Breast cancer is a global public health concern. Currently, the crude incidence rate of breast cancer in Hong Kong is increasing. Although breast self-examination (BSE) is an effective screening method which able to reduce mortality rates, only a few women perform it monthly. As nurses play a significant role in promoting BSE, this study aims to study the knowledge, attitude, and practice of BSE for nursing students. A crosssectional design was employed, and 372 nursing students participated in this study. Results reveal that even BSE are compulsory in nursing curriculum, poor knowledge (“don’t know” 46.9%, incorrect 9.4%.), poor attitude (mean = 24.29, SD = 3.49) and limited practice (mean = 7.69, SD = 4.66) were found. Regression analysis support that knowledge and attitude predict practice of BSE. It is important to promote and build up the awareness of BSE to nursing students by enhancing their knowledge and attitude.

Emergency nurses are regarded as the key healthcare professional (HCP) in the emergency department endof-life (ED-EOL) care. The emergency nurses encountered the dying and death on a regular base. Still, they find the EOL care is another aspect and caring from their usual practice. With the successful ED-EOL care delivery, it can help to meet the needs of the imminent patients and families. Emergency nurses admired the pain and symptoms management helping the ED-EOL patients. This paper reviewed the existing literature on the emergency nurses’ perception of ED-EOL care. A systematic search of the literature published between January 2005 and January 2016 was conducted to identify published studies concerning emergency nurses’ practice and the influencing factors in EOL care provision. The final sample for this integrative review was comprised of 23 studies. It is suggested in the results of the included studies that emergency nurses’ EOL care in the clinical context could involve the care of the dying patients and their families in both physical, psychosocial and spiritual aspects. Further study of the emergency nurses and different ED-HCPs are encouraged which could make the ED-EOL care more fruitful and bright in the future.

Healthcare workers in acute care settings experience considerable emotional exhaustion on a daily basis, which might lead to the manifestation of compassion fatigue that adversely impacts their wellbeing. There has been an increasing awareness in understanding compassion fatigue on healthcare workers recently, but the literature within this area remains ambiguous due to the use of different terminology. This integrative review aims to synthesize the existing research knowledge of the manifestation of compassion fatigue and the related concepts in acute care contexts. A total of 27 full-text research articles were retrieved for analysis. The interpretation of the selected articles yielded four main categories, which included the prevalence, risk factors, protective factors, and consequences regarding compassion fatigue among healthcare workers. These findings provide an outline for decision makers of healthcare organizations to formulate a strategic plan for helping healthcare workers to cope with compassion fatigue in everyday work and disaster events.

Surrogacy is always a controversial topic in the world, especially when it is with payment. In this article, the issues about the surrogacy and its risks the women’s health, treating women as a commodity, constitutes babies-selling, changes the traditional family structure and values, degrades women productive dignity and exploits women from lower social stratum have been discussed. In Hong Kong, surrogacy is not against the law. However, using it for commercial surrogacy is prohibited. Surrogacy is gaining popularity in the West. However, it is still not widely accepted because of the strong sense of blood ties within the family in Chinese society. The non-commercialization and non-enforcement approaches of surrogacy are adopted in Hong Kong to protect the welfare of the child and the surrogate mother to uphold family values and family integrity, as well as to keep the commercial market out of family relationships.

This study aimed to further elucidate the process of identity adaptation in people with schizophrenia by talking to them about their illness. Semi-structured interviews were conducted with nine community-dwelling people with schizophrenia. Analysis was performed using Krippendorf’s approach, and Text Mining. Eleven content categories were derived: “illness acceptance”, “self-control”, “help from family”, “help from friends”, “help from doctors or nurses”, “modifying thinking”, “social roles and activities”, “worthwhile work”, “enjoyment of life”, “being happy”, and “being free”. Participants with schizophrenia were found to attain “illness acceptance” based on “help from family”, “help from friends”, and “help from doctors and nurses”. Text mining results is 400 keywords were identified. The top 5 in order of importance and frequency were: “omou” (feel/think), “naru” (become), “iu” (say), “suru” (do), and “kusuri” (medication).As a result of an interactive process surrounding the concepts of “illness acceptance”, “self-control” and “modifying thinking” the participants sought out “social roles and activities” and “worthwhile work” to acquire a social identity. Thus, it was found that the participants felt they “enjoyed life and were happy” and “they were free”, because they were productive members of society.