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This is a summary of See et al. Newly registered nurses experience high levels of emotional exhaustion, stress and burnout, with high attrition rates in the first-year post-qualification. The purpose of this review was to consolidate the available evidence on the experiences of newly registered nurses transitioning from the role of student nurse to that of registered nurse.
Thirty-one studies were included in the review, comprising thirty qualitative and one mixed-method study. A total of 452 newly registered nurses were enrolled across the studies from Australia, Canada, Singapore, England, Nepal, Netherlands, Pakistan and Taiwan. Four themes were identified: knowledge deficit, overwhelming clinical practice, importance of workplace support and the meaning of ‘being a nurse’. Twenty-four studies discussed how newly graduated registered nurses experienced anxiety,...
Commentary on: Veli N, Martin CA, Woolf K, Nazareth J, Pan D, Al-Oraibi A, Baggaley RF, Bryant L, Nellums LB, Gray LJ, Khunti K, Pareek M; UK-REACH Study Collaborative Group. Hesitancy for receiving regular SARS-CoV-2 vaccination in UK healthcare workers: a cross-sectional analysis from the UK-REACH study. BMC Med. 2022 Oct 10;20(1):386. doi: 10.1186/s12916-022-02588-7.
Understanding the sources of information as drivers of acceptance toward a regular COVID-19 vaccine could allow for targeted messaging to improve uptake. Further research is needed to assess if the trends in intended hesitancy toward potential regular vaccines translates to vaccination behaviour.
Mass vaccination against COVID-19 has been one of the key measures to combat the spread of COVID-19. Initial vaccines have been highly efficacious in reducing infection prevalence and mortality. However, the emergence of variant strains and waning of immunity from initial vaccination...
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.
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.
Urinary incontinence (UI) is a highly prevalent condition affecting nearly 25% of women, especially in older age groups.
Commentary on: Ulupınar F, Erden Y. Intention to leave among nurses during the COVID-19 outbreak: A rapid systematic review and Meta-Analysis. J Clin Nurs. 2022 Nov 27. doi: 10.1111/jocn.16588. Epub ahead of print.
During COVID-19, nurses experienced stress, anxiety and fear. Psychological support will help retain staff. Further longitudinal studies on the long-term psychological impacts of the pandemic are needed.
The impact of the COVID-19 pandemic on nurses was unprecedented with high volumes of critically ill patients. This strain on direct care nurses included an increased workload, long hours, separation from family, potential exposure and patient death.
Commentary on: Madeley AM, Earle S, O'Dell L. Challenging norms: Making non-normative choices in childbearing. Results of a meta ethnographic review of the literature. Midwifery. 2023 Jan;116:103532. doi: 10.1016/j.midw.2022.103532. Epub 2022 Oct 30
Nurses should strive to understand women’s needs, past experiences and sociocultural background as a basis for discussing their choices in a non-judgemental way. Research on non-normative choices in childbearing should include ethnic and sexual minorities, and evaluate protocols for sensitive, women-centred discussion of birthing choices.
Preferences about childbirth range along a wide continuum from physiological, sometimes even unassisted births, to caesarean sections by maternal request. Despite this wide range, most births in the western world take place in medical settings, making it in practice a medical event, reflecting society’s and health professionals’ views of risk and safety that define birth choices which are considered normative....
Commentary on: Toprak FÜ, Erenel AS. The effect of kangaroo care practice after caesarean section on paternal-newborn interaction: A mixed-methods study in Turkey. Midwifery. 2022 Dec; 115:103489. doi: 10.1016/j.midw.2022.103489. Epub 2022 Sep 15.
Turkish fathers should be encouraged to hold their infants by kangaroo care (KC) after maternal caesarean section. Future research in Turkey could focus on the facilitators and barriers to paternal skin-to-skin holding.
Newborns, when consoled with skin-to-skin holding, or KC, are better able to adapt physiologically after caesarean delivery. KC in Turkey is a desired practice, but when the mother has caesarean section, this delays the practice. In Turkey, fathers are not routinely offered KC. Since there is a high rate of caesarean sections in Turkey, the nursing staff do not offer KC to many infants. There are two hypotheses in this study: (1) newborns...
Commentary on: Monforte J, Davis C, Saleem S, Smith B. Moving on From the Delphi Study: The Development of a Physical Activity Training Programme Prototype Through Co-produced Qualitative Research. Qual Health Res. 2022 Nov;32(13):1952–1964. doi: 10.1177/10497323221126535. Epub 2022 Sep 14.
Dialogical inquiry, which aims to facilitate people hearing themselves and others in collaborative and non-hierarchical settings, is compatible with the practice of coproduction. A Delphi study alone may be insufficient for informing the design of educational programmes, curriculum or policy agenda. Additional follow-up qualitative interviews should be conducted to rectify, improve and expand on consensus-based knowledge.
Regular physical activity is critical to the health and well-being of people living with disabilities (PLWD).
Commentary on: Roland D, Gardiner A, Razzaq D, Rose K, Bressan S, Honeyford K, Buonsenso D, Da Dalt L, De T, Farrugia R, Parri N, Oostenbrink R, Maconochie IK, Bognar Z, Moll HA, Titomanlio L, Nijman RGG; in association with the REPEM network (Research in European Paediatric Emergency Medicine) as part of the EPISODES Study. Influence of epidemics and pandemics on paediatric ED use: a systematic review. Arch Dis Child. 2023 Feb;108(2):115–122. doi: 10.1136/archdischild-2022-324108. Epub 2022 Sep 26.
Healthsystems must be prepared for paediatric emergency department (ED) volume shifts during epidemics and pandemics. Two interventions to increase efficient paediatric ED use include: (1) parental education about home care and (2) real-time remote advice.
Epidemics and pandemics have major impacts on ED care. Studies examining the COVID-19 pandemic noted large early US ED visit declines.
Commentary on: Collaco N, Gamble A, Morgan JE, Phillips B, Culliford D, Darlington AS. Experiences and support needs of parents/caregivers of children with cancer through the COVID-19 pandemic in the UK: a longitudinal study. Arch Dis Child. 2023 Mar;108(3):198–203. doi: 10.1136/archdischild-2022-324905. Epub 2022 Nov 30.
To teach paediatric oncology nurses how to provide child-family-centred care based on specific needs. To spark research ideas on nursing interventions for anxiety in children with cancer and their families.
The study based on literature mentions that parents/caregivers of children with cancer have additional worries about the potential impact of COVID-19 on their children’s health. It was conducted to identify the experiences, information and support needs of parents/caregivers of children with cancer throughout the different stages of the COVID-19 pandemic in the UK.
The study used an online survey including...
Commentary on: Tucker G, Urwin C, Unsworth J. The impact of unsuccessful resuscitation and manikin death during simulation on nursing student’s resuscitation self-efficacy: A quasi-experimental study. Nurse Educ Today. 2022 Dec;119:105587. doi: 10.1016/j.nedt.2022.105587. Epub 2022 Oct 4.
A well-structured resuscitation simulation can improve nursing students’ self-efficacy, whether or not it ends with the death of the manikin. Future research should examine the impact of manikin death on other essential factors that contribute to nursing students’ learning.
Simulation is widely used to train nursing students in assessing and managing cardiac arrest. However, considerable debate has been about whether the manikin should die due to unsuccessful cardiopulmonary resuscitation in simulation. Some believe that it could cause undue stress and interfere with learning.
The long-awaited NHS England workforce plan
The first comprehensive workforce plan for the NHS, putting staffing on a sustainable footing and improving patient care. It focuses on retaining existing talent and making the best use of new technology alongside the biggest recruitment drive in health service history.
This is a laudable aim, but can this ambitious plan really deliver the actions needed to transform the long-term future of this critical workforce?
Workforce planning is crucial to the success of the National Health Service (NHS) and has been notable by its absence in recent decades. The publication of this plan could be seen as a step in the right direction. Workforce planning requires
Data analysis of the current workforce and...
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.
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.
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.
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.
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.
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.
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 .
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.
Cold housing, driven by poor housing quality and energy poverty, is a significant public health issue in many countries.
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.
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.
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...
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.
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.
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.
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.
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.
Transgender people experience numerous health inequities due to societal discrimination and stigma.
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
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.
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.
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.
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.
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.
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.
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.
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...
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