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AnteayerEvidence-Based Nursing

Infertility and poor reproductive outcomes as potential predictors of early and premature menopause: lets act before it would be too late!

Por: Etrusco · A. · Lagana · A. S.

Commentary on: Liang C, Chung HF, Dobson AJ, Cade JE, Greenwood DC, Hayashi K, Hardy R, Kuh D, Schouw YTV, Sandin S, Weiderpass E, Mishra GD. Is there a link between infertility, miscarriage, stillbirth, and premature or early menopause? Results from pooled analyses of 9 cohort studies. Am J Obstet Gynecol. 2023 Jul;229(1):47.e1-47.e9. doi: 10.1016/j.ajog.2023.04.009. Epub 2023 Apr 13.

Implications for practice and research

  • Women with a history of recurrent miscarriages, infertility, or stillbirths should be informed of their increased risk of early or premature or menopause.

  • Future studies should aim to evaluate whether a tailored counselling and management strategies considering this risk can improve patient outcomes and overall quality of care.

  • Context

    Menopause is a significant milestone for women, marking the permanent cessation of menstruation after 12 months of amenorrhoea. The onset of menopause is influenced by various factors, including genetics, lifestyle and...

    Gender differences found in fall-related factors among community-dwelling Korean older adults

    Por: Zhang · N. · Arunachalam · U.

    Commentary on: Suh M, Kim DH, Cho I, Ham OK. Age and gender differences in fall-related factors affecting community-dwelling older adults. J Nurs Res. 2023 Apr 1;31(2):e270. doi: 10.1097/jnr.0000000000000545.

    Implications for practice and research

  • Future research could explore and test the efficacy of gender-specific fall prevention protocols.

  • In practice, understanding that there are gender-based risk factors for falls would assist and prompt nurses and health professionals to perform assessments or interventions to specifically mitigate those risks

  • Context

    Falls are an incredibly common issue among older adults, with potentially serious downstream consequences. Suh et al (2023) aimed to explore not only the prevalence of falls but also the factors relating to age, gender and falls. It is well established that there are gender differences in the prevalence of falls, however, the reasoning is not fully understood. This study was conducted to address the paucity in...

    Unravelling the complexities of nutritional behaviours in hospital nurses: a commentary on enablers and barriers to healthy eating

    Por: Abujaber · A. A. · Nashwan · A. J.

    Commentary on: Marko S, Wylie S, Utter J. Enablers and barriers to healthy eating among hospital nurses: a systematic review. Int J Nurs Stud. 2023 Feb;138:104412. doi: 10.1016/j.ijnurstu.2022.104412. Epub 2022 Dec 5

    Implications for practice and research

  • Multi-faceted interventions are key in addressing various influences on nurses’ healthy eating beyond individual choices.

  • Rigorous studies are needed to assess multi-level socio-ecological interventions’ effectiveness on nurses’ eating habits.

  • Context

    Nurses, despite playing a significant role in healthcare, have been found to possess poor dietary habits and face elevated rates of chronic illnesses. A recent systematic review by Marko and colleagues explored factors influencing healthy eating among nurses in hospital settings. Barriers included high accessibility of unhealthy foods, high costs and lack of storage/preparation facilities. Enablers included proximity to healthy options, roster planning and structured workplace programmes. Supportive networks were an interpersonal enabler, while work culture and...

    Nurturing healthy futures: unveiling promising policy avenues to tackle root causes of poor health in early years

    Por: Ospina · M. B. · Bailleux · M.

    Commentary on: Stewart E, Pearce A, Given J, Gilbert R, Brophy S, Cookson R, Hardelid P, Harron KL, Leyland A, Wood R, Dundas R. Identifying opportunities for upstream evaluations relevant to child and maternal health: a UK policy-mapping review. Arch Dis Child. 2023 Jul;108(7):556-562. doi: 10.1136/archdischild-2022-325219. Epub 2023 Mar 31.

    Implications for practice and research

  • Prioritising policies targeting social determinants of health is crucial for improving early-life health outcomes. Public involvement in policy prioritisation is vital for equitable and effective policies.

  • Investing in comprehensive evaluations using harmonised and accessible administrative data is necessary to understand long-term effects of policy effectiveness.

  • Context

    Reducing early-life health inequalities is a critical challenge amid the COVID-19 socioeconomic impact.1 Sociostructural policies addressing upstream determinants are important, but evidence is limited compared with individual interventions—a discrepancy known as the inverse evidence law.2 3 To...

    Cardiometabolic profile of young adults with intellectual disability

    Por: McKenna · N. · Brown · M.

    Commentary on: Zwack CC, McDonald R, Tursunalieva A, Lambert GW, Lambert EA. Exploration of diet, physical activity, health knowledge and the cardiometabolic profile of young adults with intellectual disability. J Intellect Disabil Res. 2022 Jun;66(6):517-532. doi: 10.1111/jir.12917. Epub 2022 Feb 9.

    Implications for practice and research

  • Adults with intellectual disabilities need education and additional support to increase daily physical activity and improve their diets.

  • Longitudinal studies are required to identify how adults with intellectual disabilities apply nutrition and activity-related knowledge and the supports that work to reduce cardiometabolic disease.

  • Context

    Research evidence details the significant health needs and inequalities experienced by many people with intellectual disabilities that contribute to their poor physical and mental health. While life expectancy has increased, many continue to die prematurely from avoidable and preventable conditions. Poor diet, obesity, low levels of physical activity, poor lipid profile and type 2...

    Prolonged screen time in adolescence linked to higher cardiometabolic risk in adulthood

    Por: Nauman · J. · Omara · A.

    Commentary on: Nagata JM, Lee CM, Lin F, et al. Screen time from adolescence to adulthood and cardiometabolic disease: a prospective cohort study. J Gen Intern Med. 2023 Jan 10. doi: 10.1007/s11606-022-07984-6. Epub ahead of print.

    Implications for practice and research

  • Reducing screen time and promoting physical activity among children and adolescents could be a key strategy in preventing cardiometabolic diseases in adulthood.

  • Further research using objective measures of screen time is needed to advance knowledge of dose–response relationship between screen time and cardiometabolic disease risk and to inform future recommendations.

  • Context

    In an increasingly digital world, high prevalence of sedentary behaviour has become a significant concern for public health. It is ubiquitous in various environments, and WHO guidelines1 recommend reducing sedentary behaviour for substantial health benefits. The study by Nagata and colleagues2 investigating the relationship between screen time and...

    Induction, deduction and abduction

    Por: Barrett · D. · Younas · A.

    Researchers often refer to the type of ‘reasoning’ that they have used to support their analysis and reach conclusions within their study. For example, Krick and colleagues completed a study that supported the development of an outcome framework for measuring the effectiveness of digital nursing technologies.1 They reported completing the analysis through combining ‘an inductive and deductive approach’ (p1), but what do these terms mean? How can these methods of reasoning support nursing practice, and guide the development and appraisal of research evidence?

    This article will explore inductive and deductive reasoning and their place in nursing research. We will also explore a third approach to reasoning—abductive reasoning—which is arguably less well-known than induction and deduction, but just as prevalent and important in nursing practice and nursing research.

    Inductive reasoning

    Induction, or inductive reasoning, involves the identification of cues and the collection of data to develop general...

    Cardiomyopathy and pregnancy: a high-risk combination

    Por: Ntiloudi · D. · Giannakoulas · G.

    Commentary on: Eggleton EJ, McMurrugh KJ, Aiken CE. Maternal pregnancy outcomes in women with cardiomyopathy: a systematic review and meta-analysis. Am J Obstet Gynecol. 2022 Oct;227(4):582–592. doi: 10.1016/j.ajog.2022.05.039. Epub 2022 May 2021

    Implications for practice and research

  • Pregnant patients with cardiomyopathy have a risk of complications and should be advised accordingly.

  • Prospective data focusing on pregnancy outcomes in patients with various subtypes of cardiomyopathies are warranted to ensure proper counselling of these patients.

  • Context

    Haemodynamic changes, especially blood volume, heart rate and cardiac output augmentation, during pregnancy can exacerbate symptoms in patients with cardiomyopathy or unmask a preexisting asymptomatic condition.1 Peripartum cardiomyopathy, which also belongs in the cardiomyopathy group, presents with left ventricular (LV) dysfunction towards the end of pregnancy and in the postpartum period, when no other cause of heart failure is evident.1 All these patients are at high...

    Overview of the role of different conservative interventions as first-line treatment in the management of urinary incontinence in women

    Por: Rajan · K. · Nambiar · A. K.

    Commentary on: Todhunter-Brown A, Hazelton C, Campbell P, Elders A, Hagen S, McClurg D. Conservative interventions for treating urinary incontinence in women: an Overview of Cochrane systematic reviews. Cochrane Database Syst Rev. 2022 Sep 2;9(9):CD012337. doi: 10.1002/14651858.CD012337.pub2.

    Implications for practice and research

  • Pelvic floor muscle training is an effective conservative treatment option for managing all types of urinary incontinence (UI) in women in isolation or combined with other measures and should be considered first-line treatment in women with UI.

  • Further research is needed on long-term outcomes of conservative interventions and their impact on quality of life.

  • Context

    Urinary incontinence (UI) is a highly prevalent condition affecting nearly 25% of women, especially in older age groups.1 It is characterised by involuntary leakage of urine and can have a significant impact on quality of life, leading to psychological distress and placing a financial burden...

    Perceived organisation support would buffer the impact of work frustration on burn-out among intensive care unit nurses

    Por: Saravanabavan · L. · Poongavanam · V.

    Commentary on: Yanbei R, Dongdong M, Yun L, Ning W, Fengping Q. Does perceived organization support moderate the relationships between work frustration and burnout among intensive care unit nurses? A cross-sectional survey. BMC Nurs. 2023 Jan 23;22(1):22. doi: 10.1186/s12912-023-01180-5.

    Commentary

    Implications for practice and research

  • Providing intensive care unit (ICU) nurses with organisational supports by showcasing that the organisation cares about their well-being, gives importance to their opinions, is proud of their achievements will decrease their work frustration.

  • Future research and auditing of programmes and events to monitor organisational support to ICU nurses in reduction of work frustration and burn-out. Such monitoring systems could translate into better patient outcome.

  • Context

    The psychological strain of caring for very ill patients causes significant mental stress for all ICU healthcare professionals. When stress is prolonged, it might eventually cause burn-out and deterioration of patient...

    Efficacy of light intervention in improving mood and behaviour, but not sleep in intellectually disabled older adults

    Por: Annarumma · L. · De Gennaro · L.

    Commentary on: Böhmer MN, Oppewal A, Valstar MJ, Bindels PJE, van Someren EJW, Maes-Festen DAM. Light up: an intervention study of the effect of environmental dynamic lighting on sleep-wake rhythm, mood and behaviour in older adults with intellectual disabilities. J Intellect Disabil Res. 2022 Oct;66(10):756–781. doi: 10.1111/jir.12969. Epub 2022 Aug 25.

    CommentaryImplications for practice and research

  • Increasing light exposure in care facilities improves mood and behaviour in older adults with intellectual disability (ID).

  • Light exposure protocols should be implemented and investigated to determine the optimal intervention parameters.

  • Context

    Sleep problems are frequently experienced by older adults with ID living in residential care facilities1 due to instability and disruption of their sleep-wake rhythm.2 Light exposures protocols have been shown to improve sleep-wake rhythm, mood and behaviour in several clinical conditions, but literature in older adults with ID is still quite...

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