One System, Multiple Hospitals: A Unified Paediatric Healthcare System Response to the COVID-19 Pandemic.

To address severe adult in-patient capacity pressures during the COVID-19 pandemic, 15 community hospitals were mandated to close their in-patient paediatric units (167 beds) and transfer paediatric in-patients to a single paediatric tertiary hospital. The tertiary hospital increased bed capacity through a surge plan activation, while community hospitals redeployed resources to fill the gaps in adult care. Also, 530 patients were transferred solely to increase adult bed capacity during the closure.

Psychiatric court reports and diversion outcomes in a remand prison over three years.

Objectives: There has been a notable increase in requests for psychiatric reports from District Courts for persons remanded to Ireland's main remand prison, Cloverhill. We aimed to identify if reports were prepared for persons with severe mental illness and if they led to therapeutic benefits such as diversion to healthcare. Measures of equitability between Cloverhill and other District Courts were explored.

Diagnostic Validity of Āyurvedic Pulse Assessment: Maharishi Nādi-Vigyān in Cardiovascular Health.

This study is the first of its kind to systematically investigate the relationship between the clinical practice of Maharishi ᾹyurVeda pulse assessment and cardiovascular health. Given that cardiovascular disease is a major threat to the health of people in many countries, the question of diagnostic validity of a traditional, non-invasive method of health assessment is an important one for prevention and therapeutics. For this reason, we investigated the diagnostic validity of examining the pulse of patients using the technique of Maharishi Nādi-Vigyān compared to an objective measure of blood pressure and to self-reports of other cardiovascular risk factors.

Borderline personality disorder and depressive disorder.

Objective: Borderline personality disorder (BPD) is frequently accompanied by low mood, the features of which may satisfy the diagnostic criteria for major depressive disorder (MDD). Treatment of depressive symptoms in the absence of BPD-appropriate treatment is less effective and may cause iatrogenic harm. This paper briefly reviews the co-occurrence of BPD and depressive disorder and suggests ways of differentiating these disorders and optimising treatment within the Australian Mental Health context.

Reviewing the clinical significance of 'fear of abandonment' in borderline personality disorder.

Objectives:: To review and highlight the clinical significance of the symptom 'fear of abandonment' in borderline personality disorder (BPD).

Methods:: A systematic search of the literature was conducted using MEDLINE and PubMed, employing search terms including 'fear of abandonment', 'borderline personality disorder' and 'rejection'. The most relevant English-language articles and books were selected for this review.

An exploration of self-compassion and self-criticism in the context of personal recovery from borderline personality disorder.

Objectives:: A lack of compassion for oneself, or harsh self-criticism, is associated with a range of psychiatric disorders including borderline personality disorder (BPD). Personal recovery in the context of a mental illness such as BPD involves building a life that is subjectively meaningful and satisfying. Limited self-compassion or harsh self-criticism may be an impediment to recovery from BPD.

Strategies to Recruit the Next Generation of Nursing Leadership Talent.

Objective: The purpose of this study was to explore how generational differences contribute to challenges in recruiting the next generation of talent into nursing administration roles.

Background: The current workforce is aging. Nursing administrative roles, which for the purpose of this study are defined as nurse managers, are increasingly difficult to fill with leaders from upcoming Generations X and Y.

International Nursing: Constructing an Advanced Practice Registered Nurse Practice Model in the UAE: Using Innovation to Address Cultural Implications and Challenges in an International Enterprise.

Despite utilization of the advanced practice registered nurse (APRN) in the United States health care system, there is little information about the introduction, utilization, and challenges of the APRN role globally, especially in the Middle East. This article will look at how one hospital in the United Arab Emirates introduced the APRN role to a health care environment of a country where it has not been recognized historically. Cultural challenges and barriers for the implementation of the role include regulatory, societal, and institutional.

What is the clinical significance of chronic emptiness in borderline personality disorder?

Objective: The objective of this study was to review the clinical significance of the experience of chronic emptiness in borderline personality disorder (BPD).

Methods: A systematic search of the literature was conducted using MEDLINE and PubMed, employing search terms including 'emptiness', 'personality disorder' and 'borderline personality disorder'. The most relevant English-language articles and books were selected for this review.

Guiding Principles for Creating Value and Meaning for the Next Generation of Nurse Leaders.

The wave of retirements is beginning to hit nursing, taking a toll on our cadre of nursing leaders. Ongoing healthcare reform is adding to the stress burden and exerting an effect on nurse leader turnover. The next generation of leaders will likely come from our millennial nurses, who have different attitudes toward work than previous generations.

Evaluation of changes in prescription medication use after a residential treatment programme for borderline personality disorder.

Objective: Residential patients diagnosed with borderline personality disorder were evaluated to determine whether borderline personality disorder-focused psychotherapy reduced prescribing, personality disorder and co-morbid symptom severity.

Method: Psychotropic prescriptions were measured at admission, discharge and 1 year later in 74 female participants with one or more personality disorder diagnosis and co-morbid mood disorders. Changes in pharmacotherapy were examined in the context of improvements in borderline personality disorder and/or co-morbid disorder symptom severity.