Aim:To explore the relationship between spiritual climate and transformational leadership, and examine their impact on nurses perceived emotional exhaustion and intentions to quit.

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Aim The study aimed to explore the association between diabetes‐related distress as a dependent variable and fear of hypoglycaemia as a independent variable in Chinese individuals with type 2 diabetes, which can provide a basis for the development of effective nursing interventions. Design A cross‐sectional descriptive study. Methods Pre‐piloted scales were used to determine whether they experienced fear of hypoglycaemia and whether this impacted upon their management of the disease. From June–October 2019, participants were asked to complete the “hypoglycaemia fear survey” and “diabetes distress scales” to assess levels of fear and distress. Stepwise multivariate regression analysis was applied to reveal relationship between distress as a dependent variable and fear as a independent variable. Covariates included demographic, clinical or lifestyle factors. Results A total of 258 participants were recruited for the survey, and they were characterized by little or no distress (39.53%), moderate distress (45.35%) and high distress (15.12%). The prevalence of moderate to severe distress in patients was 60.47%. Increased diabetes‐related distress was strongly correlated with increased fear of hypoglycaemia and closely associated with the scores of the worry and behaviour subscales. These results indicated that 62.3% of diabetes‐related distress may be explained by fear of hypoglycaemia. Conclusion Increased diabetes‐related distress is associated with increased fear of hypoglycaemia in individuals with type 2 diabetes.

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Therefore, this research evaluates the demography of survival in patients with GOC. The sole purpose is to adequately profile a cancer so that it informs intervention strategies (such as interdisciplinary palliative care) -to improve quality of life, alleviate pain and suffering and bring family centred care to those patients with a poorer prognosis. MethodsA retrospective cohort analysis of every patient referred to a specialist UK cancer centre by 6 National Health Service sites and multiple primary care referral centres between the years 2000 to 2011 (N2215).

Further research into the patient interval is required to elicit information on how and why patients present with their cancer symptoms.

Aim : The purpose of this phenomenological study is to reveal how senior staff who have engaged in the development of a transnational nursing curriculum make sense of the opportunity.Background : Merging two, country specific curricula for a dual award bachelor degree nursing program, taught exclusively in China through 'flying faculty' model is an innovative way to deliver a global nursing education. As with any innovation, lessons can be learned through reflection, to streamline future institutional investments which are responsive to country specific needs. Methods : Four senior staff involved in curriculum development were recruited through purposive sampling. Semi structured interviews were undertaken to elicit data on their experiences during the merger.

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