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IntroductionComprehensive breast cancer care includes not only diagnosis, staging, and treatment of cancer but also assessment and management of the physical, psychological, social, and informational needs, collectively known as supportive care. Several studies have documented the importance of addressing supportive care factors among breast cancer survivors. However, there appears to be a paucity of research concerning African American breast cancer survivors (AABCS). Therefore, the purpose of this study was to describe and understand the patient-centered supportive care factors among self-identified AABCS.MethodUsing a qualitative descriptive approach, an open-ended question explored supportive care factors that were used by N = 155 AABCS.ResultsFour supportive care factors were identified: faith, supportive structures, optimism, and access to information.DiscussionAn understanding of these factors might facilitate discussion between survivors and the health care team. The resultant effect could also inform and promote the delivery of culturally specific health care to address the supportive care needs among these women.

There is currently no evidence of undergraduate nursing students' self-efficacy and performance in self-management support for chronic diseases in rural primary care. Using the Self-Efficacy and Performance in Self-Management Support instrument, this quasi-experimental study assessed students' self-efficacy and performance in self-management support before and after implementation of a primary care enhanced curriculum. Nursing students (n = 140) reported a significant increase in totalmean scores (pretest,M= 268.01; posttest,M= 289.51), p = .0001. Providing a primary care enhanced curriculumincreased nursing students' self-efficacy and performance in self-management support. [ABSTRACT FROM AUTHOR]

Background: Prelicensure nursing education has generally emphasized acute care; however, as primary care changes in the United States, academia must transform. The national call for transforming primary care requires innovation in the education of prelicensure nursing students. Problem: To ensure future RNs can function in the primary care setting and assume enhanced roles within the interprofessional team, prelicensure nursing students need to be exposed to primary care. A key barrier to providing this essential education is the lack of partnerships with primary care facilities. Approach: The purpose of this project was to collaborate with rural practice partners to provide a primary care clinical experience for prelicensure nursing students. Outcomes: Collaboration between academic-practice partners to develop a clinical experience for prelicensure nursing students allowed exposure to the role of RNs in rural primary care. Conclusions: By sharing the process for planning the clinical experience, other interested academic institutions may replicate similar opportunities. [ABSTRACT FROM AUTHOR]

Purpose: Primary care in rural areas of the U.S. urgently need competent healthcare providers, especially registered nurses (RNs). Registered nurses are ideal team members to help meet the primary care needs in rural communities, yet RNs are underutilized in primary care settings and rarely practice to the full scope of their license in these settings. The purpose of the project was to conduct a needs assessment with rural primary care practice partners to address the need for RNs in primary care. Sample: A needs assessment was sent to nurse leaders at 13 rural primary care facilities via an online survey in December 2018. Methods: This descriptive exploratory study utilized an online needs assessment survey to gather information from 13 rural clinical practice partners regarding their knowledge, interest, and use of RNs in primary care. Results: Twelve of the 13 rural clinical practice partners completed the needs assessment survey. A majority of the clinical partners indicated they felt knowledgeable about the RN full scope of license and expressed a high interest in the expanded role of the RN in primary care. The clinical practice partners reported interest in providing independent RN chronic and acute care visits, care management, medication management, and collaborative provider and RN visits. Conclusion: Conducting a needs assessment and collaborating with rural primary care practice partners to address the need for RNs in primary care is the first step in developing policies and utilizing RNs to the full scope of their license. [ABSTRACT FROM AUTHOR]

The present study used descriptive quantitative methodologies in order to (1) investigate nursing students' perceptions concerning the effectiveness of using Shadow Health Pharmacology (SHP), a digital interactive learning tool, (2) evaluate the effectiveness of SHP in improving student success, and (3) investigate its effects on improving students' critical thinking as well as oral and written communication skills. Fifty-one online students in their first year of a RN-BSN nursing program completed an online survey after finishing an online course that used virtual patients' digital experiences synchronized with online theoretical content. Findings reflected that SHP was effective in improving students' learning experiences in the targeted course. Approximately half the participants strongly agreed/agreed that SHP improved their critical thinking and written communication skills, but felt it had less effect on improving their oral communication skills. Overall student success in the targeted online course improved (71.1%) after using SHP as a learning tool. [ABSTRACT FROM AUTHOR]

The purpose of this article was to provide a historical review and analysis of the research literature focusing on patients', nurses', and health care providers' perceptions of Stressors in the critical care setting. A narrative historical literature review method was used. The inclusion criteria include English-language studies of Stressors as perceived by patients and health care providers from 1984 to 2011. Several studies investigated perceptions of Stressors using the Environmental Stressors Questionnaire and the findings did not show any significant changes of stress perception over time since 1989 until the present. There is a need to further investigate stress perceptions in the health care setting using a mixed qualitative and quantitative approach to provide a more precise description of Stressors and stress perceptions in the critical care setting. [ABSTRACT FROM AUTHOR]

Objective: The aim of this study was to explore the occupational stress perception of nurses and how they manage it during the COVID-19 pandemic., Background: The management of occupational stress is a key factor in promoting nurses' well-being., Methods: A descriptive cross-sectional study was conducted., Results: The top occupational stressors from the nurses' perspectives (N = 236) as measured by using an updated version of the Nursing Stress Scale (NSS) included wearing a face mask at all times in the hospital, unpredictable staffing and scheduling, not enough staff to adequately cover the unit, feeling helpless in the case a patient fails to improve, and being assigned to a COVID-19 patient. The mean stress score was 31.87. The updated NSS Cronbach's α was 0.92, and the interclass interclass correlation coefficient was 0.914., Conclusion: Nurse administrators are in a strategic position to develop interventions (eg, open door policy, meetings, and employee assistance programs) to assist nurses in effectively managing stress., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.)