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AnteayerEvidence-Based Nursing

Improving nutritional care for older adults: the role of massive open online courses and implementation science in enhancing health professional knowledge and attitudes

Por: Bonetti · L. · Caruso · R.

Commentary on: Eglseer D. Development and evaluation of a Massive Open Online Course (MOOC) for healthcare professionals on malnutrition in older adults. Nurse Educ Today. 2023 Apr;123:105741. doi: 10.1016/j.nedt.2023.105741. Epub 2023 Feb 4.

CommentaryImplications for practice and research

  • Massive open online course (MOOCs) can improve health professionals (HPs)’ knowledge and nutritional care skills for malnutrition in older adults efficiently.

  • Implementation science studies are necessary to effectively change HPs’ behaviours and attitudes towards malnutrition by considering organisational, cultural and self-efficacy aspects.

  • Future research should focus on identifying effective strategies for implementing evidence-based nutritional care for older adults, emphasising HPs’ attitudes and self-efficacy.

  • Context

    Malnutrition is a prevalent condition among older adults in acute hospital settings that can result in adverse clinical outcomes such as increased pressure ulcer development, reduced wound healing, increased infections and higher mortality rates.1 Providing adequate nutritional care...

    Strategies for supporting mental health nurses applications of trauma-informed care

    Por: Shah · R. B.

    Commentary on: Wilson A, Hurley J, Hutchinson M, Lakeman R. Trauma-informed care in acute mental health units through the lifeworld of mental health nurses: A phenomenological study. Int J Ment Health Nurs. 2023 Jun;32(3):829–838. doi: 10.1111/inm.13120. Epub 2023 Jan 27.

    Implications for practice and research

  • Clients’ medical data and trauma histories should be supplemented with information on their strengths to promote a holistic and integrated understanding of their lived experiences.

  • Research is needed to better understand the extent to which trauma-informed care (TIC) principles are taught to nursing students so that they understand how to apply TIC in different healthcare settings.

  • Context

    There is growing support for the delivery of trauma-informed care (TIC) in diverse clinical, organisational and community settings.1 TIC can be characterised by a realisation of the widespread impacts of trauma and recovery strategies; recognition of the potential signs of trauma;...

    Patient-centered perspectives in diabetic retinopathy care: phenomenology and practice

    Por: Raman · R. · Kumar · S.

    Commentary on: Zhang M, Zhang C, Chen C, et al. The experience of diabetic retinopathy patients during hospital-to-home full-cycle care: a qualitative study. BMC Nurs. 2023 Mar 3;22(1):58. doi: 10.1186/s12912-023-01206-y.

    Implications for practice and research

  • Consideration of patients' life experiences, which aids in examining their feelings and patient’ experiences.

  • Future research should further investigate the phenomenological approach in diverse healthcare contexts.

  • Context

    The transition from hospital to home treatment for patients with diabetic retinopathy (DR) is the subject of a study by Zhang and colleagues. The authors attempt to comprehend the substance of this phenomenon a shift towards patient-centric healthcare research by using a phenomenological method.1 Such first-hand experiences may help to close the gap between patient demands and medical practise, laying the groundwork for personalised and emphathetic care strategies.

    Methods

    The descriptive phenomenology method was used to implement this...

    Better cardiovascular health for a longer life without major diseases

    Por: Lopez-Bueno · R.

    Commentary on: Wang X, Ma H, Li X, et al. Association of Cardiovascular Health With Life Expectancy Free of Cardiovascular Disease, Diabetes, Cancer, and Dementia in UK Adults. JAMA Intern Med. 2023 Apr 1;183(4):340-9. doi: 10.1001/jamainternmed.2023.0015. Erratum in: JAMA Intern Med. 2023 Apr 1;183(4):394. Erratum in: JAMA Intern Med. 2023 May 15.

    Implications for practice and research

  • Improving cardiovascular health may contribute to a higher and healthier life expectancy.

  • Healthcare professionals may prioritise cardiovascular health promotion and support patients in adopting healthy behaviours.

  • Context

    The problem addressed in this study is the contribution of cardiovascular risk factors to a healthier life expectancy.1 Life expectancy has been boosted in recent decades in developed countries, but not all of the increased life expectancy elapses in good health.2 This study aims to investigate the associations between levels of cardiovascular health through Life’s Essential...

    Factors that enable or hinder the rebuilding of the therapeutic relationship following an episode of physical restraint in acute forensic services

    Por: Askola · R. · Lantta · T.

    Commentary on: Moyles J, Hunter A, Grealish A. Forensic mental health nurses’ experiences of rebuilding the therapeutic relationship after an episode of physical restraint in forensic services in Ireland: A qualitative study. Int J Ment Health Nurs. 2023 May 26. doi: 10.1111/inm.13176. Epub ahead of print.

    Implications for practice and research

  • Ensuring routine postrestraint-focused clinical supervision, experiential training for forensic mental health nurses involved in rebuilding therapeutic relationships postphysical restraint, effective debriefing and positive role modelling from senior staff is needed.

  • Studies on models to combine goals of the therapeutic relationship and maintain safety are needed, besides establishing the effectiveness of different methods to facilitate a therapeutic relationship.

  • Context

    Forensic mental health nurses (FMHNs) are expected to manage potentially serious levels of risk while maintaining a proportionate balance between therapeutic care and potentially restrictive security.1 The use of coercion in mental health...

    Smoking cessation interventions are cost-effective in people affected by stroke

    Por: Suner-Soler · R.

    Commentary on: Wechsler PM, Liberman AL, Restifo D, Abramson EL, Navi BB, Kamel H, Parikh NS. Cost-Effectiveness of Smoking Cessation Interventions in Patients With Ischemic Stroke and Transient Ischemic Attack. Stroke. 2023 Apr;54(4):992-1000. doi: 10.1161/STROKEAHA.122.040356. Epub 2023 Mar 3.

    Implications for practice and research

  • Measures to promote smoking cessation should go beyond brief counselling to include intensive counselling with pharmacotherapeutic support, such as varenicline, which are cost-effective.

  • Future research is needed to study to what extent the results obtained here are reproducible in other healthcare settings.

  • Context

    Smoking cessation in stroke survivors is associated with a reduction in vascular events and death.1 Despite this, less than half of stroke survivors stop smoking2 although if the stroke affects the insular cortex, cessation is easier.3 Clinical practice often fails to go beyond brief counselling to encourage people to stop smoking...

    Increased prevalence of chronic medical conditions linked to higher rates of adverse perinatal outcomes in Dutch women

    Por: Melekoglu · R.

    Commentary on: Rosman AN, van der Vliet-Torij HWH, Hilberink SR. Trends in perinatal outcomes of women with chronic medical conditions: a 10-year population-based study in the Netherlands. Midwifery. 2023 Mar;118:103572. doi: 10.1016/j.midw.2022.103572. Epub 2022 Dec 13.

    Implications for practice and research

  • Due to the heightened risk of preterm birth, caesarean deliveries, NICU admission of neonates and increased perinatal mortality among pregnant women with chronic medical conditions, it is essential that midwives and nurses receive comprehensive training to deliver personalised care for these women.

  • To enhance perinatal outcomes among pregnant women with chronic medical conditions, future research should prioritise identifying the contributing factors to such outcomes and developing novel interventions targeted at optimising perinatal outcomes during both the prepregnancy and pregnancy periods.

  • Context

    Chronic diseases can impact pregnancy and lead to long-term consequences for women during and after childbirth, causing anxiety. However, medical advancements and...

    Strategies to improve and enhance satisfaction with learning among nursing students

    Background and purpose

  • This is a summary of Cant R, Gazula S, and Ryan C.1

  • Student satisfaction is important as it positively influences both student retention and institutional rankings.

  • The concept of student satisfaction with education is poorly understood, although some studies suggested its related elements such as learning environments; student motivation to learn; student and teacher accountability; classroom diversity, and assessment approaches.

  • By identifying factors that influence nursing students’ satisfaction, nurse educators will have the opportunity to further improve the curriculum and student education experiences.

  • This integrative review aims to discover basic conceptual elements that affect higher education students’ satisfaction, focusing on nursing education.

  • Methods

    Results and areas for future research

  • Twenty-two studies were included: 19 with an experimental, quasi-experimental design and three systematic reviews from 15 countries.

  • Service quality, institutional image and...

  • Nurse identity: the misrepresentation of nursing in the media

    Por: Garcia · R. · Qureshi · I.

    Since 2019, the nursing profession has been frequently represented in mainstream media in the UK through the lenses of the COVID-19 pandemic and more recently, industrial action. In 2020, during COVID, we saw the nursing profession praised, with weekly neighbourhood applause and thanks to the National Health Service (NHS) staff schemes. In 2023, when, for the first time in history nurses voted to strike (fair pay for nursing), nurses again received media attention. Conversely, the media chose to report how striking nurses (and other health professional staff) contributed to long waiting lists in the NHS and unhelpfully, demonstrated how 64% of poll voters (n=7955) did not think nurses should have a better pay deal.1 The reality is that nursing is central to the delivery of quality, evidence-based, and person-centred care in our health sector in the UK and represents the largest clinical professional group with approximately 334 690...

    Advanced Clinical Practitioners (ACPs) have a significant impact on patient outcomes and healthcare services

    Por: Wood · A. F. · Hyde · R.

    Commentary on: Mann C, Timmons S, Evans C, Pearce R, Overton C, Hinsliff-Smith K, Conway J. Exploring the role of advanced clinical practitioners (ACPs) and their contribution to health services in England: A qualitative exploratory study. Nurse Educ Pract. 2023 Feb;67:103546. doi: 10.1016/j.nepr.2023.103546. Epub 2023 Jan 24.

    Implications for practice and research

  • Workforce planning needs focus on the level of practice required for service demand and not ‘what role is needed’. Planners must appreciate the contributions and limitations of practice different advanced clinical practitioners (ACPs) bring.

  • Research is needed to move beyond capturing the advancement of roles to exploring changes, in practice and education, and evaluating the improvements made, particularly with advanced practice (AP) regulation being reviewed by the Nursing and Midwifery Council (NMC).

  • Context

    Advanced Practice (AP) is a phenomenon which in the last century may be traced back to the post second...

    Antimicrobial Resistance Collaborators (2022). Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis

    Por: Ranjbar · R. · Alam · M.

    Commentary on: Antimicrobial Resistance Collaborators. Global burden of bacterial antimicrobial resistance in 2019: a systematic analysis. Lancet. 2022 Feb 12;399 (10325):629–655. doi: 10.1016/S0140-6736(21)02724-0. Epub 2022 Jan 19. Erratum in: Lancet. 2022 Oct 1;400 (10358):1102.

    Implications for practice and research

  • The study highlights the urgent need for improved surveillance, prevention and control of bacterial antimicrobial resistance worldwide.

  • Research should be conducted to develop rapid and accurate diagnostic tests to detect resistant infections.

  • Context

    Antimicrobial resistance (AMR) is a growing global health threat, and the misuse and overuse of antibiotics are contributing factors. AMR is estimated to have caused 4.95 million deaths worldwide in 2019, according to the study that looked at data from 204 studies. The findings of the 2019 study highlight the urgent need for global action to address the problem of bacterial AMR. Governments, healthcare providers and the public all have a role to...

    Stigmatisation and workplace violence against healthcare workers: the need for evidence-based preventive strategies

    Por: Chowdhury · S. R.

    Commentary on: Saragih ID, Tarihoran DETAU, Rasool A, Saragih IS, Tzeng HM, Lin CJ. Global prevalence of stigmatization and violence against healthcare workers during the COVID-19 pandemic: a systematic review and meta-analysis. J Nurs Scholarsh. 2022;54(6):762–71. doi: 10.1111/jnu.12794. Epub 12 Jul 2022.

    Implications for practice and research

  • Health administrators and policymakers should appropriately address issues of stigmatisation and violence against healthcare workers through strategic planning that considers the unique nature of the workplace as well as local culture to ensure better healthcare for the patients.

  • Future research should focus on synthesising evidence-based preventive strategies and management protocols to avert the escalation of stigmatisation and violence towards healthcare workers during catastrophic public health crises.

  • Context

    Violence in the workplace is a common issue in healthcare settings. However, since the beginning of the COVID-19 pandemic, there has been an increase in the number of reports in...

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