This retrospective study examined the relationships among 10 academic predictors and first-time success on the NCLEX-RN in a sample of 92 bachelor of science in nursing minority and culturally diverse generic/traditional students at a large minority-serving, urban, public university. Predictors included the Test of Essential Academic Skills (overall, science, and reading), science grade point average (GPA), cumulative GPA, and scores on various standardized exams: Kaplan, HESI, and ATI. Discriminant analysis found science GPA of >3.50 and ATI B of 60 or above to be the best predictors of passing NCLEX-RN. Based on statistically significant differences between NCLEX-RN pass and fail scores, good indicators of NCLEX-RN success were scores of 50 or above on Kaplan and 950 or above on HESI. Overall, the Test of Essential Academic Skills did not predict students' NCLEX-RN outcomes.

Blended bedside report increases peer-to-peer accountability among nurses, improves communication between nurses as well as patients, and promotes patient safety. Despite the literature that documents bedside report is best, a practical guide to initiating this process in a hospital setting is lacking. A unit-based council composed of staff nurses and 1 member of nursing management on a neurosurgical intensive care unit designed a unit-wide education initiative involving multiple modalities and peer-to-peer training. This combination led to a successful culture change from traditional report to blended bedside reporting process.

This paper deals with a Facebook-group named Malaysia-News. This group was founded in August 2019 and saw a rapid increase in members, especially in Southeast Asia. The analysis of the development of this group is based on data from Facebook and concerns the expansion of membership and the motivation to join. It shows that membership increased significantly after incisive events took place in Malaysia in early 2020 and that users are primarily looking for trustworthy information.

AbstractBackground: Numerous of studies have been done to healthcare professionals about job satisfaction and workplace boredom, but very few to ambulance staff. The mental health and emotional well-being of ambulance staff appears to be affected by the emergency character of the work they provide.Aim: The aim of the present study was to investigate the degree of job satisfaction and workplace boredom to the ambulance staff of Crete.Material & Methods: It was a cross-sectional study. The ambulance personnel of Crete included in the study. The job satisfaction scale (23 items) and the Boredom Proneness Scale (28 items) were used for data collection. The statistical analysis was performed by the SPSS. V.22.0.Results: The studied sample consisted of 142 ambulance personnel. Most of them were male (81%), married (72.9%), and had attended secondary school (63.4%). The job satisfaction was 71.1±5.7 and was found to be negatively related to how often someone felt upset (r=-0.192, p=0.02), how often they felt frustrated (r=-0.196, p=0.019) and the frequency that one feels bored (r=-0.515, p<0.001). The score of the Boredom Propensity Scale was 113.4±18.4. Women had statistically significantly greater score in Boredom Propensity Scale than men (118.9±22.6 vs. 112.1±17.1, p=0.037). The overall workplace boredom syndrome was found to be positively related to the frequency the participants are engaged in risky behaviors (r=0.426, p<0.001), how often someone felt upset (r=0.393, p<0.001), how often they felt frustrated (r=0.333, p<0.0001) and the frequency that one feels bored (r=0.212, p=0.011).Conclusions: Job satisfaction of the sample is at a medium level, while the professional boredom at a fairly high level. The professional boredom is higher in women.

An evaluation of clinical outcomes and cost.

The literature includes multiple descriptions of successful nurse-led interventions, but the effects of nurse-led education on nurse and patient satisfaction in an executive health program are unknown. Nursing staff desire to practice more fully within their scope of licensure. Increased practice demands raised questions about whether nurse-led education would improve staff and patient satisfaction. A structured quality improvement process was used to design a nurse-led patient education program. Pilot measures included 5-point Likert scale patient and staff satisfaction surveys. Nurse burnout was also measured before and after the pilot. Patient satisfaction was high; 96% reported favorable satisfaction during the pilot, with sustained results over the following 3 years. Nurses' sense of achievement improved by 12 percentage points, and perception of making good use of skills and abilities increased by 39 percentage points. A nurse-led patient education intervention contributed to improved staff satisfaction while sustaining a positive patient experience.

We conducted two cross-sectional electronic surveys of the American College of Emergency Physicians' council. Survey construction was informed by interviews and evaluated with validity and reliability studies. Univariate analyses to establish associations also were performed. Most councilors' departments employ PAs and NPs (72.4% of 163 responses). Supervisory requirements varied greatly among respondents for the same emergency severity index (ESI) level. Regardless of experience level, NPs were reported to use significantly more resources than PAs; chi-square(4) = 105.292, P < .001 for less-experienced PAs or NPs; chi-square(4) = 120.415, P < .001 for more experienced PAs or NPs. Councilors reported great variation in PA and NP scope of practice. The results also suggest that new graduate PAs may be more clinically prepared to practice in the ED than new graduate NPs.

The measurement of pain prevalence among the patients admitted to hospital, estimated that pain remains a common problem for patients. This is a multi-center cross sectional study carried out in Italian Hospitals, where data was collected in only one day. All patients aged at least 18 years, hospitalized able or unable to communicate, were eligible to be included in the study. Patients with curarization or quadriplegia (any cause) were excluded. Some hospitals and residential structures took part in our research, 26 centers in total. Pain prevalence has been observed in 268 patients (38%) (95% CI = 34%-41%) (range within wards 31-47%). Women are at higher risk than men (RR = 1.59, 95% CI = 1.29-1.95). Pain prevalence was more observed at 10.9 (+ 1.46) days after surgery. Severe pain has been observed in 148 (21.2%) cases. Pain was managed in 223 (83.2%) cases, and it was predominantly treated with the administration of paracetamol (n = 55; 24.7%) within 30 minutes after having ascertained the presence of pain. Pain is reported by about 4 out of 10 adults, with a higher prevalence of cases in women, and its appearance does not depend on the care setting. In order to assess the prevalence of pain carefully, an Italian study that involves all regions and a large number of the centers may be necessary.

Background and aim of the study: Pain is always present in the Emergency Department (ED), but is often underestimated. The primary purpose of this study is to analyze the degree to which the intensity of pain is underestimated or overestimated in the perception of the nurse and the patient in the ED. The secondary objective of this research is to study possible factors that lead to these discrepancies in assessment. Methods: The observational study was carried out in two Hospitals in Central Italy. The sample population was based on 130 patients and 26 nurses. A questionnaire was given to the patients who provided personal data followed by information regarding their pain, including an assessment of the intensity of pain on a scale from 0 to 10. A similar questionnaire was given to the nurses. Results: The average score based on the numeric rating scale (NRS) to assess the intensity of pain perceived by the patients is 6.16, while the numerical average estimated by the nurses based on their assessment is 5. Using the t test we found that the average between nurse and patient assessments was very significant. The analysis of the nurses’ characteristics and professional experiences, age, years of employment and years of service in the ED are all significant variables affecting the discrepancy between the nurses’ and patients’ assessments of pain. As previous studies have shown, nurses tend to underestimate the degree of pain. In fact, in only 55.5% of the cases was there a correspondence in the evaluations of the intensity of pain done by nurses and patients, and in no case did the nurses’ evaluation exceed that of the patients. Conclusions: This study reveals the persistent difficulty in pain management, while attempting contemporaneously to communicate the importance of the assessment, since adequate understanding of pain renders it possible to recognize and treat it.