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81.
“Falls prevention among older people and care providers: protocol for an integrative review” 下载免费PDF全文
Carmen de la Cuesta‐Benjumea MSc Phd RGN Maria Adriana Henriques MSc PhD RN Eva Abad‐Corpa MSc PhD RN Brenda Roe MSc PhD RGN María Isabel Orts‐Cortés MSc PhD RN Beatriz Lidón‐Cerezuela MSc PhD RN Almudena Avendaño‐Céspedes MS Clinical research RN José Luís Oliver‐Carbonell MS RN 《Journal of advanced nursing》2017,73(7):1722-1734
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Angela M. Beattie RGN PhD Rona Campbell PhD Kavita Vedhara PhD 《Health expectations》2014,17(3):429-439
Objective Individuals who have had one diabetic foot ulcer (DFU) are at high risk for developing further DFUs. This study was designed to examine the emotional and behavioural consequences of living with this heightened risk of re‐ulceration. Participants and setting Fifteen women and men living in south‐west England were interviewed at home or at the university by an academic psychologist. Design Interviews were audiotaped and transcribed verbatim. Thematic analysis using the constant comparative method was employed for data analysis. Results Participants reported having little perceived control in preventing further DFUs. This lack of control was associated with a range of negative emotions including fears and worries about developing further foot ulcers, amputation and guilt for the past neglect. Tensions were present between participants’ beliefs and reported behaviours, that is, what they felt they ought to be doing and what they were actually doing to care for their feet; most engaged in ‘strategic adherence’, that is, conducting a trade‐off between living a normal life and following foot‐care advice. Conclusion A lack of perceived control appears central to the emotional and behavioural responses of individuals living with the threat of re‐ulceration. We propose that these responses may serve to increase individuals’ risk of re‐ulceration and that these ‘risk factors’ should be considered part of the management of this patient group. 相似文献
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Angie Docherty RGN RHV BA MPH NursD Carol Bugge RGN RSCN BN MSc PhD Andrew Watterson BA PhD CSHP 《Health expectations》2012,15(2):126-138
Background Socioeconomically deprived women are at greater risk of adverse pregnancy outcomes. Research tends to focus on access of services. Yet access may not equate with the equity of services for women from different socioeconomic backgrounds. Objectives To determine whether pregnant women’s perceptions of antenatal provision differed in relation to their socioeconomic deprivation ranking (determined by the Scottish Index of Multiple Deprivation 2006). Design A longitudinal, qualitative study with comparative antenatal case studies between January 2007 and April 2009. Setting/Participants Cases were primigravida women from ‘least deprived’ (n = 9) and ‘most deprived’ (n = 12) geographical areas within one local authority in Scotland. Analysis Data were analysed using case study replication analysis. Results There was little difference in access to antenatal services between the ‘least’ and ‘most’ deprived groups. Perception of care differed in relation to the level of ‘engagement’ (defined using constructs of: language and personalization of care; power and relationships; and health literacy). Engagement was evidenced in most of the ‘least deprived’ cases and almost none of the ‘most deprived’ cases. Specifically, socioeconomically deprived women described less evidence of personal connection to their own care, effective communication and the opportunity for shared decision making. Conclusion In women from socioeconomically deprived areas, access may be a less useful indicator than engagement when assessing antenatal service quality. As engagement levels may be one method by which to predict and improve health outcomes, a more equitable antenatal service may need to be developed through the early identification of those women at risk of non‐engagement. 相似文献
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Listening for commissioning: A participatory study exploring young people's experiences,views and preferences of school‐based sexual health and school nursing 下载免费PDF全文