Previous healthy and independently-living participants described, in different ways that the hip fracture was an interruption that still affected everyday life. The absence of psychological support may be one of the reasons for dependency after four months.

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Background Stress can originate from many different unsatisfying work situations. Registered nurses working in municipal care have experience of work-related stress in different ways. Aim The purpose of this study was to describe the work-related stress experienced by registered nurses caring for older people at municipal aged care facilities. Methods Qualitative semi-structured interviews according to Polit and Beck were carried out in clinical work at six different municipal aged care facilities in Sweden. Twelve registered nurses participated in the study. Results The results outlined in one main central theme: Feelings of inadequacy and dissatisfaction contribute to work-related stress and three categories: Difficulty coping with work tasks, Insufficient support, Work-related stress affects private lives. Areas identified were lack of time, staff shortages, high number of patients, lack of communication and teamwork in the working group, showing that inadequacy and dissatisfaction can contribute to work-related stress. This can contribute to work-related stress, and it can be a result of problems in the organizational and social work environment. Conclusion This study showed the everyday experiences of registered nurses’ stress at work. The reasons that registered nurses experience a heavy workload were found to be similar in several municipal care facilities. Future interventions should consider the areas of stress found in this study to reduce the risk of further increasing the work-related stress experienced by registered nurses working in municipal aged care.

BMC Nursing 2017, 16(Suppl 1):K1Dramatic changes have occurred during my 40+ years of teaching research methods to nurses and nursing students, including important transformations within the profession, an explosive growth in published research by nurses, greater inter-professional collaboration, increased funding opportunities, and stunning methodologic and technologic advances. In this talk I will describe some of the major ways in which nursing research has evolved over the past 4 decades by tracing content revisions in my textbook Nursing Research: Generating and Assessing Evidence for Nursing Practice-now in its 10th edition and still the world's #1 textbook on research methods for nurses. The earliest editions of this book had no mention of such key concepts as evidence-based practice, mixedmethods research, complex interventions, and systematic reviews; now, entire chapters are devoted to these topics. Indeed, it was not until the 3rd edition of the book (1987) that qualitative research was given serious coverage, and now many chapters of the book describe methods for conducting high-quality qualitative inquiry. My presentation will focus especially on the key revisions I introduced in the 10th edition, which was published in 2016 (2017 copyright date). In particular, I will discuss a topic about which I have become passionate-the measurement and interpretation of clinical significance (distinct from statistical significance) in nursing studies. I will also describe revisions that I am planning to make in the 11th edition, which will be published in early 2020. In all editions published thus far, I have strived to provide guidance on how to do research with rigor and integrity-that is, how to "get it right" when answering a research question. In the 11th edition I plan to devote considerably more attention to what nurse researchers can do to "get it right" in asking their research questions. In this regard, I will provide an overview of strategies for improving the relevance and applicability of nursing research. K2Complex Interventions: areas for further development Souraya Sidani (ssidani@ryerson.ca) School of Nursing, Ryerson University, Toronto, Canada BMC Nursing 2017, 16(Suppl 1):K2 Background Complex interventions consist of multiple components addressing different behaviors at the individual, organization or community levels. Whereas advances have been made in their design and evaluation, additional work is needed to enhance their relevance and transferability. Purpose This methodological presentation offers a glimpse at additional strategies that can be incorporated in early phases of developing and evaluating complex interventions; the goal is to have efficient interventions that incorporate acceptable, feasible and most effective components. Strategies and ImplicationsIn the development and modeling phase, conceptual analysis of the linkages among the context, the problem, the intervention's components and the outcomes is foundational for clearly identifying the active ingredients and the most ...