Elizabeth Manias

..The findings demonstrate implications for policy makers and clinicians in adopting resource intensive processes and technologies, which offer little evidence to support their efficacy...

..Pain continues to be a common problem for older hospitalised patients, but little is known about how the complexities of actual clinical practice affect pain assessment and management in these patients...

..Re-presentation was defined as a return visit to the same emergency department within 28 days of discharge from hospital...

..Through collegial support, graduate nurses should also be encouraged to critically examine the different possibilities when making clinical judgments about monitoring patient medications...

..It is important that comprehensive information about graduate nurses' decision-making processes and the contextual influences affecting these processes are obtained in order to prepare them to meet patients' needs...

..Managing medications is complex, particularly for consumers with multiple coexisting conditions for whom benefits and adverse effects are unpredictable and health priorities may be variable...

..The aim of this paper is to examine communication between patients with chronic kidney disease and nurses about managing pain in the acute hospital setting...

..This research review aimed to critically appraise the study by Valentin et al. on administration errors for parenteral medications in intensive care units...

..The objectives were to determine the types of information communicated about patients' medications and the communication processes used during interactions with other nurses, doctors and pharmacists...

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..The objectives were to: examine the extent of adherence to various protocols in relation to medication activities and determine how the ward environment impacts on graduate nurses' use of protocols to manage patients' medications...

..This research, which portrays what happens in actual clinical practice, has facilitated the identification of new data that were not evident from other research studies...

..Little information is available about patients' perspectives on self- or nurse-related administration of medication...

..The findings reinforce the need to enhance collaboration between hospitals and nursing agencies, and to examine how divergent views of agency nursing work could be reconciled--with the aim of providing quality patient care...

..This study aimed to examine the effectiveness of a structured educational nursing intervention on pain assessment and management in older hospitalized people...

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..This paper demonstrates the value of using the collaborative workplace learning approach in strategically addressing the challenges of developing and conducting a university critical care course...

..The findings contribute to improving our understanding of nurses' pain management and identify the need to use clinical judgement that is individualized to patients' needs...

..In particular, the findings highlight the importance of comprehensive orientation and education for agency nurses to shift the focus of their daily work from task completion to more comprehensive patient care...

..Despite increasing knowledge and technological advances, patients continue to experience pain and anxiety in the postoperative setting...

..This paper is a report of a concept analysis of medication communication with a particular focus on how it applies to nursing...

..Effective communication must be supported between health professionals and patients if shared understandings about treatment options are to become a reality...

..This knowledge may form the basis for developing and evaluating strategic intervention programmes that analyse nurses' management of postoperative pain and, in particular, their administration of opioid analgesics...

..Adopting a supportive multidisciplinary approach to quality improvement and providing education that emphasises written documentation of verbal communication are also recommended...

..Rather than censoring language, we recommend that nurses, researchers and educators attend to nurses' everyday language and explore what it produces for nurses, patients and society...

..Factors considered most strongly as barriers to expanded nursing practice included the medical profession, followed by fear of litigation, and government departments and policies...

..The purpose of this study was to investigate the impact of role discrepancy on nurses' intention to quit their jobs...

..This paper examines how time is controlled and governed in operating rooms through interpersonal communication between nurses and doctors...

..The study identified how nurses' prioritization of work demands created barriers in conducting timely and comprehensive pain assessment decisions...

..In contrast, negative environmental characteristics directly impacted on nurses' intention to quit their jobs. The present study provides new insights into nurses' work behaviour...

..The findings emphasize the need for significant changes in current legislation if expanded practice for nurses is to become a reality...

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..The aim of this paper was to explore the perspectives of psychiatrists regarding the potential impact of expanded nursing practice roles on mental health care delivery...

..However, it provided evidence on the utilization of agency nurses in public and private hospitals that will help shape policy on the regulation of the agency nursing workforce...

..The aim of this study was to examine how nurses' professional needs were met in nursing practice...

..However, there are few studies that have examined the effectiveness of repeated doses of sucrose and there are no studies of prolonged sucrose use in sick infants over an entire period of hospitalization...

..Individuals are adherent to approximately 50% of their prescribed medications, which decreases when multiple, chronic conditions are involved...

..This study aims to determine the extent to which community mental health nurses are currently practicing beyond the traditional scope of nursing practice...

..This paper will consider and critique the argument that the standard of care provided by a nurse practitioner would be of lesser quality than that provided by a medical practitioner...

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..Instead of effacing practices of control, we encourage nurses to discriminate between more and less liberal modes of control in everyday practice and to build their skills in liberal controlling strategies...

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..It limits our understanding of why pain continues despite ongoing research and it does not enable evaluation of clinical strategies to improve pain decision-making and pain outcomes for patients...

..Describe the utilization of analgesic and sedative medications and documentation of pain scores in a cohort of critically ill infants in a neonatal intensive care unit...

..Nurses have key responsibilities in the administration and management of medication therapy and client education. It is of some concern therefore that the literature indicates that nurses are inadequately prepared in this area...

..Each is analysed in terms of its contributions to the research process as well as its substantive contribution to the theoretical framework and the research aims...

..The findings show that nurses are selective in their use of gatekeeping, depending on the perceived impact on patient care and the benefit that is accrued to nurses themselves...

..This paper is a report of a study conducted to examine how irrational thinking affects people's adherence to multiple medicines prescribed to manage their diabetic kidney disease...

..The findings suggest the need for significant change if the goals of the Third National Mental Health Plan are to be realized...

..This study examined the attitudes of Australian community mental health nurses toward role expansion...

..The data in this paper are drawn from an ethnographic study that explored a range of nurse-nurse and nurse-doctor communication practices in operating room nursing...

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..To examine the characteristics of medication-related problems occurring in people with diabetes admitted to hospital and to identify risk factors for medication-related problems...

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..The implications of all six models for healthcare practice and future research are also discussed...

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..In this study, patients attending the eczema workshop had a greater improvement in eczema severity thanpatients attending a dermatologist-led clinic, supporting collaborative models of service provision...

..Also, the monitoring of important clinical factors is discussed so that clinicians can assess the impact upon patients of changes to sedation management practices within their own ICU...

..In summary, there is still much scope for educational initiatives to improve students' knowledge of pharmacology and medication management...

..An association existed between the pain score on discharge from the PACU and the duration of time to the first analgesic dose administered on the postoperative unit...

..Results showed that pain responses differed when opioid analgesics were administered concomitantly with sucrose (n=79 pain assessments), than when sucrose was administered alone (n=364 pain assessments)...

..Current teaching and learning opportunities appear to be inadequate in their efforts to enhance and improve graduate nurses' pharmacology knowledge. These inadequacies need to be addressed if the ultimate goal is to become a reality...

..In assessing the ability of patients to self-medicate, health professionals can identify areas in which patients need assistance, education, and intervention to optimize their health outcomes after discharge...

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..Background. The importance of managing co-existing, chronic conditions in people of all ages is critical to prevent adverse health outcomes...

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..This paper reviews the literature concerning nurses' assessment and management of pain in adult patients with chronic kidney disease, and proposes implications for clinical practice to support the control of pain in these patients...

..To explore medication knowledge and self-management practices of people with type 2 diabetes...

..The perioperative pathway consists of 3 interconnecting, but geographically distinct domains: preoperative, intraoperative and postoperative...

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..To explore parental management of childhood complaints with respect to factors associated with the purchase of over-the-counter medicines and sources of information accessed by parents...

..To identify when and how nurses reassess patients' pain after analgesic administration in the postoperative context...

..Recommendations for more effective practice are discussed...

..This theory enables nurse researchers to develop a more mutual approach involving the nurse and environment...

..To describe over-the-counter (OTC) medicine use by Australian parents for children aged birth to 24 months; types of medicines used and indications for use...

..The aim of this paper is to examine the continuity of care and general wellbeing of patients with comorbidities undergoing elective total hip or knee joint replacement...

..To investigate the incidence of falls and explore fall prevention practices at acute care hospitals in Singapore...

..We recommend instead that the productive value of diverse and situated practices be investigated and articulated...

..To determine which aspects of open disclosure "work" for patients and health care staff, based on an evaluation of the National Open Disclosure Pilot...

..This article reviews the literature concerning hypertension in patients on HD and proposes that increased attention by dialysis staff to assessing dry weight may reduce the incidence of hypertension and cardiac disease in these patients...

..To investigate the factors that influence satisfaction with emergency care among individuals accompanying patients to the emergency department and explore agreement between the triage nurse and accompanying person regarding urgency...

..To compare protocol-directed sedation management with traditional non-protocol-directed practice in mechanically ventilated patients...

..As such, it has the potential to provide a much needed, different view of operation room nursing that can only help to strengthen its professional foundations and development...

..Few reports gave explanations of how researchers negotiated ethical concerns when seeking approval for studies in clinical settings, and few gave details of the processes of data analysis...