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Objective: The aim of this study was to explore nurses' perceived barriers to adherence of standard central venous catheter (CVC) care practices., Background: Although CVC care practices are evidence based, adherence to practices may not always occur, contributing to nosocomial infections. Previous practice adherence studies focused primarily on systems improvement or observational methods. This pilot study explored nurses' perceptions of barriers to practice adherence., Methods: A descriptive phenomenological method involving 10 participants was used. Data were collected through interviews and analyzed with Colaizzi's method., Results: Data were grouped into major themes: cognitive factors (active and passive thinking processes) and contextual factors (patient condition along with materials, processes, and culture of the organization). Three connecting subthemes were identified., Conclusion: Adherence barriers have potential to produce errors and may limit nurses from providing high-quality care. Interventions to reduce barriers are needed, particularly those focused on resource availability and designing more intuitive processes.

Purpose: To characterize and quantify touch experienced by preterm infants in the NICU during essential nursing care, identify instances of skin-to-skin touch between infants and caregivers, and identify clinical/demographic variables associated with touch experiences. Design: Cross-sectional study. Sample: Preterm infants (N = 20) born 27–32 weeks post-menstrual age. Main Outcome Variable: Categories of touch during observations. Results: Touch experienced by infants during day and night shifts was primarily direct touch that was further categorized as general handling. During day shifts, 30 percent of direct touch was provided for comfort, but only 9.7 percent of touch was provided exclusively for comfort (i.e., without more intrusive touch). During night shifts, 10.6 percent of direct touch was provided for comfort, and 3 percent was categorized as exclusive comforting touch. Caregivers wore gloves for >89 percent of infant touch. Only the level of respiratory support was associated with touch categories during both shifts. [ABSTRACT FROM AUTHOR]

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An introduction is presented in which the editor discusses articles in the issue on topics including, interventions that can reduce health disparities and achieve health equity; and understanding of the conduct of equitable and inclusive science in recruitment and retention.

An editorial is presented on the individual scientist and the challenges associated with sustaining an established, productive research program during scientific shifts. It expresses the view that resources needed to obtain, produce, and deliver goods from start to finish. An overview of recent phenomenon that may enhance the supply chain for nursing science is the increased interest of young people in nursing as a profession is presented.

The need for human touch is universal among critical care patients and is an important component of the nurse–patient relationship. However, multiple barriers to human touch exist in the critical care environment. With little research to guide practice, we argue for the importance of human touch in the provision of holistic nursing care. [ABSTRACT FROM AUTHOR]

An editorial is presented on sustainability being important to equitable health and healthcare delivery. Topics include applying scientific knowledge to the development of interventions meeting health needs and improving quality of life; and maintaining the well-established programs of research for continuing advancing in nursing science, train emerging scientists, and meeting standards of quality and integrity.

Aims The aims of this study are to describe: (1) the frequency of nurse-reported missed care in neonatal intensive care units; and (2) nurses' reports of factors contributing to missed care on their last shift worked. Background Missed nursing care, or necessary care that is not delivered, is increasingly cited as a contributor to adverse patient outcomes. Previous studies highlight the frequency of missed nursing care in adult settings; the occurrence of missed nursing care in neonatal intensive care units is unknown. Design A descriptive analysis of neonatal nurses' self-reports of missed care using data collected through a cross-sectional web-based survey. Methods A random sample of certified neonatal intensive care nurses in seven states was invited to participate in the survey in April 2012. Data were collected from nurses who provide direct patient care in a neonatal intensive care unit ( n = 230). Descriptive statistics constituted the primary analytic approach. Results Nurses reported missing a range of patient care activities on their last shift worked. Nurses most frequently missed rounds, oral care for ventilated infants, educating and involving parents in care and oral feedings. Hand hygiene, safety and physical assessment and medication administration were missed least often. The most common reasons for missed care included frequent interruptions, urgent patient situations and an unexpected rise in patient volume and/or acuity on the unit. Conclusion We find that basic nursing care in the neonatal intensive care unit is missed and that system factors may contribute to missed care in this setting. [ABSTRACT FROM AUTHOR]

Aim We describe an innovative research protocol to test the role of missed nursing care as a mediator of the association between nurse workload and patient outcomes in the neonatal intensive care unit. Background Increases in nurses' workloads are associated with adverse patient outcomes in neonatal intensive care settings. Missed nursing care is a frequently hypothesized explanation for the association between workload and outcomes. Few studies to date have tested missed care as a variable that mediates the workload-outcomes relationship. Design We use a longitudinal, observational study design. Methods We will recruit approximately 125 nurses (80% of target population) providing direct patient care in one neonatal intensive care unit. Four, 6-week data collection cycles occur over 1 year. At the end of every shift, nurses report on their workloads and the frequency with which specific patient care activities were missed for each infant cared for during the shift. Infant-specific nurse reports of missed care are linked to shift-level infant outcomes data extracted from the electronic health record. Funding for the study began in July 2012; Research Ethics Committee approval was granted in December 2012. Discussion Missed care may explain the effects of nurse workload on patient outcomes. This research will generate preliminary evidence regarding the causal relationships among nurses' workloads, missed care and infant outcomes that we will confirm in a future multi-site study. [ABSTRACT FROM AUTHOR]

Objective To examine the association of missed oral feeding opportunities among preterm infants with achievement of full oral feedings and length of hospitalization. Study Design A secondary analysis of clinical trial data was conducted. Study infants included in the analysis (N = 89) were randomized to one of four standardized feeding progression approaches; detailed records on all feedings were maintained. The proportion of oral feeding opportunities reported as missed due to factors unrelated to the infant's clinical condition was calculated for each infant. Results The proportion of missed oral feeding opportunities per infant ranged from 0 to 0.12; 30 infants experienced one or more missed oral feeding opportunity. Each 1% increase in the proportion of missed oral feeding opportunities extended the time to achieve full oral feeding by 1.45 days (p = 0.007) and time to discharge by 1.36 days (p = 0.047). Conclusion Preterm infants' missed oral feeding opportunities may adversely affect feeding outcomes and extend hospitalization. [ABSTRACT FROM AUTHOR]

An editorial is presented on the Nursing Research which provides an opportunity for leading nurse scientists to explain new, interesting, and innovative research methods. The article discusses that the Recruiting participants to research can be challenging, particularly when target participants are very busy professionals; and social media can be useful to recruit samples in studies involving participants from many different demographic background.

An editorial is presented on the social and traditional media have raised the question of what nurse scientists should be doing during the pandemic including the number of suggestions to help nurse scientists stay productive while research projects were on hold because of the COVID-19 pandemic.

An editorial is presented on 200th anniversary of the birth of Florence Nightingale, and taking part in numerous in person as well as social media discussions and callouts about Florence Nightingale. Topics discussed include nursing is now a respected profession with educational programs generally based in university settings and using well-established educational practices; and Year of the Nurse and Midwife campaign, designed to correspond to the Nightingale 200th, to the COVID-19 crisis.

An editorial is presented on Year of the Nurse which is a challenge for the nurses declared by the World Health Organization (WHO) to honor of the 200th birth anniversary of Florence Nightingale. Topics discussed include offering an assessment of nursing's capabilities to support achievement of global health goals; improve global health by raising the status of nursing and supported by the International Council of Nurses; and regions to meet critical needs for health promotion.

Presents information on a study which described the behaviors that occur during interactions between premature infants and their nurse caregivers. Phases of the interaction between premature infants and nurse caregivers; Categories of interaction purpose observed in the identification of the stimulus for an interaction; Ascription of meanings to infants' interactive behaviors.

The authors present insights on the policy for authorship or article contributions in the field of nursing. They state that omissions and inclusions of authors are covered by several agencies. They note the policy of Great Britain's Research Integrity Office on authorship. They also cite the standard of the International Committee of Medical Journal Editors (ICMJE) on authorship.

The author reflects on the shortage of scientists in the nursing profession in the U.S. on topics including the decline of nursing scientists, the high cost of pursuing a doctoral degree needed for a scientific career and the need for increased funding and support for nursing science.

The author talks about the role of nurse scientists in interdisciplinary collaboration in medicine and a program on it at the National Institute of Nursing Research (NINR) in the U.S., discussing the focus of the program on symptom science and the interdisciplinary teams led by nurse scientists.

An editorial is presented on the 2020 was not the year has hoped for or imagined and remember the excitement about the Year of the Nurse and Midwife and the anticipation of celebrations in honor of the 200th anniversary of the birth of Florence Nightingale.

An editorial is presented on the pandemic has gotten me thinking about the interruption of some of our most important scientific work, work focused on the health and wellness needs of those for provide care.

The article reflects on the different topics covered in the "Journal of Advanced Nursing" since the 1970s. Topics discussed include the prevalence of nursing homes in Great Britain in 16 and the growth of nurse home visiting through time. Also mentioned is the use of nurse home visits to boost the functional abilities of older people.

An introduction to the journal is presented that focuses on the care of infants with critical or complex health conditions, including a study in which the influence of a neuroprotective intervention on feeding outcomes is tested, comparison of commonly used measures of pain and distress in infants with life-limiting illness, and a study that focused on measuring environmental factors that may contribute to adverse clinical outcomes.

The article offers information on the Institute of Medicine recommended doubling the number of doctorally prepared nurses by 2020, and because of the significant increase in doctor of nurse practice (DNP) graduates there is substantial progress toward achieving this recommendation.

The article presents a reprint of the article "What editors need to know" published in 2014 issue of the journal. The authors discusses several issues related to publishing which includes providing open access for scholarly articles, article submission to journals which permit open access, journal citations, rapid publication and its impact on authors, predatory publishing and efforts taken by periodical to prevent issues of publishing.