13805 papers
This qualitative study of municipal in-patient acute care services in Norway reveals that effective leadership, characterized by organizational strategies, relationship-oriented management, and collaborative interprofessional practices, is pivotal in fostering a culture that supports nurses' continuous professional development and competence growth.
This mixed methods study reveals that many community-dwelling older adults experience persistent physical and psychological declines one month after a fall-related emergency department discharge, while highlighting the critical role of social support in pain management and the diverse adaptive strategies patients employ during early recovery.
In an observational cohort study of older adults with sepsis, lower early expression of PD-L1 on M1 monocytes within the first 24 hours was independently associated with the presence of septic shock and demonstrated improved diagnostic accuracy when combined with the SOFA score.
The TRUE trial is an ongoing pragmatic randomized controlled trial comparing physician's-choice systemic anticancer therapy against best supportive care in patients with end-stage advanced solid tumors to determine whether additional treatment improves overall survival and quality of life or if prioritizing supportive care is more beneficial.
This cross-sectional study of 168 Singaporean emergency department patients and caregivers reveals that willingness to use and pay for virtual urgent care services increases with perceived clinical urgency, with acceptance driven by scenario-specific values such as convenience for mild conditions and timely escalation for severe ones, alongside factors like trust and digital confidence.
This retrospective cohort study with propensity score matching demonstrates that self-efficacy serves as a statistically significant but fragile partial mediator, accounting for approximately 12% of the positive association between Information-Motivation-Behavioral Skills nursing interventions and improved quality of life in lung cancer patients undergoing cryoablation.
This prospective cohort study conducted at a Nigerian tertiary hospital reveals that cardiorenal syndrome type 1 affects nearly half of acute heart failure patients and is significantly associated with prolonged hospitalization, higher mortality rates, and reduced health-related quality of life at 30 days.
This retrospective study of 202 patients demonstrates that mesenteric adhesion, driven by risk factors such as posterior wall location, large tumor size, and extraluminal growth, significantly prolongs operative time, increases inflammatory response, and raises hospitalization costs in gastric submucosal tumors treated with endoscopic full-thickness resection, thereby highlighting the need for careful preoperative assessment and caution in such cases.
This quasi-experimental study demonstrates that a nurse-led non-ICU early rehabilitation pathway for liver transplant recipients is associated with accelerated recovery milestones, reduced invasive device retention, and shorter hospital stays compared to conventional ICU-transition care, though findings are limited by the historical control design.
This randomized controlled trial demonstrates that an integrated flipped classroom and problem-based learning (FC-PBL) teaching model significantly enhances team emergency performance, theoretical knowledge, practical skills, and self-confidence among nurse anesthetists training for peri-operative anaphylaxis compared to traditional lectures.