Improving recognition and awareness of compassion satisfaction, compassion fatigue, and burnout among emergency department nurses may prevent emotional exhaustion and help identify interventions that will help nurses remain empathetic and compassionate professionals.

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Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.

Background: In many developing countries, health practitioners are responsible for managing health facilities. While formally trained in clinical knowledge and skills, their leadership, management, and governance (L+M+G) skills are often learned on the job. While there is general agreement that L+M+G skills are important, there is little evidence of the value-added of L+M+G or its effect on clinical service delivery improvements. This abstract presents new evidence of the effects of strengthening L+M+G on an existing postpartum family planning (PPFP) intervention.

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