It was concluded that GPs and medical students need help to differentiate more accurately between patients at high and low coronary risk, and greater effort should be made to communicate the advantages and difficulties involved in multiple risk assessment.
Two hundred randomly selected Swedish GPs and 73 medical students in their final year of medical school were asked to estimate coronary risk for 10 written case descriptions with different cholesterol levels (at least 5.5 mmol/l) and combinations of other risk factors. Both primary and secondary prevention cases were represented.
The risk estimation is often done on an intuitive basis without reference to tables or computer programmes, despite having clear guidelines. The requirements for decision support are discussed. More evidence is needed on the validity of the Framingham equation for new population samples.
Tobacco smoking remains a key topic in nursing research, as well as a critically important occupational-health issue for the entire nursing profession. In order to make the next generation of tobacco research data as comparable as possible, future scholars should consider devising and implementing a standardised format for conducting international tobacco smoking research within the nursing profession.
A state-of-the-art review of al…
In order to make the next generation of tobacco research data as comparable as possible, future scholars should consider devising and implementing a standardised format for conducting international tobacco smoking research within the nursing profession.
There is no mention of any ethical review in this study. Since this is a literature review, ethical clearance is not necessary
A state-of-the-art review of all journal papers on tobacco smoking research that have been published in international journals over the past 30 years. A total of 73 English-language studies that met the inclusion criteria were located and analysed during this study. As roughly two-thirds had been published in the past 10 years.
Qualitative Literature review
The review began with a comprehensive literature search of terms such as: ‘nurse’, ‘smoking’ and ‘tobacco’. After identifying some initial manuscripts, the search was repeated using keyword variations such as ‘smoke’ and ‘nursing’. Although a surprisingly large number of smoking-related studies were found using these methods, it has been previously noted that only a fraction of nursing periodicals are currently included on medical research databases.
Each article located during the literature search was entered into a spreadsheet program for ease of searching and stratification. Studies were first arranged by the country in which the research had been conducted and then, in descending order, according to the year in which the research had been published. Basic statistical analysis was performed to help assess the progression of trends in tobacco-related nursing research over time. For these