Good health is a prerequisite for individuals to function in everyday life. The same applies to newly arrived immigrants, where good health is crucial for successful establishment. The aim of this study was to describe stakeholders’ experiences of how newly arrived immigrants’ health affects their opportunities to establish themselves in society. The study had a qualitative design where open-ended questions were analysed following Braun and Clarke’s guidelines for conducting a qualitative thematic analysis. The results consist of three themes: Mental health problems, disabilities, and tormenting concerns about absent family members; A precarious life situation related to housing, education, and income; and Deficiencies in responding to health challenges in organisations and in society. Stakeholders face health problems among newly arrived immigrants that they do not have the right skills to deal with. We argue for the presence of nurses in organisations working with newly arrived immigrants, and that nurses’ competence is necessary to capture their needs.

Introduction: In a global context of an increasing and aging population, along with environmental changes, nurses play an important role in relieving suffering among vulnerable people and groups in society. Sustainability in nursing contributes to sustainable development through providing an environment that is not detrimental to/protects present and future generations′ opportunities for good health. There is a global shortage of nurses, and it has been shown that, locally, every fifth newly graduated nurse considers leaving their new profession five years after graduation. The aim was to describe how nursing students’ thought about a sustainable professional life as nurses before their graduation.

Materials and Methods: A qualitative design with a written data set was used, and a thematic analysis was performed. One hundred five students (80 women and 25 men) in semester six out of six of the nursing education program participated.

Results: The analysis resulted in three themes: 1) to have an ethical foundation that guides the individual nurse in protecting the nursing care and developing the nursing care for their patients; 2) to be in a listening, reflexive and supportive workplace enabling a professional nurse to continuously grow and learn and 3) to be a proud professional nurse with integrity, not risking with their own health or personal professional development.

Conclusion: The nursing students describe their thoughts on the requirements for having a sustainable professional life as nurses as having a strong inner ethical compass to help guide, protect and develop the nursing care for the patients. In addition, it requires a workplace with a reflexive and supporting culture. However, the nursing students also put their own health and the opportunities for professional growth at the top of their priorities, and if these conditions are lacking, they will switch to another workplace.

Bakgrund I mitten på 2010-talet befann sig runt 65 miljoner människor på flykt runt om i världen på grund av krig, katastrofer och väpnade konflikter. Många människor flydde för sina liv och sökte skydd och fristad i Europa och Sverige. På lokal nivå anlitades ofta rödakorskretsar i det humanitära bemötandet och omhändertagandet av dessa människor. Delvis var detta en ny situation och erfarenhet för frivilligarbetare. Syfte Syftet med forskningsprojektet var att undersöka hur frivilliga beskriver och resonerar kring lokala och globala utmaningar relaterade till demografiska förändringar, med fokus på personer som är på flykt och är i behov av humanitära frivilliginsatser. Metod Data har samlats in via fokusgruppsintervjuer i tre olika kretsar i Mellansverige. Intervjuerna genomfördes på tre olika nivåer i varje krets, med frivilliga, frivilligledare och kretsstyrelse. Resultat De transkriberade intervjuerna analyserades tematiskt och följande teman identifierades; Erfarenheter från flyktingströmmen 2015, Kärnan i frivilligt arbete inom Svenska Röda Korset, Förvalta och bevara, men också tänka nytt, Tredje sektorns betydelse och frivillighet under ansvar, Tankar framåt och fortsatt arbete i rödakorskretsarna. Slutsatser och framåtblickar Några paradoxer och framtida utmaningar identifierades. Utmaningarna tycks ligga i att kunna överbrygga och tänka ”både och” i stället för ”antingen eller” vad gäller frivilligas traditionella villkor i relation till vad som kan utvecklas, i en tid där frivilligverksamhet kommer att få en alltmer betydande roll i det svenska samhället.

Background: Positioned to face increasing issues relating to the growing and aging population, ill health, climate change, natural disasters, and humanitarian crises, nurses play a crucial role in responding to the challenges of globalisation. With nurses rising to meet these challenges, the term ‘global nursing’ has been coined. Given the ongoing proliferation of the term, it seems relevant to explore the key relationship of the concepts of ‘global’ and ‘nursing’ within the milieus provided through the internet.

Aim: To describe how global nursing as a concept is visualised in images on the internet.

Method: A cross-sectional observational design based on netnographic methodology was conducted. By searching the term ‘global nursing’ in the Google search engine, a total of 973 images illustrating ‘global nursing’ were collected and stored on one specific search occasion. The inclusion of data covered all regions but no other search limits.

Results: The results show that global nursing, first and foremost, is visualised as an academic discourse, as a nursing activity, and as an approach to target sustainability. Further, the results also highlight that global nursing has manifested as a Western discourse, targeting students with access to resources and a humanitarian interest. Conclusion: By paying attention to global nursing as it is presented in this study, it has been possible to provide valuable insights about colonial boundaries in the nursing discourse relating to globality. Based on these results, we stress that the nursing paradigm would benefit from a greater postcolonial awareness and some reflexivity connected with the global issues that nurses are facing.

Impact statement: Global nursing is paradoxically visualised as something distant, connected to ideas of ‘otherness’, and of not belonging to the Western nursing community

Background

Many intensive care unit (ICU) patients describe noise as stressful and precluding sleep. No previous study in the adult setting has investigated whether room size impacts sound levels or the frequency of disruptive sounds.

Methods

A-frequency S-time weighted equivalent continuous sound (L_ASeq), A-frequency S-time weighted maximum sound level (L_ASmax) and decibel C peak sound pressure (L_Cpeak) were measured during five 24-h periods in each of the following settings: three-bed room with nursing station (NS) alcove, single-bed room with NS alcove (1-BR with NSA) and single-bed room with bedside NS. Cumulative restorative time (CRT) (> 5 min with L_ASmax < 55 dB and L_Cpeak < 75 dB) was calculated to describe calm periods. Two 8-h bedside observations were performed in each setting in order to note the frequency and sources of disruptive sounds.

Results

Mean sound pressure levels (L_ASeq) ranged between 52 and 58 dBA, being lowest during night shifts. There were no statistically significant differences between the room types in mean sound levels or in CRT. However, disruptive sounds were 40% less frequent in the 1-BR with NSA than in the other settings. Sixty-four percent of disruptive sounds were caused by monitor alarms and conversations not related to patient care.

Conclusions

Single-bed rooms do not guarantee lower sound levels per se but may imply less frequent disruptive sounds. Sixty-four percent of disruptive sounds were avoidable. Our findings warrant sound reducing strategies for ICU patients.