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1. Rotating shift work and colorectal cancer among nurses and midwives: a cross-sectional study.

Author

Wickremaratne, Kalana

Subjects
*ANALYSIS of covariance, *CHI-squared test, *COLON tumors, *COLONOSCOPY, *CONFIDENCE intervals, *DIABETES, *ALCOHOL drinking, *EMPLOYEES, *EPIDEMIOLOGICAL research, *FISHER exact test, *HEALTH behavior, *INDUSTRIAL hygiene, *INFLAMMATORY bowel diseases, *LONGITUDINAL method, *MENOPAUSE, *MIDWIVES, *NURSES, *NUTRITION, *PROBABILITY theory, *RESEARCH funding, *SELF-evaluation, *SHIFT systems, *SLEEP, *SMOKING, *SURVEYS, *MULTIPLE regression analysis, *SECONDARY analysis, *BODY mass index, *CROSS-sectional method, *PHYSICAL activity, *DATA analysis software, *WORK experience (Employment), *DESCRIPTIVE statistics, *ODDS ratio, *TUMOR risk factors, *CANCER risk factors, RECTUM tumors
Abstract

Objective The main aim of this study was to explore any association between colorectal cancer (CRC) and rotating shift work in nurses and midwives. The secondary aim of this study was to identify risk factors for CRC in nurses and midwives who are rotating shift workers. Design Cross-sectional study. Setting Electronic survey of participants from Australia, New Zealand and the United Kingdom. Subjects A sample of 8,199 male and female nurses and midwives from Australia, New Zealand and the United Kingdom invited through their registration papers or newsletter advertisement. Main outcome measure Prevalence of CRC in participants who have worked rotating shifts for 1-14 years or ≥15 years compared to participants who have never worked rotating shifts. In addition, risk factors for CRC in the rotating shift work population were analysed in a multivariate logistic regression model in order to obtain odds ratio of CRC. Results No statistically significant difference was found in the prevalence of CRC between those who have never worked rotating shift work, worked 1-14 years and worked 15 or more years. Among rotating shift workers, diabetes was associated with a 123-fold (95% CI 39-392; p<0.001) increased odds of CRC, while Inflammatory Bowel Disease (IBD) was associated with a 190-fold (95%CI 68-526; p<0.001) increased odds of CRC. Screening colonoscopy or sigmoidoscopy for CRC was associated with a 10-fold (95% CI 3-35; p<0.001) increased odds of being diagnosed with CRC. Conclusion No significant association was found between rotating shift work and colorectal cancer in nurses and midwives. In nurses and midwives who are rotating shift workers, diabetes, IBD and CRC screening significantly increased the odds of CRC. [ABSTRACT FROM AUTHOR]

Published
2017

2. THE CLINICAL NURSE SPECIALIST AND NURSE PRACTITIONER ROLES: ROOM FOR BOTH OR TAKE YOUR PICK?

Author

Elsm, Stephen, Happell, Brenda, and Manias, Elizabeth

Subjects
*NURSING practice, *NURSE practitioners, *MEDICAL specialties & specialists, *PSYCHIATRIC nursing
Abstract

Objective: The aim of this paper is to contribute to pertinent discussions regarding advanced practice nursing roles. In particular discussion will focus on the potential implications for the developing nurse ractitioner (NP) role on the existing clinical nurse specialist (CNS) roles. Setting: The literature presented originates primarily from the United States of America (USA), United Kingdom and Australia. Specific emphasis is placed on the psychiatric/mental health nursing context. Primary argument: Amidst the confusion in terminology to describe and explain advanced, expanded or extended nursing roles, and to distinguish between the clinical nurse specialist and the nurse practitioner, there is a need to establish clarity. The need for both clinical nurse specialist and nurse practitioner roles has been hotly debated in the USA. Conclusions: The roles of clinical nurse specialist and nurse practitioner may be complementary but fulfil different functions. It is therefore important that both roles be maintained and implemented in response to consumer and health service needs. [ABSTRACT FROM AUTHOR]

Published
2006