Aims and Scope

The Open Nursing Journal is an Open Access online journal, which publishes research articles, reviews/mini-reviews, letters and guest edited thematic issues in all areas of nursing.

The Open Nursing Journal, a peer-reviewed journal, is an important and reliable source of current information on developments in the field. The emphasis will be on publishing quality papers rapidly and freely available to researchers worldwide.

We welcome papers related to nursing and midwifery, with specific relevance to health care practice, policy and research. We publish under the following themes:

  • Nursing and Midwifery practice
  • Education
  • Research methodology
  • Evidence based practice
  • New role in practice
  • Systematic reviews
  • Case studies
  • Ethical and professional issues
  • Management in health care
  • Sustainability in health and health care provision

All authors should make clear how the implications of their paper for nursing, midwifery and health care practice. They should also clearly identify the ‘take home message’ from their paper.

Recent Articles

Correlation Between Surface Cleaning and Disinfection Methods in an Emergency Room

Bruna Andrade dos Santos Oliveira, Elaine Mazuqui Rigonato, Alvaro Francisco Lopes de Sousa, Adriano Menis Ferreira, Larissa da Silva Barcelos, Mara Cristina Ribeiro Furlan, Marcelo Alessandro Rigotti, Guilherme Schneider, Denise de Andrade, Luis Velez Lapão, Aires Garcia dos Santos Junior


To evaluate the correlation between microbiological culture, ATP tests by bioluminescence and visual inspection for monitoring the surface cleaning and disinfection in an emergency room.


This is a prospective, analytical study with a quantitative approach. Data analysis was guided by the following tests: Spearman’s correlation, Fisher ‘s exact test and receiver operating characteristic (ROC) curve.


There was a correlation between ATP quantification methods and microbial count for the women’s bathroom door handle (ρ = 0.526; p= 0.008). In this study, considering the ROC curve, the ATP value below 20 RLU is suggested to classify surfaces as approved in the emergency room.


Using different methods of monitoring the cleaning and disinfection process is essential, considering that each method has a different purpose.

June 18, 2021

Editor's Choice

Night-time Noise Levels and Patients’ Sleep Experiences in a Medical Assessment Unit in Northern England

Felicity Astin, John Stephenson, Jonathan Wakefield, Ben Evans, Priyanka Rob, Garside Joanna, Emma Harris


Hospital in-patients need sleep so that restorative process and healing can take place. However, over one third of in-patients experience sleep disturbance, often caused by noise. This can compromise patients’ perceptions of care quality and cause physical and psychological ill health.


To assess 1) in-patients sleep quality, quantity, reported sources of sleep disturbance and their suggestions for improvement 2) objectively measure decibel levels recorded at night.


This descriptive study conducted in a Medical Assessment Unit used multi-methods; a semi-structured ‘sleep experience’ questionnaire administered to a purposive sample of in-patients; recording of night-time noise levels, on 52 consecutive nights, using two calibrated Casella sound level meters.


Patient ratings of ‘in-hospital’ sleep quantity (3.25; 2.72 SD) and quality (2.91; 2.56 SD) was poorer compared to ‘home’ sleep quantity (5.07; 2.81 SD) and quality (5.52; 2.79 SD). The difference in sleep quality (p<0.001) and quantity (p<0.001) ratings whilst in hospital, compared to at home, was statistically significant. Care processes, noise from other patients and the built environment were common sources of sleep disturbance. Participants’ suggestions for improvement were similar to interventions identified in current research. The constant noise level ranged from 38-57 decibels (equivalent to an office environment), whilst peak levels reached a maximum of 116 decibels, (equivalent to banging a car door one metre away).


The self-rated patient sleep experience was significantly poorer in hospital, compared to home. Noise at night contributed to sleep disturbance. Decibel levels were equivalent to those reported in other international studies. Data informed the development of a ‘Sleep Smart’ toolkit designed to improve the in-patient sleep experience.

June 18, 2020

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