Dr. Larry Simmons is the senior director of credentialing at the National League for Nursing. His nursing career spans more than 40 years, with the last 20 years spent in nursing education.

He has developed expertise in test construction, test item writing, and faculty and curriculum development. Dr. Simmons leads the task groups at the NLN for the development of the academic clinical nurse educator and the academic novice nurse educator role definitions, establishment of competencies and task statements, practice analyses, and development of the certifications related to those roles. He is also certified as credentialing professional.

Dr. Simmons is an established nationally and globally known speaker and has received the certification of Global Nurse Consultant. In 2023, Dr. Simmons was inducted as a Fellow into the American Academy of Nursing.

Amanda Henderson has an extensive career in nursing education, research and leadership in both academic and clinical settings. She is Nursing Director (Research), at Princess Alexandra Hospital, in Metro South, Brisbane; And Professor, Central Queensland University. Her interests are developing effective partnerships across university and industry stakeholders to advance learning in practice. She has over 180 publications in international referred journals, primarily in workplace learning environments and practice change. She has a sole authored book “Communication in Health Care Practice”, published by Oxford University Press 

Dr Louise Lawson is a Senior Lecturer in the School of Health Sciences University of Gibraltar. She is an expert paediatric, neonatal and adult registered nurse clinician and senior educationalist with over 35 years of experience in both nursing and Higher Education. Academic qualifications include a Doctorate in Education (EdD), MA Higher Education (Nursing), BSc Hons Adult Nursing, and is a Teaching Fellow of the Higher Education Academy. Louise has an extensive publication and international conference profile relating to mentorship and learning in nursing.

Fengying Zhang is a Vice Dean of West China School of Nursing, Sichuan University; PhD, professor, and master's supervisor; graduated with a PhD in nursing from Sichuan University and a postdoctoral fellow at the University of Tokyo; has visited Harvard University, Michigan State University, and the Texas Medical Center in the United States for study and exchange; focuses on research areas such as geriatric nursing, nursing management, and nursing education.

Dr Christine Nightingale originally trained as a registered nurse for people with learning/intellectual disabilities. This experience has influenced her whole career and her advocacy for fairness, equality, equity and social justice, most especially in health and education. Chris believes strongly that designing inclusive provision impacts positively on everyone.

Chris has worked in four UK universities, in third sector organisations and the UK National Health Service (in hospitals, community and commissioning).. She is Associate Professor of Nursing at the University of Suffolk.

Geetha is a Professor in INTI International University, Malaysia. She graduated from University of Malaysia (UM) with Ph.D. in Medical Virology. She is a dedicated academician with 30 years of research experience and more than 50 publications to date. Her research is focused on antibiotic resistance in pathogens and in screening indigenous herbs for antimicrobial activity to be translated into suitable options to eventually replace or potentiate the use of antibiotics. Her dedication to research has led to an award by Asia International Research Awards in Microbiology in 2023. She has also been invited as a Keynote speaker in several international conferences in India and Indonesia.

Nicolaus Dahlmann completed his PhD from University Hamburg with his work about childhood development and obesity and published the results in three international journals as a student.He worked ten years in the Department of Molecular Biology, University Hamburg and detected a new enzymatic activity (dTTPase), received two awards (Dr. Martini Prize, G.E. Konjetzny Prize).He became consultant in Laboratory Medicine and then head of the Laboratory, General Hospital, Hamburg-Harburg.He was conferred Professor for Laboratory Medicine by the University Bonn. In 2022, he founded the Institute for Biometry and Nutrition, Hamburg and is CEO of the start-up “stringID”.He published about 50 articles in peer-reviewed international journals.

Synergy effects between specialists and generalists in extramural palliative care - collaboration between palliative care teams and acute community nurses in Lower Austria
The Lower Austrian Acute Community Nurse (ACN) project deploys nurses with paramedic training to address gaps in pre-hospital care, ensuring timely support and reducing unnecessary hospital admissions. ACNs also contribute to palliative care, especially during off hours of specialized teams. This exploratory thesis investigates how the collaboration between mobile palliative teams and ACNs impacts extramural palliative care. The goal is to capture perspectives on the synergies between specialists and generalist nurses.

Advance Nursing Roles in Disaster and Emergency Management
In light of the increase in natural disasters and the impact of climate change, as well as man-made disasters such as conflicts, wars, environmental destruction, and the high rate of global warming. The rate of disasters of all kinds has increased. As we note, the conflict between Russia and Ukraine, and the wars in the Middle East, Africa, and Asia. And other countries, all of this leaves the world facing many nuclear threats and natural disasters, according to the Global Disaster Observatory.

The Process of Development of the NLN Nurse Educator Certifications.
NLN Nurse Educator Certifications: The Processes of Setting Pass Scores on Certification Exams.

Experiences with mental burnout among nurses and physicians working in the emergency department: A scoping review
Mental burnout might consequently cause a high attrition rate among emergency department nurses and physicians, due to the department’s stressful nature, resulting in decreased productivity and deteriorating quality of care. This review aims to comprehensively describe how mental burnout was experienced amongst emergency department nurses and physicians, and their coping mechanisms.

Cracking the Code: Mastering Teen/Young Adult Communication for Nurses and Educators. A Literature Review
In the fast-moving world of teen/young adult talk, it is essential for professionals who work with these individuals to be up to date on modern slang – in some cases, there are new meanings every school year. The slang of today's youth is not just a quick interim from which they will grow; rather, it serves as an evolving instrument that accurately reflects their culture and interaction. Understanding this specialized linguistic space can increase communication and trust and help strengthen clinical comprehension between adolescents and nurses/educators.

Women’s Critical Experiences with the Pap smear for the development of cervical cancer screening devices
Global cervical cancer incidence and mortality have remained a major public health problem. Depending on the quality and coverage of preventive programs, and the capacity of health care systems, different screening tests are used, with the Pap smear being the most widely implemented. Several difficulties have been reported in accessing timely detection, causing late cervical cancer diagnosis. Trying to close these gaps, new screening devices have been developed in recent years; however, there is a lack of knowledge about whether or not the perspective of women has been included in the design process and technological development of these devices.

Development of simple language statements to advance workplace capability
Advancing the capacity of students and graduates through meaningful workplace feedback about performance is critical to building an agile, responsive, capable workforce. Articulating statements that can influence behaviours designed to improve workplace performance is challenging, yet critical to good performance assessment that guides further learning and safe practice

Psychosocial Care of Pregnancy Loss in the Emergency Department
Miscarriage, defined as pregnancy loss before 20 weeks gestation, is a prevalent experience for approximately one million women in the United States annually. Of these, 40% receive treatment in Emergency Departments (EDs), where patient experiences often fall short of expectations due to systemic challenges

The Convergent Validity of the electronic Frailty Index (eFI) with the Clinical Frailty Scale (CFS)
The cross-sectional study recruited patients from three regional community nursing teams in the South East of England. The CFS was rated at recruitment, and the eFI was extracted from electronic health records (EHRs). A McNemar test of paired data was used to compare discordant pairs between the eFI and the CFS, and an exact McNemar Odds Ratio (OR) was calculated.

Surgsmart: an artificial intelligent system for quality control in laparoscopic cholecystectomy: an observational study
The rate of bile duct injury in laparoscopic cholecystectomy (LC) continues to be high due to low critical view of safety (CVS) achievement and the absence of an effective quality control system. The development of an intelligent system enables the automatic quality control of LC surgery and, eventually, the mitigation of bile duct injury. This study aims to develop an intelligent surgical quality control system for LC and using the system to evaluate LC videos and investigate factors associated with CVS achievement

The Biology of Learning and an Introduction to Key Science of Learning Strategies
The science of learning (learning science) is an interprofessional field that concerns itself with how the brain learns and remembers important information. Learning science has compiled a set of evidence-based strategies, such as distributed practice, retrieval practice, interleaving, and elaboration, which are quite relevant to continuing professional development (CPD) in the health professions. A basic understanding of the biology of learning is helpful to understanding and to applying the strategies. The presenter will explain the basic biological steps of learning and the essence of the four strategies.

Humanizing the Intensive Care Unit: Perspectives of Patients and Families on the Get to Know Me Board
Frequently known only by their diagnoses or room number, unable to effectively communicate, critically ill patients are extremely vulnerable to losing their sense of identity and dignity. Resulting dehumanization erodes the trust and therapeutic relationship, contributing to poor short- and long-term outcomes. The Get to Know Me board (GTKMB) may help uplift patients from anonymity in the intensive care unit (ICU).

Clinical Outcomes After Use of Inhaled Corticosteroids or Oral Steroids in a COVID-19 Telemedicine Clinic Cohort: Retrospective Chart Review
Coronavirus disease 2019 (COVID-19) concerns remains among healthcare providers as there are few outpatient treatment options. As this was the early days of the pandemic and treatment options for non-hospitalized patients were limited, symptomatic treatment and home-grown guidelines which utilized recommendations from the Global Initiative for Asthma Management and Treatment (GINA 2020) were utilized.

Rekindling Innovation and Joy in Nursing Leadership: Insights from Dr. Marilyn Chow
In the evolving landscape of healthcare, particularly in the wake of the COVID-19 pandemic, nurse leaders are navigating complex challenges that demand innovative and empathetic approaches to leadership. Through an interview with Dr. Marilyn Chow, a "Living Legend" honored by the American Academy of Nursing, this presentation explores a framework for nursing leadership that prioritizes joy, resilience, and frontline empowerment. Dr. Chow emphasizes the critical role of listening to the voices of nurses and patients, fostering an environment of incremental yet impactful innovation

The application of two drainage angles in neurocritical care patients with complicated pneumonia: A randomized controlled trial
Head elevation is a common first-line treatment for elevated intracranial pressure (ICP), but the use of head-down or prone positions in neurocritical care remains controversial due to their potential impact on intracranial and cerebral perfusion pressure

Using standardized simulation pre-briefing videos to minimize the impact of in-situ inter-professional operative team training on clinical care
The Perioperative leadership team initiated a performance improvement project to evaluate and enhance collaborative communication during debriefings in operating rooms (OR) after complex cases involving multiple unexpected factors. The project utilized standardized simulation pre-briefing videos to implement low-fidelity, in-situ inter-professional simulation training with minimal disruption to operative schedules. The aim was to improve the debriefing process and perception of teamwork among surgical team members.

Trends in the concentration of Perfluoroalkyl substances in breast milk and dietary contribution factors
Perfluoroalkyl substances (PFAS) are highly persistent and bioaccumulative chemicals widely used in consumer products due to their water-resistant, oil-repellent, and heat-resistant properties. Notably, PFAS can be transmitted to newborns through breastfeeding, potentially leading to various health issues such as impaired neurological development, reduced immune response, and delayed growth. This study targeted 201 healthy mothers within four weeks postpartum. Between May 1 and August 31, 2023, 20 mL of breast milk samples and dietary intake information were collected using a 24-hour recall method

The Effectiveness of Visual Cues in Emergency Nursing Medication Practices
The fast-paced ER environment heightens medication error risks, leading to adverse drug reactions, longer hospital stays, or harm. Errors often result from issues with routes (15.8%), drug names (15.8%), dosages (47.3%), frequencies (5.3%), dilutions (10.5%), and rates (5.3%), mainly due to neglecting the "three checks and five rights" amidst interruptions. Reducing these interruptions is vital for patient safety. This study examines using medication warning signs on work carts to reduce errors in emergency nursing

Sustaining an Outcome Driven Hospital-Based Resuscitation Program
In-hospital cardiac arrests (IHCA) occur in over 350,000 adults each year in the United States. The survival rate of IHCA is approximately 25%. Crucial steps to increase a patient’s chance of survival during a cardiac arrest include quick recognition and subsequent response of cardiac arrest team members

Addressing staffing challenges and advancing nursing careers: A Nursing Apprentice Program Model
The fall 2024 launch of the Licensed Practical Nursing (LPN) Apprenticeship Program at Edmonds College, in collaboration with The Washington Health Care Association (WHCA), represents an innovative response to the growing shortage of LPNs in Washington's long-term care settings. This pilot program is specifically tailored for Certified Nursing Assistants (NA-C) working in long-term care facilities, offering them a career advancement opportunity that addresses both the demand for skilled nursing professionals and the need for workforce development.

Implications of Artificial Intelligence in Nursing Education
Artificial Intelligence (AI) is transforming health education, including nursing. This technology enhances learning quality, optimizes clinical practice, and better prepares future professionals to address challenges in healthcare. Integrating AI in nursing education provides personalized learning tools, supports simulations, and facilitates evidence-based decision-making

Midwives, the forgotten victims
The midwife has a leading and central role in meeting with mothers, women's experiences can range from positive and satisfying experiences to negative experiences and traumatic, midwives who are exposed to these experiences have an impact on their personal and professional lives

Midwives, the forgotten victims
The midwife has a leading and central role in meeting with mothers, women's experiences can range from positive and satisfying experiences to negative experiences and traumatic, midwives who are exposed to these experiences have an impact on their personal and professional lives

Room of Errors - Simulation Training for Nursing Education and Increased Patient Safety According to JCI Standards
One of the fundamental rights of every patient and employee is the right to safety. During the treatment and care of patients in any hospital facility, mistakes are possible that can affect the health and condition of patients. Activities based on live simulations are effective tools for developing situational awareness and improving patient safety training in healthcare facilities.

Room of Errors - Simulation Training for Nursing Education and Increased Patient Safety According to JCI Standards
One of the fundamental rights of every patient and employee is the right to safety. During the treatment and care of patients in any hospital facility, mistakes are possible that can affect the health and condition of patients. Activities based on live simulations are effective tools for developing situational awareness and improving patient safety training in healthcare facilities.

An inviting syllabus
An inviting syllabus engages students. It is the first document a student reads when starting a new course. Syllabi can be intimating and exhausting. Faculty who use strategies to make their syllabi an invitation to learning, increases the likelihood of their students becoming excited about learning. Elements of a learner-centered syllabus are incorporated into this presentation, as well as, strategies to make the syllabus more user friendly.

Maintenance Bundle of COPD in Primary Care
Maintenance of chronic illnesses, such as chronic obstructive pulmonary disease (COPD), in the primary care setting can be arduous due to the complexity of the illness and the various guidelines from multiple organizations.

All Nursing Home Staff Matter: Medical director presence and time in U.S. nursing homes
The existence of serious problems in U.S. nursing homes has been a pervasive and longstanding problem. Though federal rules lay out substantive standards for high-quality care and treatment with dignity, weak enforcement has led to persistent problems. Numerous studies have identified a strong correlation between nurse staffing time and a nursing home’s quality and safety. However, to date, little attention has been paid to the non-nursing staff who are critical parts of the care team under U.S. requirements.

A Joanna Briggs institute framework approach to shared decision making in end-of-life1
To implement Shared Decision Making (SDM) through a Patient Decision Aid (PtDA) for the initiation of Palliative Care (PC) in end of life (EOL) cancer patients.

A Joanna Briggs institute framework approach to shared decision making in end-of-life1
To implement Shared Decision Making (SDM) through a Patient Decision Aid (PtDA) for the initiation of Palliative Care (PC) in end of life (EOL) cancer patients.

Workplace ostracism undermines social interaction in workplaces
A healthy and safe workplace is built through social interaction between the work community members. Many factors undermine this interaction, one of which is ostracism. Workplace ostracism is the phenomenon where, without words or explanation, someone or some people are excluded from the social interaction of the workplace. For example, not responding to messages or questions, leaving the room, or speaking in a way that prevents everyone from participating in the common conversation.

Examining psychiatric and mental health nurses’ knowledge about electrophysiological biomarkers for future practice
Understanding electrophysiological biomarkers will revolutionize the care delivered by psychiatric and mental health nurses. Electrophysiological biomarkers represent a new, non-invasive, and objective way to assess, measure, and treat psychiatric conditions and/or mental illnesses.3-5,7 However, these nurses have minimal knowledge about electrophysiological biomarkers and their utility in practice.

An exploration of student nurses’ ‘ways of learning’ on placement in Gibraltar.
Experiential practice-based learning in nurse education is not a new concept and centres on students gaining practical nursing skills and competencies whilst learning in the clinical arena. Mentors play a vital role in Gibraltar, supporting and assessing student learning; however, it could be argued that students are not just passive recipients of knowledge; rather, they take on a proactive approach to find the best way to learn in practice. Although a wealth of research examines varying facets of experiential learning within nursing in the UK, to date, the voices and perspectives of student nurses’ ‘ways of learning’ on placement in Gibraltar have largely been excluded from the literature. This study aims to explore student nurses’ perspectives towards their learning on placement in order to understand the different ways that they might find ‘ways to learn’ nursing in practice

Perspectives of Chinese nephrology nurses on discussing sexual dysfunction with patients receiving haemodialysis
Sexual dysfunction in haemodialysis patients is often overlooked, despite nephrology nurses’ close relationships with patients.1 A significant communication gap exists, particularly in China, where research on nephrology nurses’ discussions of sexual dysfunction remains scarce.2

The Construction of British Columbia’s Palliative Care Benefits Policy and Implications for Nursing Practice
Nurses have a critical role to play in creating, implementing, critiquing, and advancing health policy within diverse contexts to ensure people living with life-limiting illness receive equitable and ethical access to palliative care services and programs. This study engaged in a critical discourse analysis of British Columbia's Palliative Care Benefits (BCPCB). BCPCB is a provincial government program in British Columbia (B.C.), Canada, that provides eligible residents with palliative care services at home.

Exploration of Model for Educating Outstanding Nursing Professionals -The Huaxi Development Model
In the context of evolving health needs across the entire life cycle and the rapid advancement of emerging technologies, the development of excellent nursing professionals faces new demands and challenges. The cultivation of such professionals is crucial for ensuring competent human resources essential to the successful implementation of China’s national Healthy China initiative.

Effect of Pet Therapy Applied to Individuals Living in a Nursing Home on Sleep and Quality of L?fe
The study population consisted of 74 individuals living in a nursing home in Tokat. The sample of the study consists of 59 individuals in total,30 of whom met the inclusion criteria in the intervention group and 29 in the control group.A randomized controlled trial was conducted to determine the effect of pet therapy, which was applied to elderly individuals twice a week for 6 weeks, on sleep and quality of life.While pet therapy was applied to individuals in the intervention group, no application other than their routines was applied to individuals in the control group.A Golden Retriever breed dog was used in the therapy.

Barriers to Research Activity among Nurses and Midwives in Bulgaria
Nursing and midwifery research in developed countries has a long tradition. In Bulgaria, this activity has been encouraged in recent years with the opening of a master's and doctoral program for nurses and midwives and the opportunity for academic advancement. The aim of this study is to reveal the main barriers that hinder the development of scientific research among nurses and midwives in Bulgaria.

Significant role of the nurse in management and symptoms’ control in oncological patients
A nursing assessment and nursing diagnoses were made for patients in medical facilities of different types and settlements in Central Northern Bulgaria. A semi-structured interview was conducted among 97 patients during and after treatment - surgery, chemotherapy, radiotherapy. Data were processed with Microsoft Office Excel 2016 and SPSS

Team Based Learning in nursing education and its applicability to nursing practice
Nurses play a vital role in providing, leading, and coordinating care. They are required to demonstrate a range of interpersonal and communication skills. However, evidence suggests that traditional teaching methods are inadequate in preparing for current health care realities. Team based learning (TBL) is an active learning strategy enabling students to achieve course objectives while learning how to function in teams. Literature suggests that TBL in nursing education has positive benefits, although it lacks clarity in terms of its benefit to nursing practice. The aim of this research was to explore the experiences of nursing students and their personal development tutors (PDT) in regard to participating in TBL and understand their beliefs about its applicability to nursing practice.

Digital Teaching and Learning in Nursing and Health Care Education in Germany: findings from a scoping review
Digitalization is increasingly shaping various aspects of life and work, including the education sector. In nursing and healthcare education, it is recognized as having significant potential due to the growing complexity of professional demands and the continuous advancement of subject-specific knowledge1,2. In Germany, legal regulations such as the Nursing Professions Act (PflBG) and the E-Health Act mandate the integration of digitalization into nursing and healthcare education

The impact of county-level factors on meaningful use of electronic health records (EHRs) among primary care providers
Using federal funds from the 2009 Health Information Technology for Economic and Clinical Health (HITECH) Act, the Centers for Medicare and Medicaid Services funded the 2011-2021 Medicaid EHR incentives programs throughout the country.

Developing a research tool to detect iatrogenic adverse events in psychiatric health care by involving service users and health professionals
Patients treated in psychiatric care are exposed to the risk of adverse events (AEs) as are patients treated in somatic care. Like other countries, Norway lacks measures to systematically capture potential iatrogenic injuries, such as risk assessment measures for evaluating patient records for AEs in both inpatient and outpatient psychiatric hospitals. There is little consensus on cross-cultural and cross-national adaptation of research instruments. By implementing a tool for systematically measuring patient safety, health professionals (HPs) might improve the health care for psychiatric patients. The aim of the study was to translate and validate a Swedish research tool; ‘Global Trigger Tool – Psychiatry' instrument´ (GTT-P) to detect iatrogenic AEs in psychiatric health care by involving service users (SU) and HPs in the process.

Tubal superfetation following frozen-thawed single-embryo transfers in two separate cycles: Case report and literature review
Superfetation is a very rare occurrence. In the context of assisted reproduction, it has been reported only as an intrauterine pregnancy after ovarian stimulation and/or embryo transfer in the presence of an undiagnosed ectopic pregnancy. Here we report a case of a 27-year-old anovulatory patient, gravida 1 para 1, who underwent two frozen-thawed single-blastocyst transfers in separate cycles. The patient reported that 12 days after the first transfer, she had menstrual bleeding and stopped her estradiol and progesterone supplementation without undergoing a blood human chorionic gonadotropin (?hCG) test. At her request, a second cycle was immediately initiated, with endometrial thickness measuring 4 mm

Enhancing Well-being: Calm Strips Intervention for Reducing Anxiety in Second Year Baccalaureate Nursing Students
This study explores the efficacy of implementing "Calm Strips" as an intervention to alleviate anxiety among second-year nursing students at Temple University College of Public Health/Department of Nursing. The demands of baccalaureate nursing education, with its rigorous coursework and clinical experiences, often contribute to heightened stress levels in students. Recognizing the importance of addressing mental health in academic settings, this research investigates the impact of utilizing "Calm Strips" – discreet adhesive strips infused with calming texture and designed for application to clothing or personal items, in conjunction with several breathing/mindfulness exercises that will be taught by the investigators.

Self-Assessment Competencies of Nurse Educators in Thailand Showed the Need to Improve Training in Curricular Development and Management
Nurse educators (NEs) who teach in classes and clinics of baccalaureate programs play a crucial role in inculcating and preparing novice nurses to meet the demands of healthcare and global changes. NEs’ competencies should be maintained to enhance their professional efficacy and excellence in nursing education.

Early Integration of the RN Residency Standards of Care Competencies into the Leadership Clinical rotation (Practicum) of graduating nursing students
A new enigma catapulted into the nursing landscape: the shortage of experience or "the experience-complexity gap." As healthcare providers face high patient acuity requiring complex care delivery, the nursing profession confronts a quintessential concern about the quality of care and patients' risk. Hospitals are scouring for solutions. The recruitment pipeline for nursing remains the new graduate nurses, which has shifted the age distribution of the nursing workforce to the newly licensed nurses.

The factors influencing active aging among older adults in china: A systematic review
This comprehensive research explores the vibrant concept of active aging among older adults in China, meticulously examining the various factors influencing this phenomenon.

Educational courses on pain assessment for physicians and nurses: Basic step to improve pain management in critically ill patients in LMIC
Patients in intensive care units (ICU) often experience moderate-to-severe pain at rest and during care related procedures. However, being unable to self-report, they have a high risk of having their pain underestimated. Our objective was to train ICU physicians and nursing staff in pain assessment in these patients to improve the quality of their pain management. The courses were conducted by anaesthesiologists, critical care physicians, and pain physicians.

Exploring therapeutic alliance in spinal cord injury rehabilitation: control, identity, and liminality
The therapeutic alliance (TA) has emerged as a key principle in enhancing the quality of health and rehabilitation services.This study aimed to explore patient perspectives on the influence of TAs with practitioners during inpatient rehabilitation following spinal cord injury (SCI).

Inclusion and exclusion- how staff experience belonging at a mental health and addiction hospital setting: a cross-sectional study and the implications
The COVID-19 Pandemic and the Black Lives Matter Movement are two succinct examples that brought the importance of belonging to the forefront. A sense of belonging is a need for interpersonal connections and is the basis for an individual’s self-esteem and self-actualization needs.

Determination of perceived environmental stressors in patients admitted to the coronary intensive care unit and examination of their relationship with social support and spiritual well-being levels
The aim was to examine the relationship between the perceived environmental stress level of patients hospitalized in coronary intensive care units and the level of social support and spiritual well-being.

The Effectiveness of Clinical Audit: Exploring Perceptions of Nurses and Allied Health Professionals
Healthcare organizations are required to have a comprehensive clinical audit programme. However, previous research has identified a variety of factors that can influence the effectiveness of these programmes. These factors include leadership commitment, feedback mechanisms, staff involvement, and available resources such as training, team dynamics, data collection processes, and the efficiency of reporting mechanisms.

Timing Matters: Evaluating Student Perceptions and Effectiveness of the 3-Day NCLEX Review Course at Midterm
The overall goal of the project is to evaluate the BSN student perception of the timing of the review course offering, the utilization of NCLEX prep resources after the course, and the impact on NCLEX pass rates for first time test takers.

Literature Review on Admission Rates for Patients Over 50 with Congestive Heart Failure
Congestive Heart Failure (CHF) is a significant health issue globally, particularly among patients over 50 years old, with an estimated prevalence of 64 million people globally.

Wiping Catheter-Associated Urinary Tract Infections Away with Chlorhexidine Gluconate
Catheter-associated urinary tract infections (CAUTIs) continue to be a concern in healthcare. According to the Agency on Healthcare Research and Quality, the cost associated with a single CAUTI is estimated to be $13,793 on average but can be as high as $29,748. Reducing CAUTIs with preventative measures benefits both patients and healthcare organizations. There were limited studies utilizing 2% and 4% chlorhexidine gluconate (CHG) as an intervention for CAUTI prevention.

The effectiveness of guideline implementation for prevention of retained surgical items for Minimally Invasive Cardiac and Thoracic Surgery
This observational study aimed at 1. Develop an implementing guideline to prevent retained surgical items for minimally invasive cardiac surgery (MICS). 2. Evaluate the results of the developed approach and develop a comprehensive surgical items count sheet that fits the context of MICS. The sample consisted of 30 registered professional nurses working in the cardiovascular and thoracic surgery operating theaters by selecting a specific sample.

A Review of Shared Decision-Making on Psychiatric Medications in Taiwan
In Taiwan's psychiatric clinical settings, the implementation of Shared Decision-Making (SDM) faces challenges due to high workloads and limited time for in-depth patient engagement. As mental health practitioners struggle to thoroughly understand patients' treatment preferences, there remains a critical need to evaluate existing SDM practices across hospitals, particularly regarding treatment options for schizophrenia patients.

A Qualitative Study on Medical and Nursing Interns' Understanding of Empathy
This qualitative study explored psychiatric interns' understanding of empathy using focus group discussions with 21 medical, nursing, social worker, and occupational therapy students across six sessions. Thematic analysis revealed eight themes reflecting accurate understanding (empathy as connection, differentiation from sympathy, acceptance of subjective experiences, listening as prerequisite, approaches to hallucinations/delusions, recognition of challenges, person-centered perspective, and empathy as professional skill) and eight themes representing misconceptions (confusion with sympathy, viewing empathy as problem-solving, formulaic expressions, overprotective attitudes, boundary confusion and, mishandling of psychotic symptoms).

Measurement of geographic inequalities in the distribution of practicing registered nurses and its influencing factors
Between 2011 and 2020, the number of nursing graduates increased significantly in the non-capital regions and medically underserved areas. However, non-capital regions observed a smaller increase in the number of practicing nurses than in the number of nursing graduates produced, while capital regions experienced a larger increase in the number of practicing nurses than in the number of nursing graduates produced. The geographic inequality in the distribution of practicing nurses worsened between 2011 and 2020.

Psychiatric Nursing: Towards the Future by Looking into the Past
: During 19th century, Portugal witnessed an affirmation of psychiatric science, not only due to the scientific studies carried out by alienists, but also because it was possible to limit assistance in the scope of psychiatry to well-defined spaces (e.g. Rilhafoles Hospital or Conde de Ferreira Hospital). Even in that time, nurses were those who were in immediate contact with patients. The objective of this work is to describe the nursing actions that took place in those psychiatric spaces.

The issue of Abortion as a Sexual and Reproductive Health and Midwives’ Perceptions of abortion care in Japan
Safe abortion services are an integral component of reproductive health services in which medical professionals play a crucial role in delivering safe and comprehensive abortion care.?Especially, midwives help in improving reproductive health among women. Hospital-based midwives provide the relevant care for women during childbirth, miscarriage, neonatal death, and induced abortion; thus, they manage reproductive health in the broadest sense. This review aims to discuss the current state of the abortion services in Japan, highlight challenges in providing abortion care to explore midwives’ perceptions of experiences related to abortion care, contributing to the improvement of professional practices for better outcomes in safe and appropriate abortion care.

Early referrals save lives in advanced heart failure
Heart failure (HF) is a chronic, progressive medical condition that can quickly cause deterioration of the patient’s medical and functional status. Delay of HF diagnosis and improper treatment can lead to catastrophic patient outcomes. This case report describes a 62-year-old with HF with reduced ejection fraction secondary to nonischemic cardiomyopathy, s/p cardiac resynchronization therapy defibrillator in 2020. He presented to the emergency department for worsening shortness of breath and chest pain for 3 days and subsequently had cardiac arrest. The patient eventually underwent a successful implantation of left ventricular assist device as a bridge to transplant. Timely referral yields a better patient outcome. This case study illustrates a clinical pathway that can be used by primary care providers when considering referral of a patient with advanced HF (AHF) to an AHF center for management and possible advanced therapies.

eHealth competence strategy for implementation of Clinical Information System (CIS) in Alberta
This presentation highlights the monumental undertaking of the development on a eHealth competence training strategy to support the implementing of a Clinical Information System (CIS) across 682 healthcare sites in Alberta, Canada (Alberta Health Services, n.d.). With a vast network encompassing 118,000 healthcare professionals, this initiative aims to revolutionize patient care, streamline workflows, and enhance overall efficiency within the provincial healthcare system

Reducing Use of Seclusion on a Male Medium Secure Forensic Ward
The reduction of restrictive practices is a priority for mental health inpatient services. Often such practices are considered to increase patients’ feelings of anger, loneliness, hopelessness and vulnerability. Moreover, such approaches are counterintuitive to both recovery-orientated and trauma-informed practice. Our project, based in a male 15-bed secure forensic ward, aimed to reduce the duration (outcome measure) and frequency (balancing measure) of the use of seclusion by 10% over 6 months. Following the analysis of our local data systems and feedback from both patients and staff, we identified the high levels of use of seclusion, and reluctance to terminate it. These included a lack of awareness of the effective and appropriate use of such a facility, a hesitancy to use de-escalation techniques and an over-reliance on multidisciplinary team and consultant decision making.

The Impact of Parental Overprotection on the Emotions and Behaviors of Pediatric Leukemia Patients: A Multicenter Cross-sectional Study
Parental overprotection may have an impact on children’s emotional and behavioral problems (EBPs), particularly in cases of childhood leukemia where the immune system is compromised. This excessive worry can impede the physical and mental development of these children. Hence, it is imperative to mitigate overprotection for the comprehensive well-being of pediatric leukemia patients. The aim of this study is to explore the present status of EBPs in pediatric hematologic tumors and analyze the associated risk factors.

Early ambulation protocol after diagnostic transfemoral cerebral angiography an evidence-based practice project
A quasi-experimental study was conducted on 214 patients undergoing TFA with manual compression. Patients in the experimental group were placed supine position for 2 hours with a sandbag placed on the wound dressing, followed by a semi-seated position for another 2 hours. After this period, patients took 2h bed rest(move freely) with the sandbag removed, and were allowed to get out of bed 6h after TFA. Patients in the control group were restricted to an 8h bed rest in a supine position with the affected leg straight and immobilized. The vascular complications(bleeding, hematoma, ecchymosis) and levels of comfort(low back pain, leg pain, and blood pressure)were evaluated after the procedure. Numeric Rating Scale(NRS) pain scores, systolic blood pressure(SBP); diastolic blood pressure(DBP) were measured hourly for 8h after TFA.

Nature's Pharmacy: Harnessing Plant Extracts for Wound Healing
Medicinal plants have been used to treat human ailments since ancient times, providing a rich library of bioactive chemicals with a wide range of applications. With the increase of antibiotic resistance and the limitations of traditional wound treatments, there is an urgent need for alternative therapeutic agents, hence the studies on natural products. Extracts derived from medicinal plants are perceived as safer alternatives compared to synthetic drugs. They typically contain a complex mixture of bioactive compounds that work synergistically to promote healing. Furthermore, plant extracts tend to have fewer adverse effects compared to synthetic drugs, as they are composed of natural constituents that are often well-tolerated by the body. This makes them particularly suitable for long-term or repeated use in chronic wound management.

Caffeine consumption habits, sleep quality, sleep quantity, and perceived stress of undergraduate nursing students
Consumption of energy drinks is prevalent among college students and has increased over the last decade. Many students consume stimulants like caffeine and energy drinks to combat feelings of sleepiness or to boost mood, which may undermine the practice of healthy habits. Nursing school is known for its rigorous curriculum, which includes fluctuating schedules, rigorous testing, and clinical rotations that require shift work, resulting in feelings of stress and limited sleep. There is inadequate research regarding the energy drink consumption habits of undergraduate nursing students.

Mnemonic utilization in stroke education: FAST and BEFAST adoption by certified comprehensive stroke centers
Will briefly discuss the importance of stroke symptom recognition and the need for easy to remember educational content for public and healthcare providers. Will discuss two mnemonics widely used for recognizing stroke symptoms: FAST (Face-Arm-Speech-Time) and BEFAST (Balance-Eyes-Face-Arm Speech-Time). The FAST mnemonic can miss up to 14% of strokes. BEFAST includes common posterior circulation stroke symptoms and has been implemented by several Comprehensive Stroke Centers (CSCs).

Semi-automated artificial intelligence (AI)-powered techniques to empower evidence-based nursing practice
Evidence-based best practice guidelines (BPGs) provide a variety of recommendations to inform clinical practice, developed through rigorous methodologies including systematic reviews and input from expert panel members. Health service and academic organizations around the world formally partner with an Ontario-based Nursing Association to systematically implement BPGs to foster an evidence-based culture and provide quality care to persons and their families1-3. Organizations conduct gap analyses to inform the selection of BPG recommendations and indicators to report on to indicate the impact of BPG implementation. Health service organizations use multi-faced approaches to implement recommendations that are valid and feasible given the gap analysis, to achieve positive health outcomes. A semi-automated artificial intelligence (AI)-powered technique was developed to understand how to best prioritize recommendations for implementation.

Improvement in Communication Domains of Patient Satisfaction Survey in a Regional Community Hospital in Minnesota through the Application of Six Sigma Methodology
Communication gaps, incomplete, or fragmented can be attributed to many disasters in human civilization. Coordination of care within healthcare is directly related to proper communication and handoff between multidisciplinary teams throughout multiple shifts during the patient’s hospitalization. Mayo Clinic Health System Mankato in Southwest Minnesota realized a decline in patient communication with doctors and nursing in 2017-2018 which was reflected through patient surveys and direct patient feedback. Leadership took this as an opportunity and initiated several changes to increase doctor and nursing communication resulting in no significant improvements. A systematic quality improvement approach was implemented utilizing the Six Sigma methodology.

Early ambulation protocol after diagnostic transfemoral cerebral angiography an evidence-based practice project
A quasi-experimental study was conducted on 214 patients undergoing TFA with manual compression. Patients in the experimental group were placed supine position for 2 hours with a sandbag placed on the wound dressing, followed by a semi-seated position for another 2 hours. After this period, patients took 2h bed rest (move freely) with the sandbag removed, and were allowed to get out of bed 6h after TFA. Patients in the control group were restricted to an 8h bed rest in a supine position with the affected leg straight and immobilized. The vascular complications (bleeding, hematoma, ecchymosis) and levels of comfort (low back pain, leg pain, and blood pressure) were evaluated after the procedure

Improvement in Communication Domains of Patient Satisfaction Survey in a Regional Community Hospital in Minnesota through the Application of Six Sigma Methodology
Communication gaps, incomplete, or fragmented can be attributed to many disasters in human civilization. Coordination of care within healthcare is directly related to proper communication and handoff between multidisciplinary teams throughout multiple shifts during the patient’s hospitalization. Mayo Clinic Health System – Mankato in Southwest Minnesota realized a decline in patient communication with doctors and nursing in 2017-2018 which was reflected through patient surveys and direct patient feedback.

Internationally educated nurses joining the nursing workforce in England
There is limited literature on the experiences of internationally educated nurses (IENs) who joined National Health Service (NHS) Trusts in England over the past 20 years. The objectives of this integrative review included: exploring and analysing the experiences of IENs in England; identifying the cultural, pastoral and training needs of IENs during their first 2 years working in England; and providing research informed recommendations to better support IENs.

Internationally educated nurses joining the nursing workforce in England
There is limited literature on the experiences of internationally educated nurses (IENs) who joined National Health Service (NHS) Trusts in England over the past 20 years. The objectives of this integrative review included: exploring and analysing the experiences of IENs in England; identifying the cultural, pastoral and training needs of IENs during their first 2 years working in England; and providing research informed recommendations to better support IENs.

Team-based learning in nursing education: A student-centered teaching and evaluation strategy
Nursing students are expected to develop critical thinking and clinical judgment skills to succeed in nursing programs as well as in passing tests including the National Council Licensure Examination (NCLEX). As the current health care continues to evolve, follows the reform of nursing education, nursing practice, and regulations. There is an increase in the need to gather evidence-based knowledge and translate to practice to ensure learner and healthcare needs are met.

Competence Assessment in Nursing Education – Phase 1
There is currently no standardized method of assessing the clinical competence of undergraduate nursing students in New Zealand. Each educational institution has developed their own methods and processes for determining clinical competence. Establishing the suitability of competence assessment tools and consistency of undergraduate clinical assessment practice is paramount to student and patient safety.

Effectiveness of Amiodarone in Preventing the Occurrence of Reperfusion Ventricular Fibrillation After the Release of Aortic Cross-Clamp in Open- Heart Surgery Patients: A Meta-analysis
We searched the Web of Science, Cochrane Library, EMBASE, and PubMed databases through January 2021 for relevant studies addressing the efficacy of amiodarone in preventing RVF after ACC release in patients undergoing cardiac surgery. A complete statistical analysis was performed using RevMan 5.3. Risk ratios (RRs) and 95% confidence intervals (CIs) were calculated to express the results of dichotomous outcomes using random or fixed-effect models. The chi-square test and I2 test were used to calculate heterogeneity.

Person-centered care associated with management of non- communicable chronic diseases
Adults with non-communicable diseases self-assessed their quality of life, health, and life satisfaction as positive. More than half of the participants self-assessed managing their non- communicable diseases as effective. It was found significant differences in individuals’ quality of life according to gender, level of education, relationship status, number of non- communicable disease and management of non-communicable disease. A positive association was found between person-centered care and effective management of non-communicable diseases. Better managing non-communicable diseases is associated with individuals’ quality of life, life satisfaction, and health.