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The professional benefits and security issues for nurses using social networking tools are demonstrated and assessed in this article. The phenomena of web-based social networks offers the opportunity for nurses to educate and receive healthcare information faster than ever before, raise the public’s health awareness while maintaining security and confidentiality for themselves and their social network followers. Social networking websites, such as Facebook©, Twitter, Instagram, LinkedIn and Google+, are presented in the context of extending health information to consumers. By using keywords and hashtags, accessing information through social network websites is explained through a fictional scenario of how these mechanisms can effectively promote the discovery of quality health information without difficulty.

Adult foster care provides an alternative to nursing home care. Residents are cared for in a private home by a caregiver who provides 24 hour supervision. The caregiver receives payment for room and board and for the care services provided. States vary in their regulatory approach but are increasingly viewing this model of care favorably due to the lower costs and preference for this model of care among frail older adults and their families. Opportunities for nurses in this relatively new care environment are numerous ranging from case managementto direct care provision.

Introduction: The move towards evidence-based nursing practice requires active participation by nurses at all levels along the continuum of care. Despite this fact, nursing involvement in multicenter research is limited. This not only limits the generalizability of findings, but hinders collaborative and interdisciplinary research networking between hospitals. Reasons for single site nursing research barriers have been explored. Yet, knowledge of the barriers nurses face when they seek to engage in multicenter research activities is limited. Methods: A core group of experienced nurse researchers sought to initiate a multicenter observational research study of intracranial pressure monitoring. This article uses a case series approach to highlight the challenges encountered throughout the process. Results: Barriers to multicenter nursing research were identified and categorized by theme. Conclusions: Institutional changes are suggested to support the participation of clinical nurses in research and recommendations are made for future study.

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Background: The aim of this study was to describe the level of implementation of nursing process and associated factors among nurses working in DebreMarkos Referral Hospital and Finote Selam District Hospital, northwest Ethiopia, 2013. Materials and methods: A total of 124 nurses with one year and above working experience in the respective hospitals gave complete response out of 139 total nurses. Self-administered questionnaire from standardized and pre-tested tool were adopted to collect data. The data was entered using Epidata version3.1 and analyzed using SPSS software. In addition to descriptive statistics both bivariate and multivariate logistic regression model fitted to identify possible factors associated with nursing process implementation. Then those variables with P-value of <0.05 at 95% confidence interval (CI) was declared as statistically significant. Results: Among 124 total respondents 72 (58.2%) were female nurses, the ages of the respondents were between 20 and 62 years with median age of 29 years. They implemented nursing process at various degree of consistency 46 (37.1%) practice it very much, 62 (50%) practiced somewhat and the rest 16 (12.9%) not at all and not really practiced. Low knowledge negatively associate with nursing process implementation, Adjusted odds Ratio (AOR) 0.16, at 95% CI=0.07-0.39) and Presence of patients with uncomplicated case facilitate nursing process implementation (AOR=5.67, at 95% CI=2.52-12.73). Conclusion: The level of nursing process implementation is low among nurses. Factors associated with implementation of nursing process among nurses working in hospitals were; presence of patients with complicated case and low level of knowledge about nursing process. Nurses’ patient care knowledge in general and

Reflection has become an invaluable tool for nursing students to learn from Practice. This article presents some of the definitions of the concept of reflection and provides some of the reasons as to why nursing students are at times reluctant to engage with this process. It explores the origin of this concept and how it has become of an important part of professional practice. This process allows nursing students to disentangle the various components of professional practice and linking it to the underpinning theories, promoting better understanding and professional growth. This article explores how reflection can be used to facilitate this process and help the transformation of students into safe and competent professionals.

Background: Medication reconciliation problems are common among patients at hospital discharge and can lead to adverse events. The Electronic Nursing Discharge Summary (ENDS) has the potential of reducing discharge medication errors and ensuring the safe handover of care. Aim: The aim of this study is to describe how ENDS supports medication data exchange, cooperation and work practices as well as to clarify dependencies between medication data transmission, cooperation and working practices at patient discharge from special care to primary care. Methods: This cross-sectional study is part of a larger survey which aimed at clarifying how nursing professionals in primary care experience the flow of information at patient discharge from special care to primary care or homecare. The material was collected by e-mail survey with pre-tested questionnaire in 2012 in Finland. The data was analyzed by using descriptive statistical methods. Results: A total of 180 nursing professionals answered the survey, 56 of whom reported having received ENDS. Nursing discharge summaries did not accurately and completely reflect patient medication. For instance, only 22 percent of nursing professionals were “Well” aware of the medication taken on transfer day. Less than half of the respondents felt that the medical case summary showed current patient medication "Well" (37%). There were also duplications concerning the data content of patient care in medical case summaries and in nursing summaries, especially concerning medication. We found positive dependencies between medication data transmission, cooperation and working practices. Conclusion: The results show that medication recordkeeping should be developed in ENDS at the patient transfer phase from special care to primary care.

This paper explores the effects of stress on nurses, patients, and the healing environments. Through a synthesized review of the effects of stress on the psychoneuro-immunological system, this article provides strong evidence for why nurses must create and enact caring-healing processes from both a physiological and ethical perspective. The ethical call toward decreasing stress for the self, for our patients, and in our workplace environments is made.