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☐ ☆ ✇ Evidence-Based Nursing

Minimum Unit Pricing in Scotland 32 months on: evidence demonstrates a significant reduction in alcohol related deaths

Por: Avades · T. · Dhanda · A. — Diciembre 15th 2023 at 10:25

Commentary on: Wyper GMA, Mackay DF, Fraser C, Lewsey J, Robinson M, Beeston C, Giles L. Evaluating the impact of alcohol minimum unit pricing on deaths and hospitalisations in Scotland: a controlled interrupted time series study. Lancet. 2023 Apr 22;401(10385):1361-1370. doi: 10.1016/S0140-6736(23)00497-X. Epub 2023 Mar 20.

Implications for practice and research

  • Data will inform the decision of the Scottish Parliament whether to keep the minimum unit pricing (MUP) policy, which expires on 30 April 2024.

  • Further study is needed exploring the enduring effects of MUP on chronic alcohol conditions, including alcohol-related cancer deaths.

  • Context

    In 2021, the rate of alcohol-related deaths in the UK increased by 7.4% from 2020 (14.8/100 000), with the highest rate (22.4/100 000) in Scotland.1 There are inequalities in those affected by alcohol with more admissions and deaths in males and people from lower socioeconomic groups.

    MUP is...

    ☐ ☆ ✇ Evidence-Based Nursing

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

    Por: Wood · A. F. · Hyde · R. — Diciembre 15th 2023 at 10:25

    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...

    ☐ ☆ ✇ Evidence-Based Nursing

    Rotating shifts are associated with an increased risk of work-family and family-work conflicts and with decreased work-related quality-of-life

    Por: Unruh · L. — Diciembre 15th 2023 at 10:25

    Commentary on: Al-Hammouri MM, Rababah JA. Work family conflict, family work conflicts and work-related quality of life: The effect of rotating versus fixed shifts. J Clin Nurs. 2023 Aug;32(15–16):4887–4893. doi: 10.1111/jocn.16581. Epub 2022 Nov 11.

    Implications for practice and research

  • Given this study’s findings of the negative impact of rotating shifts on nurses’ work and family life, the use of rotating shifts in hospitals should be reconsidered.

  • Since this is the first study to be conducted on the topic, more research is needed.

  • Context

    Rotating shifts are a common way for hospitals to distribute night shift work instead of keeping nurses in fixed night shifts.1 Although research indicates that fixed shift work has negative effects on nurses’ health and quality of life,2 3 rotating shift work also has negative consequences.2 4 Negative effects of...

    ☐ ☆ ✇ Evidence-Based Nursing

    Home fall hazard assessments effective in high-risk fallers but more information needed on effects of assistive technologies

    Por: Sharma · Y. · Iaboni · A. — Diciembre 15th 2023 at 10:25

    Commentary on: Clemson L, Stark S, Pighills AC, Fairhall NJ, Lamb SE, Ali J, Sherrington C. Environmental interventions for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2023 Mar 10;3(3):CD013258. doi: 10.1002/14651858.CD013258.pub2

    Implications for practice and research

  • Home fall hazard assessments are shown to be effective in fall prevention among community-dwelling older adults at higher risk of falls. Future work should investigate the feasibility of implementing these interventions in practice settings.

  • It is uncertain whether assistive technologies can prevent falls in community-dwelling older adults, thus further research is needed.

  • Context

    Nearly 30% of older adults aged 65 years and older fall each year.1 While falls are multifactorial and include both intrinsic and environmental factors, ‘accidental’ falls, such as trips and slips related to environmental hazards, are very common reasons provided for a fall.2 Identifying effective...

    ☐ ☆ ✇ Evidence-Based Nursing

    Strategies to integrate culturally and linguistically diverse nurses into foreign healthcare systems: its everybodys business

    Por: Chun Tie · Y. — Diciembre 15th 2023 at 10:25

    Commentary on: Kamau S, Koskenranta M, Kuivila H, et al. Integration strategies and models to support transition and adaptation of culturally and linguistically diverse nursing staff into healthcare environments: an umbrella review. Int J Nurs Stud 2022;136:104377. doi: 10.1016/j.ijnurstu.2022.104377. Epub 2022 Oct 10.

    Implications for practice and research

  • Healthcare organisations must invest resources for effective integration of culturally and linguistically diverse (CALD) nurses.

  • Research on nurse integration must evaluate CALD nurse’s needs, goals, and prospects for retention.

  • Context

    Kamau et al’s1 study context includes primary, secondary and community care settings. Integration strategies to support transition of culturally and linguistically diverse (CALD) nurses into foreign healthcare environments is essential. Kamau and colleagues confirm the complex nature of organisational socialisation, adaptation and integration of CALD nurses into dynamic healthcare systems.

    Methods

    The authors1 reviewed databases for systematic or integrative reviews...

    ☐ ☆ ✇ Evidence-Based Nursing

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

    Por: Ranjbar · R. · Alam · M. — Diciembre 15th 2023 at 10:25

    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...

    ☐ ☆ ✇ Evidence-Based Nursing

    Vigorous exercise in pragmatic settings leads to antidepressive, metabolic and cardiovascular health benefits in adult outpatients with major depression or anxiety disorders

    Por: Morres · I. D. · Metsios · G. S. — Diciembre 15th 2023 at 10:25

    Commentary on: Verhoeven JE, Han LKM, Lever-van Milligen BA, et al. Antidepressants or running therapy: comparing effects on mental and physical health in patients with depression and anxiety disorders. J Affect Disord 2023;329:19–29. doi: 10.1016/j.jad.2023.02.064.

    Implications for practice and research

  • Supervised outdoor running at vigorous intensity leads to antidepressant and physical health benefits in outpatients with major depression or anxiety disorders.

  • More pragmatic exercise trials for mental health outpatients with heterogeneous symptomatology are needed.

  • Context

    Exercise is associated with antidepressant effects in clinical settings but relevant research in pragmatic (real-life) settings is scarce.1–3 Hence, Verhoeven et al4 in their pragmatic trial compared the mental and physical health benefits of running therapy versus antidepressant medication.

    Methods

    Participants were physically inactive adult outpatients with a current major depression or an anxiety disorder and were treated with...

    ☐ ☆ ✇ Evidence-Based Nursing

    Cultivating rapport in telehealth: insights from palliative care

    Por: Mazaheri · M. — Diciembre 15th 2023 at 10:25

    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...

    ☐ ☆ ✇ Evidence-Based Nursing

    eHealth interventions can potentially provide cost-effective and accessible support for stress-related problems in healthcare professionals

    Por: Bratt · A. · Kalmendal · A. — Diciembre 15th 2023 at 10:25

    Commentary on: López-Del-Hoyo Y, Fernández-Martínez S, Pérez-Aranda A, Barceló-Soler A, Bani M, Russo S, Urcola-Pardo F, Strepparava MG, García-Campayo J. Effects of eHealth interventions on stress reduction and mental health promotion in healthcare professionals: A systematic review. J Clin Nurs. 2023 Jan 26. doi: 10.1111/jocn.16634. Epub ahead of print.

    Implications for practice and research

  • eHealth interventions can potentially provide cost-effective and easily accessible support for stress-related problems, and reducing sick leave occurrences in healthcare professionals.

  • To establish the effectiveness of interventions targeting healthcare professionals, researchers should prioritise conducting additional studies with larger sample sizes in order to conduct meta-analytic synthesis for more robust and comprehensive conclusions.

  • Context

    Healthcare professionals (HCPs) encounter work-related challenges that elevate the risk of mental health issues like anxiety, depression and stress. The escalating number of sick leaves due to work-induced stress exacerbates the shortage of active HCPs. Employing digitisation...

    ☐ ☆ ✇ Evidence-Based Nursing

    Prison is a barrier to high-quality, comprehensive midwifery care

    Por: Paynter · M. J. — Diciembre 15th 2023 at 10:25

    Commentary on: Abbott L, Scott T, Thomas H. Experiences of midwifery care in English prisons. Birth. 2023 Mar;50(1):244-251. doi: 10.1111/birt.12692. Epub 2022 Nov 12.

    Implications for practice and research

  • Incarceration presents barriers to best midwifery practices, restricting patient choice in care provider and place of birth. Midwives play an important role advocating for incarcerated patients.

  • Prison staff misunderstand midwifery and conceptualise access to care as a reward for good behaviour. Future research should assess outcomes of alternatives to incarceration.

  • Context

    Women continue to be one of the fastest growing populations experiencing incarceration, with significant consequences for their newborns and children. Despite international and national requirements for equivalent care to what is available in community, existing research in the field of prison perinatal health has found delays and gaps in care and poor neonatal outcomes associated with pregnancy in prison.1 This study by...

    ☐ ☆ ✇ Evidence-Based Nursing

    Early rehabilitation of patients in the ICU may reduce long-term healthcare costs

    Por: Al Qadire · M. · Abdelrahman · H. — Diciembre 15th 2023 at 10:25

    Commentary on: Murooka Y, Sasabuchi Y, Takazawa T, Matsui H, Yasunaga H, Saito S. Long-Term Prognosis Following Early Rehabilitation in the ICU: A Retrospective Cohort Study. Crit Care Med. 2023 Mar 29. doi: 10.1097/CCM.0000000000005862. Epub ahead of print.

    Implications for practice and research

  • Rehabilitation programmes if introduced early after admissions to intensive care unit could be beneficial to patients and healthcare systems.

  • Prospective studies are needed to confirm the long-term impacts of early introduction of rehabilitation programmes on healthcare outcomes in terms of, quality of life and physical functions, the optimal timing, duration, and intensity of rehabilitation.

  • Context

    Early rehabilitation is a promising treatment for postintensive care syndrome. Studies have demonstrated the benefits of rehabilitation, such as early exercise and mobilisation, which improve short-term physical and functional outcomes and reduce intensive care unit (ICU) and hospital stay durations for critically ill patients.1...

    ☐ ☆ ✇ Evidence-Based Nursing

    Communication between families and hospital staff is important in understanding nutrition and hydration problems in dementia patients

    Por: Ontan · M. S. · Isik · A. T. — Diciembre 15th 2023 at 10:25

    Commentary on: Anantapong K, Davies N, Sampson EL. Communication between the multidisciplinary team and families regarding nutrition and hydration for people with severe dementia in acute hospitals: a qualitative study. Age Ageing 2022;51:afac230. doi: 10.1093/ageing/afac230.

    Implications for practice and research

  • Hydration and nutrition issues in dementia should be discussed primarily by experienced health professionals, considering the beliefs, culture and expectations of the patient and her family, from the diagnosis. Moreover, these problems may show different characteristics in the acute hospital and at the end of life.

  • Further studies with larger and interrelated study groups may emphasise more on the importance of communication in hydration and nutrition problems in dementia.

  • Context

    Eating and drinking difficulties are known sources of health problems in people with dementia. It is essential to increase the awareness of patients and family carers for these problems. Healthy communication with family carers...

    ☐ ☆ ✇ Evidence-Based Nursing

    Innovative and evidence-informed technology-based assessment can facilitate comprehensive cancer rehabilitation by improving cancer care outcomes through personalised nurse-led follow-up interventions

    Por: Ghassemi · A. E. — Diciembre 15th 2023 at 10:25

    Commentary on: Skorstad M, Vistad I, Fegran L, et al. Nurse-led consultation reinforced with eHealth technology: a qualitative study of the experiences of the patients with gynecological cancer. BMC Nurs 2022;21:326. doi: 10.1186/s12912-022-01104-9.

    Implications for practice and research

  • To improve continuity and quality of cancer care (QoCC) and patients’ adherence to the oncological treatments, it is necessary to develop innovative, digitalised, personalised and evidence-informed follow-up interventions that enhances patients’ quality of life (QoL).

  • Future research should focus on developing clear guidance and efficient technology-based assessment measures that are necessary for providing individualised early palliative care and post-treatment interventions.

  • Context

    A surge in the ageing population and the rising incidence of cancer risk factors have resulted in the increase in the occurrence of cancer in women worldwide, which requires careful treatment planning and innovations in post-treatment follow-up interventions.1–3 Several...

    ☐ ☆ ✇ Evidence-Based Nursing

    Cardiomyopathy and pregnancy: a high-risk combination

    Por: Ntiloudi · D. · Giannakoulas · G. — Diciembre 15th 2023 at 10:25

    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...

    ☐ ☆ ✇ Evidence-Based Nursing

    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. — Diciembre 15th 2023 at 10:25

    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...

    ☐ ☆ ✇ Evidence-Based Nursing

    International clinical experiences may increase cultural competency and support nurses personal and professional development

    Por: Racine · L. — Septiembre 26th 2023 at 16:14

    Commentary on: Ulvund I, Dadi GB, Sundal H. Nurses benefit from international clinical placement as nurse students: a qualitative study. Nurse Educ Today 2023; 121:105663. doi: 10.1016/j.nedt.2022.105663. Epub 2022 Nov 25.

    Implications for practice and research

  • International clinical placements benefit nurses’ personal and professional development and these skills may be applied in their future careers.

  • More research is needed to assess the long-term outcomes of international clinical placements among nurses in the workforce.

  • Context

    Globalisation and diversity require that nurses develop the skills and knowledge to become culturally safe and competent both locally and globally and in all clinical contexts.1 Cultural competency and cultural safety represent fundamental nursing skills in the 21st century. Nurse educators still heavily rely on international clinical experiences in low-income non-Western countries to develop undergraduate students’ cultural competency.2 Previous studies indicate that international clinical placements may...

    ☐ ☆ ✇ Evidence-Based Nursing

    Mental state, well-being and coping are affected by a high-risk pregnancy

    Por: Holness · N. · Barfield · L. — Septiembre 26th 2023 at 16:14

    Commentary on: Williamson SP, Moffitt RL, Broadbent J, Neumann DL, Hamblin PS. Coping, wellbeing, and psychopathology during high-risk pregnancy: A systematic review. Midwifery. 2023 Jan;116:103556. doi: 10.1016/j.midw.2022.103556. Epub 2022 Nov 14.

    Implications for practice

  • Awareness of negative impacts of high-risk pregnancies on mental health will help to identify women in need of support.

  • Strategies can be created to improve coping and well-being for high-risk pregnant women.

  • Context

    Pregnancy is a period of major physiological changes. Psychological adjustments occur, more so with a high-risk diagnosis in pregnancy. In their systematic review, the authors outlined the state of the science of pregnant women’s psychopathology, coping and well-being when high-risk conditions including hypertension, diabetes and kidney disease develop during pregnancy. Pregnant women with these conditions can experience ineffective coping, poor well-being, anxiety and depression among other negative symptoms. Provider’s awareness, culturally appropriate education and support can reduce...

    ☐ ☆ ✇ Evidence-Based Nursing

    Becoming unable to afford adequate home heating is associated with increased risk of severe mental distress

    Por: O'Sullivan · K. C. — Septiembre 26th 2023 at 16:14

    Commentary on: Clair A, Baker E. Cold homes and mental health harm: Evidence from the UK Household Longitudinal Study. Soc Sci Med. 2022 Dec;314:115461. doi: 10.1016/j.socscimed.2022.115461. Epub 2022 Oct 22 .

    Implications for practice and research

  • Supporting people to live in warm housing during a period of increasing living and energy costs in many countries will avoid social, economic and mental health harm.

  • Further research to understand the pathways between cold housing and increased mental health distress is needed.

  • Context

    Cold housing, driven by poor housing quality and energy poverty, is a significant public health issue in many countries.1 2 Cold housing is known to contribute to many negative physiological health outcomes including: increased risk of cardiovascular events, stroke and myocardial infarction; increased negative effects from chronic and acute respiratory disease; increased colds and influenza; exacerbation of chronic conditions for...

    ☐ ☆ ✇ Evidence-Based Nursing

    Improved grief and symptoms of depression in bereaved siblings: promising findings from an online intervention

    Por: Andriessen · K. — Septiembre 26th 2023 at 16:14

    Commentary on: Wagner B, Hofmann L, Maaß U. A therapist-supported internet-based intervention for bereaved siblings: a randomized controlled trial. Palliat Med. 2022 Dec;36(10):1532–1543. doi: 10.1177/02692163221122344. Epub 2022 Oct 20.

    Implications for practice and research

  • An online 6-weeks 12-session CBT-based writing intervention can improve grief and depression in bereaved siblings up to 1 year postintervention.

  • Further research may examine the potentially effective components and the effectiveness of the intervention in populations such as males and people bereaved by suicide.

  • Context

    Bereaved siblings have an increased risk of developing long-term health-related problems after loss. A population-wide study revealed higher risks of depression, substance use and a twofold risk of attempted suicide compared to non-bereaved siblings.1 Other research reported a 71% increase of all-cause mortality during a 37-year follow-up period.2 The risk was two-fold when the siblings died by the same cause.

    ☐ ☆ ✇ Evidence-Based Nursing

    Digital mental health interventions with individual support may complement mental health services for adults with intellectual disabilities

    Por: Desroches · M. L. — Septiembre 26th 2023 at 16:14

    Commentary on: MacHale R, Ffrench C, McGuire B. The experiences and views of adults with intellectual disabilities accessing digital mental health interventions: A qualitative systematic review and thematic synthesis. J Appl Res Intellect Disabil. 2023 May;36(3):448-457. doi: 10.1111/jar.13082. Epub 2023 Feb 13.

    Implications for practice and research

  • Digital mental health interventions may be useful to complement in-person mental health services, with sufficient supports for meaningful use.

  • User-centred design research with adults with intellectual disabilities and supporters is needed at all phases of digital mental health intervention development and evaluation.

  • Context

    Providers report that digital interventions are effectively being delivered to adults with intellectual disabilities; there is less research about how digital health interventions are received and experienced by people with intellectual disabilities.1 This study by MacHale et al synthesises the experiences of adults with intellectual disabilities using digital mental health interventions, mental...

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