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BACKGROUND: This scoping review was conducted to summarise and map studies on pain resulting from endotracheal suctioning in paediatric intensive care patients. METHOD: This scoping review conducted in June 2022 was performed by screening articles published in English. Scopus, PubMed, Cochrane, Web of Science, MedLine and Ovid databases were used for screening. The keywords 'endotracheal suctioning', 'pain', 'paediatric intensive care' and their synonyms were used in the search. RESULTS: During the review, 280 articles were accessed, and the full texts of 14 articles were evaluated for suitability. After some of the articles were excluded from the study, abstracts of nine articles were given below. CONCLUSION: It is recommended that a greater number of randomised controlled studies should be conducted, because the number of studies with a high level of evidence on the effect of endotracheal suctioning on the pain levels of patients in the paediatric intensive care unit is very few.
Asunto(s)
Unidades de Cuidado Intensivo Pediátrico , Intubación Intratraqueal , Humanos , Succión/enfermería , Succión/métodos , Niño , Intubación Intratraqueal/efectos adversos , Dolor/etiología , Preescolar , LactanteRESUMEN
BACKGROUND: Bibliometric methods may be used to examine research trends, and information visualisation techniques are useful in illustrating the diffusion of knowledge and how theories are applied. OBJECTIVES: The present study aimed to illustrate how Orem's Self-Care Deficiency Nursing Theory (SCDNT) has been cited and applied in nursing science and beyond. METHODS: A bibliometric analysis examined scientific publications that cited Orem's nursing theory. In addition, the diffusion of SCDNT was assessed using data visualisation methods and integration scores of SCDNT versions were calculated to define trends in its theoretical usage in other scientific domains. RESULTS: The information visualisation demonstrated increased usage of SCDTN in different disciplines. Integration scores demonstrated that the scientific community still recognises and uses versions of SCDTN. DISCUSSION: Studying citation patterns helps to identify which publications are still cited and relevant, as well as illustrating the dissemination of theory. Findings may be used in the collection weeding of SCDTN book versions. CONCLUSIONS: Findings provided nursing scientists with a better conceptual understanding of SCDNT diffusion and development. For academic library managers, the findings identify which SCDNT should be retained for historical interest and curriculum needs.
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AIM: The aim of this study is to examine the structure of the knowledge creation process in nursing science and to investigate the dissemination of theoretical knowledge in other disciplines by analyzing citations and social network data. METHOD: This exploratory study evaluated Metadata to find academic publications. Meleis's Transition Theory was selected as a case study. A majority of the publications that represented the transition theory were assigned as the core of the theory. Forward and backward citations were used as agents of knowledge linkage to determine the dissemination of the theory in the field of science. Social network analysis and visualization were used to depict graphical and structural relations of the research front and the knowledge base. RESULTS: The knowledge base of the Transition Theory was built on 7 different information networks. The most effective and vast information network consisted of Meleis, AI as a researcher and the central information network, which is the journal of Nursing Research. Oncology, geriatrics, public health, and psychology in the areas of information propagation within the field of nursing were considered as research areas where the theoretical framework provided by the theory was rendered functional. CONCLUSION: In recent years, the use of theoretical frameworks has become a necessity to assess the changing needs of the study of nursing science. The method used in the study can be effectively used to analyze the conceptual structures in the nursing education and professional application processes and to understand the origins of these theories. Further research can help to structure the use of informational science-based research designs to understand the connections between theory, clinical practice, and the development of educational contents in nursing faculties.
RESUMEN
A 10-year-old girl presented with visual loss in her right eye. Best-corrected visual acuity was 20/50 in the right eye and 20/20 in the left eye. Dilated funduscopic examination revealed a yellowish elevated lesion near the optic disc with macular edema and hemorrhage on the inferotemporal vascular arcade in the right eye. Fluorescein angiography showed a hyperfluorescent lesion consistent with choroidal neovascularization (CNV) and optical coherence tomography (OCT) showed a peripapillary lesion with subretinal fluid elevating the neurosensory retina in the macular area. With a diagnosis of unilateral idiopathic peripapillary CNV, the patient underwent photodynamic therapy (PDT) with verteporfin. At the four month follow-up, visual acuity increased to 20/25 and OCT showed peripapillary scar formation and total resolution of the subretinal fluid. At the one year follow-up, visual acuity and fundus were stable without recurrence of the lesion. PDT for peripapillary CNV in children has not previously been reported. Although it seems to be a favorable treatment option for peripapillary lesions, there is a lack of knowledge about long-term follow-up in pediatric cases.