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Students felt they should be offered greater flexibility with meeting deadlines due to balancing competing demands outside of university life.

These findings hope to trigger initiatives that aim to shift time-poor/grade-hungry students' towards a deeper understanding of what it means to be an effective learner in higher education.

These findings hope to trigger initiatives that aim to shift time-poor/grade-hungry students' towards a deeper understanding of what it means to be an effective learner in higher education.

Self-directed learning (SDL) is encouraged in professional education because it nurtures students' self-motivation and promotes accountability to their own learning. SDL is crucial to fostering collaborative skills for multi-disciplinary practice in today's healthcare settings.

To identify factors associated with SDL ability among undergraduate nursing students.

A systematic review was conducted.

The PICO (population, intervention, comparison and outcomes) strategy was used as a guide. Searches were done of studies published between May 2010 and April 2020 via MEDLINE, CINAHL, and EMBASE, as well as print. Screening, selection, and data extraction were performed by two independent reviewers. All discrepancies were resolved through discussion or by consulting a third reviewer.

A total of 18 of 1576 articles were selected based on the PRISMA process. The methodological quality of all included studies was mostly moderate. Factors associated with SDL were identified from both quantitative and qualitativors is crucial to achieve students' SDL enhancement for lifelong learning during study.

All identified factors improve students' SDL. The results of the review revealed SDL development with the interaction of environmental/situation influence and personal influence. learn more Nurse educators should be more aware of the effects of these factors on SDL development during different stages of study. Strategies with independent learning and small group learning are effective to enhance students' learning attributes. Importantly, continuous support and guidance provided by educators is crucial to achieve students' SDL enhancement for lifelong learning during study.

International literature reports that nursing students feel unprepared when facing patients and families within dying care. They consider their curricula inadequate in teaching end-of-life care and promoting the attitudes required to care for dying patients. Findings of recent studies exploring nursing students' attitudes towards care of the dying patient are often contradictory.

To explore Italian nursing students' attitudes towards caring for dying patients.

A multicenter cross-sectional study was conducted.

The Bachelor's Degree in Nursing courses of four Universities of the Lazio Region.

The sample included 1193 students.

Data were collected between September 2017 and March 2018 using the Italian version of FATCOD-B-I. The differences between the mean scores were compared through t-test or ANOVA. Associations between scores and participant characteristics were evaluated through generalized linear regression.

The mean score of FATCOD-B-I was 115.3 (SD=9.1). Higher scores were significantly asThey believe that caring for a terminal patient is a formative, useful experience but they do not feel adequately prepared in practice. Deeper palliative care education, integrated with practical training, would prepare students better, enabling them to discover their own human and professional capacity to relieve suffering.

Individuals living with coeliac disease generally experience a remission of symptoms after adopting the gluten-free diet but often report substantial treatment burden and ongoing quality of life issues. Psychosocial factors have been suggested to play a significant role in post-diagnosis quality of life but have yet to be systematically reviewed.

To review the evidence for psychosocial factors associated with quality of life in adult coeliac disease cohorts.

Studies were identified via systematic searches of eight databases (MEDLINE, Embase, Emcare, PsycINFO, Ovid Nursing, CINAHL, Informit Health Collection, Cochrane Library) in May 2019.

Fourteen studies were included involving 3372 participants (80.2% female, mean age=46.4years). Symptoms of depression and anxiety were the most examined psychosocial factors across all studies. Quality of life was differentially associated with psychological distress, illness perceptions, coping, and attitudes/behaviours regarding food and the gluten-free diet.

Sevets for psychosocial intervention.

Chronic infection is associated with adverse outcomes among people with bronchiectasis. However, it is not known which factors are associated with a bacterial infection, and with persistence of an infection after the first episode. We aimed to determine factors associated with a new infection and with chronicity of Pseudomonas aeruginosa (PA) and H. influenzae (HI), the most common organisms in bronchiectasis infection.

Using an Israeli population database, we identified individuals diagnosed with bronchiectasis. Cox proportional hazard models were used to assess risk factors for first isolation and Logistic regression for chronicity of infection after a first isolation of PA and HI.

We included 1305 people with a median of 5 respiratory samples per individual. PA was initially isolated in 297 people, of whom 97 (33%) developed chronic PA infection. HI was newly identified in 169 people, of whom 39 (23%) developed chronic infection (p=0.029). Factors associated with increased risk of a new infection witf whom 39 (23%) developed chronic infection (p = 0.029). Factors associated with increased risk of a new infection with PA were COPD (HR 1.87 [1.52-2.28], previous isolation of HI (HR 1.38 [1.07-1.78]), and alcohol abuse (HR 2.22 [1.13-4.3]). Younger age was associated with increased risk of HI infection, while COPD was associated with a lower risk of HI infection. Prescription of an anti- PA antibiotic was associated with chronic PA after a new infection (OR = 1.8 [1.09-2.9], p = 0.02). A landmark analysis showed that survival was worse in people with chronic PA infection vs. single or intermittent infection (Log rank p = 0.034) CONCLUSIONS Younger age and presence of PCD are associated with a new isolation of HI. A new infection with PA is associated with previous HI infection, PCD, COPD, and alcohol abuse. Unexpectedly, treatment with appropriate anti-PA antimicrobials was not associated with a reduced risk of chronicity.

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