Many communities in developing countries do not have access to clean water, which is essential to health. This project involved the installation of clean water filters in two rural Guatemalan villages, a small-scale sustainable community project proposed by a short-term medical mission team and accomplished in partnership with local missionaries. The percentage of infections in adult visitors to medical clinics was assessed pre- and post-installation of filters, and although not statistically significant, decreased.
Study abroad programs can enhance cultural awareness and sensitivity of nursing students and help prepare them to care for a multicultural clientele. The author outlines the efforts at one college to organize and initiate a meaningful study abroad course for nursing students to Merida, Mexico.
A particular challenge for nurse educators has always been to discover the most relevant ways to promote student learning. Each generation of students presents with unique circumstances. The predominant characteristics of the current generation of nursing students are presented in this article. Suggestions are given regarding strategies to strengthen and maintain the characteristics that will be beneficial to students when they become RNs, while at the same time modifying or diminishing those that will not.
Healthcare workers experience moral injury (MI), a violation of their moral code due to circumstances beyond their control. MI threatens the healthcare workforce in all settings and leads to medical errors, depression/anxiety, and personal and occupational dysfunction, significantly affecting job satisfaction and retention. This article aims to differentiate concepts and define causes surrounding MI in healthcare. A narrative literature review was performed using SCOPUS, CINAHL, and PubMed for peer-reviewed journal articles published in English between 2017 and 2023. Search terms included “moral injury” and “moral distress,” identifying 249 records. While individual risk factors predispose healthcare workers to MI, root causes stem from healthcare systems. Accumulation of moral stressors and potentially morally injurious events (PMIEs) (from administrative burden, institutional betrayal, lack of autonomy, corporatization of healthcare, and inadequate resources) result in MI. Individuals with MI develop moral resilience or residue, leading to burnout, job abandonment, and post-traumatic stress. Healthcare institutions should focus on administrative and climate interventions to prevent and address MI. Management should ensure autonomy, provide tangible support, reduce administrative burden, advocate for diversity of clinical healthcare roles in positions of interdisciplinary leadership, and communicate effectively. Strategies also exist for individuals to increase moral resilience, reducing the impact of moral stressors and PMIEs.
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