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Background: Information on the scope of nursing practice is urgently needed in the Eastern Mediterranean region to help policy makers and directors of nursing develop informed workforce plans. Aims: This study aimed to validate the Arabic translation and cultural adaptation of the Actual Scope of Practice Questionnaire (A-ASCOP). Methods: The process of translation and cultural validation adhered to WHO guidelines. The process involved forward translation, review by an expert panel, back-translation, pre-testing and cognitive interviewing. Results: The clarity, meaningfulness and relevance of the first Arabic version of the A-ASCOP has been validated. Conclusion: Subject to psychometric analysis, the A-ASCOP is suitable for use in Lebanon and countries of the Middle Eastern region.

The nursing process is sytematic patient centered care that promotes a holistic approach, enhances communication and collaboration among healthcare professionals and ensures the delivery of high-quality, individualised care. Despite different efforts to improve the nursing process in Wollega University Comprehensive Specialized Hospital, the rate of its implementation is very low due to different factors. This quality improvement project aimed to increase the rate of nursing process implementation at Wollega University Comprehensive Specialized Hospital from 1 August 2024 to 30 January 2025.The team project identified root causes by using a fishbone diagram and a driven diagram. Six interventions were introduced over 6 months using Plan-Do-Study-Act cycles. The interventions were training of nurses and leaders, shifting of nurses to wards with more workload, providing clear job descriptions for nurses, availing of protocols and work aids, availing of nursing process formats and providing regular supportive supervision.Finally, the rate of nursing process implementation increased from 27% to 87.5%, with assessment performed properly in 93%, diagnosis increased to 89.5%, planning reached 86.5%, implementation 85.5% and evaluation 83%. The highest (96%) performance was observed in the orthopaedic ward, whereas the lowest (79%) was in the gynaecological ward.This project improved the implementation of the nursing process, demonstrating the importance of capacity building for staff, leadership engagement, effective communication, regular discussion and supervision, as well as collecting feedback and incorporating it for the next interventions. The project significantly improved nursing process implementation by introducing change ideas, and it now needs to be expanded to other units. The management of the hospital and all stakeholders owned the project to maintain its sustainability.

The Nursing profession is struggling to return to basic nursing care to maintain patients’ safety. “Interventional patient hygiene” (IPH) is a measurement model for reducing the bioburden of both the patient and health care worker, and its components are hand hygiene, oral care, skin care/antisepsis, and catheter site care. To identify the level of nurses’ practice and knowledge about interventional patient hygiene and identify barriers for implementing interventional patient hygiene in critical care units. A descriptive research design was used and three tools were applied in this study: “The Interventional Patient Hygiene Observational Checklist”, “The Interventional Patient Hygiene Knowledge Questionnaire” and “The Barriers for Implementing Interventional Patient Hygiene in Critical Care Units”. The mean percentage nurses’ knowledge score is higher than the mean percentage practice score in all items (hand hygiene (71.28±25.46, compared with 46.15±17.87), oral care (100.0±0.0, compared with 25.32±24.25), catheter care (75.76±9.40, compared with 8.97±24.14) and skin care (47.80±6.79, compared with 26.28±16.57). Barriers for implementing hand hygiene are workload (71.79%), insufficient resources (61.53%), and lack of knowledge (10.25%). The mean percentage IPH knowledge score is higher than the mean percentage IPH practice score of all IPH items. Barriers for implementing IPH include workload, insufficient resources, and lack of knowledge/training.

Background The aim of this study was to determine the prevalence and correlates of physical activity counseling among physicians and nurses working in primary health care in Brazil. Methods A phone survey was carried out in 2011 with professionals working in primary health care in Brazil. The target sample consisted of 1,600 randomly selected primary care units covering all regions of the country. We successfully interviewed 529 professionals within the sampled units; 182 physicians and 347 nurses. The overall response rate was 49.6%. Multivariable logistic regression was used to estimate correlates of counseling in the whole sample and separately for physicians and nurses. Results The prevalence of regular physical activity counseling for at least six months was 68.9% (95% CI 64.9; 72.8) and was significantly higher among physicians compared to nurses (p < 0.05). Most professionals (93.2%) interviewed were unfamiliar with current physical activity recommendations for health. In the adjusted analysis, physical activity counseling was more frequent among those who report assessing patient’s physical activity (OR = 2.16; 95% CI 1.41; 3.29), those reporting that lack of time was not a barrier for counseling (OR = 0.62 95% CI 0.42-0.93), those who felt prepared to provide physical activity counseling (OR = 2.34; 95% CI 1.50-3.66), and those working at primary care units offering physical activity programs for patients (OR = 2.06; 95% CI 1.33-3.20). In the stratified analysis, only assessing patient’s physical activity was a significant correlate among physicians whereas assessing patient’s physical activity, feeling prepared to provide counseling and working in units with physical activity interventions were significant correlates among nurses. Conclusions Physicians and nurses deemed physical activity counseling of great importance in primary health care in Brazil. However, in order to increase the quality of counseling and the number of professionals engaging in this activity, these health teams require greater knowledge about physical activity (global recommendations for health) as well as training on the application of instruments for assessing physical activity. Moreover, sufficient time must be allowed during consultations for the counseling process, and physical activity promotion programs should be implemented within the primary health care units.

Nursing documentation is an important part of clinical documentation. However, documentation of the nursing process is frequently lacking quality. There are high expectations that computer support in nursing documentation will help improve documentation quality. This study aimed to examine whether the introduction of a computer based nursing documentation system can improve documentation quality. A prospective intervention study was conducted on 4 wards of the University Medical Center Heidelberg over a period of 18 months. Two wards in the Psychiatric University Medical Center Heidelberg were involved in the research study, as well as a dermatological and a pediatric ward. The results of the study show a significant improvement of documentation quantity and quality on three of the four wards. Positive aspects include completeness of documentation on the nursing process, formal aspects and subjective quality improvement by the nurses. Negative aspects were mainly associated with the contents of the care plans.

BACKGROUND: Despite advances in treatment, patients with migraine have been underdiagnosed and undertreated, specifically in emergency departments. In addition, great variability exists with respect to the diagnosis, management and treatment of migraine patients in emergency departments. In particular, migraine‐specific treatments, including serotonin receptor agonists, appear to be rarely used. OBJECTIVE: To examine the diagnosis and management of migraine patients within Ontario emergency departments. METHODS: A prospective survey was designed to inquire how emergency physicians diagnose and manage patients with migraine. Questions focused on the use of serotonin receptor agonists, the rationale behind their use or nonuse, and acute headache protocols. The survey also inquired about the use of International Classification Of Headache Disorders‐2 criteria in diagnosing migraine by emergency physicians, medication prescribed on discharge, and referrals made to outpatient specialists. These surveys were distributed to and anonymously completed by emergency physicians in several departments in Ontario. RESULTS: Migraine‐specific treatments were underused in emergency departments. Furthermore, many departments lacked headache protocols and, often, migraine‐specific treatment was not included in the few departments with protocols. CONCLUSIONS: Diagnosis and management of migraines can be improved within emergency departments, and patients can be more effectively channelled toward appropriate outpatient care.

Objective. The primary aim of the present study was to identify the activities that nurses in community mental health services undertake. Method. A dataset containing records of the community and ambulatory interventions involving the nursing staff of 252 mental health facilities was analysed. Results. Nurses spend most of their time performing clinical care (78%), followed by clinical organisation (12%), mental health administration (6%) and integration activities (4%). There were minimal differences between treating units located in metropolitan, rural and remote areas in terms of the numbers of consumers receiving care, the time nurses spent with consumers, the types of nursing activities undertaken and the amounts of time spent on each of the four types of nursing activities. Conclusions. These findings suggest that nurses in mental health community settings spend more time in clinical care than nurses in other healthcare settings.

Based on the results of an informal needs assessment, the Usage of Online Information Resources by Nurses Project was designed to provide clinical nurses with accurate medical information at the point of care by introducing them to existing online library resources through instructional classes. Actual usage of the resources was then monitored for a set period of time. A two-hour hands-on class was developed for interested nurses. Participants were instructed in the content and use of several different online resources. A special Web page was designed for this project serving as an access point to the resources. Using a password system and WebTrends trade mark software, individual participant's usage of the resources was monitored for a thirty-day period following the class. At the end of the thirty days, usage results were tabulated, and participants were sent general evaluation forms. Eight participants accessed the project page thirty-nine times in a thirty-day period. The most accessed resource was Primary Care Online (PCO), accessed thirty-three times. PCO was followed by MD Consult (17), Ovid (8), NLM resources (5), and electronic journals (1). The individual with the highest usage accessed the project page thirteen times. Practicing clinical nurses will use online medical information resources if they are first introduced to them and taught how to access and use them. Health sciences librarians can play an important role in providing instruction to this often overlooked population.