The aim of the study was to assess the relationship of culture of safety dimensions and the rate of unanticipated care outcomes in longterm care facilities (LTCFs) using the Agency for Healthcare Research and Quality framework of resident safety culture.Methods: Cross-sectional survey data were collected on 13 dimensions of culture of safety in five LTCFs from registered nurses, licensed practical nurses (LPNs), nursing assistants, administrators/managers, administrative support, and rehabilitation staff. Secondary data on falls in the five LTCFs from quarters 1 to 3 of 2014 were obtained from the Centers for Medicare and Medicaid Services in February 2015. Spearman's ρ and the Generalized Estimating Equations using a log link (Poisson distribution) were used. Results:Communication and feedback about incidences reported the highest mean scores (M = 4.35, SD =0.71). Higher rate of falls was associated with a lower level of team work, lower degree of handoffs, and lower levels of organizational learning. The risk for falls increased as the number of residents per facility increased (rate ratio [RR] = 1.02; 95% confidence interval [CI] = 1.01-1.02) and as the number of LPN hours per resident increased (RR = 37.7, 95% CI = 18.5-76.50). Risk for long stay urinary tract infections increased as number of residents increased (RR =1.01, 95% CI =1.01-1.01). Increase in culture of safety score was associated with decrease in risk of falls, long stay urinary tract infections, and short stay ulcers.Conclusions: With the shortage of registered nurses in LTCFs and new reimbursement regulations, many LTCFs are hiring LPNs to have full staffing and save money. Licensed practical nurses may lack essential knowledge to decrease the rate of falls.

Introduction: Although testicular cancer (TC) is a rare tumor accounting for 1% of malignancies in men, it is the most common cancer found in adolescents and young men between 15 to 35 years old. Routine screening for TC is not recommended. Therefore, testicular self-examination (TSE) is an important tool for the early detection of TC. If detected early, TC has a high survival rate. Increasing awareness of TC and TSE is crucial for early detection, diagnosis, and treatment. We aimed to assess the level of awareness of TC and TSE among men in Bahrain. Materials and methods: A descriptive cross-sectional design was used to recruit a convenience sample of 243 men from public places using a questionnaire. Descriptive statistics and Chi-square test were conducted.Results: The results showed that 43% were Bahraini, 53% were aware that men can get TC, 82% perceived themselves as having a low risk for developing TC, 15% knew signs of TC, 20% heard about TSE, and 5.8% reported performing TSE. A significant association between knowledge of early signs and symptoms of TC and nationality (p = .006), perception of the importance of performing TSE regularly and nationality (p = .003), and between age (p = .013), level of education (p = .015) and the willingness to perform TSE if the participant was educated about TSE.Conclusion: Awareness about TC and TSE is poor among men in Bahrain. Policymakers in the Ministry of Education and Ministry of Health may consider integrating TC and TSE education in the curriculum and the healthcare provided to adolescents and young men across the kingdom.

The purpose of this pilot study was to examine the perceptions and attitudes of immigrant Arab Muslims residing in the United States regarding psychosocial bereavement practices common in the United States after perinatal loss. In addition, we pilot tested an investigator-developed instrument for collecting data regarding culturally relevant psychosocial bereavement practices of Arab Muslims after perinatal loss.

Objective: Interprofessional education (IPE) is becoming increasingly popular and highly recommended for inclusion in curricula for healthcare professionals. Implementing IPE may improve students’ knowledge, skills, and attitudes toward collaborative teamwork, thereby improving health services and health outcomes for patients. This work aimed to explore nursing and medical students’ perceptions of IPE and social interactions.Methods: A qualitative study was conducted using a purposive sample of eight nursing and medical students. Data were collected via two semi-structured focus-group sessions and were analyzed using inductive thematic analysis.Results: Five main themes and seven subthemes emerged. The main themes were (1) IPE meaning, (2) IPE barriers, (3) IPE facilitators, (4) social interactions, and (5) bridging gaps in students’ perspectives. We found that students from both schools had a clear understanding of the definition and importance of IPE. Students reported that lack of interaction is an issue that they have never attempted to address. Students highlighted that IPE enhances IP collaboration and teamwork.Conclusions: Teaching students about IP communication and professional roles and involving students in joint sessions prepare them for a promising future of high-quality patient care.

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