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Commentary on: Lou J, Li J, Fan Y, et al. Effects of virtual reality on analgesia in wound care and physical therapy for burn patients: a systematic review and meta-analysis. Pain Manag Nursing. 2024; 25(4):377–388.
Implications for practice and research Virtual reality (VR) is a promising distraction intervention for pain and anxiety. Which type of VR and most effective length of exposure to reduce symptom burden is unknown. Future research must address this gap to discover best practices for the frequency, intensity and duration of VR therapy for analgesia.
Over the past 20 years, virtual reality (VR) has emerged in culture and healthcare providing a virtual world with audio and visual stimuli that can be immersive or non-immersive. Immersive VR has headsets with motion detectors that enable a multidimensional environmental experience with sensory feedback. Non-immersive VR provides a one-dimensional digital environment observed...
Commentary on: Alanazi N, Gu F, Li CS, et al.Lorenz RA, Hong CC. Sleep Quality and Associated Factors Among Survivors of Breast Cancer: From Diagnosis to One Year Postdiagnosis. Oncol Nurs Forum. 2024 Feb 19;51(2):163-–174. doi: 10.1188/24.ONF.163-–174. PMID: 38442284.
Implications for practice and research Sleeping disorders are common in breast cancer patients and increase in the first year after diagnosis. Nurses should be aware of the high frequency of these disturbances, which persist after the conclusion of most therapies. The determinants of worsening sleeping quality in breast cancer survivors need to be understood, including the role of treatments, the type of surgery and psycho-social or contextual factors.
Breast cancer is the most common cancer in women worldwide. While research in recent decades has focused on minimising treatment, the disease still impacts women’s lives in many ways. Because increased sleep disturbances affect approximately...
Commentary on: Effectiveness of educational interventions in reducing stigma of healthcare professionals and healthcare students towards mental illness: A systematic review and meta- analysis—Wong et al.
Implications for practice and research Training programmes for all healthcare professionals should incorporate appropriate and early education on mental illness and its common societal implications to ensure that care is inclusive and non-judgmental. Education must be tailored, multimodal (in-person/online; contact-no-contact) and repeated. Further research looking at why, when and how stigma develops is necessary.
Stigma exists in society towards mental health and is also demonstrated by healthcare professionals. It develops early on in careers and impacts the delivery of care which further stigmatises this already disadvantaged population. Up to 75% of individuals with mental illness refuse treatment because of stigma leading to negative outcomes.
Commentary to: Woodward A, Nimmons D, Davies N, et al. A qualitative exploration of the barriers and facilitators to self-managing multiple long-term conditions amongst people experiencing socioeconomic deprivation. Health Expect 2024;27(2):e14046. doi: 10.1111/hex.14046.
Implications for practice and research Addressing socioeconomic barriers is crucial to develop patient-centred care models to help self-managing multiple long-term conditions (MLTCs). Managing MLTCs is not solely an individual responsibility, and community-based interventions should aim to strengthen social support networks and reduce social isolation. The extent of the beneficial effects of social support networks on health outcomes and MLTCs self-management should also be addressed in research.
Worldwide, one in three adults lives with multiple long-term conditions (MLTCs) and requires ongoing management and self-management. Socioeconomic deprivation exacerbates health inequalities due to limited resources and opportunities. In England, people living in deprived areas tend to develop MLTCs earlier and have a...
Commentary on: Impact of Crisis Care on Psychiatric Admission in Adults with Intellectual Disability and Mental Illness and/or Challenging Behavior: A Systematic Review—Tai et al.
Implications for practice and research Crisis care should be integrated into community care for this vulnerable and difficult-to-treat population to improve community tenure and reduce healthcare costs. Crisis care versus intensive community care needs to be defined, and standardised models compared, to optimise outcomes in different healthcare jurisdictions.
There is a high prevalence of psychiatric disorders among individuals with intellectual disability. In keeping with deinstitutionalisation, this population has also been moved from hospital to community but not necessarily accompanied by the specialised resources required. Consequently, there are high admission rates, however, this has been associated with traumatic experience (for patients and caregivers), potential neglect and abuse. Community crisis care has been studied for other patient groups but...
Commentary on: Previdoli G, Alldred DP, Silcock J, et al. ‘It’s a job to be done’. Managing polypharmacy at home: a qualitative interview study exploring the experiences of older people living with frailty. Health Expectations 2024;27:e13952.
Implications for practice and research Chronic illness in ageing requires complex medication regimes linked to adverse drug events, hospitalisation and mortality. The impact of age-related frailty with polypharmacy is less known.
Causality exists between frailty and polypharmacy, and the risks associated with polypharmacy among frail older persons are high.
Commentary on: Kung PC, Huang HL, Hsu WC, et al. Coexisting with anomie: Experiences of persons living with early-stage dementia: A grounded theory study. Int J Ment Health Nurs 2024;33(2):452-462.
Implications for practice and research Adopting a holistic care approach for individuals living with early-stage dementia is crucial, addressing not only their physical symptoms but also psychosocial and emotional needs. There is need for further exploration of anomie in the context of dementia, as well as longitudinal and comparative studies to expand the understanding of its implications towards developing effective intervention strategies.
Dementia, recently renamed as ‘major neurocognitive disorder’, manifests with a multitude of symptoms leading to varying disease progression and expression
While artificial intelligence (AI) was first developed in the late 1950s
Commentary on: Chen S, Marshall T, Jackson C, et al. Sociodemographic characteristics and longitudinal progression of multimorbidity: A multistate modelling analysis of a large primary care records dataset in England. PLoS Med 2023;20(11): e1004310. doi: 10.1371/journal.pmed.1004310
Collecting data about different physiological, psychological and sociodemographic factors is crucial to better understand the progression of multimorbidity, rather than single disease-oriented approaches. Factors that influence the development of multimorbidity seem to precede a subject’s engagement with health services, thus the implementation of preventive strategies should take place early in the disease trajectory, aiming to reduce inequalities between groups with diverse socioeconomic backgrounds and ethnicities.
Multimorbidity is the concomitant presence of ≥2 long-term chronic health conditions in a subject, it is increasingly prevalent with the ageing process and leads to poor health outcomes.
Commentary on: Hatukay et al. The relationship between quick return shift schedules and burnout among nurses: A prospective repeated measures multi-source study. Int J Nurs Stud 2024;151:1-7
Implications for practice and research Nurse managers should develop motivational methods to buffer the effects of shorter sleep durations on burnout and be cognisant of the impact of quick return shifts on nurses. Sleep studies are often cross-sectional based on self-report measures; using more objective measures of sleep over a longer period is encouraged.
Acute care nurses often work consecutive shifts to meet workplace demands and that allows for longer day off periods. Quick return is defined in the literature as less than 11 hours of rest between two consecutive shifts.
Commentary on: Hocking SL et al. Intensive Lifestyle Intervention for Remission of Early Type 2 Diabetes in Primary Care in Australia: DiRECT-Aus. Diabetes Care 2024;47:66–70.
Implications for practice and research Intensive lifestyle intervention in primary care can safely achieve type 2 diabetes (T2D) remission at 12 months in around half of selected participants with short-duration, well-controlled T2D. Research on the effectiveness and acceptability of strategies to improve durability of remission is needed.
Although previously thought to be inevitably progressive, evidence is growing that type 2 diabetes (T2D) can be brought into remission with weight loss.
This study by Hocking et al
Commentary on: Yu Y, Cheng S, Huang H, et al. Joint association of sedentary behaviour and vitamin D status with mortality among cancer survivors. BMC Med 2023;21:411.
Implications for practice and research Results support National Institute for Health and Care Excellence recommendations Biological mediators linking sedentary behaviours, vitamin D and health outcomes should be investigated to understand the underlying causal link.
Many observational studies showed that sedentary behaviours
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