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AnteayerEvidence-Based Nursing

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...

    Social prescribing integrated in primary care enhances access to type 2 diabetes preventative approaches among high-risk patient population

    Por: Fitzpatrick · S. L.

    Commentary on: Calderón-Larrañaga S, Greenhalgh T, Clinch M, Robson J, Dostal I, Eto F, Finer S. Unravelling the potential of social prescribing in individual-level type 2 diabetes prevention: a mixed-methods realist evaluation. BMC Med. 2023 Mar 13;21(1):91. doi: 10.1186/s12916-023-02796-9.

    CommentaryImplications for practice and research

  • Integrating social prescribing (SP) in primary care increases opportunities to deliver holistic care and facilitate clinic-community partnerships.

  • Research examining the effect of SP on prediabetes-related clinical outcomes is needed.

  • Context

    Recent data suggest that 464 million adults worldwide have pre-diabetes and are at increased risk for type 2 diabetes (T2D).1 Social risks (eg, food insecurity, housing instability, financial strain) largely contribute to health inequities, particularly in diabetes incidence.2 SP, also referred to as navigation, involves connecting patients to community-based programmes and resources to address health and social needs. This study by Calderón-Larrañaga et al used...

    Clinicians signal the need to improve competency in the care of patients who identify as LGBTQ+

    Por: Ryan Schultz · T.

    Commentary on: Kelleher ST, Barrett MJ, Durnin S, Fitzpatrick P, Higgins A, Hall D. Staff competence in caring for LGBTQ+ patients in the paediatric emergency department. Arch Dis Child. 2023 Jul;108(7):525–529. doi: 10.1136/archdischild-2022-325151. Epub 2023 Apr 24.

    Implications for practice and research

  • Emergency department staff self-identified the need for training in the care of youth who identify as LGBTQ+ to close a gap in knowledge and clinical preparedness.

  • Intervention studies, using evidence-based science, are needed to improve competency and advance health equity for LGBTQ+ youth.

  • Context

    Individuals who identify as LGBTQ+ report discrimination in healthcare settings.1 Clinicians describe a lack of formal education in LGBTQ+ care needs.2 Adolescence is complex; adolescents who identify as LGBTQ+ are among our most vulnerable. International statistics illuminate that these youth are at exponentially higher risk for suicide.3 This study by Kelleher and...

    Evidence to support targeted investment in breastfeeding education among families of low socioeconomic status

    Por: Brockway · M. · Azad · M. B.

    Commentary on: Kopp SJ, Kelly EA, DeFranco EA. Influence of social determinants of health on breastfeeding intent in the USA. Birth. 2023 Jul 3. doi: 10.1111/birt.12740. Epub ahead of print.

    Implications for practice and research

  • Healthcare providers should focus on improving knowledge around breastfeeding guidelines and the benefits of breast feeding for mothers in low socioeconomic status (SES) groups.

  • Focusing research on breastfeeding intention (rather than rates) in low SES groups may help to improve breastfeeding outcomes as breastfeeding intentions are a significant predictor of breastfeeding initiation.

  • Context

    Breastfeeding sets the foundation for healthy growth and development, with many recognised benefits for both infant and maternal health. Thus, socioeconomic disparities in breastfeeding—which are widely reported in the USA and many other Western countries1—contribute significantly to socioeconomic health disparities across the lifespan. Breastfeeding intentions are an established predictor of breastfeeding outcomes, yet most...

    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...

    Non-English speakers are not adequately represented in paediatric research

    Por: Paquette · E. · Pilarz · M.

    Commentary on: Chen A, Demaestri S, Schweiberger K, Sidani J, et al. Inclusion of non-English-speaking participants in pediatric health research: a review. JAMA Pediatr. 2023;177(1):81–88. doi: 10.1001/jamapediatrics.2022.3828.

    Implications for practice and research

  • In a review of inclusion of non-English speaking (NES) participants, 9% of research articles included NES participants, which may impact study generalisability.

  • Research teams, research networks/databases, regulatory authorities and journals that disseminate study findings share responsibility for adequate inclusion of NES participants in research.

  • Context

    Non-English speakers (NES) and limited English proficiency (LEP) populations are growing.1 Children from NES/LEP families are vulnerable to health disparities and experience poorer health.2 It is important to provide equitable care to NES/LEP populations. Generating applicable evidence requires inclusion of NES/LEP populations in research. However, inclusion of NES/LEP populations in research is understudied. Additionally, unlike requirements to justify exclusion of other populations, inclusion...

    Contribution of cultural behavioural patterns and family-informed interventions in cancer-related fatigue

    Por: Ozel · A.

    Commentary on: Li H, Ng MSN, Jin X, et al. ‘Life became slow down’: a descriptive qualitative study of the experiences of cancer-related fatigue amongst people with advanced lung cancer. Palliat Med 2023; Sep;37 (8):1168–1182. doi: 10.1177/02692163231184926. Epub 2023 Jul 3.

    Implications for practice and research

  • Multidimensional measurement of cancer-related fatigue in clinical practice may contribute to coping strategies based on the assumption that it affects physical, emotional and cognitive domains.

  • More effective and family-informed interventions are needed in future research to improve cancer-related fatigue management.

  • Context

    Most types of fatigue cannot be directly observed; therefore, its importance and treatment are often overlooked. Cancer-related fatigue (CRF) and its treatment differs greatly from the fatigue experienced by the general population. Previous studies have shown that comprehensive support tailored to the individual’s priorities can positively encourage appropriate management of CRF. Planning CRF self-management interventions is crucial...

    Time to treat the climate and nature crisis as one indivisible global health emergency

    Over 200 health journals call on the United Nations (UN), political leaders and health professionals to recognise that climate change and biodiversity loss are one indivisible crisis and must be tackled together to preserve health and avoid catastrophe. This overall environmental crisis is now so severe as to be a global health emergency.

    The world is currently responding to the climate crisis and the nature crisis as if they were separate challenges. This is a dangerous mistake. The 28th Conference of the Parties (COP) on climate change is about to be held in Dubai while the 16th COP on biodiversity is due to be held in Turkey in 2024. The research communities that provide the evidence for the two COPs are unfortunately largely separate, but they were brought together for a workshop in 2020 when they concluded that: ‘Only by considering climate and biodiversity as parts of the same...

    Cultivating rapport in telehealth: insights from palliative care

    Por: Mazaheri · M.

    Commentary on: English W, Robinson J, Gott M. Health professionals' experiences of rapport during telehealth encounters in community palliative care: An interpretive description study. Palliat Med. 2023 Jul;37(7):975-983. doi: 10.1177/02692163231172243. Epub 2023 May 2

    Implications for practice and research

  • Continual training for health professionals is vital to improve their rapport building strategies during telehealth palliative care encounters.

  • Future studies should explore the perspectives of patients and families on rapport development during palliative care telehealth encounters.

  • Context

    Telehealth has gained prominence in palliative care, offering convenience and accessibility to patients with advanced illnesses, particularly in the backdrop of the COVID-19 pandemic.1 With the growing need for palliative care services, particularly in the context of an ageing population, the integration of telehealth into community palliative care has become increasingly relevant. This shift has raised important questions about the nuances of building and...

    A call to all nurses from transgender people: treat me as a whole person; I am more than my gender identity

    Por: Kuzma · E. K. · Yingling · C.

    Commentary on: Mikovits JC. "I don't feel like I'm a person": Nursing knowledge of transgender care through the lens of transgender people. J Adv Nurs. 2022 Sep;78(9):3012–3024. doi: 10.1111/jan.15308. Epub 2022 Jun 1.

    Implications for practice and research

  • Nurses have an ethical imperative to provide patient-centered care that honours all aspects of one’s identity, including gender identity.

  • Further research is needed to better understand the healthcare experiences of transgender people of intersecting identities and those with varying economic resources.

  • Context

    Transgender people experience numerous health inequities due to societal discrimination and stigma.1 Within healthcare, the oppression and discrimination that drive these inequities are reinforced by individuals with implicit and explicit biases and the system with structural barriers to accessible care. Nurses need to be able to provide patient-centred care to all patients. Yet, most nursing programmes do not fully prepare nurses to...

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