Activity

Survey tools, such as the Alberta Context Tool, reliably measure context but researchers have no process to map context to clinician behaviour and develop strategies to support practice change. Therefore, we aimed to map the Alberta Context Tool to the Theoretical Domains Framework and the Behaviour Change Wheel.

The multi-centre study used the Alberta Context Tool to collect data from a convenience sample of nurses working in two emergency departments. These findings were categorised as barriers and enablers, and then mapped to the Theoretical Domains Framework to examine for behavioural domains. Using the Behaviour Change Wheel functions, strategies were developed to target clinician behaviour change.

Survey response rate was 42% (n = 68). Nurses perceived a positive work environment in the dimensions of Social Capital (median 4.00, IQR 0.33), Culture (median 3.83, IQR 1.16) and Leadership (median 3.60, IQR 1.1). Low scoring dimensions included Formal Interactions (median 2.75, IQR 1.00); Time (median 2.60, IQR 1.00) Staffing (median 3.0, IQR 2.00) and Space (median 3.0, IQR 2.00). GABA Receptor agonist Enablers (n = 77) and barriers (n = 25) were identified in both sites. The Theoretical Domains Framework was mapped to Alberta Context Tool barriers and enablers. The behaviour change strengths included social and professional role; beliefs about capability; goals; and emotions. Using the Behaviour Change Wheel functions, 67 strategies were developed to address barriers and enablers.

The Alberta Context Tool successfully measured two emergency environments identifying barriers and enablers. This approach enabled environment dimensions to be targeted with practical solutions to support evidence-based practice implementation.

The Alberta Context Tool successfully measured two emergency environments identifying barriers and enablers. This approach enabled environment dimensions to be targeted with practical solutions to support evidence-based practice implementation.

Changes in sleep quality and quantity occur in adolescence and can lead to the compensatory behavior of daytime napping.

Analyze factors related to napping in adolescents.

A population-based cross-sectional study was conducted with 1022 adolescents who participated in the 2014-2015 Health Survey of the city of Campinas, state of São Paulo, Brazil. Napping was the dependent variable. Sociodemographic characteristics, living habits, health-related behaviors, feelings of loneliness, satisfaction with life and nocturnal sleep habits were the independent variables. Data analysis was performed using Rao-Scott chi-square test, unpaired Student’s t-test and Poisson regression analysis; p<0.05 was considered significant. The software STATA was used for analysis.

Mean participant age was 14.6years (SD 2.7; range 10 to 19years). Males accounted for 50.9% of the sample and 55.7% had white skin color. A total of 40.5% reported napping. Napping was more common in females (p=0.006), the 14-to-17-year-old age group (p=0.002), those who took medications in the previous 15days (p=0.001), those who were insufficiently active (p=0.036), those who reported little or no satisfaction with life (p=0.008) and those who woke up in bad mood (p=0.004). Adolescents who napped also reported shorter sleep during the week (p<0.001) and a perceived greater need for sleep (p<0.001).

The prevalence of napping among the adolescents was independently associated with shorter average sleep, a perceived greater need for sleep than that obtained and waking up in a bad mood.

The prevalence of napping among the adolescents was independently associated with shorter average sleep, a perceived greater need for sleep than that obtained and waking up in a bad mood.

The need to care for patients who die in the emergency department is increasing in Japan, and emergency nurses are required to provide end-of-life care to ensure that patients experience a good death. However, the components of the quality of death and what constitutes a good death for patients dying in the emergency department are unclear.

This study aimed to explore the components of the quality of death for patients who die in emergency departments of Japanese hospitals.

This study employed a qualitative design. An inductive content analysis was conducted based on semi-structured interviews with 26 participants, which included 15 emergency nurses, five emergency physicians, and six bereaved families.

Seven components of quality of death were identified (1) transition to the end-of-life phase after receiving the best treatment, (2) dying without suffering, (3) having the patient’s wishes respected, (4) having a loved one nearby, (5) maintaining human dignity, (6) having no change in appearance, and (7) not making the family feel guilty.

These components suggested that emergency nurses should support patients’ receipt of the best treatment and foster their smooth transition to the end-of-life phase at the appropriate time, ensure that the patients in the end-of-life phase spend time with their loved ones immediately before their death, enable the maintenance of human dignity and patient identity of end-of-life patients, and make sure that the families of end-of-life patients do not feel guilt.

These components suggested that emergency nurses should support patients’ receipt of the best treatment and foster their smooth transition to the end-of-life phase at the appropriate time, ensure that the patients in the end-of-life phase spend time with their loved ones immediately before their death, enable the maintenance of human dignity and patient identity of end-of-life patients, and make sure that the families of end-of-life patients do not feel guilt.

This study aims to identify how Advanced Nurse Practitioners (ANPs) can contribute to oncology care.

The position of ANPs has grown significantly in recent years and ANPs have been shown to make significant contributions to various areas of healthcare. Due to improvements in research and techniques elder cancer patients are living longer, as beneficial, as this is to patients it is putting a strain on the provision of care as support is required at various stages. As there have been discussions about how ANPs +. can be most effectively employed this study identifies that ANPs, due to their skills and knowledge, may be able to assist elderly patients with long-term conditions specifically oncology patients. Therefore, research has been undertaken to identify how ANPs are currently employed in oncology.

A systematic review was conducted in order to gain background information into how the role of ANPs in oncology is perceived and to gain understanding of some of the issues that they face and identify the skills that they have in order to be able to make a positive contribution.