Improved education on transgender issues in nursing and medical education is warranted. Healthcare professionals should be aware of how their attitudes and their level of knowledge affect the care given during the sex reassignment surgery process.

Aim To evaluate frequencies, types of, and reasons for missed nursing care during the COVID‐19 pandemic at inpatient wards in a highly specialized university hospital. Background Registered nurse/patient ratio and nursing competence is known to affect patient outcomes. The first wave of the COVID‐19 pandemic entailed novel ways for staffing to meet the expected increased acute care demand, which potentially could impact on quality of care. Methods A comparative cross‐sectional study was conducted, using the MISSCARE Survey . A sample of nursing staff during the first wave of the COVID‐19 pandemic (n=130) was compared with a reference sample (n=157). Results Few differences between samples concerning elements of missed care, and no significant differences concerning reasons for missed care were found. Most participants perceived the quality of care and the patient safety to be good. Conclusion The results may be explained by three factors: maintained registered nurse/patient ratio, patients’ dependency levels and that nursing managers could maintain the staffing needs with a sufficient skill mix. Implications for nursing management Nursing managers impact on the occurrence of MNC; to provide a sufficient registered nurse/patient ratio and skill mix when staffing. They play an important role in anticipatory planning, and during infectious diseases outbreaks.

By having a common understanding of the concept of person-centred care, the nurse anaesthetists' and theatre nurses' caring actions or concerns will be directed towards the patient, resulting in personalisation of care rather than simply defining the concept.

No abstract

At the end of 2019, a novel coronavirus resulted in an outbreak of coronavirus disease 2019 (COVID-19), which started in Wuhan, China. In March 2020, the World Health Organization (WHO) characterized COVID-19 as a pandemic (World Health Organization, 2020), and in line with other European countries, several regions in Sweden needed to expand their capacity for treating patients suffering from COVID-19.The literature indicates that nurse staffing has a large impact on whether the required nursing care can be delivered (Griffiths et al., 2018). Missed nursing care (MNC) is defined as any aspect of required patient care that is omitted (in part or in whole) or delayed (Kalisch et al., 2009). Moreover, MNC is associated with negative patient outcomes and is a threat to the quality of care and patient safety (Ball et al., 2014;Schubert et al., 2012).In the disease outbreak in spring 2019, the patients with SARS-Cov-2 were a new patient group for the entire staff. To deliver care for a completely new group of patients challenged the healthcare professionals in their work with patient safety and quality of care.

This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.

Aim To discuss specialist operating theatre nurses’ competence in relation to the general six core competencies and patient safety. Design A discursive analysis of legal statutes and scientific articles. Methods Swedish legal statutes and an overview of scientific articles on operating theatre nursing were deductively analysed and classified into healthcare providers’ general six core competencies. Results All healthcare professionals should possess the general core competencies, regardless of their discipline. The specific content within these competencies differs between disciplines. The specialized operating theatre nurse is the only healthcare professional having the competence to be responsible for asepsis, instrumentation, infection and complication, control and management of biological specimens during the surgical procedure. Besides operating theatre nurses, no other healthcare profession has the formal education, competence or skills to perform operating theatre nursing care in the theatre during the surgical procedure. Operating theatre nurse competence is therefore indispensable to ensure patient safety during surgery.

No abstract