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The purpose of this study was to examine the reported ritual practices (dealing with the deceased's remains, wake, funeral, burial and celebration) of White non-Hispanic, Black non-Hispanic and Hispanic/Latino adults in their country of origin or ethnic or cultural group in the United States following the death of a loved one.

This descriptive study is a secondary analysis from a longitudinal mixed-methods study that examined parents' health and functioning following the death of a child.

Adult parents whose child died in neonatal intensive care units or paediatric intensive care units were recruited from four hospitals and from death records. Data were collected from 61 adult parents at 7 and 13months postinfant/child death using semi-structured interviews about the child's death. Only those parents who responded to questions about usual death practices in their country of origin or cultural group were included in the data analysis.

Thirty-two adults from 14 countries reported practices in their country or cultural group after a loved one's death including keeping the front door closed, walking funeral processions with a band playing, the deceased in a car accompanied by family and friends, fireworks, making home altars for deceased spirits with food and water for adults, toys and candy for children and no TV or radio for sometime.

For community health nurses, understanding these practices is important in being sensitive and appropriate around the death. Asking the family about specific practices they hope to carry out and noting this in the family's record will help alert providers to the family's wishes at this challenging time.

For community health nurses, understanding these practices is important in being sensitive and appropriate around the death. Asking the family about specific practices they hope to carry out and noting this in the family's record will help alert providers to the family's wishes at this challenging time.

The aim of this study was to determine the factors affecting the behaviour of regular physical activity in patients with hypertension using the health action process approach (HAPA) model.

This cross-sectional study was conducted on 176 hypertension patients, in Astaneh-e-Ashrafiyeh, Guilan, Iran, 2018-2019.

Data collection tools included demographic characteristics, medical history, the short form of International Physical Activity Questionnaire (IPAQ) and scales related to the HAPA model. The data were analysed using chi-square, independent

test, one-way ANOVA, Pearson's correlation coefficient and path analysis on AMOS, version 23.0.

Action self-efficacy (

=0.59), outcome expectancy (

=0.20) and risk perception (

=0.18) had a statistically significant effect on intention. Moreover, the path coefficient between intention (

=0.35) and coping self-efficacy (

=0.29) with physical activity was statistically significant. The results revealed that HAPA constructs were able to describe 45% of the variance in intention and 31% of the variance in physical activity behaviour.

The HAPA model is a useful framework for describing the factors affecting physical activity in hypertension patients.

The HAPA model is a useful framework for describing the factors affecting physical activity in hypertension patients.

To explore associations between nurses' sense of professional self-actualization, nursing work environment and their involvement in promotion and marketing of the nursing profession.

A descriptive cross-sectional study.

144 nurses from various clinical fields completed a promotion and marketing activity questionnaire, selected items from the Brief Index of Self-Actualization and a part of the Revised Nursing Work Index.

Nurses' perception of their work environment and holding a master's degree in nursing were associated with their involvement in promotion activities [



=0.27,

(4,113)=10.4,

<.001]. Nurses' perception of their work environment was associated with their sense of professional self-actualization [



=0.21,

(2,121)=16.5,

<.001]. Nurses' sense of professional self-actualization did not contribute to the explanation of variance in their involvement in promotion of the nursing profession.

Nurses' perception of their work environment and holding a master's degree in nursing were associated with their involvement in promotion activities [R2 = 0.27, F(4, 113) = 10.4, p less then .001]. Nurses' perception of their work environment was associated with their sense of professional self-actualization [R2 = 0.21, F(2, 121) = 16.5, p less then .001]. Nurses' sense of professional self-actualization did not contribute to the explanation of variance in their involvement in promotion of the nursing profession.

To investigate outpatients with breast cancer perception of information before and after changed informational practice.

The design was a comparative study.

Information about breast cancer treatment and chemotherapy toxicity changed from individual to nurse-led group information. Women with early-stage breast cancer were eligible. To evaluate individual versus group information, the patients completed a questionnaire at their third cycle of chemotherapy, including

of treatment,

from healthcare professionals or peers and general self-efficacy

in everyday life. The study is registered in OSF https//osf.io/bh7wg.

In total, 90 participants in two groups were included (a) individual information (

=44) and (b) group information (

=46). Groups were comparable in age and educational level. Both groups found the information satisfactory, with no significant differences regarding perceived knowledge or support. Five of ten questions in self-efficacy showed significantly better outcomes in patients receiving group information but with no difference in overall self-efficacy. Group information was non-inferior compared with individual information. Patients were satisfied in both groups.

In total, 90 participants in two groups were included (a) individual information (N = 44) and (b) group information (N = 46). Groups were comparable in age and educational level. Both groups found the information satisfactory, with no significant differences regarding perceived knowledge or support. Five of ten questions in self-efficacy showed significantly better outcomes in patients receiving group information but with no difference in overall self-efficacy. Group information was non-inferior compared with individual information. Patients were satisfied in both groups.

The present study was conducted to apply and examine case-based learning (CBL) and Science, Technology, Engineering, and Math (STEM) education concept in the training of nursing student's clinical thinking.

A randomized experimental design with non-equivalent group pretest-posttest.

Participants were requested to participant in either of the two programmes traditional education programme as a control group or CBL combined with STEM education concept (the STEM group). Questionnaires of critical thinking, self-directed learning, self-efficacy were administered before and after the experiment.

Differences between the STEM group and control group were observed in critical thinking, self-directed learning, self-efficacy and career choice over one semester. Accordingly, CBL combined with STEM education concept enhanced the nursing student's clinical thinking.

Differences between the STEM group and control group were observed in critical thinking, self-directed learning, self-efficacy and career choice over one semester. Accordingly, CBL combined with STEM education concept enhanced the nursing student's clinical thinking.

To understand the attitudes and beliefs of nurses and physicians about managing the sexual health of patients during office visits in primary care centres.

A questionnaire-based, cross-sectional multi-centre study.

The study was performed in 15 primary care centres in Barcelona (Spain), from December 2017-February 2018. check details Obtained data were analysed with descriptive and bivariate statistics.

Nearly half the participants believed they should manage sexual health in primary care, but a third of them disagreed this is a priority. Participants also believed patients are not comfortable speaking with them about sex. Statistically significant differences were observed between the professions as nurses more often reported receiving sexual health questions from patients and believed they had enough knowledge to appropriately respond. Most participants wanted additional education to speak with patients more comfortably and confidently about sex.

Nearly half the participants believed they should manage sexual health in primary care, but a third of them disagreed this is a priority. Participants also believed patients are not comfortable speaking with them about sex. Statistically significant differences were observed between the professions as nurses more often reported receiving sexual health questions from patients and believed they had enough knowledge to appropriately respond. Most participants wanted additional education to speak with patients more comfortably and confidently about sex.

To analyse the patient safety competency (PSC) of Chinese nurses with associate degrees (ADNs) and explore factors.

A cross-sectional study.

A convenience sample of 451 ADNs working in 18 hospitals located in Chongqing city of China was investigated using the Patient Safety Competency Nurse Evaluation Scale (PSCNES). Descriptive and inferential statistics were used to analyse the data.

ADNs had a moderate level of PSC. In terms of the six dimensions of PSC, ADNs performed well in clinical practice and safety risk management, while they performed poorly in patient-centred care and patient safety culture. Statistically significant differences were reported in two items. Firstly, ADNs who have participated in patient safety training had a higher level in all dimensions of PSC than those who have not participated in related training. Secondly, ADNs without professional titles had a higher level of patient safety culture than those with professional titles.

ADNs had a moderate level of PSC. In terms of the six dimensions of PSC, ADNs performed well in clinical practice and safety risk management, while they performed poorly in patient-centred care and patient safety culture. Statistically significant differences were reported in two items. Firstly, ADNs who have participated in patient safety training had a higher level in all dimensions of PSC than those who have not participated in related training. Secondly, ADNs without professional titles had a higher level of patient safety culture than those with professional titles.

To examine the use and effects of multiple simulations in nursing education.

A mixed study systematic review. Databases (CINAHL, Medline, PubMed, EMBASE, ERIC, Education source and Science Direct) were searched for studies published until April 2020.

Researchers analysed the articles. Bias risk was evaluated using the Critical Appraisal Skills Programme and Cochrane Risk of Bias tool.

In total, 27 studies were included and four themes identified. Students participated in multiple simulation sessions, over weeks to years, which included 1-4 scenarios in various nursing contexts. Simulations were used to prepare for, or partly replace, students' clinical practice. Learning was described in terms of knowledge, competence and confidence.

Multiple scenario-based simulation is a positive intervention that can be implemented in various courses during every academic year to promote nursing students' learning. Further longitudinal research is required, including randomized studies, with transparency regarding study design and instruments.

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