Climate change is an evolving phenomenon that impacts the quality of life and human health, especially of the vulnerable and marginalized, the chronically ill, children and women worldwide. International health organizations are including the mitigation of climate change in their agenda and healthcare professionals are having a progressively active role in this fight, by generating knowledge, training and advocacy. It is becoming increasingly important for healthcare students to understand how the environment influences health and the measures and precautions that the health community can implement in the fight against climate change in order to meet the future needs of populations and communities. The main objective is to describe the degree of knowledge and interest of nursing students of the Comunidad de Madrid about climate change in order to explore their need for training and education on the subject, and ultimately meet the future needs of patients and healthcare institutions. The population sample selected consists of nursing students of any year of 14 different universities in the Comunidad de Madrid. This descriptive cross-sectional study was carried out using the "International Health Survey" questionnaire, validated and published by the principal investigator from George Mason University, reformulated, under permission, for the study population. The data collection has been carried through direct contact with institution's directors. Survey's results have shown participants to have lack of training and education regarding the effects of climate change, while demonstrating concern, interest and motivation in learning. Results also reveal differences between students based on gender, the year of attendance, and the type of university (public, private, or affiliated). Including climate change education in the nursing school curricula of Comunidad de Madrid would benefit healthcare institutions as future nurses will be prepared to meet the needs of populations and communities and be active in reducing the effects of climate change.

Background/Objectives: Clinical debriefing is a learning tool that promotes reflection after critical incidents, improving patient safety and professional performance. TALK© is a debriefing technique designed to facilitate structured team self-reflection after any learning event in clinical settings. The aim of this study is to explore the experiences of fourth-year nursing students in clinical internships with clinical debriefing guided by the TALK© tool. Methods: A qualitative case study was conducted. Twenty-seven participants were recruited using purposeful sampling. The sample consisted of nursing students. Data were collected through in-depth interviews, focus groups, personal writings, and researcher field notes. An inductive thematic analysis process was applied. The data analysis was performed using ATLAS.ti 23 software, which facilitated the identification and organization of key themes and patterns within the qualitative data. Conclusions: Participants perceived TALK©-guided clinical debriefing as a valuable practice. Key factors influencing their experience included the reflexive process, the debriefing approach and technique, the timing and context, as well as its emotional sphere.

Background/Objectives: The healthcare sector accounts for an estimated 1–5% of the global environmental footprint, and hospitals concentrate a large share of that impact. As the largest professional group, nurses are pivotal to the transition toward green and regenerative hospitals. This review aimed to map the sustainable nursing practices implemented in hospitals internationally and to characterise the contribution of nursing to reducing the environmental footprint of care. Methods: A scoping review was conducted following the Joanna Briggs Institute methodology and reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). PubMed, Scopus, ScienceDirect, SpringerLink, SciELO and Dialnet were searched for studies published between 2021 and 2026, complemented by grey and institutional literature, citation searching and hand-searching. Records were screened in duplicate against predefined eligibility criteria, and the evidence was charted into six thematic categories aligned with the review objectives. Results: Twenty-five sources were included—11 reviews and 14 primary studies, most of them descriptive. Waste management emerged as the domain most sensitive to nursing action, whereas energy and water use were only minimally nurse-sensitive. Education, leadership and nurse engagement were the main enablers; insufficient training, resistance to change and limited investment were the recurrent barriers. Only one study explicitly addressed the regenerative transition, from a governance perspective. Conclusions: Embedding sustainable practices in nursing can reduce the environmental impact of hospitals while preserving quality of care. Nurse-sensitive environmental indicators and the integration of sustainability competencies into curricula and hospital governance are key levers for this transition, whose regenerative dimension remains incipient and requires primary, comparative research.

Background/Objectives: The healthcare sector is responsible for an estimated 1–5% of the global environmental footprint, and hospitals concentrate a large share of that impact through resource consumption, waste generation and greenhouse-gas emissions. As the largest professional group and the staff in closest contact with patients and clinical resources, nurses are pivotal to the transition toward green and, ultimately, regenerative hospitals. This review aimed to identify and synthesise the sustainable nursing practices currently implemented in hospitals and to characterise the role of nursing in reducing the environmental footprint of care. Methods: A scoping review was conducted following the Joanna Briggs Institute (JBI) methodology and reported in accordance with the PRISMA extension for Scoping Reviews (PRISMA-ScR). PubMed, Scopus, ScienceDirect, SpringerLink, SciELO and Dialnet were searched for studies published between 2021 and 2026, complemented by grey and institutional literature retrieved through the institutional library catalogue and by citation searching and hand-searching of key journals. Records were screened independently and in duplicate by two reviewers against predefined eligibility criteria; consistent with scoping-review methodology, no formal quality threshold was used to exclude studies, and the evidence was charted and grouped into six thematic categories aligned with the review objectives. Results: Twenty-five studies were included. Waste management emerged as the domain most sensitive to nursing action, whereas energy and water use were only minimally nurse-sensitive. Education, leadership and the active engagement of nurses were the enablers most consistently reported, while insufficient training, resistance to change and limited investment were the recurrent barriers. Conclusions: Embedding sustainable practices in nursing reduces the environmental impact of hospitals while preserving quality of care and optimising resource use. Nurse-sensitive environmental indicators and the integration of sustainability competencies into curricula and hospital governance are key levers for the transition toward regenerative hospitals.

Background/Objectives: Hip arthroplasty is highly effective but carries a measurable burden of early postoperative adverse events. Knowing not only how often these events occur but when they appear is relevant to patient safety and postdischarge surveillance. The aim of this study was to describe the frequency and timing of the main adverse events within 90 days of total or partial hip arthroplasty and to compare onset timing between prosthesis types. Methods: This was a retrospective single-center observational cohort study with a longitudinal survival component. A total of 212 consecutive patients who underwent total or partial hip arthroplasty during 2023 at a tertiary university hospital were included. Five adverse events (postoperative fever, surgical-wound infection, prosthesis infection, reoperation, dislocation) were recorded for 90 days from surgery. Time-to-onset was analyzed with the Kaplan–Meier method and compared between total and partial prostheses with the log-rank test (SPSS v25; two-sided p < 0.05). Results: A total of 167 patients (78.8%) received a total and 45 (21.2%) a partial prosthesis; approximately 29% experienced at least one adverse event. Postoperative fever was the most frequent (58; 27.4%) and earliest event (median onset 2 days, 95% CI 1.5–2.5), followed by surgical-wound infection (17; 8.0%), reoperation (11; 5.2%; median 25 days), prosthesis infection (8; 3.8%; latest onset day 77) and dislocation (5; 2.4%; median 15 days). Onset timing differed between prosthesis types only for fever (median 1 vs. 3 days; p = 0.016), an exploratory difference given the different clinical profiles of the two groups. Conclusions: Within 90 days of hip arthroplasty, fever is the most frequent and earliest adverse event, whereas wound and prosthesis infections, reoperation and dislocation may present well beyond hospital discharge. These exploratory findings suggest that structured postdischarge follow-up may warrant further evaluation.