The relationship of burnout (BO), compassion fatigue (CF), satisfaction (CS), and secondary traumatic stress (STS) to personal/environmental characteristics, coping mechanisms, exposure events was explored in 128 trauma nurses. Of this sample, 35.9% had scores consistent with BO, 27.3% reported CF, 7% STS, 78.9% high CS scores. High BO CF predicted STS. Common characteristics correlating STS were negative coworker relationships, use medicinals, higher number hours worked per shift....

The purpose of this study is to determine the incidence secondary traumatic stress (STS) in nurses who primarily care for trauma patients. A demographic/behavioral survey and Penn Inventory measure presence STS were distributed 262 a level I center. Relationships between years experience, coping strategies, personal environmental characteristics examined. Response rate was 49%. median score 17.5. Nine (7%) scored 35 or more, reflecting STS. Those with had fewer nursing experience nursing,...

The ABCDE bundle is an evidence-based, multidisciplinary approach to optimizing patient outcomes in the adult intensive care unit (ICU). incorporates awakening, breathing, coordination, delirium monitoring and management, early mobility minimize potentially deleterious effects of prolonged hospitalization, including development delirium. Health organizations that implement have improved such as decreased ICU hospital lengths stay, duration mechanical ventilation, prevalence delirium, health...

Background: To provide optimal end-of-life (EOL) care in the Chinese American population, we need to have a better understanding of what matters most at EOL from their perspective. Experiencing "good death" is goal palliative care. Studies show that meaning and description good death varies across cultures different populations. In United States, Americans comprise largest Asian demographic. Aim: describe wishes, which define for Americans. Method: Qualitative study using focus groups. A...

Background: Increased childhood cancer survival rates have spurred a new body of research pertaining to the cancer-survivorship continuum. Literature suggests lack and guidelines for care at end treatment (EOT). To improve transition survivorship determine any posttreatment challenges, this study explored experiences survivors (CCSs), parents/caregivers, pediatric oncology health professionals (HCPs) EOT. Method: This employed mixed methods design. EOT Questionnaires were completed by CCSs...

A qualitative study using phenomenological descriptive design was conducted to explore critical care nurses' experiences with patient death. Several themes emerged as a result of this study: coping, personal distress, emotional disconnect, and inevitable Understanding reactions death may help improve the provided critically ill dying patients their families meet needs nurses who for them.

Ethnic minority groups are less engaged than Caucasian American adults in advance care planning (ACP). Knowledge deficits, language, and culture barriers to ACP. Limited research exists on ACP directives the Chinese adult population. Using a pre–posttest, repeated measures design, current study explored effectiveness of nurseled, culturally sensitive seminar for (a) knowledge, completion, discussion directives; (b) relationship between demographic variables, directive discussions. A...

The purpose of this research is to explore behavioral, normative, and control beliefs in the discussion advance care planning (ACP) among older younger Chinese Americans. Ethnic minority groups have been identified as less engaged ACP represents an ethnic cultural gap. Older American adults often different values compared generation who are more acculturated mainstream culture. These differences may hinder with adults.

The Eastern Shore Faculty Academy and Mentorship Initiative, a collaborative program among 3 nursing programs in rural Maryland, was developed to facilitate the transition of expert clinicians from diverse backgrounds clinical specialty areas with critical shortages new roles as part-time faculty. Initial outcomes include 32 graduates, 37.5% representing needed specialties. This initiative represents an innovative approach meeting challenges faculty shortage through efforts creative solutions.

Background The nursing faculty shortage is expected to persist throughout the next decade. Understanding what influences transition from clinician educator and retention can improve approaches used in programs for those aspiring careers education. Purpose This qualitative study elicited experiences of participants who completed a structured program prepare clinicians become clinical prelicensure students. Methods Focus groups uncovered participant perspectives on “learning how teach.”...

Background: Families of critically ill patients often make difficult decisions related to end-of-life (EOL) care including the withdrawal life-sustaining therapies. Objectives: This study explored patient and proxy mechanical ventilator in scenarios characterizing 3 distinct disease trajectories (cancer, stroke, heart failure [HF]) with different prognoses. The relationship between directives, modification prognosis, trust, EOL were examined. Methods: secondary analysis data obtained...

Background: Providing end-of-life (EOL) care to pediatric patients and their families is challenging. Newly licensed nurses, especially those working with the hematology/oncology population, have little no experience providing specialized needed for dying child. An evidence-based continuing professional development activity provided a novel approach improve knowledge, attitudes, comfort levels of nurse residents related EOL care. Method: A high-fidelity simulation module oncology patient at...

The end of treatment (EOT) is a significant time point along the childhood cancer treatment-survivorship continuum, and recognized as when survivors (CCS) their families experience vulnerability stress. There call by healthcare professionals alike for standardized, comprehensive EOT services to successfully navigate through this transition period better cope with posttreatment medical, physical, social-emotional issues.

Background With the rising incidence of inflammatory bowel disease (IBD) in pediatric populations, school nurses are increasingly called on to care for and support these students. Method The research team surveyed Connecticut about their experiences, knowledge, confidence addressing IBD setting. also developed implemented an online education intervention improve knowledge gaps during 2022–2023 academic year. Results Most participants have cared one two (46%, n = 66) or several (30%, 44)...