Aim and objectives To develop a suite of metrics and indicators to measure the quality of children's nursing care processes. The objectives were to identify available metrics and indicators and to develop consensus on the metrics and indicators to be measured. Background The Office of Nursing and Midwifery Services Director, Health Service Executive, in Ireland established seven workstreams aligned to the following care areas: acute, older persons, children's, mental health, intellectual disability, public health nursing and midwifery. Design A comprehensive design included stakeholder consultation and a survey with embedded open‐ended questions. Methods A two‐round online Delphi survey was conducted to identify metrics to be measured in practice, followed by a two‐round online Delphi survey to identify the associated indicators for these metrics. A face‐to‐face consensus meeting was held with key stakeholders to review the findings and build consensus on the final metrics and indicators for use. A STROBE checklist was completed. Results A suite of eight nursing quality care process metrics and 67 associated process indicators was developed for children's nursing. Conclusions By creating a national suite of metrics and indicators, more robust measurement and monitoring of nursing care processes can be achieved. This will enable the provision of evidence for any local and/or national level changes to policy and practice to enhance care delivery. Relevance to clinical practice The roll‐out of the metrics and indicators in clinical practice has commenced. This national suite of metrics and indicators will ensure that a robust system of measurement for improvement is in place to provide assurance to Directors of Nursing of the quality of nursing care being provided to children and their families. It supports the value of nursing sensitive data to inform change and improvement in healthcare delivery and to demonstrate the contribution of the nursing workforce to safe patient care.

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Contemporary German anti-Americanism is not a continuation of earlier anticapitalist, antimodern, and often anti-Semitic anti-Americanism. Rather, since the late 1960s a political anti-Americanism, which accepts capitalism and the extensive Americanization of German society, has emerged. It is a response to specific American foreign policies, but its roots lie in the uneven Americanization of twentieth-century Germany. Anti-Americanism has been fostered by Germany’s nonliberal variety of capitalism, by its more egalitarian social policies, by its greater secularism, by its more influential environmental movements, and by memories of World War II. Political anti-Americanism is likely to last beyond the current Iraq War crisis.

There has been much discussion on the most suitable services for mentally handicapped people with special needs such as additional mental illness or marked behavioural disorders. A number of policy documents have advocated the use of generic services as a matter of course, such as the All Wales Strategy (1983), while others have acknowledged a possible need for specialist input when such services are used e.g. Needs and Responses (Department of Health, 1989). In 1986 the Royal College of Psychiatrists stated that the psychiatric needs of this group required a specialised service and suggested that ideally this would be integrated with other psychiatric specialities as part of a comprehensive service.

This is a fascinating new overview of European-American relations during the long twentieth century. Ranging from economics, culture and consumption to war, politics and diplomacy, Mary Nolan charts the rise of American influence in Eastern and Western Europe, its mid-twentieth century triumph and its gradual erosion since the 1970s. She reconstructs the circuits of exchange along which ideas, commodities, economic models, cultural products and people moved across the Atlantic, capturing the differing versions of modernity that emerged on both sides of the Atlantic and examining how these alternately produced co-operation, conflict and ambivalence toward the other. Attributing the rise and demise of American influence in Europe not only to economics but equally to wars, the book locates the roots of many transatlantic disagreements in very different experiences and memories of war. This is an unprecedented account of the American Century in Europe that recovers its full richness and complexity.