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Adolescent sexual health education is a complex concept with multiple dimensions. Approximately 95% of adolescents report receiving sexual health education before graduating high school but the concept of adolescent sexual health has not been defined and consistently used in research. The dimensional analysis method of concept analysis was used to uncover the key dimensions that comprise adolescent sexual health education. The dimensions discussed in this analysis are (a) educational content, (b) length of intervention, (c) curriculum timing, (d) delivery of content, and (e) measurable outcomes. From the studies in this analysis, educational content was the most discussed dimension. Length of intervention and measurable outcomes were the most variable dimensions where standardization could have the greatest effect. Reporting sexual health education interventions using these five dimensions will reduce difficulty in comparing and evaluating studies. Using these dimensions to standardize reporting, will help researchers uncover the most effective sexual health education programs. Once the most effective programs are uncovered, they can be replicated nationwide to improve adolescent sexual health outcomes.

Background: According to the Total Worker Health® framework, safety culture including a reasonable workload among healthcare workers is essential to the security and well-being of patients, staff, and healthcare organizations. Evaluating the impact of the pandemic on the nursing workforce in different practice areas is critical for addressing workforce health and sustainability. The purpose of this study was to compare work and selfcare experiences among Alabama nurses between practice areas and the early pandemic years (2020 vs. 2021). Methods: A secondary analysis of cross-sectional Alabama State Nurses Association (ASNA) survey data was conducted. Kruskal–Wallis analysis of variance, Wilcoxon rank, and false discovery rates were examined. Results: There were 1,369 and 2,458 nurse survey responses in 2020 and 2021, respectively. By 2021, nurses reported worsening staff shortages, a greater need for retired and new graduate nurses to help with the workload burden, and perceptions of heavier emergency department workloads. Lower proportions of nurses reported the ability to engage in self-care activities and satisfaction with state and federal crisis management. Intensive care nurses were more likely to report staffing shortages while also reporting the lowest ability to engage in self-care. Conclusions: Overall, the Alabama nursing workforce perceived worsening work conditions in 2021 compared to when the pandemic began. Practice areas varied greatly in their responses, with acute and intensive care areas perceiving more difficult work conditions. Total Worker Health® programs should be designed to promote and support nurses' well-being based on their experience and the needs of specific practice areas. [ABSTRACT FROM AUTHOR]

Background and Purpose: The Nursing Work Index (NWI) was developed in the 1980s to measure the nursing work environment (NWE). Instruments descended from the NWI continue to measure the NWE today. The purpose of this review was to identify instruments derived from the NWI, examine how they have been used and revised, and evaluate their ability to capture elements of the current work environment. Methods: A scoping literature review. Results: Forty articles were included. Instruments developed from the NWI have been translated into numerous languages and administered to hundreds of thousands of nurses globally. Conclusions: The study of the NWE remains extensive throughout the world. Future research should examine the factorial structure of instrument adaptions and ensure that items are relevant to contemporary nursing practice. [ABSTRACT FROM AUTHOR]

The purpose of this mini review is to (1) summarize the findings on the impact of night shift on nurses' health and wellness, patient and public safety, and implications on organizational costs and (2) provide strategies to promote night shift nurses' health and improve organizational costs. The night shift, compared with day shift, results in poorer physical and mental health through its adverse effects on sleep, circadian rhythms, and dietary and beverage consumption, along with impaired cognitive function that increases nurse errors. Nurse administrators and health care organizations have opportunities to improve nurse and patient safety on night shifts. Low-, moderate-, and higher-cost measures that promote night nurses' health and well-being can help mitigate these negative outcomes. The provided individual and organizational recommendations and innovations support night shift nurses' health, patient and public safety, and organizational success. [ABSTRACT FROM AUTHOR]