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isation of interventions by explicitly considering how evidence-based practices are operationalised in complex systems. We propose a new conceptualisation of ‘interventions-in-systems’ which describes intervention components in relation to their proximity to the evidence base; component interdependence; component function; component adaptation and effort.During the coronavirus disease 2019 (COVID-19) pandemic, many hospitals have added COVID-19-specific visitor restrictions to their routine visitor restrictions. These additional visitor restrictions are designed to reduce viral transmission, protect patients and staff, and conserve personal protective equipment. They typically exempt patients with disabilities and those who are dying. Consistent application of these policies may, however, be inequitable. We present the case of a single mother seeking an individual exemption to both a routine and a COVID-19 specific visitor restriction. One commentator focuses on the importance of clear and transparent processes for considering requests for exceptions. The other argues that disproportionate burdens may be mitigated in other ways and the policy maintained.

To estimate the association between fluoroquinolone use and tendon injury in adolescents.

We conducted an active-comparator, new-user cohort study using population-based claims data from 2000 to 2018. We included adolescents (aged 12-18 years) with an outpatient prescription fill for an oral fluoroquinolone or comparator broad-spectrum antibiotic. The primary outcome was Achilles, quadricep, patellar, or tibial tendon rupture identified by diagnosis and procedure codes. Tendinitis was a secondary outcome. We used weighting to adjust for measured confounding and a negative control outcome to assess residual confounding.

The cohort included 4.4 million adolescents with 7.6 million fills for fluoroquinolone (275 767 fills) or comparator (7 365 684) antibiotics. selleck products In the 90 days after the index antibiotic prescription, there were 842 tendon ruptures and 16 750 tendinitis diagnoses (crude rates 0.47 and 9.34 per 1000 person-years, respectively). The weighted 90-day tendon rupture risks were 13.6 per 100 000 fld these events were rare. The excess risk of tendinitis associated with fluoroquinolone treatment was also small. Other more common potential adverse drug effects may be more important to consider for treatment decision-making, particularly in adolescents without other risk factors for tendon injury.Nature underpins human well-being in critical ways, especially in health. Nature provides pollination of nutritious crops, purification of drinking water, protection from floods, and climate security, among other well-studied health benefits. A crucial, yet challenging, research frontier is clarifying how nature promotes physical activity for its many mental and physical health benefits, particularly in densely populated cities with scarce and dwindling access to nature. Here we frame this frontier by conceptually developing a spatial decision-support tool that shows where, how, and for whom urban nature promotes physical activity, to inform urban greening efforts and broader health assessments. link2 We synthesize what is known, present a model framework, and detail the model steps and data needs that can yield generalizable spatial models and an effective tool for assessing the urban nature-physical activity relationship. Current knowledge supports an initial model that can distinguish broad trends and enrich urban planning, spatial policy, and public health decisions. New, iterative research and application will reveal the importance of different types of urban nature, the different subpopulations who will benefit from it, and nature’s potential contribution to creating more equitable, green, livable cities with active inhabitants.Florence Nightingale formally documented much of the early history of the nursing profession, a goal that remains important today to guide our practice. Many nurse scholars have published detailed accounts of historical research. Story-based narratives can be especially effective to describe the contributions of individual nurses in a way that resonates with nurses and lay readers. Two nurses, Terri Arthur and Jeanne Bryner, have successfully disseminated stories of nurses through creative writing. This article describes their journeys to capture nursing history using historical narrative, poetry, and reflective prose.Individuals who are incarcerated are disproportionately affected by chronic disease, mental health concerns, and substance use, compared to the general population. Despite the need to improve health in individuals who are incarcerated, the delivery of quality health care, including health education, often meets with challenges. Quality health education lays a foundation for improved health, and is one strategy nurses can use to improve the health of incarcerated individuals. To address this pressing health need, students in a community health nursing course at the University of Illinois at Chicago provided health education to men finishing their prison sentences at an adult transition center. Verbal and written statements from the men and the students indicate that the educational offering was a positive experience. One man’s attendance at a health education class had a life-changing impact on another man at the center.

The aim of this study was to evaluate the quality of nursing students’ assessment of cases of medical error.

This descriptive cross-sectional study was conducted with 145 nursing students in İzmir, Turkey. The epidemiology of the medical errors that the students witnessed during clinical practice was examined. Then, the success of the students in using the Text-Based Medical Error cases tool developed by the researchers was examined.

Of the students, 24.1% had witnessed medical errors during clinical practice. The percentage of students successfully analyzing cases of medical errors related to patient identification, falling, medication administration, blood transfusions, health-care-associated infections, and pressure ulcers were 51.72%, 7.59%, 17.24%, 8.28%, 45.52%, and 56.55%, respectively.

The students’ ability to evaluate cases of medical error needs improvement.

The students’ ability to evaluate cases of medical error needs improvement.

This quantitative educational intervention was conducted to determine the effectiveness of a 1-day internal medicine orientation for new interns, led by nurse educators instead of medical doctors.

Scheduled within the orientation week curriculum, this project had a purposeful convenience sample of 14 students comprising the entire intern class. An afternoon of 11 clinical skills with nursing guidance followed a morning of didactic lecture on medical knowledge and skills transfer. Students completed a pre/postmedical education test (MET) to evaluate knowledge and skills acquired.

Interns reported increased confidence with clinical competencies to both nurse educators and the chief resident. Outcome questionnaires revealed statistically significant increases in knowledge about clinical skills after the intervention. Interns witnessed interprofessional teamwork.

Nurse educators teaching medical interns facilitates interprofessional team collaboration, communication, and mutual respect. This simulation pedagogy focusing on principles of deliberate practice can have a positive impact on academic and clinical performance.

Nurse educators teaching medical interns facilitates interprofessional team collaboration, communication, and mutual respect. This simulation pedagogy focusing on principles of deliberate practice can have a positive impact on academic and clinical performance.University of California San Diego Health was set to launch its 13th annual Nursing and Inquiry Innovation Conference event in June 2020. However, the Coronavirus Disease 2019 (COVID-19) pandemic placed a barrier to large gatherings throughout the world. Because the World Health Organization designated 2020 as the Year of the Nurse and Midwife, the University committed to continuing the large-scale conference, converting to a virtual event. This article reviews the methodologies behind the delivery of the virtual event and implications for user engagement and learning on the blended electronic platform.Students in early-level nursing courses often doubt their ability to intervene effectively to impact health, much less save a life, due to lack of hands-on experience and confidence. Theoretical concepts introduced in early-level courses are abstract terms that can be difficult for the novice student to grasp. Two strategies were designed to take early-level nursing students beyond the theory and increase their awareness of the power of prevention through risk identification, advocacy, health education, and early intervention. Opportunities to apply concepts such as health education, role of the nurse, communication, growth and development, and family systems theory were provided through use of these strategies. Both assignments have been well received by early-level students and other instructors. Informal feedback indicates that these strategies can enhance students’ confidence in their perceived ability to promote health and prevent adverse outcomes. The strategies presented in this article respond to the call to provide opportunities within the curriculum that facilitate application of theoretical content; they can empower novice students in their ability to impact lives and can set them up for success as they progress through the program.Clinical professors are a particularly important determinant of student success in becoming a proficient nurse. The clinical professor is responsible for helping students apply didactic knowledge to clinical skills. This article discusses strategies clinical professors can use to maximize undergraduate nursing students’ skills and competencies and to raise awareness of healthy behaviors affecting patient care. Applying effective and fun strategies can help students decrease anxiety, apply critical thinking, develop autonomy, and learn time management. These applied strategies help students develop delegation skills required to be professional, competent nurses, while promoting health and well-being.There is an urgent need to address the nursing faculty shortage and evaluate current enrollment in nurse educator programs across the country. In this article, we describe a nationwide review of graduate nursing programs focusing on the nursing education shortage; program, faculty, and student demographics; methodological approaches; concentrations, content and practice areas; and future directions for graduate program development.Evidence-based nursing management, developed as a framework for improving the quality of decisions to provide the most effective health-care outcomes, is a synthesis of clinical expertise, research evidence, and patient values, to create effective patient care strategies. Effective use of evidence-based nursing management requires identifying the sources of evidence and assessing their utilization. link3 This article suggests a model for evidence-based nursing management in nursing practice. The literature shows six sources utilized for nursing management decisions scientific and research evidence, information from hospitals, political-social development plans, managers’ professional expertise, ethical-moral evidence, and values and expectations of all stakeholders.