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Background: Nursing and health policy focus on retaining nurses in practice, especially because the world lacks more than 6 million nurses. Rewards are believed to be an effective strategy to attract, retain, and improve the performance of nurses in rural and remote areas where nursing shortages are more severe. However, Generations X and Y have been found to have different preferences for rewards in various settings, so a one‐size‐fits‐all approach may not work for rewarding work. Objective: To examine the perceptions of satisfaction and the importance of rewards among two generations of Thai registered nurses. Methods: Using the Total Reward Scale, a descriptive comparative study design was employed and the data was collected from 354 nurses in rural and remote Thai community hospitals. This study is reported using the STROBE checklist. Descriptive statistics and the Mann–Whitney U test were used to analyze data. Results: Generations X (born in 1965–1980) and Y (born in 1981–2000) were most satisfied with and rated base salary as the most important reward. However, these generations significantly differed in their perspective about importance of healthcare, leadership, long‐term incentives, time‐off leave, and variable pay. Conclusion: Different types of rewards were satisfying and essential for Thai nurses in Generations X and Y. Implications for nursing and health policy: National reward policies and management should be designed on priorities regarding reasonable base salary, and retirement benefits to address nursing shortages in rural and remote areas. Policymakers in health and nursing must invest in developing funded policies that consider the needs of different generations of nurses if they want success in retaining them on the job. [ABSTRACT FROM AUTHOR]

Multidrug-resistant organism infections are a serious health problem globally, and can result in patient mortality and morbidity. In this descriptive study, we produced the first web application for transmission prevention specific to the situation based on nursing experience, knowledge, and practice guidelines and to evaluate web application satisfaction among Thai nurses. The sample comprised 282 Thai registered nurses experienced in caring for patients with multidrug-resistant organisms in a tertiary hospital. A demographic form and knowledge test were completed anonymously online. Data were analyzed using descriptive statistics. The application emphasized crucial topics for which participants had low preliminary knowledge and included tutorial sessions, pictures, video clips, drills, and a post-test. The application was piloted with a random sample of 30 nurses, and an instrument tested their satisfaction with this. Results revealed that preliminary knowledge scores for preventing transmission were moderate, and participants were highly satisfied with the application. Findings suggest the application is suitable for Thai nurses and could be applied to nursing practice elsewhere. However, further testing is recommended before implementing it into nursing practice. [ABSTRACT FROM AUTHOR]

The article discusses the urgent need for global action to address the environmental crisis and protect health. The editors of health journals worldwide are calling for measures to limit global temperature increases, halt the destruction of nature, and mitigate the harmful effects on health. The risks of temperature increases above 1.5°C are well-established, with adverse impacts on mortality, mental health, pregnancy, and vulnerable populations. The destruction of nature also threatens food security and increases the risk of pandemics. The article emphasizes the need for equitable and fundamental changes to societies, as well as global coordination and cooperation. Wealthy nations must take the lead in reducing emissions, supporting low- and middle-income countries, and providing funding for mitigation and adaptation efforts. The article concludes by urging governments and leaders to take immediate action to create a sustainable, fairer, and healthier world. [Extracted from the article]

The authors offer observation on efforts to tackle the global environmental crisis as global temperature increases. Topics discussed include reason the promise by many countries to protect at least 30 percent of the world's land and oceans by 2030 are not enough, how wealthy nations can contribute to tackling the environmental crisis, and global threat to global public health.

Clinical judgment is the cognitive process that emerges from critical thinking or clinical reasoning that affects patient safety. For example, not noticing clients' deterioration signs while making a clinical judgment may cause inaction errors. Therefore, nursing students must have sound clinical judgment before entering professional nursing practice. Simulation-based learning has become a vital pedagogy used widely to develop students' clinical judgment. However, to date, simulation-based learning in Thailand has focused on theoretical content and clinical practices rather than the development of cognitive ability. Nursing instructors are vital in developing the thinking process of nursing students. Therefore, a deep understanding of nursing instructors' perspectives on the essential components of designing a simulation scenario for enhancing clinical judgment among nursing students remains important. This qualitative descriptive study aimed to explore the critical components in the design characteristics of nursing simulation scenarios for improving nursing students' clinical judgment based on the perception of nursing instructors. Participants were 23 nursing instructors purposively selected from a nursing college in Thailand. Data were collected during March 2021 in focus group discussions with all participants, then five participants with simulation-based learning expertise undertook individual in-depth interviews. Data were analyzed using content analysis. From the findings, four themes emerged: 1) fostering instructor support, 2) recognizing students' strengths, 3) enhancing specificity in scenarios, and 4) promoting cognitive development. Nursing instructors can apply the findings in creating simulation-based activities to develop their clinical judgment to support nursing students' cognitive processes. Such actions will help to ensure patient safety and quality of care. [ABSTRACT FROM AUTHOR]

Women's satisfaction with the quality of care during pregnancy and childbirth can impact their access to and utilization of healthcare services. Since many women live in rural regions in developing nations, it is crucial to secure their access to and use of basic healthcare services to reduce maternal and newborn morbidity and mortality. This cross-sectional study is part of a first-time, sizeable, mixed-method study involving women and midwives' quantitative and qualitative perspectives on the quality of midwifery care in rural Pakistan. The aim was to describe women's satisfaction with the quality of midwifery care during labor and delivery at basic health units in rural Punjab, Pakistan. Simple random sampling was used to select 328 women from 96 basic health units. Data were collected between December 2020-March 2021. The Labor and Delivery Satisfaction Index measured women's satisfaction with childbirth. Data were analyzed using descriptive statistics and presented in frequencies and percentages. Results indicated that the majority, 277 (84.5%), were satisfied with the quality of midwifery care during labor and delivery, whereas the remaining 51 (15.5%) were unsatisfied. Appropriate tools to monitor labor and delivery and non-pharmacological pain management during labor need much improvement. The women must also be treated with respect, given accurate information about their labor status, and given control over it. Midwives and other health service providers and administrators can use the findings of this study to improve services available to rural women. [ABSTRACT FROM AUTHOR]

Today, there are many scams on the internet, including predatory publishing, predatory journals and predatory conferences. These fraudulent activities are a form of cybercrime and cause reputational damage to science and scientists in many disciplines. These activities also threaten the integrity of modern health care and scholarship. In this paper, the scamming associated with predatory conferences is discussed. An email is the most typical way researchers are asked to sign up for a predatory conference. Nurses, midwives and others are warned of the potential for lost funds, time, effort and emotional investment if they invest in a non-existent conference or one of low quality. Vigilance is needed by experienced scholars and clinicians, as well as early career researchers and graduate students, to try to detect when conferences are not what they seem. Suggestions are given here to try to determine if the conference is predatory. Understanding the extent of predatory conferences and evidencing clear strategies to reduce the likelihood of being scammed are much needed. While many papers are published about this problem, there is a lack of research, and this is an opportunity for nurses and midwives to consider for their next project. Action is clearly needed to reduce or eliminate these scams, and individuals and groups affected by predatory conferences need to report this to their institutions who must refer the matter to law enforcement agencies. [ABSTRACT FROM AUTHOR]

Background: In this time of global nursing shortages, investment in nursing is vital, and hospitals need to apply a range of strategies to attract and retain nurses. Rewards are an effective strategy for the retention of nurses and help improve the performance and productivity of hospitals. In rural and remote communities, however, nurses may not have access to the rewards that urban‐based nurses have. Aim: To explore the preferred rewards of registered nurses in rural and remote community hospitals in Thailand. Methods: An explanatory mixed‐methods design was employed for the overall study, and the results from the qualitative descriptive phase are reported here using the COREQ checklist. We collected data during in‐depth interviews with 24 informants from 8 community hospitals. Thematic analysis was used for data analysis. Findings: Four major themes regarding reward types were preferred by the nurses: reasonable pay, good benefits, accessible learning and development, and a favorable work environment. Conclusion: A package of total rewards that best suit nurses working in rural and remote areas needs to be implemented, for a combination of different types of rewards has a greater impact than a single reward at both individual and organizational levels. Implication for nursing and health policy: It is crucial to identify those rewards to attract and retain nurses. In Thailand, nursing and health workforce policies need to be based on nurse preferences regarding salary, benefits, and recognition commensurate with other healthcare professionals, including civil servant status, as well as improving the work environment. [ABSTRACT FROM AUTHOR]

The article focuses on the World Health Organization who has estimated that by 2030 one in six people worldwide will be aged more than sixty years, adding to the challenge of what to do about the number of older adults, the unresolved and negative impacts of ageism.

Objectives: This cross‐sectional study aimed to identify whether five factors of the health belief model were related to continuous positive airway pressure adherence in Thai people with obstructive sleep apnoea. Background: Obstructive sleep apnoea is a disorder impacting health, social wellbeing and the economy. Continuous positive airway pressure is a gold standard of treatment; however, poor adherence to treatment is an important issue that is related to a multiplicity of psychological and behavioural factors. Methods: The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) checklist for cross‐sectional studies was used to report the study. Purposive sampling was used to recruit 94 patients newly diagnosed with sleep apnoea and using CPAP devices from a sleep clinic. Participants completed a demographic record, the Thai versions of the Functional Outcomes of Sleep Questionnaire, the Perceived Barriers Questionnaire and the Self‐Efficacy Measure for Sleep Apnea. CPAP adherence was measured by using information downloaded from the smart card of the devices. Data were analysed using descriptive statistics and logistic regression. Results: Only 54.3% of participants adhered to CPAP treatment using standard protocols. Perceived seriousness of their condition was significantly associated with CPAP adherence, whereas perceived susceptibility, benefits, barriers and self‐efficacy were not. Conclusions: We found a low rate of CPAP adherence among participants. The only factor related to CPAP adherence was perceived seriousness. Relevance for the clinical practice: With a low rate of CPAP adherence, healthcare professionals, especially nurses, should encourage patients to use CPAP regularly by providing them with support and education regarding the severity of the disease if untreated and the benefits of CPAP treatment on the disease. Healthcare professionals should be aware of psychological factors impacting patients' perception of sleep apnoea and CPAP treatment. Interventions dealing with these factors should be developed and implemented in practice. [ABSTRACT FROM AUTHOR]

Study Purpose: The aim of this study was to determine the fractional exhaled nitric oxide (FeNO) levels, exhaled breath carbon monoxide (eCO) levels, blood pressure, blood lipid levels between smokers and non-smokers and to determine the association of smoking intensity with the above parameters.Methods: This descriptive study was conducted in selected periurban areas of the Colombo District, Sri Lanka. Adult male current tobacco smokers (n=360), aged between 21 and 60 years were studied and compared with anthropometrically matched male non-smokers (n=180). Data were collected by interviewer-administered questionnaire, clinical assessment and measurement of FeNO by FENO monitor and eCO bySmokerlyser.Results: Smokers had significantly lower mean FeNO levels and higher mean eCO values compared with non-smokers. Presentation of palpitations was higher among the smokers and a significantly positive correlation was identified between palpitations and eCO levels. There was a significantly positive correlation between the systolic blood pressure of smokers with the duration of smoking (DS), Brinkman Index (BI), Body Mass Index (BMI) and there was a significantly negative correlation with FeNO levels. The mean arterial pressure was positively correlated with the DS, BI and BMI. There was a significantly negative correlation between FeNO and the number of cigarettes smoked per day, DS and BI of smokers. Significantly higher total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), very LDL-C, TC: HDL ratio and low high density lipoprotein cholesterol (HDL-C) level was observed among smokers compared with the non-smokers.Conclusions: Tobacco smoking was found to impact blood pressure and serum lipid levels thus enhancing the cardiovascular risk among smokers. The levels of eCO and FeNO are useful biomarkers for determining the intensity of smoking. The results indicate the necessity for urgent measures to stop cigarette smoking in Sri Lanka. [ABSTRACT FROM AUTHOR]

Aim: Retaining nurses on the job is vital, and their successful retention is related to the organizational climates (OC) of healthcare settings. The purpose was to develop and test the psychometric properties of the Perceived Organizational Climate Scale (POCS). Design: The methodologic research design was used by following the scale development strategies by DeVellis (2017). The conceptual framework for this study was based on the broader theoretical framework of the Competing Value Framework (CVF) of Quinn et al. (2015), the concept analysis and extensive literature review (1939–2018), and combined with the inductive qualitative data. Methods: A two‐phase study of scale construction and psychometric testing was conducted for content validation, construct validation and internal consistency reliabilities of the instrument. An expert panel validated the 4‐point scale, followed by exploratory factor analysis, the known‐group approach and split groups. Data were collected from (1161) registered nurses in eight general hospitals across Myanmar from August 2019 to September 2020. Results: The 35 items with four essential dimensions: transformational climate, bureaucratic climate, team climate and strategic climate, explained almost 50% of the variation with all factor loading greater than.40. The internal consistency reliabilities of the instrument showed the Cronbach's alpha coefficient of.93, and the dimensions were from.82 to.85. As hypothesized, the known‐group approach demonstrated that experienced nurses had higher mean scores than novices. The internal consistency reliabilities of the scale and dimensions across the splitting groups illustrated the stability. Conclusion: This evidence supports this instrument as having satisfactory initial psychometric properties with a comprehensive picture of OC by its essential components contributing to an inclusive understanding of this climate globally. Impact This instrument can be used as an objective tool for evaluating OC as perceived by nurses in healthcare settings to inform improvements in working environments. [ABSTRACT FROM AUTHOR]

Call for emergency action to limit global temperature increases, restore biodiversity, and protect health: Wealthy nations must do much more, much faster† The UN General Assembly in September 2021 will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis. Google Scholar Crossref Search ADS PubMed WorldCat 23 Paremoer L, Nandi S, Serag H, Baum F. Covid-19 pandemic and the social determinants of health. Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC 15 Anderson K, Peters G. The trouble with negative emissions. [Extracted from the article]

There is no doubt that nursing has made great strides in recent years, and nurses have more than proved their worth and commitment during the recent COVID-19 pandemic. However, the profession is under threat and it is doubtful if nurses can help meet the Sustainable Development Goals without substantial government investment. The 2020 State of the World's Nursing report by the World Health Organization evidenced that, by 2030, there will be a critical global shortage of 5.7 million nurses. Many nurses are burnt out and exhausted by their work, and the threat of greater attrition is real because of the pandemic. There are vast inequities in the numbers of nurses in various regions of the world, especially in low- and middle-income countries. Major investment in nursing by governments needs to occur to enable millions more nurses to graduate and to ensure positions for them are established and sustained. It is clear that nurses around the world need to collaborate and work closely across borders and regions to gather evidence about the profession to inform policy and investment decisions. Nursing leaders and educators have key roles to play to help overcome nursing shortages [ABSTRACT FROM AUTHOR]

The article presents the discussion on limiting global temperature increase and restoring biodiversity and protecting health . Topics include health already being harmed by global temperature increase and the destruction of the natural world, a state of affairs health professionals; and disproportionately on the most vulnerable breeding more conflict, food insecurity, forced displacement, and zoonotic disease.

Grantham Institute briefing paper 28, 2019. https://www.imperial.ac.uk/media/imperial-college/grantham-institute/public/publications/briefing-papers/BECCS-deployment---a-reality-check.pdf Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC 15 Anderson K, Peters G. The trouble with negative emissions. 2018. https://www.ipcc.ch/sr15/ Google Scholar Google Preview OpenURL Placeholder Text WorldCat COPAC 3 Intergovernmental Science-Policy Platform on Biodiversity and Ecosystem Services. The UN General Assembly in September 2021 will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis. [Extracted from the article]

The article focuses on a call for urgent action to limit global temperature increases, restore biodiversity and protect health for world leaders to keep global temperatures below 1.5C and to halt the destruction of nature to prevent catastrophic harm to health and the environment.

Background: Nursing care quality is a central concern of health policy, and nurses' shift schedules affect the quality of care and their work‐life status internationally. A lack of reliable information on the differences between 24‐ and 12‐h shifts on care quality, nursing care quality, patient safety, and adverse and missed events warranted investigation in Cambodia. Aim: We aimed to examine the impacts of 12‐h shifts compared with 24‐h shifts. The purpose was to find evidence to support the use of maximum 12‐h shifts by registered nurses working in ICU contexts. Method: A convergent mixed‐method approach was chosen to highlight the issues around the long hours of shift work. We designed a 12‐week coaching course during the implementation of 12‐h shifts and assigned 30 nurses each to an experimental group and a control group. Data from quantitative surveying of 58 participants were combined with focus group discussions of 20 participants to gather qualitative insights. Pre‐ and post‐test analysis involved descriptive statistics and the Wilcoxon sign rank test for quantitative analysis and then merged with qualitative findings from content analysis. Reporting of this study was steered by the STROBE and COREQ guidelines for quantitative and qualitative findings, respectively. Results: Quantitative results showed the increased quality of nursing work‐life, nursing care quality, and patient satisfaction; decreased missed care and adverse events were significantly associated with the 12‐h shift. Qualitative data supported nurses preferring 12‐h rather than 24‐h shift options. Discussion and conclusions: Changing rosters to 12‐h shifts in the intervention caused increases in the study variables' scores. Results indicate the benefits of 12‐h shifts on the quality of nursing work‐life, nursing care quality, missed care, adverse events, and patient safety. Implications for nursing and nursing policy: We found that 24‐h shifts had deleterious impacts on care quality and safety and nurse satisfaction with work. Health and nursing policymakers are urged to provide resources and strategize to implement 12 h shifts as soon as possible since the current 24‐h shifts of nurses affect the patient quality of care and their health and safety and that of the nurses. [ABSTRACT FROM AUTHOR]

Type 2 diabetes mellitus is a risk factor for developing dementia and a public health concern around the world. Identifying any predictive factors associated with diabetes‐related dementia prevention behaviors are of value in helping to prevent dementia. From six community hospitals in Chiang Mai, Thailand, 182 people aged 30–60 years were enrolled in a cross‐sectional study and completed a written questionnaire on dementia prevention behaviors and perceptions of health beliefs. Multiple linear regression analysis was applied to determine possible associations between dementia prevention behaviors and health belief perceptions. A high level of preventive behavior was associated with high perceptions of the benefits of, and barriers to, dementia prevention and longer duration of patients' diabetes. Findings indicate the predictive role of the two factors in the perception of health beliefs about dementia prevention behaviors among the participants. Although further testing with different samples and in different locations is warranted, education programs for health practitioners that integrate the findings of this study would be beneficial to improvement of dementia prevention behaviors in people with diabetes. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to illustrate the relationship between nurse staffing and missed care, and how missed care affects quality of care and adverse events in Thai hospitals. Background: Quality and safety are major priorities for health care system. Nurse staffing and missed care are associated with low quality of care and adverse events. However, examination of this relationship is limited in Thailand. Methods: This cross‐sectional study collected data from 1188 nurses in five university hospitals across Thailand. The participants completed questionnaires that assessed the patient‐to‐nurse ratio, adequacy of staffing, missed care, quality of care and adverse events. Logistic regression models were used to estimate associations. Results: Higher patient‐to‐nurse ratio, poor staffing and lack of resource adequacy were significantly associated with higher odds of reporting missed care. Higher nurse‐reported missed care was significantly associated with higher odds of adverse events and poor quality of care. Conclusions: Poor nurse staffing was associated with missed care, and missed care was associated with adverse events and lower quality of care in Thai university hospitals. Implications for Nursing Management: Improving nurse staffing and assuring adequate resources are recommended to reduce missed care and adverse events and increase quality of care. [ABSTRACT FROM AUTHOR]

The article presents the discussion on UN General Assembly in September 2021 bringing the countries together at a critical time for collective action tackling the global environmental crisis. Topics include keeping average global temperature increase below 1.5°C and halting the destruction of nature and protecting health; and eroding water and food security and increasing the chance of pandemics.

The authors call for urgent action to limit average global temperature increases, halt the destruction of nature, and protect health. Topics discussed include how global temperature increases and the destruction of the natural world affect health, impact of global heating on major crops, and greatest threat to global public health.

An editorial is presented on the call for emergency action to limit global temperature increases, restore biodiversity, and protect health. Topics discussed include the UN General Assembly in September 2021 will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis; and they will meet again at the biodiversity summit in Kunming, China, and the climate conference (COP26) in Glasgow, Grate Britain.

INTRODUCTION Tobacco smoking is the single most preventable cause of death worldwide and a major risk factor for several non-communicable diseases. Tobacco smoking has both acute and chronic effects on hematological parameters. The study aims to assess the effects of smoking intensity on exhaled breath carbon monoxide (eCO), carboxyhemoglobin (COHb%) and hematological parameters. METHODS Adult male daily smokers (n=360) and matched non-smoking males (n=180) from Colombo district, Sri Lanka, were selected. Sociodemographic data, smoking habits and anthropometric data were recorded. An automated Smokerlyser (Smokerlyser®, Bedfont) was used to estimate eCO and COHb% in exhaled breath and Brinkman index was used to quantify the level of smoking exposure. A venous blood sample was analyzed for a full blood count. Smokers were compared with the non-smoking group. RESULTS Smokers had significantly higher values of eCO, COHb%, Hemoglobin (Hb), Hematocrit (HCT), Mean Corpuscular Volume (MCV), Mean Corpuscular Hemoglobin (MCH), Mean Corpuscular Hemoglobin Concentration (MCHC), total White Blood Cell total count (WBC), Lymphocyte count, Monocyte count, and Granulocyte count. The number of cigarettes per day, duration of smoking, and Brinkman index were positively correlated with eCO and COHb%. MCV and MCH were positively correlated with the number of cigarettes smoked per day, smoking duration, and Brinkman index. CONCLUSIONS The severity of smoking can be quantified by the exhaled breath CO and blood COHb% levels as these parameters correlate with the severity of smoking. Hematological parameters of smokers were affected with continued long-term low-intensity smoking. [ABSTRACT FROM AUTHOR]

Joint editorial calling for emergency action to limit global temperature increases, restore biodiversity, and protect health. [ABSTRACT FROM AUTHOR]

The article reports that the United Nations (UN) General Assembly in September 2021 will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis to keep average global temperature increases below 1.5 °C, halt the destruction of nature, and protect health. It also discusses effects of extreme weather and soil depletion, is hampering efforts to reduce undernutrition.

An editorial is presented on the emergency action to limit global temperature increases, restore biodiversity, and protect health. The article discusses that the UN General Assembly in September 2021 will bring countries together at a critical time for marshalling collective action to tackle the global environmental crisis; and they will meet again at the biodiversity summit in Kunming, China, and the climate conference (COP26) in Glasgow.

The authors call for urgent actions from countries to work together to keep the average global temperature increases below 1.5 degrees Celsius halt the destruction of nature, and protect health. Topics covered include the harms brought by global temperature increases to health, the inability of targets to reach net-zero emissions set by government, institutions and businesses to address the problem, and responsibility of wealthy nations in helping building clean and resilient societies.