Background. Chronic lymphoproliferative disorders are considered rare in Oriental patients and are thought to constitute only 2% of all leukemias in these patients, compared to 20‐30% in Western patients. We conducted a retrospective analysis of Chinese patients with chronic lymphoproliferative disorders to define the frequency and spectrum of these disorders. Methods. A consecutive series of Chinese patients with leukemia and lymphoproliferative disorders seen at two regional hospitals in Hong Kong were analyzed retrospectively. The diagnosis of chronic lymphoproliferative disorders was based on morphologic and immunologic criteria proposed by the French‐American‐British Cooperative Study Group. Results. Sixty‐four Chinese patients with chronic lymphoproliferative disorders were identified, and these patients constituted 19% of a total of 342 cases of leukemia diagnosed in 3 years. Chronic lymphocytic leukemia was the most common form, occurring at a frequency of 12.5% of all leukemias. The clinicopathologic features of these patients were similar to those of Western patients, except that Chinese patients tended to present with more advanced (Rai's Stages III and IV; Binet's Stage C) and bulky (splenomegaly >9 cm) disease, and expressed λ light chain about six times more frequently. Other chronic lymphoproliferative disorders identified in this study included prolymphocytic leukemia, mantle zone lymphoma, hairy cell leukemia, splenic lymphoma with villous lymphocytes, large granular lymphocyte leukemia, and Sezary syndrome. The authors did not identify any case of human T‐cell lymphotropic virus‐I‐related lymphoproliferative disorders within the study period. Conclusion. In addition to providing the frequencies of various chronic lymphoproliferative disorders in southern Chinese people, this study also showed that these disorders no longer should be considered rare in this population. Inherent biologic differences between lymphoproliferative disorders in Chinese and Western patients also may exist.

The operating room (OR) can be a high-stress area for healthcare workers. A great deal of expertise, teamwork, and precision is needed for the area to run smoothly and achieve desired patient outcomes. Incivility in healthcare has been recognized in the literature as a cause of healthcare worker distraction with increased risk of medical errors, reduce collegiality, and employee turnover. A survey was sent to nurses who work in operating rooms in a southern state. Forty-three nurses responded to the survey. It was found that most had experienced incivility in the workplace (85%). Fiftyeight percent stated that they had dreaded going to work due to workplace incivility. Twenty-eight percent said that they had experienced stress-related illnesses due to workplace incivility. Physicians and fellow nurses were found to be the most common perpetrators of uncivil behaviors in the OR, compared with supervisors, patients, or other hospital employees. The study's findings underscored the need for hospitals and healthcare systems to focus on reducing incivility the operating room.

Uncivil behavior leads to low self-esteem, anxiety, sleep disturbance, recurrent nightmares, and depression. This article looks at the perception of incivility among emergency department nurses and the leadership required to implement evidence-based strategies to address this growing problem.

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Objective: The COVID-19 pandemic led to a rapid transition in operations for higher education institutions. The delivery of traditional teaching methods shifted to online instruction. Much of the research has explored student experiences during COVID-19 pandemic. The purpose of this project was to explore faculty experiences with COVID-19 in a Midwest state within the United States.Methods: The team utilized a convenience sample of faculty employed at colleges and universities in a Midwest state that taught in the spring of 2020. An email was sent to the faculty, informing them about the nature and purpose of the study and the criteria for participation along with a link to the survey. The survey was a 33-item online survey utilizing Qualtrics®.Results: The sample size for this study was N = 329. Majority of respondents (n = 89) felt that the transition to online learning was difficult. Lastly, common challenges reported were communication with students and peers and isolation.Conclusions: Understanding faculty experiences during the COVID-19 pandemic is essential to future teaching curriculum. The majority of faculty felt that transition to online learning was difficult and affected their mental wellbeing. Communication with students was identified as the biggest challenge for faculty. Yet, faculty felt as though student grades were not affected. As future curriculum and faculty experiences are explored, an emphasis on improving student-faculty communication must be priority. Exploration regarding mental wellness services and resources should be considered for faculty within higher education institutions.

Self-care is often lacking in nursing students worldwide. The objectives for this study were to discover the current self-care practices of one group of entry level undergraduate nursing students, the students’ understanding of self-care, and the students’ preferences for self-care interventions aimed at improving self-care. Quantitative and quantitative measures were used to measure the students’ current self-care practices, needs, and recommendations for interventions to be used in future semesters to improve nursing student self-care. The students were found to generally be deficient in areas related to nutrition, obtaining healthcare information or guidance, pacing themselves to avoid exhaustion, and performing relaxation exercises. They scored well on areas related to psychosocial self-care, such as believing their life has meaning or having meaningful relationships. Several suggestions were made by the students for encouraging nursing student self-care. Nursing students are often lacking in self-care. It is important for nursing programs worldwide to develop and encourage student self-care.

BACKGROUND: Mental health and wellness outreach has been an area of concern at colleges and universities in the United States and a variety of electronic methods have been used to successfully promote health and wellness. This pilot project was in response to a previous descriptive study examining mental health issues on campus. AIMS: The primary aim of this project was to determine if implementing a peer-led outreach program in the form of bi-weekly, short-form educational videos would increase knowledge of mental health and wellness in students developing the videos. The secondary aim was to provide students an alternate clinical assignment that improved presentation development and group dynamics. METHODS: Nursing students enrolled in a psychiatric nursing course collaborated in small groups to create bi-weekly videos on topics related to mental health and wellness. RESULTS: The peer-led outreach intervention demonstrated positive outcomes, such as increased understanding of the common mental health issues facing college students and awareness of campus, as well as outside resources to assist with mental health and wellness. CONCLUSION: This project may increase the body of knowledge related to the importance of campus outreach, peer support, and general awareness of mental wellness and resources during pandemic restraints. Utilizing condensed, peer-led educational outreach via video format has the potential to aid in the educational development of psychiatric nursing students.