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Music played in the operating theatre can interfere with team communication, yet is seldom recognized as a potential safety hazard. Decisions around whether music is played and around the choice of music and its volume, are determined largely by surgeons. Frank discussions between clinicians, managers, patients and governing bodies should be encouraged for recommendations and guidance to be developed.

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AimsTo summarize the international empirical literature to provide a comprehensive understanding of older nurses’ decision‐making surrounding the timing of their retirement.BackgroundThe global nursing shortage is increasing. Among some countries it has become an economic imperative to consider raising the state pension age and to extend working lives.DesignAn integrative literature review using an integrated design.Data sourcesMEDLINE, CINAHL and Business Source Premier databases were searched for studies between January 2007 – October 2019.Review MethodsQuality appraisal of the studies was conducted. Findings were summarized, grouped into categories and themes extracted. Two models were developed for data representation.ResultsA total of 132 studies were identified by the search strategy. Of these, 27 articles were included for appraisal and synthesis. Sixteen papers were quantitative, seven qualitative, and four mixed methods. The research took place in 13 different geographical locations. Most studies were of a questionnaire design, followed by interviews and focus groups. The total participant sample was 35,460. Through a synthesis of the studies, four themes were identified: Health, Well‐being, and Family factors; Employer factors; Professional factors; and Financial factors.ConclusionThis review not only revealed the heterogeneity of studies on this subject and confirmed previous findings but also established a ranking of criteria that influences nurses’ decision‐making: age, followed by personal and organizational factors. Four extracted themes of push and pull factors map onto these factors. No ‘one‐size‐fits‐all’ strategy exists to ensure the extension of older nurses’ working lives. Organizations need to foster an environment where older nurses feel respected and heard and where personal and professional needs are addressed.ImpactOrganizations need to implement HR policies addressing nurses’ personal well‐being and retirement preparation. Older nurses are more likely to extend their working lives if they feel committed to their organization and when professional standards are maintained.

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