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Despite public education campaigns and a chest compression-only initiative, bystander cardiopulmonary resuscitation (CPR) is provided in approximately 30–40% of out of hospital cardiac arrests in the United States. Bystander CPR rates may not improve without addressing factors influencing bystanders’ probability of performing CPR. We propose an “intention-focused” model for the bystander CPR performance utilizing validated behavioral theory. This model describes a framework that may predict CPR performance, with intention as the key determinant of this behavior. This model may provide specific targets for strengthening the intention to perform CPR, which could lead to increased bystander rates.

Aim The aim of this study was to synthesize available data on current educational provision related to preparation for the advanced clinical practice role. Design A mixed methods rapid review of the literature. Data Sources A search of Ovid Medline and Ovid EMBASE for English language papers published 2006–2018 resulted in 38 publications, which met the criteria for inclusion. Review Methods Using Tricco's seven‐stage process, following an identification of relevant papers and data extraction, a data‐based convergent synthesis was used to convert quantitative papers into qualitative data prior to completing a narrative synthesis. Results The four themes identified from data synthesis were consolidation; theory to practice gap; competency and mentoring. A lack of preparedness for new advanced clinical practitioners completing an educational programme was noted with a need identified for a clinically focussed consolidation period to enable practitioners to develop their skills under supervision in the clinical environment. Conclusion As the needs for different models of health care evolve with the expansion of advanced practice, appropriate education and clinical supervision are important aspects in the delivery of programmes that allow individuals to be competent and confident practitioners providing safe and effective health care. Impact There is a paucity of papers on educational preparedness of advanced clinical practitioners. Our findings demonstrate a lack of preparedness and the need for a clinically focussed consolidation period with good role models and mentors following completion of a Master's programme. Employers and higher education institutions need to ensure a protected period of time is available for newly qualified advanced clinical practitioners to allow consolidation of clinical practice.

The current literature on climate change and mental health impact indicates a significant need for education of health professionals in emergency departments and other health settings. This article contributes strategies to provide an overview of the health consequences of climate change with a focus on mental health impact to increase the awareness of ED providers. Key implications for emergency nursing practice found in this article are that nurses and advanced practice providers play a key role in ensuring timely screening for climate-related mental health impact in vulnerable populations and implement effective interventions to limit the long-term effects caused by the acute psychological trauma as well as chronic psychological trauma associated with the impact of climate change.