BACKGROUND Nursing work environments (NWEs) in Canada and other Western countries have increasingly received attention following years of restructuring and reported high workloads, high absenteeism, and shortages of nursing staff. Despite numerous efforts to improve NWEs, little is known about the effectiveness of interventions to improve NWEs. The aim of this study was to review systematically...

Attrition is a major concern in schools of nursing, and research shows that it is most prevalent in baccalaureate nursing students as they first encounter their initial nursing and core science courses. Nurse educators anticipate that beginning nursing students have the potential to be self-directed learners; and have the initiative to independently identify and implement resources and strategi...

OBJECTIVES To operationalize and compare three models of frailty, each representing a distinct theoretical view of frailty: as deficiencies in function (Functional Domains model), as an index of health burden (Burden model), and as a biological syndrome (Biologic Syndrome model). DESIGN Cross-sectional analysis. SETTING 2004 wave of the Health and Retirement Study, a nationally representati...

OBJECTIVE To review the published scientific literature for studies quantifying or examining factors associated with the attrition of undergraduate nursing students in pre-registration programs and the retention of graduate nurses in the workforce. METHODS The following selection criteria were used to systematically search the literature: target populations were either students in pre-registr...

BACKGROUND Families of patients with advanced dementia need to be informed about the course of the dementia and comfort care. Conditional for health care providers educating families is their knowledge and comfort in family education. METHODS Perceived usefulness and acceptability of a Canadian family booklet explaining possible complications and comfort care in dementia was assessed by physi...

Coercive mechanical restraint (MR) in psychiatry constitutes the perhaps most extensive exception from the common health law requirement for involving patients in health care decisions and achieving their informed consent prior to treatment. Coercive measures and particularly MR seriously collide with patient autonomy principles, pose a particular challenge to psychiatric patients' legal rights...

OBJECTIVE To determine whether a systematic approach to the treatment of pain can reduce agitation in people with moderate to severe dementia living in nursing homes. DESIGN Cluster randomised controlled trial. SETTING 60 clusters (single independent nursing home units) in 18 nursing homes within five municipalities of western Norway. PARTICIPANTS 352 residents with moderate to severe dem...