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Objective: This review aims to evaluate the effectiveness of implanted left ventricular assist devices on quality of life in patients with advanced heart failure. Introduction: Approximately 500,000 patients worldwide are diagnosed with advanced heart failure. The preferred treatment for patients who remain symptomatic after standard medical treatment is heart transplantation. However, due to the shortage of donor organs, left ventricular assist devices are increasingly used as an alternative. This umbrella review is necessary to advise clinicians so they may provide patients and families with clear information on standard medical treatment, implanted left ventricular assist devices and heart transplantation. Inclusion criteria: This umbrella review will consider research syntheses that include patients 16 years or over with advanced heart failure and an implanted left ventricular assist device. The primary outcome is quality of life, and secondary outcomes include patient survival rates and the New York Heart Association functional classification changes. Methods: An initial search of PubMed and CINAHL has been undertaken to identify articles and create a search strategy. Retrieved articles will be screened against the inclusion criteria. Included studies will be critically appraised for methodological quality according to JBI umbrella review methodology, and data will be extracted using the standardized JBI data extraction tool. The results will be presented in a Summary of Evidence, and a GRADE Summary of Findings will be produced for grading the quality of the evidence.

Speed Simulation offers a unique twist to the concept of simulation by bringing students to the point of learning and offering opportunity for maximum exposure to multiple concepts. This method was used in a recent Nurse Educator Institute (NEDI), designed to advance the educational skills of hospital nurse educators and preceptors. Twenty course participants were a part of this 3-hour undergraduate/graduate blended elective. The goal of the Speed Sims activity was to provide hospital educators and preceptors with simulation exercises to enact the principles learned in the NEDI. The five-step process is outlined in Table 1, including the integration of graduate students as authors of the seven case scenarios for role-play and as "standardized students." For this modality, the standardized student is a live person who is trained not only to portray behaviors and skills of frequently encountered problems or issues with students and new nursing staff in the clinical setting, but also to evaluate the learners' actions (Kyle & Murray, 2008). Preliminary needs assessment for the NEDI indicated a critical need for content regarding clinical supervision, principles, and methods. Sixteen hours of the NEDI were devoted to didactic presentations and homework regarding clinical supervision and evaluation. Next, the NEDI graduate students and faculty developed scenarios that would challenge the institute participate to handle (1) an overconfident student, (2) a student sharing confidential information via Facebook, (3) a disorganized student, (4) a student who makes a medication error, (5) an unprofessional student, (6) an unmotivated student, and (7) a student who has a "meltdown" (Table 2). Handouts of educational theory and methodologies were given afterward, along with a written synopsis of the rules, regulations, standards, and expectations of the educator in such an actual scenario. To contribute to the environmental and psychological fidelity, the simulations were conducted in the School of Nursing Clinical Simulation Center.

Ergonomics provides a broad framework for home healthcare nurses to improve their individual physical, psychological, cognitive, and spiritual well-being through application of models for self-care planning. As the individual becomes stronger, more resilient and work hardy, the benefits to the individual, along with the work organization and ultimately the clients, grow exponentially. This article seeks to explore the relevant ergonomic domains and assist home healthcare nurses to develop self-care planning practices that lead to healthy lifestyles and improved quality of life.