Background: Creating a healthy and conducive nursing work environment is a universal global nursing concern. Work-Related Stress, global nursing and a public health problem that has continued to bedevil the world healthcare systems is of a particular interest. It has not only compromised the quality of patient care but also negatively impacted nurses’ quality of work life and adversely affected global healthcare management. Organizational culture is an important determinant of nurses’ work-related stress, yet it remains systematically under-researched. Despite a plethora of research on work-related stress in nursing environments, there are few dedicated systematic literature reviews, and this study aimed to fill this gap. Objective: To determine the scientific evidence in the literature, on the impact of organizational culture on work-related stress among nurses and provide valuable insights to mitigation of work-related stress among nurses. Design: A Systematic literature review. Methods: The review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. A comprehensive literature search was conducted in major electronic databases, including PubMed, Scopus, Web of Science, Ovid Medline, Embase and CINAHL in July 2023. Studies that met the inclusion criteria set were screened using Rayyan and Covidence. The Mixed Methods Appraisal Tool (MMAT) was used to assess the quality and risk of bias. Results: The search generated a total of 2,113 records, and 13 were included. Thematic analysis generated three main themes: types of organizational culture, organizational climate, and organizational politics, each with distinct effects on nurses’ work-related stress. We found overall that, positive organizational culture, positive organizational climate and positive organizational politics were consistently associated with nurse’s happiness and joy at the workplace and lower levels of work-related stress while negative organizational culture, climate and politics were strongly associated with nurses’ work-related stress. Conclusions: This review underscores the crucial role of organizational culture in nursing work environments and its impact on nurses’ stress levels, offering valuable insights for the mitigation of work-related stress and the transformation of the nursing profession.

The global healthcare industry is facing a critical challenge in recruiting and retaining skilled nursing workforce. In recent decades, several retention interventions and strategies have been documented in numerous systematic literature reviews worldwide. However, the available information remains broad and fragmented due to the absence of dedicated umbrella reviews to synthesize and consolidate this top-notch evidence together. To summarize from systematic literature reviews, the effectiveness of various interventions and strategies in retaining the nursing workforce in healthcare. An umbrella review. This umbrella review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive literature search of systematic reviews published within the past ten years was performed in July 2024, using PubMed, Ovid Medline, EMBASE, CINAHL, Scopus, and gray literature databases. Eligible studies were screened using Covidence, and A Measurement Tool to Assess Systematic Reviews (AMSTAR) was used to assess the methodological quality. The search yielded 1,094 articles, of which 14 met the inclusion criteria. A narrative synthesis categorized effective retention strategies into five primary groups: (1) onboarding and early career interventions (e.g., externships, internships, extended orientation, transition-to-practice programs, nursing residency, special track programs, preceptorship, mentorship, and clinical ladder programs); (2) leadership; (3) work environment and organizational factors; (4) individual factors; and (5) the use of innovation, technology, and robotization. These interventions demonstrated effectiveness in enhancing nurse retention and lowering turnover. Nurse retention is a complex and multifaceted issue. No single intervention works in isolation; but rather, a network of strategies and interventions is necessary to effectively reduce turnover and retain nursing staff. Future research should focus on retention strategies in Low- and Middle-Income Countries and explore the impact of technological innovations and robotization to align nurses’ retention with the evolving healthcare landscape. Urgent and coordinated action is needed to address nurse retention. Nurse managers and policymakers must adopt an early robust onboarding program, transformative leadership styles, supportive nursing work environments while embracing innovation, technology, and robotization to achieve better retention.

Background: Rare cancers, defined as those with an incidence rate of fewer than 6 cases per 100,000 individuals, contribute to a substantial portion of the global cancer burden. Despite their impact, they receive less attention than more common malignancies, leading to challenges in early detection, treatment strategies, and research funding. This study aims to assess the global incidence and mortality patterns of rare cancers in 2022 to better understand their contribution to the overall cancer burden and regional disparities. Methods: We conducted a comprehensive analysis using 2022 GLOBOCAN estimates to assess the global incidence and mortality of rare cancers. The study included 24 major rare cancers, such as bladder cancer, leukemia, non-Hodgkin lymphoma, esophageal cancer, and pancreatic cancer. Age-standardized rates (ASRs) were calculated to compare cancer burden across continents, and absolute case and death counts were reported. Results: In 2022, rare cancers accounted for 26.7% of all new cancer cases (5,347,784 cases) and 30% of all cancer-related deaths (2,959,369 deaths) worldwide. Bladder cancer was the most common rare cancer, with an incidence rate of 5.58 per 100,000, followed by non-Hodgkin lymphoma (5.57) and leukemia (5.26). Mortality rates were highest for pancreatic, esophageal, and brain cancers, reflecting their aggressive nature and limited treatment options. Significant regional disparities were observed, with Europe and North America reporting the highest incidence rates for bladder cancer and leukemia, while Asia bore the largest absolute burden of rare cancers. Conclusions: Rare cancers represent a considerable share of the global cancer burden, with notable geographic variations in incidence and mortality. These findings underscore the need for improved early detection, expanded treatment access, and targeted research efforts to address disparities and improve outcomes for patients with rare cancers worldwide.

Natural resource management (NRM) plays a pivotal role in ensuring the sustainability of ecosystems, which are essential for human health and well-being. This systematic review examines the impact of various NRM practices on water quality and their subsequent effects on public health. Specifically, it focuses on interventions such as watershed management, pollution control, land use management, water treatment, and ecosystem restoration. We conducted a comprehensive search across PubMed, Scopus, and Web of Science, supplemented by gray literature from Google Scholar, WHO reports, and government and NGO publications, covering studies published between 2014 and 2024. A total of 42 studies met the inclusion criteria, encompassing diverse geographical regions with significant representation from developing countries. The findings indicate that effective NRM practices, particularly those aimed at reducing pollutants, managing watersheds, and promoting sustainable land use, significantly improve water quality by lowering levels of chemical contaminants, microbial pathogens, and physical pollutants. Improved water quality directly correlates with reduced incidences of waterborne diseases, chronic health conditions from long-term chemical exposure, and acute health effects from immediate pollutant exposure. The review underscores the need for tailored NRM strategies that consider local environmental and socio-economic contexts. It also highlights the importance of community involvement, regulatory frameworks, and continuous monitoring to enhance the effectiveness of NRM interventions. Despite the positive impacts, barriers such as limited financial resources, technical expertise, and community engagement pose challenges to the implementation of these practices. In conclusion, the systematic review demonstrates that comprehensive and context-specific NRM practices are crucial for improving water quality and public health outcomes. Policymakers and practitioners are encouraged to adopt integrated water resource management approaches, prioritize sustainable practices, and engage local communities to achieve long-term health and environmental benefits.

Background: Cancer awareness and screening among individuals with intellectual disabilities face unique challenges. To bridge this gap, educational interventions have been developed. Aims: This review comprehensively analyzes educational interventions aimed at enhancing cancer awareness among individuals with intellectual disabilities (IDs). It addresses key questions regarding intervention types and effectiveness, influencing factors, and recommendations for impactful programs. Methods and procedures: A robust search strategy was deployed across reputable databases yielding 2512 articles. After meticulous screening and eligibility assessments, eight studies met the inclusion criteria, encompassing qualitative research, a feasibility study, and randomized control trials. Outcomes and results: The studies employed diverse interventions and assessment methods, leading to varying outcomes. Interventions included educational materials, communication packs, health education DVDs, and healthcare professional support, typically delivered over a short period with limited follow-up. Assessment methods comprised surveys, interviews, and knowledge surveys. However, a comprehensive evaluation of knowledge gains and screening uptake was often absent. While some studies reported modest increases in knowledge, none measured actual screening uptake and long-term effects. The strengths and limitations of these studies underscore the need for more comprehensive research in this area, considering factors such as sample size, study design, and long-term impact. Conclusion and implications: In conclusion, this review provides valuable insights into educational interventions for cancer awareness among individuals with intellectual disabilities. Its comprehensive methodology and findings underscore the significance of tailoring interventions, extending their duration, and involving caregivers to optimize outcomes for this vulnerable population.

This study aimed to determine the current prevalence of nurse retention in Sub-Saharan Africa (SSA), evaluate the strategies and interventions in SSA countries used to retain their nurses, and identify the key challenges impeding nurse retention. A systematic review and meta-analysis were conducted. An electronic search was performed in August 2024 across multiple databases, including PubMed, Ovid Medline, Embase, CINAHL, Scopus, and grey literature sources. The studies were screened using Covidence, and quality assessments were conducted using the Mixed Methods Appraisal Tool. A total of 31 articles were included in the review. Meta-analysis revealed that the pooled nurses’ retention rate in SSA was 53 % (95 %CI: 38 %–67 %; I² = 97 %), while the pooled intention to stay (ITS) rate at work was 57 % (95 %CI: 43 %–71 %; I² = 99 %). Subgroup analysis by region showed that the ITS rate was highest in East Africa (65 %), followed by West Africa (63 %), and lowest in Southern Africa (35 %). Effective retention strategies included financial and non-financial incentives, increased production and training of nurses, steering students to shortage specialties, adequate rural housing, facility level improvements, availability of career and professional progression opportunities, nurses’ recognition and involvement, employment terms, transparency and predictable management of human resources, supportive work environments, leadership, religious factors, and stakeholders’ collaborations. Key challenges to nurses’ retention include inadequate healthcare funding, governance issues, poor remuneration and working conditions, political interference, high unemployment rates, ineffective mobility management, unregulated international migration, and active recruitment by wealthier nations. Nurse retention in SSA remains critically low. Interventions should be formulated for the above-mentioned effective improvement strategies to address these systemic challenges in order to retain nurses in SSA.