Background/Objectives: Community health nursing (CHN) clinical experiences are essential for preparing undergraduate nursing students to deliver safe and effective home-based care; however, access to placements is often limited. Escape room simulation (ERS) has been used in nursing education, yet its feasibility in CHN remains underexplored. This exploratory study aimed to examine the feasibility of using ERS in undergraduate CHN education by evaluating students’ perceived competence, confidence, and learning experiences following participation in the simulation. Methods: A quasi-experimental, single-group pre–post design was conducted with 56 undergraduate nursing students. Data were collected at three time points: prior to the simulation, immediately after, and ten weeks post-intervention. Measures included standardized assessments of CHN competence and confidence, as well as student perceptions of the simulation experience. Linear mixed-effects modeling was used to examine changes over time. Results: Significant improvements were observed in both competence (t = 6.413, p < 0.001) and confidence (t = 8.142, p < 0.001) following the simulation, with gains maintained at ten weeks. Variability in competence decreased across participants over time, while confidence gains varied individually, with larger improvements among participants with lower baseline scores. Participants reported high levels of satisfaction with the simulation despite limited prior exposure. Conclusions: ERS was associated with improvements in undergraduate nursing students’ perceived competence and confidence, suggesting that it may represent a feasible and acceptable supplemental educational strategy for undergraduate CHN education. Additional research is needed to better evaluate the educational impact and underlying mechanisms of ERS in CHN education, and to support the development of evidence-based ERS approaches that enhance student preparedness for community-based nursing practice in settings where clinical placements are limited.

Objectives: SCD is a monogenic condition with complex pathophysiological pathways influenced by nutrition. While dietary management is recognized in pediatric SCD populations, the role of diet in symptom variability and disease severity among adults living with SCD has not been widely reported nor systematically studied. This study utilizes qualitative data to investigate intrapersonal and environmental facilitators and barriers to dietary intake among adults with SCD. Methods: This cross-sectional, single-site mixed-methods study (NCT05170412) included 47 adults living with SCD from multiple US regions through in-person and telehealth visits. Data collection involved semi-structured interviews, dietary recall surveys, and clinical assessments. Thematic analysis using iterative coding identified key themes related to food choices, symptom management, and social determinants of health. Results: Participants reported that economic constraints, food environment limitations, and acute symptoms disrupted dietary intake. Food insecurity risk was prevalent, with many residing in low-income, low-access areas. Barriers included high costs of nutritious foods and work-related dietary restrictions. Facilitators included social support, cultural food preferences, and access to reliable nutritional information. Participants expressed interest in dietary self-management strategies, but cited limited access to professional dietary guidance. Conclusions: For adults with SCD, diet and nutrition are significantly related to symptoms. Food access, symptom-related dietary interruptions, and cultural preferences shape dietary behaviors. These findings highlight the need for personalized dietary interventions, improved food access, and clinician-guided nutritional education. Addressing these factors could enhance self-management strategies related to diet and overall disease outcomes.

Many people in the United States suffer from one or more major chronic diseases. With the rise of individuals living with chronic and serious illnesses, effective advance care planning (ACP) is essential to ensure all patients receive care that is congruent with their preferences. Advance care planning (ACP) is a proactive, patient-centered process in which individuals delineate their preferences about medical care before losing their decision-making capacity. This process is ongoing and should be re-visited regularly to ensure it remains relevant and reflective of an individual's current wishes. In this article, we provide an overview of ACP, components of ACP, benefits and barriers of ACP, resources available for nurses/healthcare professionals, patients, and families. We also discuss the role of nurses in facilitating ACP, and additional policy considerations.

Background: Growing numbers of incarcerated people with dementia present many challenges. Aim: To explore corrections officers’ and correctional nurses’ views and practices on management and safety of inmates with dementia. Methods: Focus groups with 24 corrections officers and nurses were subject to thematic content analysis. Results: Five overarching themes were identified: communication barriers, burden/role strain and emotional impact, care/safety management, cultural considerations and trust, and need for practical tools and support resources. Discussion: Corrections officers and nurses share concerns about older inmates showing signs of cognitive dysfunction. Interestingly, each group knows about the other, although they seldom have contact, they share the same worries and focus on similar potential solutions. The fact that prisons are becoming nursing homes in disguise is not just a logistical concern but a reflection of the broader societal failure to provide alternatives to incarceration for aging and medically fragile individuals.