Research Statement Research Articles

Pedagogical Problems of Forming the Basis of a Healthy Lifestyle for Children in Physical Education Lessons

This article discusses issues directly related to the pedagogical problems of forming the foundations of a healthy lifestyle for children in physical education classes. It also provides examples and statements of many scientists and researchers on the issues and problems of a healthy lifestyle at all stages of life, and especially from an early age, which is one of the topical issues of maintaining health and maintaining a healthy lifestyle. According to the author, one of the main reasons for the emergence of the state of physical health of students is the decline in the role of a healthy lifestyle in the formation of physical, spiritual, and mental health, education of the student’s personality. A detailed definition of the term “health” is given. The author also believes that the most important task of the modern educational system is the development of the student’s personality, where the main attention is focused on the study of information about health, a healthy lifestyle and improving human living conditions. As a rule, the contradictory phenomenon of an individual consists of a philosophical unity, inherent contradictions between the natural and human principles, biological and social, material and spiritual, personal and social, etc. A person is the subject of study of the prevailing sciences, and his health is an archaic issue in a rapidly changing environment, a large degree of psychological and emotional influences. Human health is a measure of a person's manifestation in the unity of physical, mental, labor, defense physical culture and health-improving functions, allowing him to more fully participate in a multifaceted life, successfully adapt to socio-cultural and natural conditions.

A meta-synthesis of the transitioning experiences and career progression of migrant African nurses

IntroductionWith the rise in global migration, hospitals and health systems in developed countries are looking to supplement their workforces with migrant nurses who have been reported to feel devalued, underutilized with experience of deskilling and unmet expectations as they transitioned. Despite the plethora of literature reporting on the experiences of internationally trained nurses, only limited work has been done regarding understanding the experiences of Migrant African nurses. Thus, this study sought to synthesize existing qualitative studies to develop in-depth understanding of the transitioning experiences of migrant African nurses, their career progression and to highlight existing gaps to guide future studies as well as inform policies.MethodA meta-synthesis was performed and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses and the Enhancing transparency in reporting the synthesis of qualitative research statement. A pre-planned search strategy was developed guided by the SPIDER tool for qualitative synthesis searching EMBASE via OVID, CINAHL via EBSCO, PubMed, Web of Science, and PsychINFO databases. We included published studies that 1) focused on migrant African nurses, 2) employed a qualitative design and 3) reported in English.ResultsThe search yielded 139 studies of which nine studies met the inclusion criteria and included in final synthesis. Three themes with corresponding subthemes emerged from data synthesis: 1) Navigating reality shock (a. Navigating a new culture, b. Survival strategies and support amidst the shock); 2) Discrimination and limited opportunities for promotion (a. Prejudices and preference for White over Black, b. Lack of recognition and limited opportunities for a workplace promotion); and 3) Finding one’s feet (a. Standing up for oneself and looking beyond discrimination, b. Experiencing growth).ConclusionTransitioning to a new setting can be a challenging experience for migrant African nurses warranting the availability of a tailor-made adaptation or orientation programme. Though African nurses may experience discrimination and prejudices as part of their transition, they consider their situation to be better off compared to back home. Therefore, clear transitioning policies which focus on career pathways are required by hiring institutions, and migrant nurses should be proactive in taking active roles in pushing their career ahead, instead of maintaining a culture of silence.

Causes, Consequences, and Treatments of Sleep and Circadian Disruption in the ICU: An Official American Thoracic Society Research Statement.

Background: Sleep and circadian disruption (SCD) is common and severe in the ICU. On the basis of rigorous evidence in non-ICU populations and emerging evidence in ICU populations, SCD is likely to have a profound negative impact on patient outcomes. Thus, it is urgent that we establish research priorities to advance understanding of ICU SCD. Methods: We convened a multidisciplinary group with relevant expertise to participate in an American Thoracic Society Workshop. Workshop objectives included identifying ICU SCD subtopics of interest, key knowledge gaps, and research priorities. Members attended remote sessions from March to November 2021. Recorded presentations were prepared and viewed by members before Workshop sessions. Workshop discussion focused on key gaps and related research priorities. The priorities listed herein were selected on the basis of rank as established by a series of anonymous surveys. Results: We identified the following research priorities: establish an ICU SCD definition, further develop rigorous and feasible ICU SCD measures, test associations between ICU SCD domains and outcomes, promote the inclusion of mechanistic and patient-centered outcomes within large clinical studies, leverage implementation science strategies to maximize intervention fidelity and sustainability, and collaborate among investigators to harmonize methods and promote multisite investigation. Conclusions: ICU SCD is a complex and compelling potential target for improving ICU outcomes. Given the influence on all other research priorities, further development of rigorous, feasible ICU SCD measurement is a key next step in advancing the field.

A REVIEW OF CORRELATION AMONG THE ECONOMIC GROWTH, ECONOMIC UNCERTAINTY AND SUSTAINABLE DEVELOPMENT IN INDIA

Sustainability of the natural resources is based on human efforts and the economic development is the base of the sustainable development of any country. But an economys development would increase when its economic uncertainty is at a low level. There are two objectives of the present research paper the first is to find the correlation among sustainable development, economic growth and economic uncertainty in India and the second is to access the impact of economic growth and economic uncertainty on the sustainable development of India. The present research is taking the period of 2000-2022 to access the correlation and impact of economic growth and economic uncertainty on sustainable development. The explorative, descriptive and correlation-regression methods are used to analyse the all shreds of evidence. The research statements are rejected with strong statistical evidences and both the objectives of the present research paper are achieved. As the economic uncertainty is reduced due to strong economic policies, the economic development takes place and makes the easy sustainable development path in India.

Systematic review to explore the effect of yoga on anxiety in adults

Introduction: The National Health Service cannot chronically sustain the overwhelming demands being placed on it due to financial cuts, staff numbers and recent presence of Covid-19. As a result, anxiety levels are on the rise thus increasing the need for effective first-line treatment.
 Purpose: The purpose of this systematic review was to examine the efficacy of yoga as a first-line treatment for anxiety. Previous systematic reviews have produced mixed results.
 Methodology: The inclusion criteria followed the PICO research statement. The population (P) were either healthy or diagnosed with anxiety and the intervention (I) was yoga. The comparison (C) was a control group, or CBT, or used a pre-and post-intervention design. The outcome (O) was the change in the level of anxiety post-intervention.
 Results and Discussion: After the review of 64 studies, 7 studies fit the inclusion criteria: four randomized controlled studies, one longitudinal study, and two pre- and post-intervention comparisons. All the studies included provided statistically significant results for the beneficial effect of yoga on anxiety.
 Conclusion: This study adds to preceding literature on the current anxiety levels of adults and the potential utility of yoga as a first-line treatment for self-management of anxiety levels. This review stresses the issue of heterogeneity, mode of yoga and calls for more robust randomised controlled trials to pioneer the subject matter to help, if not prevent, to slow down the rising cases of anxiety and ill mental health worldwide.

Clinician preferences for single-unit implant restoration designs and materials: A survey of the membership of the Pacific Coast Society for Prosthodontics

Statement of problemClinical research has difficulty keeping pace with the rapid evolution of materials, protocols, and designs of single-unit implant restorations. The clinical design preferences of prosthodontics for different clinical scenarios are lacking. PurposeThe purpose of this cross-sectional survey was to determine the current prevalence of usage of various treatment options and materials for single-unit implant-supported restorations. Material and methodsFrom August to September of 2022, a survey invitation was sent to members of the Pacific Coast Society for Prosthodontics (PCSP). The survey was hosted online and asked 37 questions related to the materials, protocols, and design preferences for single-unit implant-supported restorations in various clinical scenarios. The prompts included the suggestion that answers should be based on preferences for the “ideal” treatment of a hypothetical patient seeking implant treatment for the replacement of a single missing tooth. ResultsOf 133 questionnaires sent via email, 35 were returned. The results are presented with histograms that use color coding as an experience proxy metric. A total of 87% of respondents was in private practice, and 60% reported having restored more than 1000 single-unit implant restorations. For the replacement of a single maxillary central incisor under ideal conditions and angulation through the palatal surface, respondents preferred bone level implants (93%) and screw-retained restorations (80%), with 50% of those being zirconia with a titanium abutment and 21% being cast metal-ceramic. For an identical scenario, except that the angulation would be through the facial surface, respondents preferred the angled screw system (55%) and cemented (41%) restorations. For the replacement of a single missing mandibular molar under ideal conditions, respondents preferred bone level implants (79%) and screw-retained restorations (79%), with 70% of those being zirconia with a titanium abutment and 17% being cast metal-ceramic. ConclusionsWhile a wide range of protocols, designs, and materials exist for the replacement of a single missing tooth, these results provide a snapshot of current single-unit implant prosthodontic preferences in the Western United States and Canada.

Cancer-related Fatigue in Lung Cancer: A Research Agenda: An Official American Thoracic Society Research Statement.

Background: Fatigue is the most common symptom among cancer survivors. Cancer-related fatigue (CRF) may occur at any point in the cancer care continuum. Multiple factors contribute to CRF development and severity, including cancer type, treatments, presence of other symptoms, comorbidities, and medication side effects. Clinically, increasing physical activity, enhancing sleep quality, and recognizing sleep disorders are integral to managing CRF. Unfortunately, CRF is infrequently recognized, evaluated, or treated in lung cancer survivors despite more frequent and severe symptoms than in other cancers. Therefore, increased awareness and understanding of CRF are needed to improve health-related quality of life in lung cancer survivors. Objectives: 1) To identify and prioritize knowledge and research gaps and 2) to develop and prioritize research questions to evaluate mechanistic, diagnostic, and therapeutic approaches to CRF among lung cancer survivors. Methods: We convened a multidisciplinary panel to review the available literature on CRF, focusing on the impacts of physical activity, rehabilitation, and sleep disturbances in lung cancer. Weused a three-round modified Delphi process to prioritize research questions. Results: This statement identifies knowledge gaps in the 1)detection and diagnostic evaluation of CRF in lung cancer survivors; 2) timing, goals, and implementation of physical activity and rehabilitation; and 3) evaluation and treatment of sleep disturbances and disorders to reduce CRF. Finally, we present the panel's initial 32 research questions and seven final prioritized questions. Conclusions: This statement offers a prioritized research agenda to 1) advance clinical and research efforts and 2) increase awareness of CRF in lung cancer survivors.

Influencing Factors of Nurses’ Practice during the Bedside Handover: A Qualitative Evidence Synthesis Protocol

Nursing Bedside Handover (NBH) is acknowledged as a nursing practice implemented at the patient's bedside to improve communication safety during the shift change, but it is vulnerable due to inconsistent application among nurses. This synthesis of qualitative evidence aims to review and synthesize the perceptions and experiences of nurses regarding the factors that, in their perspective, influence NBH practice. We will follow the thematic synthesis methodology of Thomas and Harden and the Enhancing Transparency in Reporting the Synthesis of Qualitative Research (ENTREQ) Statement guidelines. A search will be conducted through the databases of MEDLINE, CINAHL, Web of Science, and Scopus, and we will follow the three-step search process to identify primary studies with qualitative or mixed-method research designs and projects of quality improvement. The screening and selection of the studies will be carried out by two independent reviewers. We will use the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) to report the screening, search, and selection of studies. To assess its methodological quality, two reviewers will independently use the CASM Tool. The extracted data will be reviewed, categorized, and summarized in tabular and narrative formats. The findings obtained will allow us to inform future research and change management led by nurse managers.

The Perception of Surgery Program Directors of Residency Applicants From Longitudinal Integrated Curriculum Medical Schools: A Survey of the Association of Program Directors in Surgery Members.

Research statement This study explores whether longitudinal integrated clerkship (LIC) students are competitive general surgery applicants and if they are perceived as adequately prepared for general surgery residency compared to traditional block rotation (BR) students. Background/relevance of the study There is increasing interest in LIC models of clinical education versus BR models. LIC students have been shown to perform similarly on examinations to BR students. However, while LICs seem well suited for students pursuing primary care specialties, little is known about how this approach impacts clinical education for surgery. Design and methods An electronic survey was prepared and approved by the Association of Program Directors in Surgery (APDS) and our university's institutional review board (IRB). Ten multiple-choice questions were administered along with an option for narrative comments. Surveys were sent over a one-month period to members of APDS Listserv. Returned emails were de-identified, and the results were tabulated. Results From 43 responses, the majority identified as program directors (PDs) (65%) and reported being somewhat familiar or very familiar with LICs (90%). When asked about the statement "LIC students are prepared for surgical residency," 22% "disagreed" or "strongly disagreed."When asked"How would you rank a LIC prospective applicant in comparison to a BR student?"35% responded that they would rank the LIC student lower or not at all. Of the respondents, 47% reported that they have current residents who were LIC students. Most of these residents (65%)are graded as "average"for current performance. Conclusions The results suggest that medical students who are trained using LICs may be disadvantaged when applying to general surgery residencies. Interpretation is limited by the small number of respondents, and it only reflects the opinions of active APDS Listserv members. Further study is needed to confirm these findings and elucidate the basis of perceived deficiencies in LICs. Students from these schools should be advised to obtain additional surgery experience.

Invasive Ventilatory Support in Patients With Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference.

To provide evidence for the Second Pediatric Acute Lung Injury Consensus Conference updated recommendations and consensus statements for clinical practice and future research on invasive mechanical ventilation support of patients with pediatric acute respiratory distress syndrome (PARDS). MEDLINE (Ovid), Embase (Elsevier), and CINAHL Complete (EBSCOhost). We included clinical studies of critically ill patients undergoing invasive mechanical ventilation for PARDS, January 2013 to April 2022. In addition, meta-analyses and systematic reviews focused on the adult acute respiratory distress syndrome population were included to explore new relevant concepts (e.g., mechanical power, driving pressure, etc.) still underrepresented in the contemporary pediatric literature. Title/abstract review, full text review, and data extraction using a standardized data collection form. The Grading of Recommendations Assessment, Development and Evaluation approach was used to identify and summarize relevant evidence and develop recommendations, good practice statements and research statements. We identified 26 pediatric studies for inclusion and 36 meta-analyses or systematic reviews in adults. We generated 12 recommendations, two research statements, and five good practice statements related to modes of ventilation, tidal volume, ventilation pressures, lung-protective ventilation bundles, driving pressure, mechanical power, recruitment maneuvers, prone positioning, and high-frequency ventilation. Only one recommendation, related to use of positive end-expiratory pressure, is classified as strong, with moderate certainty of evidence. Limited pediatric data exist to make definitive recommendations for the management of invasive mechanical ventilation for patients with PARDS. Ongoing research is needed to better understand how to guide best practices and improve outcomes for patients with PARDS requiring invasive mechanical ventilation.

Monitoring in Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference.

Monitoring is essential to assess changes in the lung condition, to identify heart-lung interactions, and to personalize and improve respiratory support and adjuvant therapies in pediatric acute respiratory distress syndrome (PARDS). The objective of this article is to report the rationale of the revised recommendations/statements on monitoring from the Second Pediatric Acute Lung Injury Consensus Conference (PALICC-2). MEDLINE (Ovid), Embase (Elsevier), and CINAHL Complete (EBSCOhost). We included studies focused on respiratory or cardiovascular monitoring of children less than 18 years old with a diagnosis of PARDS. We excluded studies focused on neonates. Title/abstract review, full-text review, and data extraction using a standardized data collection form. The Grading of Recommendations Assessment, Development and Evaluation approach was used to identify and summarize evidence and develop recommendations. We identified 342 studies for full-text review. Seventeen good practice statements were generated related to respiratory and cardiovascular monitoring. Four research statements were generated related to respiratory mechanics and imaging monitoring, hemodynamics monitoring, and extubation readiness monitoring. PALICC-2 monitoring good practice and research statements were developed to improve the care of patients with PARDS and were based on new knowledge generated in recent years in patients with PARDS, specifically in topics of general monitoring, respiratory system mechanics, gas exchange, weaning considerations, lung imaging, and hemodynamic monitoring.

Pulmonary Specific Ancillary Treatment for Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference.

We conducted an updated review of the literature on pulmonary-specific ancillary therapies for pediatric acute respiratory distress syndrome (PARDS) to provide an update to the Pediatric Acute Lung Injury Consensus Conference recommendations and statements about clinical practice and research. MEDLINE (Ovid), Embase (Elsevier), and CINAHL Complete (EBSCOhost). Searches were limited to children, PARDS or hypoxic respiratory failure and overlap with pulmonary-specific ancillary therapies. Title/abstract review, full-text review, and data extraction using a standardized data collection form. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to identify and summarize evidence and develop recommendations. Twenty-six studies were identified for full-text extraction. Four clinical recommendations were generated, related to use of inhaled nitric oxide, surfactant, prone positioning, and corticosteroids. Two good practice statements were generated on the use of routine endotracheal suctioning and installation of isotonic saline prior to endotracheal suctioning. Three research statements were generated related to: the use of open versus closed suctioning, specific methods of airway clearance, and various other ancillary therapies. The evidence to support or refute any of the specific ancillary therapies in children with PARDS remains low. Further investigation, including a focus on specific subpopulations, is needed to better understand the role, if any, of these various ancillary therapies in PARDS.

Noninvasive Respiratory Support for Pediatric Acute Respiratory Distress Syndrome: From the Second Pediatric Acute Lung Injury Consensus Conference.

To develop evidence-based recommendations for the Second Pediatric Acute Lung Injury Consensus Conference (PALICC) regarding the effectiveness of noninvasive respiratory support for pediatric acute respiratory distress syndrome (PARDS). These include consideration of the timing and duration of noninvasive ventilation (NIV) and high-flow nasal cannula (HFNC), whether effectiveness varies by disease severity or by characteristics of treatment delivery, and best practices for the use of NIV. MEDLINE (Ovid), Embase (Elsevier), and CINAHL Complete (EBSCOhost). Searches included all studies involving the use of NIV or HFNC in children with PARDS or hypoxemic respiratory failure. Title/abstract review, full-text review, and data extraction using a standardized data extraction form. The Grading of Recommendations Assessment, Development, and Evaluation approach was used to identify and summarize evidence and develop recommendations. Out of 6,336 studies, we identified 187 for full-text review. Four clinical recommendations were generated, related to indications, timing and duration of NIV in patients with PARDS, predictors of NIV failure and need for intubation (signs and symptoms of worsening disease including pulse oximetry saturation/Fio2 ratio), and use of NIV in resource-limited settings. Six good practice statements were generated related to how and where to deliver NIV, the importance of trained experienced staff and monitoring, types of NIV interfaces, the use of sedation, and the potential complications of this therapy. One research statement was generated related to indications of HFNC in patients with PARDS. NIV is a widely used modality for the treatment of respiratory failure in children and may be beneficial in a subset of patients with PARDS. However, there needs to be close monitoring for worsening disease and NIV failure.

LEGISLATIVE POLICY FOR CONSOLIDATING MINING AREAS TO PROMOTE SUSTAINABLE LAND USE PLANNING

Environmental concerns are just one of the many issues that are being brought on by the need to develop mineral and coal mining resources. Mining areas require ongoing planning that takes the environment into consideration. This study examines the current mining regulatory framework and the problem of harmonizing spatial planning for mining areas based on environmental sustainability, with a particular focus on Indonesian mining areas. This paper intends to answer the third research statement: First, how to conduct theoretical training on several legal principles of sustainable development from environmental protection and management perspectives. Second, what is the concept of environmental administrative and legal regulation in the field of supervision in realising the determination of mining areas based on environmental development? Third, what is the licensing model for spatial planning and environmental planning in monitoring environmental management that is environmentally sound? This research uses normative legal analysis with a statutory and conceptual approach. The results of this study indicate that with an integrated environmental permitting and spatial planning concept, establishing a mining business permit area is predicted to function as an effective prevention instrument against the emergence of environmental pollution and damage due to mining activities. The principle of environmental sustainability will be achieved by recommendations made with the existence of legal criteria relating to the determination of mining areas to become the authority of the Governors, Regents, and Mayors of the Ministry of Environment and Spatial Planning

Analisis Tingkat Kesehatan Bank Menggunakan Metode RBBR di Bank Tabungan Negara Syariah

This study aims to find out the health level of PT Panin Dubai Syariah Bank for the period 2017-2021 using the RGEC method. The valuation factors used are Risk Profile, Good Corporate Governance, Earning and Capital factors. The object of this research is the financial statements of research used is quantitative with a descriptive approach. The type of data used in this study is secondary data. The results showed that the health level of PT Panin Dubai Syariah Bank based on Risk Profile factors gets a healthy predicate, Good Corporate Governance gets a healthy predicate, Earning gets a unhealthy predicate and Capital gets a very healthy predicate.

The Importance of Improving the Knowledge and Education of the Population Living in Rural Areas for the Creation of Sustainable Tourism Products and Services

The development of tourism businesses based on private homesteads in rural areas is an essential economic tool in solving the social and economic problems of the local population. Changes caused by globalization and new trends in the development of the modern world make it increasingly necessary to preserve cultural and historical features. Preservation of traditional agricultural activities using tourism business in rural areas is a unique opportunity for the formation of niche and exclusive tourism products, as well as for not forgetting historical activities and for creating new jobs in rural areas. In Adjara, one of the regions of Georgia, the tourism business in rural areas is developing inconsistently. State bodies do not participate in the intensive and sustainable development of tourism in rural areas. There is no rural tourism business development model according to which accommodation, food, and other related service elements would be formed. The local population with little knowledge and less intellectual capacity creates low-quality tourism products in rural areas. The problems mentioned above lead to the slow development of tourism in rural areas, due to which the rural population is still actively experiencing many economic issues. The purpose of this work is to show the importance of raising the education of the rural population for the sustainable and intensive development of the tourism business in Adjara, which will contribute to the rapid growth of tourism in the rural areas and solve the socio-economic problems of the local population. The article discusses the challenges related to the sustainable development of tourism in rural areas, which refers to the lack of education in the relevant direction of the local population. The article presents the original ways of solving the above-mentioned problems.As a research method, we used the method of systematic analysis and questionnaire, in which we studied the tourist facilities located in the villages of Adjara, and the knowledge and skills of the local population in the direction of business management. Based on the research objectives, a questionnaire was developed in advance by us, which included the research statements. The main part of our research was to collect information about the education of people living on the homestead, which is a prerequisite for sustainable and intensive development of tourism business in rural areas.

ДО ПИТАННЯ ВИВЧЕННЯ Й АНАЛІЗУ СФОРМОВАНОСТІ ЗАГАЛЬНОЛЮДСЬКИХ ЦІННОСТЕЙ, ЗОКРЕМА АЛЬТРУЇЗМУ У СУЧАСНОЇ МОЛОДІ, ТА ВИХОВНОГО ПОТЕНЦІАЛУ НА ЗАНЯТТЯХ ІНОЗЕМНОЇ МОВИ ЗІ СТУДЕНТАМИ-ПЕРЕКЛАДАЧАМИ

The study gives a definition of the term ‘altruism”, analyses the views of leading foreign scientists on the essence of “altruism”, moral principles and gender differences as to the degree of “altruism” as well as the statements of modern Ukrainian researchers regarding the education of altruistic qualities in youth. The result of the survey and comparative analysis show that the majority of students have a general idea about the term “altruism”, moreover, they also have a clear understanding of the prevalence of a certain type of personality and priority of moral values in modern society. The survey also proves a certain educational potential in the content of authentic text-books in teaching a foreign language to students translators and interpreters. In our opinion, the implementation of different forms and methods of teaching, the use of authentic audio, video and Internet materials in foreign language lessons taking into consideration the above mentioned problem will contribute to the effective process of educating altruistic qualities in youth.

MODERN IDEAS ABOUT THE NATURE OF SPACE TIME

The paper examines the statements of foreign and Russian researchers in the field of modern theories claiming to be fundamental.

Treating exertional heat stroke: Limited understanding of the female response to cold water immersion.

According to an expansive body of research and best practice statements, whole-body cold water immersion is the gold standard treatment for exertional heat stroke. However, as this founding evidence was predominantly drawn from males, the current guidelines for treatment are being applied to women without validation. Given the recognised differences in thermal responses experienced by men and women, all-encompassing exertional heat stroke treatment advice may not effectively protect both sexes. In fact, recent evidence suggests that hyperthermic women cool faster than hyperthermic men during cold water immersion. This raises the question of whether overcooling is risked if the present guidelines are followed. The current mini-review examined the literature on women's response to cold water immersion as a treatment for exertional heat stroke and aimed to clarify whether the current guidelines have appropriately considered research investigating women. The potential implications of applying these guidelines to women were also discussed.

Experiences of early-career nurses working in specialist adolescent/young adult cancer units: A narrative inquiry.

To explore the experiences of early-career registered nurses working in specialist adolescent/young adult cancer units. Narrative Inquiry. A purposive sample of nine early-career registered nurses from six specialist adolescent/young adult cancer units in the United Kingdom participated in online in-depth narrative conversations between October 2020 and January 2021. Data were analysed thematically using Clandinin and Connelly's (2000) metaphorical three-dimensional narrative inquiry approach focussed on commonplaces of temporality, sociality and place. The intensity and complexity of the nursing work associated with young patients and their families, over protracted periods, impacted the nurses personally and professionally. The similarity of age between patients and nurses was shown as having benefits as well as posing risks. The complexity of four types of nursing labour was highlighted: emotional, cognitive, physical and organizational providing justification for the provision of specialist training and support. This study presents unique insights into the complex work of early-career nurses in specialist units that reveal challenges in caring for the distinct needs of this cancer patient population. Better understanding of the experience of adolescent/young adult nursing work is revealed. Nurse managers could use these findings to consider the level of expertise on cancer units and ensure a spread of ages and experience. Managers and funders should also consider the clinical supervision and well-being needs of nurses so that they can thrive in these unique environments. Educators could use findings to develop curricula and reinforce messages of self-care, reflection and boundary management. The findings of this study may be transferable to other areas where early-career nurses care for younger age groups. PUBLIC AND PATIENT ENGAGEMENT AND INVOLVEMENT IN RESEARCH STATEMENT: No patient or public contribution was requested or required as this research wanted to examine nurses' experiences and not those of patients or the public.