Suicide among nurses: how talking can reduce risk and stigma: With increasing workplace and home pressures for many, nurses can support colleagues through open, honest

In the BBC TV programme 'This Is Going to Hurt', hospital staff plant a tree in memory of a colleague who has died by suicide.

Device Nurses Can Prevent CLABSIs

The article talks about how the hiring by UConn Health in Fairfeld, Connecticut of two epidemiology nurses has helped in preventing central line-associated bloodstream infection (CLABSI). Topics covered include the daily device rounds performed by the nurses, the critical oversight and infection prevention that they provide, and the easy-to-use antiseptic swab with a shorter scrub and dry time for catheter insertion implemented by the hospital.

The Postpandemic Nursing Workforce: Increasing Fill Rates and Reducing Workload Through a Generational Design of Workforce Layers

Inequities between nursing workforce supply and demand continue to challenge nurse executives in creating the vision for a postpandemic nursing workforce. Health system's workforce redesign strategies must prioritize the changing needs of the multigenerational workforce to maximize the available supply of nurses willing to remain in the workforce. A test of a newly designed flexible workforce framework, aimed to meet the needs of the multigenerational workforce, resulted in increased fill rates and decreased costs of labor.

Nurses Use Innovation to Perform Symptom and Pain Assessments

The article offers information on how nurses use innovation to perform symptom and pain assessments. It mentions that symptom and pain assessment tools can measure multiple aspects of a patient's pain experience in both ambulatory and acute care settings. It discusses that how symptom management can make a positive difference in patients' lives and ability to tolerate cancer treatment.

Effectiveness of Nursing Care Bundle in Terms of Knowledge and Practices Regarding Care of Patients on Mechanical Ventilator among Nursing Personnel

Background-Covid-19 Pandemic has proved the Nurse's crucial role in health care delivery system and providing nursing care to critically ill patients. It is a challenge for nurses as they need to be astute, competent, compassionate and critical thinker when they have to take care of patients on mechanical ventilator. Aim-To assess knowledge and practices regarding care of patients on mechanical ventilator among nursing personnel before and after administration ofNursing Care Bundle (NCB) in experimental and comparison group. Material and method. A Quasi Experimental non Equivalent comparison group pretest post test design used in thus study. 65 nursing personnels (30 experimental and 35 comparison groups) were selected from hospitals of North India using convenience sampling technique. NCB was administered in experimental group. Structured knowledge questionairre, Structured Observation Checklist for practices was used to collect data before and after intervention. Results-The mean post test knowledge and practices scores of nursing personnel in experimental and comparison groups were (21.6 ± 3.84, 30.83 ± 4.51) and (17.54 ± 2.76, 19.54 ± 4.17) respectively. There was significant difference between mean pre test and post test knowledge and practices scores (p=0.00).There was statistically no significant correlation between post test knowledge and practices score [r=0.16 (0.39)] among nursing personnel in experimental group at the level of significance 0.05.There was significant association of selected variable in area of gender (0.02) in experimental and education (0.02) in comparison group with pre test knowledge scores , also there was a significant association of selected variable in area of gender in experimental (0.03) and present area of working (0.03) in comparison group with pre test practices score. Conclusion-Nursing Care Bundle was effective in improving knowledge and practices of nursing personnel.

Perspectives of nursing directors on emergency nurse deployment during the pandemic of COVID-19: A nationwide cross-sectional survey in mainland China.

AIMS: The aim of this study is to investigate the situation and perceptions of nursing directors about emergency nursing staff deployment in designated hospitals during the pandemic of COVID-19 in mainland China. BACKGROUND: The pandemic of COVID-19 has significantly depleted health care resources, leading to increased burden of nursing care and staffing and exacerbating the crisis in health care facilities. Currently, how to effectively plan and schedule nursing staffing in the pandemic still remains unknown. METHODS: From 14 July 2020 to 8 September 2020, 62 nursing directors of designated hospitals in mainland China were invited to participate in a cross-sectional online survey for their perceptions of nursing human-resource allocation during the pandemic of COVID-19. RESULTS: A total of 55 valid questionnaires were collected, showing that 96.36% of the hospitals had emergency nursing organizations and management systems during the pandemic, 96.36% had well-established scheduling principles for nursing human resources and 54.55% of hospitals had human-resource scheduling platforms. All the hospitals had trained emergency nursing staff in infection control (55, 100%), work process (51, 92.73%) and emergency skills (50, 90.91%). Most of the participants were satisfied with the nursing staffing deployments at their institutions (52, 94.55%). However, more than two thirds of them believed that their human-resource deployment plans need further improvements (39, 70.91%). CONCLUSIONS: Most of the designated hospitals investigated had established emergency nursing organizations, and management systems, and related regulations for the epidemic. However, the contents mentioned above still need to be further standardized. IMPLICATIONS FOR NURSING MANAGEMENT: The surge of patients in the epidemic was considerable challenge for the emergency capacity of hospitals. In the future, we should pay more attention to the following aspects: building emergency nursing staffing platforms, increasing emergency human-resource reserves, establishing reliable communication channels for emergency response teams, improving the rules and regulations of emergency human-resource management, offering more training and drills for emergency-related knowledge and skills and giving more focus on bio-psycho-social wellbeing of nurses.

Reviving resuscitation skills: Non-invasive ventilator training for ward nurses

As part of the pro-active response in anticipation of a possible outbreak of COVID-19 in Aotearoa New Zealand, ward nurses at Wellington Regional Hospital were requested by senior nursing leadership to participate and engage in non-invasive ventilation training. The objective of this education was to allow adequate response and provision of lifesaving non-invasive ventilation to critically unwell patients. Identifying potential nurses and ascertaining the amount of training and resources involved in mass training was critical to the success of the programme. The variation in ventilation equipment was a significant detail that had contributed to the mounting challenge of addressing the lack of both human and technological resources. This reflection piece describes the education initiative and the circumstances and practicalities of creating, teaching, and training advanced skills (non-invasive ventilation education) to ward nurses with limited respiratory experience.

Access as an enabler and an obstacle to nurses' use of ICT during the COVID-19 pandemic: Results of a national survey

The COVID-19 global pandemic has altered the way people in Aotearoa New Zealand live, work, play, and access healthcare, and this has included an increase in the use of technology. The aim of this exploratory study was to understand Aotearoa New Zealand nurses' use of technology during the COVID-19 lockdown, in particular what information and communication technologies (ICT) was being used and how nurses felt about using ICT in their practice. An anonymous online survey, utilising both open and closed-ended questions, was selected as an appropriate and safe data collection method during the pandemic. Snowball sampling was used with an online survey that was sent out during the level 3 lockdown (from March to May 2020) via social media and existing email networks and so potentially dispersed to nurses throughout Aotearoa New Zealand. In total 220 responses were received. The results were analysed using descriptive statistics, and open-ended qualitative comments were thematically analysed. The key finding was that there were significant access issues related to nurses using ICT in their practice: Access to information technology systems and resources, access to technical support, access to connectivity (particularly for those working from home in rural communities) and access to patients and colleagues. As predicted, this study has identified areas for future exploration but highlights Aotearoa New Zealand nurse's ability and willingness to embrace technology to better meet the needs of their patients.

COVID-19 among Indigenous communities: Case studies on Indigenous nursing responses in Australia, Canada, New Zealand, and the United States

Globally, Indigenous Peoples experience disparate COVID-19 outcomes. This paper presents case studies from Aotearoa New Zealand, Australia, Canada, and the United States of America and explores aspects of government policies, public health actions, and Indigenous nursing leadership for Indigenous communities during a pandemic. Government under-performance in establishing Indigenous-specific plans and resources, burdened those countries with higher COVID-19 cases and mortality rates. First, availability of quality data is an essential element of any public health strategy, and involves disaggregated, ethnic-specific data on Indigenous COVID-19 cases, mortality rates, and vaccination rates. When data is unavailable, Indigenous Peoples are rendered invisible. Data sovereignty principles must be utilised to ensure that there is Indigenous ownership and protections of these data. Second, out of necessity, Indigenous communities expressed their self-determination by uniting to protect their Peoples and providing holistic and culturally meaningful care, gathering quality data and advocating. Indigenous leaders used an equity lens that informed national, state, regional, and community-level decisions relating to their Peoples. Third, at the forefront of the pandemic, Indigenous nursing leadership served as a trusted presence within Indigenous communities. Indigenous nurses often led advocacy, COVID-19 testing, nursing care, and vaccination efforts in various settings and communities. Indigenous nurses performed vital roles in a global strategy to reduce Indigenous health inequities during the COVID-19 pandemic and beyond. Fourth, historically, pandemics have heightened Indigenous Peoples' vulnerability. COVID-19 amplified Indigenous health inequities, underscoring the importance of high-trust relationships with Indigenous communities to enable rapid government support and resources. Holistic approaches to COVID-19 responses by Indigenous peoples must consider the wider determinants of wellbeing including food and housing security. Findings from these case studies, demonstrate that Indigenous self-determination, data sovereignty, holistic approaches to pandemic responses alongside with Governmental policies, resources should inform vaccination strategies and future pandemic readiness plans. Finally, in any pandemic of COVID-19-scale, Indigenous nurses' leadership and experience must be leveraged for a calm, trusted and efficient response.

Worldwide prevalence of inadequate work ability among hospital nursing personnel: A systematic review and meta-analysis.

PURPOSE: To estimate the worldwide pooled prevalence of inadequate work ability among hospital nursing personnel using the Work Ability Index (WAI). DESIGN: Systematic review and meta-analysis. METHODS: A systematic search was conducted on Medline/PubMed, Scopus, Web of Science, Scielo, PsychInfo, CINAHL, Nursing and Allied Health, LILACS, and Google Scholar from inception to July 2021 to identify observational studies on work ability among hospital nursing personnel using the WAI. Two researchers independently completed the study selection, quality assessments, and data extraction on the prevalence of inadequate work ability that was pooled using the random effects model. Finally, subgroup analyses were performed to explore sources of heterogeneity. FINDINGS: A total of 42 studies were included, consisting of 24,728 subjects worldwide from 14 countries. Of these, 35 studies were included in the meta-analytical analyses. The worldwide pooled prevalence of inadequate work ability among hospital nursing personnel was 24.7% (95% CI = 20.2%-29.4%). High levels of heterogeneity were detected in all studies. Prevalence was higher in studies where samples were composed of nurses and nursing assistive personnel (26.8%; 95% CI = 22.4%-31.5%) than in those of nurses alone (22.2%; 95% CI = 13.1%-32.9%) and in studies where the sample was over 40 (28.1%; 95% CI = 19.5%-37.5%) than in those with a sample under that age (22.4%; 95% CI = 15.8%-29.7%). CONCLUSIONS: Almost one in four members of hospital nursing staff in the world has inadequate work ability and therefore are at risk of several negative outcomes during their working life. These prevalence data correspond to the pre-pandemic period, so new studies should also be especially useful in quantifying the impact of the COVID-19 pandemic on work ability in the hospital nursing workforce. CLINICAL RELEVANCE: The above findings justify the launch of initiatives that include annual assessment for the early identification of inadequate work ability, offering the possibility of anticipated corrective measures. Nursing workforce older than 40 years and those belonging to the professional category of nursing assistive personnel should be priority target groups for screening and intervention to improve work ability.