnoses domains of junior, senior, and graduate-entry students.