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Nurse engagement, empowerment and strong relationships among staff, residents and families, are essential to attract and retain a suitably qualified and skilled nursing workforce for safe, quality care. There is, however, limited research that explores engagement, empowerment and relational coordination in long‐term care (LTC). Nurses from an older persons' mental health and dementia LTC unit in Australia participated in this study. Forty‐one nurses completed a survey measuring psychological empowerment, work engagement and relational coordination. Twenty‐nine nurses participated in individual interviews to further explore these concepts. Although nurses reported high psychological empowerment and work engagement, their relationships with key stakeholders varied. Our findings suggest that nurses in LTC require both supports and opportunities to contribute as active members of the multiprofessional care team that includes tailored education, professional development and positive interactions within the care team. Regular support is needed to enable nurses to feel empowered, foster relationships and communication, and facilitate work engagement. Based on these findings, we suggest that it is important to find ways to ensure that all who provide care perceive that they are part of the whole care team and able to contribute to the care and well‐being of people in LTC. [ABSTRACT FROM AUTHOR]

Aims and objectives: The aim of this study was to explore older adults' perspectives about dignity and dignified nursing care during acute hospitalisation in Ghana. Background: Maintaining hospitalised older adults' dignity is an essential component of nursing care and one of the most important determinants of wellbeing. To date, no study has been published on older adults' perspectives of dignified nursing care in the African context. Study design: A qualitative descriptive research design. Methods: Twenty hospitalised older adults were purposively selected from the medical and surgical wards of a teaching hospital in Ghana. Data were gathered through semi‐structured interviews between April and August, 2021, and analysed using reflexive thematic analysis techniques. The SRQR checklist was used to document reporting of the study. Results: The following four themes were identified: Effective nurse–patient communication, Maintaining patients' privacy, Respectful and compassionate care provision and Providing quality and safe care. Dignity was preserved when patients were treated with respect and compassion, provided privacy, and had close family members involved in physical care. Identified barriers to dignity included inadequate information about their health condition, poor communication by the nurses, lack of autonomy, poorly designed healthcare infrastructure and inadequate privacy. Conclusions: Several enablers and barriers to dignified nursing care have been identified that have been discussed in previous studies. The unique factors identified in the Ghanaian context were family members' involvement in physical care influenced by cultural and religious beliefs, environmental barriers to privacy and dignity and inadequate involvement in decision making. Relevance to clinical practice: Nurses must treat older patients with respect, educate them about the health condition, involve them in care decisions, and identify their preferences regarding provision of hygiene needs, particularly in consideration of religious and cultural beliefs, including involvement of family members. Future planning of healthcare infrastructure needs to consider the importance of private cubicles with disability‐accessible ensuite bathrooms for patients' comfort and privacy. [ABSTRACT FROM AUTHOR]

Background Pressure injuries are a common healthcare problem and are associated with impaired quality of life. Objective To investigate the impact of pressure injuries on the quality of life of adults aged 18 years and older. Design Systematic review. Eligibility criteria Both quantitative and qualitative studies that report on quality of life in adults with a pressure injury from acute care, rehabilitation, long-term care and com- munity settings will be included. Methods Studies conducted between January 2009 and July 2022 and found in the Ovid Medline, Ovid Embase, CINAHL EBSCO, Scopus and Central Register of Controlled Trials databases will be identified. Two independent review authors will perform the study selection and data extraction. Methodological qual- ity will be appraised using the Critical Appraisal Skills Programme checklists. A thematic synthesis will be used to analyse qualitative evidence. A meta-analysis will be conducted for quantitative data if no signifi- cant heterogeneity is detected. Where statistical pooling is not possible, findings will be reported narratively. The Grading of Recommendations As- sessment, Development and Evaluation (GRADE) and the GRADEConfidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual) tools will be used to determine confidence levels of findings from quantitative and qualitative studies. [ABSTRACT FROM AUTHOR]