This study aimed to investigate the effectiveness of nurse practitioner services for minor injuries in an adult emergency department and to ascertain consumers' satisfaction with the care received. Nurse practitioner roles in Australia have been progressively developing since a pilot project in 1990 examined their feasibility. Currently, nurse practitioners in Australia practise in a variety of specialist areas including coronary care cardiology, adult and paediatric palliative care, emergency, diabetics, aged care and perinatal care. The reported study used a retrospective design that conducted case-note audits and explored patient satisfaction with after-care questionnaires. One hundred case notes of patients treated by the nurse practitioner were audited and 57 patients completed questionnaires exploring their satisfaction and perception of the care received. Analysis of the case-note data indicated that the majority of presenting complaints were minor injuries. Of these injuries, 96.3% of presentations triaged level 4 and 94.4% of those triaged level 5 were seen within the time frame recommended by the Australasian Triage Scale. Forty-six per cent of patients required X-rays and 2% required pathology tests during their emergency department stay. The majority of patients were satisfied with the treatment received from the nurse practitioner. Patients are satisfied with management of small injury presentations by nurse practitioners in the emergency department. Incidentally, it was noted that the flow of patients through the department was improved, resulting in medical resources concentrated to higher priority presentations.

This study aims to explore the barriers to evidence based practice (EBP) experienced by nurses working in a Maldivian healthcare organisation. A total of 400 questionnaires were distributed to nurses in 5 healthcare facilities and 198 completed questionnaires were returned. The results of this study show that the perceived barriers by the nurses in the Maldives are not significantly different from those reported in developed countries. For healthcare organisations in the Maldives, it is necessary to have a clear understanding of the barriers and facilitators to research practice in order to implement EBP. The study showed that the major barriers to research use were that "the relevant literature is not compiled in one place, " there is "insufficient time on the job to implement new ideas, " and "administration will not allow implementation. " The key facilitating factors for EBP include support, encouragement, and recognition by the management and administration. The findings of this study can be useful for determining strategies that can be introduced in the clinical setting to use EBP. Healthcare organisations must continue their support in order to decrease the barriers and optimise care in healthcare facilities.

Aim To investigate the association of unfinished nursing care on nurse outcomes. Design Systematic review in line with National Institute for Health and Care Excellence guideline. Data sources CINAHL, the Cochrane Library, Embase, Medline, ProQuest and Scopus databases were searched up until April 2020. Review Methods Two independent reviewers conducted each stage of the review process: screening eligibility, quality appraisal using Mixed Methods Appraisal Tool; and data extraction. Narrative synthesis compared measurements and outcomes. Results Nine hospital studies were included, and all but one were cross‐sectional multicentre studies with a variety of sampling sizes (136–4169 nurses). Studies had low internal validity implying a high risk of bias. There was also a high potential for bias due to non‐response. Only one study explicitly sought to examine nurse outcomes as a primary dependent variable, as most included nurse outcomes as mediating variables. Of the available data, unfinished nursing care was associated with: reduced job satisfaction (5/7 studies); burnout (1/3); and intention‐to‐leave (2/2). No association was found with turnover (2/2). Conclusion Unfinished nursing care remains a plausible mediator of negative nurse outcomes, but research is limited to single‐country studies and self‐reported outcome measures. Given challenges in the sector for nurse satisfaction, recruitment and retention, future research needs to focus on nurse outcomes as a specific aim of inquiry in relation to unfinished nursing care. Impact Unfinished nursing care has previously been demonstrated to be associated with staffing, education and work environments, with negative associations with patient outcomes (patient satisfaction, medication errors, infections, incidents and readmissions). This study offers new evidence that the impact of unfinished nursing care on nurses is under investigated. Policymakers can prioritize the funding of robust observational studies and quasi‐experimental studies with a primary aim to understand the impact of unfinished nursing care on nurse outcomes to better inform health workforce sustainability.

Evidence-based practice (EBP) is an approach that has gained recognition for facilitating the transfer of evidence into clinical practice. EBP champions is a strategy that can be adopted to encourage the uptake of EBP. This paper describes an action research project that was undertaken in Maldives. EBP champion model has been introduced in the Maldives early 2012 and aims to produce clinical leaders from variety of backgrounds who could implement EBP. This paper provides an extended discussion of the process that was undertaken to prepare EBP champions and their roles in implementing EBP.

Individuals who become elderly will experience physical changes from their initial body condition to being very weak. The declining conditions experienced by the elderly tend to cause physical and psychological health problems and dissatisfaction in life. The purpose of this study is to analyze counseling and dhikr intervention on the attitude of self-acceptance of the elderly. An experimental design using pre-test and post-test control groups was conducted among 30 elderly people living in nursing homes with the inclusion criteria of being able to communicate well, not deaf, not cognitively impaired, or depressed. Participants were randomly allocated, to the intervention group at Nursing Home of Jambangan and the control group at Nursing Home of Hargo Dedali in Surabaya Indonesia. Measurement of self-acceptance was carried out twice through a questionnaire, namely before the counseling and dhikr intervention and 8 weeks after. Data were analyzed using paired t-test. The results showed that there is pre-post differences in the group that received counseling and dhikr intervention (p-value = 0.000). The participants in the intervention group showed an increase in self-acceptance while in the control group there is no significant difference with a p-value of 0.937. Religious support for dhikr and counseling needs to be carried out intensively for the elderly as religious activities can provide a sense of peace, surrender, and surrender to Allah Almighty. The combination of counseling and dhikr is an effort to improve oneself spiritually and has a positive correlation with the attitude of self-acceptance of the elderly living in nursing homes. Institutions where services for the elderly can contribute to the elderly living in nursing homes by carrying out programmatic activities, namely counseling, especially for the elderly who have just entered special institutions for the elderly, spiritual approaches also need to be improved both in groups and individuals such as prayer, dhikr, and worship. others according to ability. A very important contribution is the guidance carried out by cleric so that elderly worship is more focused. This is an effort so that the elderly can accept the conditions they are facing and can accept themselves living in the orphanage.