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Background: Transgender and nonbinary (TGNB) people experience inequities in health care access, quality, and outcomes. Health care professionals' lack of knowledge and biased attitudes toward gender minorities contribute to inequitable care. Purpose: This study examined the effect of TGNB health education on nursing students' knowledge and attitudes about caring for TGNB clients. Methods: A quasi-experimental study using a one-group pretest/posttest design was conducted with 46 nursing students at 2 private baccalaureate nursing programs. Results: A paired-samples t test found a significant increase in knowledge about caring for TGNB clients at posttest (P = .02). Attitudes toward caring for TGNB clients showed a significant improvement in the Sex and Gender Beliefs subscale at posttest (P = .014). Conclusions: The findings suggest that TGNB health education is effective for inclusion in nursing curricula to better prepare nurses to care for gender-diverse clients. [ABSTRACT FROM AUTHOR]

Children are particularly vulnerable to the impacts of climate change. Their lungs are developing, making children with asthma especially susceptible to temperature extremes, variations in precipitation, poor air quality, and changes in pollen and flora. Structural and social determinants of health, such as racism and poverty, that disproportionately affect children of color are linked to higher rates of asthma and negative effects of climate change. These factors lead to increased absences from school and social activities, loss of work for caregivers, and increased health care costs, thus negatively affecting children, their families, and the greater community. Nurses must support caregivers and children to link climate change to asthma care, be involved in health education; climate change mitigation and adaptation strategies and policies; and develop the evidence to address climate change and asthma strategies. We address the impacts of climate change on children with asthma and nursing adaptation responses. Children are vulnerable to the effect of climate change. Their lungs are developing, making children with asthma especially susceptible to temperature extremes, variations in precipitation, poor air quality, and changes in pollen and flora. Nurses must support caregivers and children to link climate change to asthma care, be involved in health education, climate change mitigation and adaptation strategies and policies, and develop the evidence to address climate change. [ABSTRACT FROM AUTHOR]

Background: The United States has the largest, most diverse immigrant population. Nurses will care for immigrant clients in all areas of nursing practice. Purpose: The purpose of this study was to determine nursing students' self-efficacy in working with immigrant clients following a service-learning experience. Methods: A pre-/posttest descriptive study was used to measure students' self-efficacy in cultural aspects of screening, providing health education, and assisting with health care access prior to and after a voluntary service-learning experience at a resettlement agency. Results: Statistical significance was found in overall scale score and in all 19 individual items except 2 related to working with (P =.21) and communicating with (P =.49) the health care team. Overall, pretest and posttest results revealed that students' self-efficacy working with immigrant clients was improved. Conclusion: Collaborating with an immigrant resettlement program to provide a structured immigrant health learning experience for prelicensure nursing students can improve self-efficacy in working with immigrant clients. [ABSTRACT FROM AUTHOR]

Supplemental digital content is available in the text. Climate change is a significant threat to human health across the life cycle. Nurses play an important role in mitigation, adaptation, and resilience to climate change. The use of health care resources, air quality and extreme heat, mental health, and natural disasters are major content areas across undergraduate nursing curricula that influence or are influenced by climate change. Teaching strategies and resources are offered to prepare nursing students to address climate change and human health. [ABSTRACT FROM AUTHOR]

In 2010, the American Nurses Association (ANA) added an environmental health standard to the ANA Scope and Standards of Practice requiring that nurses implement environmental health strategies in nursing practice. To prepare nurse educators to integrate environmental health at all educational levels, nursing faculty members from the Alliance of Nurses for Healthy Environments developed environmental health competencies and curricular recommendations that address this need. Internet URLs are included for environmental health curricula for each level of nursing education. [ABSTRACT FROM AUTHOR]

The article focuses on energy practices such as the use of hydraulic fracturing fracking that threatens the environment and public health. It mentions that researchers have described an array of environmental factors and health risks associated with fracking and other extraction processes such as water contamination, air pollution, and occupational hazards. Fracking also results in radiation exposure as it requires drilling into rock that contains naturally occurring radioactive material (NORM).

A letter to the editor is presented in response to the article "Where Are the Nurses?" in the July 2008 issue.

Bone healing under optimal conditions is fairly predictable. Yet when the healing process is disturbed by inadequate immobilization, inadequate blood supply, or scar tissue, little therapeutic alternatives to surgery exist.It appears that redistribution of electric charges along the bone during a callus consolidation promotes bone healing. It has been shown in the past that negatively charged polysterene spheres promote bone growth in animal models.In this preliminary report, we tested weather or not a commercial device of negatively charged polysterene spheres promotes bone healing in a porcine model.This preliminary study seems to suggest that the negatively charged polystyrene microspheres may have a potential in promoting bone healing, either alone or as an adjunct to other bone graft materials. These speculations should be further validated by large-scale studies in animal models and clinical trials.

Hospitals in the United States generate more than 6600 tons of trash a day and approximately 85% of the waste is nonhazardous solid waste such as food, cardboard, and plastic. Treatment and management of hospital waste can lead to environmental problems for the communities that receive the waste. One health system's shared governance model provided the foundation to develop a nurse-led hospital waste reduction program that focused on point-of-care waste management. Waste reduction program development required working with a variety of departments within and external to the health system. The interdisciplinary approach informed the development of the waste reduction program. This article identifies the key departments that were necessary to include when developing a hospital waste reduction program.

Acculturation is a concept that has utility in nursing practice and research. It is a dynamic, multifactorial construct that has been used as a variable in psychology, sociology, epidemiology, medicine, business, education, and nursing. Walker and Avant's method of concept analysis is used to formulate an operational definition of acculturation.