Aims and objectives. This integrative review of the literature addresses undergraduate nursing students' attitudes towards and use of research and evidence-based practice, and factors influencing this. Current use of research and evidence within practice, and the influences and perceptions of students in using these tools in the clinical setting are explored. Background. Evidence-based practice is an increasingly critical aspect of quality health care delivery, with nurses requiring skills in sourcing relevant information to guide the care they provide. Yet, barriers to engaging in evidence-based practice remain. To increase nurses' use of evidence-based practice within healthcare settings, the concepts and skills required must be introduced early in their career. To date, however, there is little evidence to show if and how this inclusion makes a difference. Design. Integrative literature review.Methods. ProQuest, Summon, Science Direct, Ovid, CIAP, Google scholar and SAGE databases were searched, and Snowball search strategies used. One hundred and eighty-one articles were reviewed. Articles were then discarded for irrelevance. Nine articles discussed student attitudes and utilisation of research and evidence-based practice. Results. Factors surrounding the attitudes and use of research and evidence-based practice were identified, and included the students' capability beliefs, the students' attitudes, and the attitudes and support capabilities of wards/preceptors. Conclusions. Undergraduate nursing students are generally positive toward using research for evidence-based practice, but experience a lack of support and opportunity. These students face cultural and attitudinal disadvantage, and lack confidence to practice independently. Further research and collaboration between educational facilities and clinical settings may improve utilisation. Relevance to clinical practice. This paper adds further discussion to the topic from the perspective of and including influences surrounding undergraduate students and new graduate nurses.What does this paper contribute to the wider global clinical community?• An understanding of the attitudes toward and use of research and evidence-based practice by student nurses in the clinical setting.• The contributing factors that may influence these attitudes and utilisation.This integrative review of the literature addresses undergraduate nursing students' attitudes and use of research and evidence-based practice, and the influencing factors surrounding this. Current and traditional use of research and evidence within practice, and the influences and perceptions of students in using these tools in the clinical setting are explored.

Working in mental health settings is a growing area of practice for occupational therapists. The work nowadays is mostly within the community, where occupational therapists may be found in a wide variety of teams. This study investigated the specific challenges that new graduate occupational therapists are faced with when commencing work in a mental health setting. One-to-one semi-structured interviews were carried out with 15 newly graduated occupational therapists, working in mental health settings in south-east Queensland. The interview transcripts were analysed using a consensual qualitative research approach. Three domains were identified from the transcripts. The first related to the ideas of the participants about the skills and knowledge needed by new graduates commencing mental health practice; the second related to the extent to which undergraduate studies had prepared them for practice; and the third related to the means by which they acquired capacity to practise and overcame deficits in skills and knowledge. The core ideas and themes associated with these domains are examined and the implications of the findings for education and training and for orientation to practice are discussed.

Aims To establish current knowledge about the efficacy and acceptance of intentional rounding in current practice, from the perspective of nurses, patients, patient satisfaction and safety indicators. Background Intentional rounding is a formal means of nursing staff checking care needs of patients in hospital settings on a regular basis. Design An integrative literature review conducted following the Joanna Briggs Institute manual. Data sources A literature search from 2000 – 2017 was conducted using the following electronic databases: The Cumulative Index to Nursing and Allied Health Literature, ProQuest, PubMed, Informit, Sage and Scopus. Review methods Articles were assessed for quality and rigor using the Critical Appraisal Skills Program tool and the Effective Public Health Practice Project Quality Assessment tool for Quantitative Studies. A sequential explanatory mixed studies approach was used to combine qualitative and quantitative evidence in a single review. In‐depth parallel reviews of the quantitative and qualitative evidence were undertaken, and then a synthesis of the combined qualitative and quantitative evidence conducted. Results Intentional rounding has positive outcomes on patient satisfaction and safety. Nurses perceive benefits related to intentional rounding; however, some nurses perceive it as an additional, unnecessary task. The effectiveness of intentional rounding is influenced by external factors including leadership and formal rounding education, workload, ward layout, staffing and experience level. Conclusion Intentional rounding is a positive intervention in patient safety and satisfaction generally, but needs further research and consideration about actual impact, staff delegation, education and engagement, student nurse involvement, documentation and specializing the structure of intentional rounding.

Abstract. Because of large upstream diversions for agriculture and an absence of policies to protect in-stream flows, flows in the Rio Grande near Taos, New Mexico, routinely are low by midsummer. The reach is a popular whitewater run in the southwestern United States when flows are adequate for river running. This article estimates the regional economic impacts attributable to summer streamflow depletions. Economic analysis indicates that while lower water levels affect the number of people coming to the region to raft on one river reach, low water levels had no effect on another nearby rafting area. Total expenditures and economic impacts were simulated for streamflows maintained at levels adequate for whitewater recreation throughout the summer season. These simulations indicate a 24% ($0.74 million) increase in rafting-linked expenditures and a 25% ($0.94 million) increase in value added from rafting, compared to actual 1992 expenditures and value added.

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