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[The trend of research in nursing]

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Reform in the South African healthcare and educational system were characterized by the ideals that the country needs to produce independent, critical thinkers. Nurses need to cope with diversity in a more creative way, defining their role in a complex, uncertain, rapidly changing health care environment. Quality clinical judgement is therefore imperative as an identified characteristic of newly qualified professional nurses. The objective of this study was to explore and describe clinical judgement through various data sources and review of literature to clarify the meaning and promote a common understanding through formulating the characteristics and developing a connotative (theoretical) definition of the concept. An explorative, descriptive qualitative design was used to discover the complexity and meaning of the phenomenon. Multiple data sources and search strategies were used, for the time frame 1982—2013. A concept analysis was used to arrive at a theoretical definition of the concept of ‘clinical judgement’ as a complex cognitive skill to evaluate patient needs, adaption of current treatment protocols as well as new treatment strategies, prevention of adverse side effects through being proactive rather than reactive within the clinical nursing environment. The findings emphasized clinical judgement as skill within the clinical nursing environment, thereby improving autonomous and accountable nursing care. These findings will assist nurse leaders and clinical nurse educators in developing a teaching-learning strategy to promote clinical judgement in undergraduate nursing students, thereby contributing to the quality of nursing care.
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The objective of this qualitative, exploratory, descriptive and contextual research was to explore and describe a parent's experience of the couple relationship after child bereavement in South Africa. Participants were nine parents as well as the researcher who lost children. An auto-ethnographic strategy was utilized to connect personal with cultural. The research included nine In-depth interviews with seven mothers and two fathers. Data were analyzed using a descriptive method of open coding. Trustworthiness was ensured through credibility, confirmablity, transferability and dependability procedures. Parents experienced extreme challenges from their loss. Adjustment could be facilitated through enhancing communication skills, expression of emotions and re-membering activities.
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