Problems with sampling must be examined and discussed. Well-evaluated but limited research data are preferable to no information from groups that are hidden and hard to reach. IMPLICATIONS FOR RESEARCH OR PRACTICE: Engaging these populations in research can further professionals' understanding of service provision.

Child-on-child harmful sexual behaviour at school is highlighted in the literature although very little is known about how teachers experience it. Interpretative Phenomenological Analysis was used to address this gap. Semi structured interviews were conducted with nine teachers from two special schools and one mainstream school. Overarching themes used the proverb of the three wise monkeys as a framework in which to show how HSB was not seen, heard or spoken about. Instead, it was accepted and expected as part of the special school day because it was not recognised and paid little attention to, whilst in the mainstream school it was not recognised due to lack of knowledge and understanding. A lack of training, support and the sharing of information compounded teachers' fears for personal safety, careers and reputation. Implications for teachers and multi-agency professionals are discussed.

A i terpretative phe o e ological a alysis of you g e s experiences of addressing their sexual health and the importance of researcher reflexivity. AbstractThis article reports one overarching theme from an Interpretative phenomenological (IPA) study which sought to discover the experiences of young males(aged 20-24) addressing or failing to address their sexual health. Owing to the sensitive subject under investigation, these participants were hard to reach for research purposes. Recruitment of participants and collection of data are discussed. The researcher was a young female (aged 20-30), in contrast with participants, affecting data collection and analysis; for this reason the importance of reflexivity in IPA is discussed. It is suggested that IPA is a particularly suitable method for nursing research, which not only allows but embraces the influence and attributes of the researcher. This article considers one superordinate the e i depth, hose e ause the esea he s att i utes a e a sig ifi a t fa to i its e og itio .Interpretative phenomenological analysis (IPA); sexual health; sexually transmitted infections, young e s e pe ie es, se siti e su je t, ha d to reach, reflexivity.

AimTo examine Registered Nurses (RNs') and nursing students' perspectives on factors contributing to moral distress and the effects on their health, well‐being and professional and career intentions.DesignJoanna Briggs Institute mixed‐methods systematic review and thematic synthesis. Registered in Prospero (Redacted).MethodsFive databases were searched on 5 May 2021 for studies published in English since January 2010. Methodological quality assessment was conducted in parallel with data extraction.ResultsSearches yielded 2343 hits. Seventy‐seven articles were included. Most were correlational design and used convenience sampling. Studies were mainly from North America and Asia and situated in intensive and critical care settings. There were common, consistent sources of moral distress across continents, specialities and settings. Factors related to perceived inability or failure to enact moral agency and responsibility in moral events at individual, team and structural levels generated distress. Moral distress had a negative effect on RNs health and psychological well‐being.Patient or Public ContributionNo patient or public contribution to this systematic review.

BackgroundNurses play an essential role in responding to severe viral disease which bring considerable challenges to their personal and professional well‐being. This subsequently can affect the delivery of care and healthcare systems' organisational capacity to respond. Understanding nurses' experiences of these challenges will help inform healthcare policies.AimTo explore the experiences and coping strategies of nurses caring for patients during severe viral disease pandemics.DesignA mixed‐methods systematic review informed by the Joanna Briggs Institute (JBI) methodology.MethodsA mixed‐methods systematic review. Five electronic databases Medline, CINAHL, PsychInfo, ASSIA and Scopus were searched on 4th April 2021. Results were reported in accordance with PRISMA. The findings were analysed and reported in the context of the Self‐Regulatory Common‐Sense Model.ResultsIn total, 71 peer‐review primary research articles describing nurses' experiences of caring for patients during SARS, MERS, Swine flu H1N1, Avian influenza or SARS‐CoV‐2 / COVID‐19 published in English from 2003 to 2021 were included. We found links between nurses' perception of the health threats, their emotional reactions, and coping strategies. Perceived health threats were influenced by organisational factors including frequent changes in clinical guidelines and workplace protocols, onerous workloads and working hours, unavailability of PPE, and lack of knowledge and training in pandemic management. These impacted nurses' physical, psychological and social well‐being. Nurses also reported helpful and unhelpful coping strategies to manage the health threats.ConclusionsIt is vital for stakeholders, policymakers, government and healthcare institutions to recognise and monitor the wider impact on healthcare workers from health emergencies. In addition, support to develop and implement effective systems and individual mechanisms to offset the anticipated impact pre and post pandemics/epidemics is needed. Our findings can inform those strategies for similar future health emergencies.Relevance to Clinical PracticeNurses are often the first point of contact in providing direct care to patients, hence they are at high risk of being infected. The findings from this review can help managers and policymakers in developing programmes to enhance resilience in the nursing workforce.No Patient or Public ContributionThis was a literature review study.

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