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A few recent studies have reported that having the ability to provide self-compassion can reduce health professionals' levels of anxiety and stress, the risk of compassion fatigue, and burnout, and it can generally improve their well-being. Therefore, there is evidence to support further research into the investigation and exploration of self-compassion education and training for health professionals. This study aims to increase the knowledge and understanding of self-compassion and how this may enhance the health and well-being of health professionals. The proposed research study will adopt a sequential explanatory mixed methods design. This study will be conducted in 3 phases. Phase 1 will use a pre-educational self-compassion questionnaire (web-based survey) to collect data from participants at 3 time points (before, immediately after, and after follow-up at 6-8 weeks) after they have attended a self-compassion education and training program. Phase 2 will use an interview schedule to explore the participants' views and experiences through a follow-up focus group or individual interview. Finally, phase 3 will include data integration and dissemination of key findings and recommendations. This study was approved by the Women's and Children's Health Network Human Research Ethics Committee and the Human Research Ethics Committee at the University of South Australia on June 26, 2021 (ID: 204,074). A scoping review was conducted to inform this research study (focusing on nurses and midwives). The preparatory phase was completed in April 2021. Phase 1 is expected to be completed by June 2022 and phase 2 will commence in July 2022. The key findings from the data integration for this research project will provide in-depth details and insights to broaden the discussion about self-compassion and its influence on health professionals' health and well-being. Health professionals (nurses and midwives) may benefit from self-compassion education and training programs to improve their health and well-being. PRR1-10.2196/34372.

I have had the privilege of reading Margreet van der Cingel’s 2022 book, Compassion, the Core Value in Person-centred Care, which is the result of a programme of research including a PhD and two empirical masters studies. The doctorate focused on three things: a theoretical and philosophical exploration of compassion; a study of compassion in the history of nursing; and a study of contemporary daily nursing practices. The empirical masters studies explored the role of compassion in the development of the professional nursing identity, and the strategies of novice nurses for developing and sustaining compassion (van der Cingel, 2022, p 4). The book is split into three chapters: Compassion throughout the ages: exploring compassion as a construct and its significance within society, as well as compassion in the history of nursing care Compassion in care today: explores compassion as a multilayered concept; looks at the professional behaviours that demonstrate compassion, how these behaviours impact on the professional relationship and how to balance them to avoid burnout; and asks what happens when compassion is absent Compassion, ground rule for evidence-based practice: explores how compassion influences quality care and how it can be a measure of quality care; discusses whether or not compassion can be learned; and considers compassion as a part of the nursing identity The author uses a quote from Norma Lang in the preface of the book: ‘… if we cannot name it, we cannot control it, finance it, teach it, research it or put it into public policy’ (p vii). Taking its cue from the quote, the book challenges the reader to name or identify compassion and reflect on how it is integrated within their own lived experience as a nurse. We are invited to deconstruct our understanding of compassion and reconstruct it into known behaviours and approaches that can be learned and shared, and finally to demonstrate that compassion is the core and underpinning value for the realisation of person-centred nursing care. Early in the book it was encouraging to see a reference to the Person-centred Practice Framework (McCormack and McCance, 2017), which is a theoretical framework that identifies the constructs of person-centred practice at the micro level and which aligns to compassion as defined and discussed by Margreet van der Cingel in her book.

Background: Increasing numbers of children with complex health needs (CWCHN) are being cared for in their own homes. Caring for a child with complex health needs is an enormous task for a family and so access to suitable respite is critical for the wellbeing of all members of the family. Aim: The aim of this study was to explore the concept of 'suitable' respite from the perspective of the carer and whether suitable respite is currently available. Method: A qualitative descriptive approach was used. Five people who acted as a carer for a child with complex health agreeing to participate in the study. Semi-structured interviews were conducted in the home of the carers and interview data analyses with a thematic analysis. Results: This study identified some of the barriers and enablers for families when accessing respite services for CWCHN. Carers describe optimal respite for these children to be similar to a family home with suitable facilities, equipment and activities for children. Flexible respite services and enthusiastic competent staff were considered very important by the family carers. Conclusion: Further research is needed to better understand the complexities of care for CWCHN and to identify effective strategies to support family carers.

Benthic macroinvertebrate samples were collected from natural substrates in disturbed and undisturbed South Carolina upper coastal plain streams to determine if taxa richness and other bioassessment metrics were significantly related to stream size as predicted by the River Continuum Concept (RCC). Linear, quadratic, and lognormal regression models indicated that stream width was positively related to total number of taxa; number of Ephemeroptera, Plecoptera, and Trichoptera (EPT) taxa; and total number of organisms. Linear regression showed that the expected number of taxa at undisturbed sites ranged from 35 in 2.0 m wide streams to 64 in 16.0 m streams. Comparable values were 8–20 for EPT and 109–261 for number of organisms. Stream width was inversely related to biotic index values indicating a decrease in average organism tolerance with increasing stream size. ANCOVA showed that the effects of stream size were similar for disturbed and undisturbed sites. Rank correlations and multidimensional scaling (MDS) showed that Lepidoptera and Trichoptera were more abundant in larger streams and Annelida in smaller streams. Stream size related changes in benthic macroinvertebrate community composition are often ignored in bioassessment protocols; however, failure to adjust metrics for stream size can lead to erroneous conclusions. Adjustments are possible by analyzing regression residuals stripped of stream size related variance, dividing the area beneath the maximum taxa richness line into equal size units for metric scoring, or scaling metrics based on predicted reference values.

IntroductionThe Emergency Department (ED) opt-out BBV testing programme was initiated in April 2022. People who test positive for HIV are managed by local Sexual Health Services (SHS) for follow-up and partner notification (PN).We reviewed PN outcomes for people diagnosed during the first six months of the London ED programme to assess effectiveness and to measure performance against national PN standards.MethodsSHS representing nine EDs across six NHS Trusts provided PN data for people diagnosed through the ED from 1st April to 30th September 2022. For each index case clinics were asked to provide: data on partners, testing outcomes for contactable partners and timeframes.Primary outcomes were calculated using the BASHH/BHIVA/NAT standards.ResultsA total of 77 index cases were reported for the first 6 months of the programme. A breakdown of partner reporting and follow-up is summarised in Figure 1.Abstrct P042 Figure 1Summary of index patients and PN outcomes[Figure omitted. See PDF]Outcome 1 - Number of contacts tested per total number of index cases= 0.38 (standard 0.6 HCP verified (HCPv); 0.8 HCPv and Index patient reported (IPR))Outcome 2 - Proportion of contactable partners tested= 67.4% (standard 65% HCPv; 85% HCPv and IPR)DiscussionED HIV testing provides an opportunity to diagnose people who are unaware of their status. Partner notification amplifies this reach, allowing healthcare professionals to engage a population who may not be aware they are at risk of HIV, and is extremely effective with high test positivity. Current reported performance of PN is below national standards; however this is likely to improve over time with further follow up. Further examination is being undertaken to determine HCPv outcomes.ReferenceBritish Association for Sexual Health and HIV: HIV partner notification for adults: definitions, outcomes and standards. 2015. https://www.bashhguidelines.org/media/1070/hiv_partner_notification_standards_2015.pdf (accessed 23rd March 2023).