Health care support workers have patient-facing roles within care teams but little autonomy; work is allocated. This study reports work stress experiences of Health Care Assistants (HCAs; UK support workers) in a dementia unit in 2018 towards the end of national austerity, a period of significant staff reduction in the UK National Health Service. HCAs (15; 40% of total) were individually interviewed, and in a focus group (6). Analysis revealed high job demands but low job resources. HCAs were altruistic regarding stressful dementia care but tension from the work environment was high. Difficulties directly or indirectly related to staff shortage: workload, inadequate staffing, and reliance on inexperienced temporary staff who required supervision, poor team skill mix, and poor shift patterns. Serious relationship issues for HCAs were exposed so post-hoc interviews with nurses (n=10) from the same unit were undertaken for further insight. HCAs considered nurses unsupportive, poor leaders and disrespectful of their experience. Nurses considered HCAs obstructive, compounded by failure to recognise nurses’ professional responsibilities. Coping by HCAs was mainly through short, time-out breaks but these were constrained by lack of staff cover. Tensions had been left to fester. Better awareness of managers is required that staffing impacts extend beyond workload.

Noncommunicable diseases (NCD’s) such as type 2 diabetes and hypertension are increasing in Cambodia. Clinicians in Cambodia do not routinely offer behavioral interventions to address the lifestyle behaviors such as poor nutrition, lack of physical activity and tobacco smoking that contribute to poor outcomes for NCD’s. Behavioral conditions such as depression and substance use disorder that are frequently comorbid with NCD’s also contribute to poor clinical outcomes are also not routinely addressed in medical settings in Cambodia. Integrated healthcare is the systematic, team-based approach to delivering behavioral interventions to address lifestyle and behavioral conditions that underlie poor outcomes for NCD’s delivered by a Behavioral Health Consultant (BHC). Research on type 2 diabetes and hypertension risk factors such as nutrition, physical activity, tobacco smoking and alcohol misuse demonstrates the need for a new workforce of BHC’s to improve quality and outcomes. A model of integrated behavioral health designed by this research team uses a Health Risk Assessment, a social worker or community health worker in the BHC role,  and smartphone app platform for patient health self-management is recommended.

Background: Built-in bathroom facilities located within patients’ room were identified as a strategy to reduce inpatient falls. However, the relationship between having built-in bathrooms and falls incidence has not been examined. Purpose: To explore whether built-in bathrooms within an acute multi-bedded hospital room setting will reduce falls incidence among adult patients as compared to those sharing a separate bathroom situated outside their rooms. Method: A pre-and-post study involving a single group comparison of three-time phases was conducted. Results: Presence of built-in bathrooms in multi-bedded hospital room settings was not statistically significant in reducing falls, p>0.05. Conclusions: Built-in bathrooms had shortened the distance from the bathroom to patients’ bed, but it did not reduce falls incidence significantly. Other fall preventive measures such as reminding patients to seek assistance before ambulating and installation of handrails linking from the bed to the built-in bathrooms may be required in order to reduce fall incidence.

Introduction: Nurses worldwide are facing hardships during the COVID-19 pandemic.
Aims: To examine the impact of work environment, workplace support and individual-related factors on burnout during the COVID-19 pandemic.
Methods: This was an analytical cross-sectional study conducted in a hospital in Singapore that nursed confirmed and suspected COVID-19 patients between 12
March and 25 May 2020. An email invitation was sent to all nurses to participate in an online survey. Multivariable logistic regression analysis was conducted
to examine associations between burnout and work environment, workplace support and individual-related factors.
Results: 855 nurses responded to the survey. Compared to nurses working in low-risk areas, nurses in high-risk areas had 1.6 times higher risk of burnout (95%
CI: 1.072 – 2.454; p=0.022). Perceiving lack of teamwork (OR = 1.630, 95% CI: 1.067– 2.492, p=0.024), not feeling appreciated (OR = 14.811, 95% CI:
3.520 – 62.328, p<.001) and poor self-rated health (OR=0.348, 95% CI: 0.264-0.460, p<.001) were associated with burnout.
Discussion: Nurses working in high-risk areas, such as wards are designated for acute respiratory infections patients, are at higher risk of experiencing burnout.
Implications for practice: Nurses in high-risk areas would benefit from interventions that build physical health and esprit de corps to prevent burnout.

Forensic nursing is being practised in many countries of the world and with the pandemic of COVID-19 like other branches in the medical field forensic nursing practice is also being affected by this pandemic due to the fear of getting this disease. Clients of forensic nurses are too afraid of coming to the health facilities to avoid getting the infection by SARS-CoV-2. In this paper effects of this pandemic on the trends of forensic nursing practice in this COVID-19 era are being discussed along with the measures which should be taken so that there is no reduction in the clients seeking forensic nursing care. How forensic nursing education is changing in the era of COVID-19 pandemic and how forensic nursing education is coping up to keep the education process intact so that forensic nursing education is not affected or least affected by this pandemic is also being highlighted.

Bee venom is commonly used for treating ailment including pain and tumor. There are various investigations concerning melittin in terms of tumors treatment or antitumor activity. Melittin consists of 26 amino acid residues, mostly with hydrophobic or at least uncharged side chains, except for the C-terminal region, and the principal function of melittin as a component of bee venom is to cause pain and destruction of the tissue of intruders that threaten a beehive. There are various shreds of evidence regarding the effect of melittin on cancer or tumor cells. The aim of this review study was to investigate the effects of melittin on breast cancer. Studies with inclusion criteria from 2016 were included in this study. The second reason for death in women is breast cancer. The development of breast cancer is a multi-step process involving multiple cell types, and its prevention remains challenging in the world. By various biochemical and molecular mechanisms, Melittin could lead to a reduction of tumor size, prevention of metastasis, and in some cases cancer treatment. It was particularly significant cytotoxicity on damaging breast cancer cells. Some pieces of evidence also suggested that for diminishing the hemolytic and allergic reactions and fulfilling the efficacy of treatment outcome combine melittin with nanoparticles or chemotherapeutic agents. Melittin has positive effects on several types of cancer, such as renal, lung, liver, prostate, bladder, breast, thyroid, and melanoma. However, it should not be underestimated that most studies are in vitro and in vivo; therefore, more randomized control trials are required.