Sexual and reproductive health needs assessment and interventions in a female psychiatric intensive care unit.

AIMS AND METHOD: To assess the sexual and reproductive health (SRH) needs of women admitted to a psychiatric intensive care unit (PICU), and acceptability of delivering specialist SRH assessments and interventions in this setting. Within a quality improvement framework, staff were trained, a clinical protocol developed and clinical interventions made accessible. RESULTS: Thirty per cent of women were identified as having unmet SRH needs and proceeded to a specialist appointment, representing a 2.5-fold increase in unmet need detection. Forty-two per cent of women were assessed, representing a 3.5-fold increase in uptake. Twenty-one per cent of women initiated SRH interventions, of which 14% had all their SRH needs met. Staff, patients and carers highlighted the acceptability and importance of SRH care, if interventions were appropriately timed and patients' individual risk profiles were considered. Barriers to access included lack of routine enquiry, illness acuity and impact of the COVID-19 pandemic. CLINICAL IMPLICATIONS: SRH needs for PICU admissions are greater than previously realised. Providing a nurse-led SRH assessment is acceptable, feasible and beneficial for PICU patients.

基于扎根理论的援鄂护士职业精神分析

目的:基于扎根理论分析援鄂护士的职业精神内涵。方法:选取山西医科大学12 所直属附属医院援鄂护士为研究对象，用扎 根理论对援鄂感悟进行分析。结果:共形成112 个概念、14 个一级范畴、6 个二级范畴。援鄂护士的职业精神包括家国情怀的职业使 命、大爱无疆的职业品质、尊重和平等对待病人的职业伦理、团结协作的职业作风、乐观必胜的职业态度、精益求精的职业素养6 个 方面。结论:挖掘护士职业精神的内涵，有助于深刻阐释护士工作的意义和价值，生动展示护士的良好精神风貌，大力弘扬"南丁格 尔精神"，对于提升护士的职业认同感、加强护士职业精神培育、构建和谐医患关系具有重要意义.

Delivering asthma reviews during the Covid-19 pandemic

The Covid-19 pandemic meant that the delivery of asthma management in primary care changed virtually overnight, requiring the introduction of alternatives to face-to-face care. This study examines the experiences of nurses who were performing asthma reviews during the pandemic, identifying the key themes that emerged, as well as providing recommendations for future practice.

Caregiver, keep the desire to take care

Le travail des aides-soignants est insuffisamment valorisé, même si leurs compétences sont mieux reconnues. La relation avec les patients ou résidents comme avec les membres de l'équipe est la source principale de satisfaction au travail. Pourtant, cela ne semble pas suffire pour fidéliser les soignants. © 2022 Elsevier Masson SAS

The Feasibility of a Pediatric Distance Learning Curriculum for Emergency Nurses During the COVID-19 Pandemic: An Improving Pediatric Acute Care Through Simulation Collaboration

To develop and evaluate the feasibility and effectiveness of a longitudinal pediatric distance learning curriculum for general emergency nurses, facilitated by nurse educators, with central support through the Improving Acute Care Through Simulation collaborative. Kern's 6-step curriculum development framework was used with pediatric status epilepticus aimed at maintaining physical distancing, resulting in a 12-week curriculum bookended by 1-hour telesimulations, with weekly 30-minute online asynchronous distance learning. Recruited nurse educators recruited a minimum of 2 local nurses. Nurse educators facilitated the intervention, completed implementation surveys, and engaged with other educators with the Improving Pediatric Acute Care through Simulation project coordinator. Feasibility data included nurse educator project engagement and curriculum engagement by nurses with each activity. Efficacy data were collected through satisfaction surveys, pre-post knowledge surveys, and pre-post telesimulation performance checklists. Thirteen of 17 pediatric nurse educators recruited staff to complete both telesimulations, and 38 of 110 enrolled nurses completed pre-post knowledge surveys. Knowledge scores improved from a median of 70 of 100 (interquartile range: 66-78) to 88 (interquartile range: 79-94) (P =.018), and telesimulation performance improved from a median of 60 of 100 (interquartile range: 45-60) to 100 (interquartile range: 85-100) (P =.016). Feedback included a shortened intervention and including physician participants. A longitudinal pediatric distance learning curriculum for emergency nurses collaboratively developed and implemented by nurse educators and Improving Pediatric Acute Care through Simulation was feasible for nurse educators to implement, led to modest engagement in all activities by nurses, and resulted in improvement in nurses' knowledge and skills. Future directions include shortening intervention time and broadening interprofessional scope.

Cancer nurses have experienced ‘moral injury' due to the pandemic

First, a Happy New Year to you all. I hope you enjoyed the festive break. In this issue, our cover article (evidence and practice, page 21) explains how emotional labour can lead to exhaustion and burnout, which contributes to a high turnover in the nursing workforce. It examines the differences in resilience and coping strategies of less experienced nurses compared with their more experienced counterparts.

The role of open space and green areas in the design of an inclusive nursing home environment during Covid-19 period

The paper highlights the importance of high-quality outdoor spaces in improving physical and social well-being in the residential environment of the elderly. The historical Swedish practice of green areas design was analysed as a role model to gain knowledge and understanding of the importance of open space and green areas in residential environments. During the Covid-19 pandemic, nursing homes were among the most critical living environments, as evidenced by a disproportionate number of infections and deaths among nursing home residents worldwide. The main objective of this study is to confirm the importance of architectural design quality with special attention to outdoor space, especially in situations comparable to Covid-19 pandemics. The methods used for the research were a literature review, selection of three case studies based on two dependent and one independent variable, on-site work analysis and use of the previously developed "Safe & Connected” assessment tool. The main findings show the positive influence of open space and green areas existence on reducing the risk of infections of SARS-CoV-2 in nursing homes at three different levels. In this context, it appears that the appropriate design of outdoor space can help contain the spread of viral infections while allowing nursing home residents to live with dignity and maximum social integration. © 2022 The Author(s)

Does the RUSON employment model support transition to practice, relieve workload pressure and improve patient care?

The article examines whether the Registered Undergraduate Student of Nursing (RUSON) employment model can help improve transition to practice and address workforce shortages in Australia. Topics discussed include the global nursing shortage following the COVID-19 pandemic, challenges facing new nursing graduates, and the RUSON employment model's success in reducing workload pressure and increasing job satisfaction for registered nurses.

Toward Evidence-Based Practice

Experts suggest how 6 research articles can be used in nursing practice.

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.

The 2023 CPT Coding and Medicare Payment Update

There are a host of changes that will affect family physicians, including new vaccine codes and bundled Medicare payments for chronic pain management.

Sharing Lessons From Successes: Long-term Care Facilities That Weathered the Storm of COVID-19 and Staffing Crises

Purpose: To identify leadership styles and staffing strategies in Missouri long-term care (LTC) facilities that stood out among their peers as "positive deviants" with regard to COVID-19 infections and staffing shortages. Methods: Statewide survey of all LTC facilities to identify exemplar facilities with stable staffing and low rates of COVID-19. Interviews with senior leaders were conducted in 10 facilities in the state to understand the strategies employed that led to these "positive outliers." A result-based educational program was designed to describe their actions and staff reactions. Results: Exemplar leaders used transformational leadership style. Top reasons for their success were as follows: (1) trusting and supportive staff relationships;(2) positive presence and communication;and (3) use of consistent staffing assignments. Strong statewide participation was noted in the educational programs.

RESEARCH. The ANMF National Policy Research Unit -- the first five years

The article focuses on the National Policy Research Unit of the Australian Nursing and Midwifery Federation (ANMF) that was established in 2018 in partnership with the University of South Australia's Rosemary Bryant AO Research Centre. Topics discussed include functions of the Unit, importance of nursing and midwifery research, and the Unit's accomplishments including its publication of evidence briefs on COVID-19.

The role of the palliative care mobile team nurse during the COVID-19 crisis

In 2020, the COVID-19 pandemic had an impact on treatment teams, including the palliative care mobile team (PCMT). During the first epidemic wave, some institutions decided to deploy professionals working in these PCMT to care services to strengthen the workforce. The health executive and the head of department of the PCMT 37, in agreement with the management of the university hospital of Tours, decided to maintain the whole PCMT in their usual duty, enabling them to continue their mission, within and outside the hospital. Whilst, looking back at the period, we thought about the specific roles played by the nurses of PCMT during the COVID crisis, from February to December 2020. We managed to bring out three major axes that structured our actions: (a) an efficient compagnionship, which helped the reshuffled teams regain their professional identity and the notion of teamwork. (b) practical training around symptoms related to COVID-19 and end of life with an adjustment on representations on palliative care, with the aim of avoiding that COVID patients are all considered terminally ill (c) through mediation, a support for people working on site to get to grips with the various recommendations. Relying on our reflexive practice, on our capacity to adapt and on our experience of coping with uncertainty, we were able to be proactive and hence, play a relevant role in this sanitary crisis. © 2022 Elsevier Masson SAS;En 2020, la pandémie COVID-19 a impacté l'organisation des équipes de soin y compris celle des équipes mobiles de soins palliatifs (EMSP). Lors de la première vague épidémique, certaines institutions ont fait le choix de déployer les professionnels de ces équipes dans les services de soins pour renforcer les effectifs. Le cadre de santé et le chef de service de l'EMSP37 en accord avec la direction du Centre Hospitalier Universitaire de Tours, ont décidé de maintenir dans leurs fonctions l'ensemble des professionnels de leur équipe, permettant la poursuite des missions intra et extra hospitalières. A posteriori, nous avons réfléchi aux fonctions spécifiques exercées par les infirmières d'EMSP dans la crise COVID de février à décembre 2020. Nous avons pu ainsi dégager trois grands axes ayant structuré nos actions: (a) un compagnonnage solidaire et étayant afin d'aider les équipes remaniées à retrouver leur identité professionnelle et la notion de collectif;(b) des formations pratiques autour des symptômes liés à la COVID-19 et à la fin de vie avec un ajustement sur les représentations sur les soins palliatifs, dans l'objectif d'éviter que les patients COVID soient tous considérés en phase terminale (c) une aide à l'appropriation des multiples recommandations par un travail de médiation. C'est en nous appuyant sur notre pratique réflexive, notre capacité d'adaptation et notre habitude à composer avec l'incertitude, que nous avons pu être force de propositions et ainsi tenir une place pertinente dans cette crise sanitaire. © 2022 Elsevier Masson SAS

The call for morally just global action

An excerpt from the article "Nursing Shortages and the Tragedy of the Commons: The Demand for a Morally Just Global Response" by M-J. Johnston, that was published in the "Australian Journal of Advanced Nursing," is presented.