The study highlights the need for the development of primary care services and cardiac rehabilitation programmes to support patients as well as providing information to families to reduce anxiety and fear.

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Aim To review the evidence on the effects/impact of electronic nursing documentation interventions on promoting or improving quality care and/or patient safety in acute hospital settings. Background Electronic documentation has been recommended to improve quality care and patient safety. With the gradual move from paper‐based to electronic nursing documentation internationally, there is a need to identify interventions that can effectively improve quality care and patient safety. Evaluation We conducted a systematic review on the effectiveness of electronic nursing documentation interventions on promoting or improving quality care and/or patient safety in acute hospital settings. Key Issues Six articles reporting on six individual studies met all eligibility criteria. They were uncontrolled pre/post intervention studies reporting positive impacts on at least one or more outcomes. Most outcomes related to documentation practice and documentation of content. Conclusion Some evidence from our review indicates that implementing electronic nursing documentation in acute hospital settings is time saving, reduces rates of documentation errors, falls and infections. Implications for Nursing Management A planned approach from management over time to allow nurses adapt to new electronic systems of documentation would seem a good investment in terms of efficiency of work time, possibly resulting in more time for clinical care.

Breast cancer accounts for 16 per cent of all cancers in females. The treatment regimen is complex and almost half of all women with breast cancer undergo alopecia-inducing chemotherapy. The aim of this study was to explore the lived experience of chemotherapy-induced alopecia and its effects on women with breast cancer. Five women who had experienced chemotherapy-induced alopecia in the past 12 months were interviewed, revealing four main and four sub-themes. The findings have implications for health professionals, patients and for oncology nursing practice. Chemotherapy-induced alopecia affects each individual differently. The provision of practical information to patients in a caring and sensitive manner is important, even following re-growth of hair.

Societal change historically has presented many challenges for nursing. The challenge to nurse educators is to ensure that professional education remains relevant and keeps abreast of both societal and healthcare changes. These challenges include globalization, changing patient characteristics, science and information technology advancements, the increasing complexities of healthcare, and recent policy and economic developments. The aim of this paper is to consider possible future societal and healthcare changes and how these may impact the preparation of future graduates in general nursing. A clear understanding of these factors is essential if nursing is to meet the challenges presented by tomorrow's healthcare environment within a global context.