Although the UK is a multicultural society, racially minoritised populations are often under-represented in healthcare research owing to the significant barriers to participation they experience.1 Under-representation of racially minoritised groups in research impacts the quality of evidence and applicability of findings to these groups. This, in part, explains why these communities are more likely to report poorer health and poorer experiences of using healthcare services than their White counterparts,2 given that their cultural and spiritual preferences are often ignored.3 This commentary will explore some of the persistent multifaceted barriers and the role of research ethics committees (RECs) in enabling inclusive healthcare research among racially minoritised communities, given their key responsibility in building public confidence, ensuring ethical conduct and safeguarding research participants. In addition, patient and public involvement and engagement (PPIE) can complement the roles of RECs in embracing diversity in healthcare...

International guidelines on paediatric resuscitation support parental presence during resuscitation.1 To ensure their needs are met, parents need dedicated support during their child’s resuscitation, whether they are present or not. Resuscitation is a stressful and potentially life-changing time for parents; however, there is little empirical evidence on who and how parental support should be provided. The aim of this...

Sepsis is a life-threatening response to infection and remains a critical challenge with high morbidity and mortality rates. The Surviving Sepsis Campaign (SSC) guidelines serve as a cornerstone for sepsis management and are pivotal in standardising care. Taylor et al’s article1 scrutinises the real-world implications of updated SSC antibiotic timing recommendations2 and offers critical insights into the practical effects of the revised antibiotic timing guidelines.

The rate of impaired metabolic regulation is rising among premenopausal women, characterised by decreased insulin sensitivity, increased fasting blood sugar levels and abnormal lipid profiles.1 This metabolic dysfunction is linked to the...

Emergency departments (EDs) have a crucial role in suicide prevention. Around 18% of people who died by suicide presented to ED in the month prior to death, commonly for self-harm.1 A hospital presentation for self-harm is one of the strongest risk factors for suicide;...

Breast cancer is the most common cancer in women worldwide. While research in recent decades has focused on minimising treatment, the disease still impacts women’s lives in many ways. Because increased sleep disturbances affect approximately...

In modern healthcare, the use of tools such as early warning systems (EWS), has become integral to patient safety, particularly for detecting early signs of patient deterioration.1 These systems alert clinicians based on objective physical parameters, providing essential support. However, concerns have arisen about the potential for...

The study by Goto et al screened adolescents across Ukraine for mental health consequences of war.1 These adolescents had a range of exposures to the Russian invasion beginning in early 2022 and completed self-report symptom questionnaires. Prior studies cited in the article suggested that children and adolescents may be especially vulnerable to war-related mental health problems. Given the difficulties of conducting research during ongoing hostilities, this study’s efforts to collect and systematically evaluate a large research...

There are several...

Births complicated with postpartum haemorrhage (PPH) are considered traumatic for the woman and the obstetric team, but in most cases are preventable emergencies. In this study, Elforse et al1 did a qualitative online survey to explore midwives’ experiences of postpartum haemorrhage of more than 1000 mL at birth. According to the authors, in Sweden, PPH treatment will...

The interest of using digital technologies, robots etc in supporting old age care is growing, due to the fact that the technological possibilities are also increasing. The fact that older populations are growing while working populations are decreasing in...

Intensive care units (ICUs) exposes both patients and families to an unfamiliar/stressful environment, featuring the urgency for enhanced end-of-life (EoL) care within ICUs.1 2 The emotional burden of EoL decisions can intensify the needs of bereaved families, leading to decreased quality of life,...

Depression in childhood is a long-documented public health concern.1 A large body of research has considered prevalence rates of depression in children around the world, given its relevance for lifespan mental health and well-being. Meta-analytic research...

There is mounting evidence of the effects of global warming and ecological changes on human health, encompassing mental, emotional and spiritual well-being.1 The systemic, global and potentially irreversible impacts of climate change have led to concepts such as eco-anxiety, eco-grief, eco-guilt and solastalgia.2 Solastalgia, introduced by Australian philosopher Glenn Albrecht, is a relatively new concept used to understand the links between human health and the ecosystem. Solastalgia describes the emotional or existential distress individuals feel when their sense of home and place is disrupted by environmental changes caused by climate change, natural disasters or human activities.3–5Solastalgia refers to the "homesickness felt while at home". It is the distress caused by changes in one’s environment, rather than physically leaving...

Developing a trusting relationship with parents and caregivers is an essential component of paediatric nursing. Previous studies in this area have been largely conducted in western cultures and as such, the experiences of other cultures are not well understood. This study1 explored the experiences...

While guidelines provide evidence-based recommendations for women with type 1 diabetes in pregnancy, women’s perceptions of these recommendations are not well-known. Toledo-Chavarri and colleagues explore these perceptions and found that continuity of care, coordination between health professionals and services, and a more holistic approach are key aspects that are needed for more acceptable, feasible and equitable peripartum care.1

Toledo-Chavarri and colleagues...

As the population ages, the prevalence of dementia has increased.1 Due to interruption in activities of...

Although previously thought to be inevitably progressive, evidence is growing that type 2 diabetes (T2D) can be brought into remission with weight loss.

This study by Hocking et al1 was a single-arm replication of the Diabetes Remission Clinical Trial (DiRECT) randomised controlled trial2 in an Australian setting. It confirms that with an intensive lifestyle intervention including total diet replacement (TDR), around half of adults with recently...

Vaginal bleeding is an adverse event that occurs in 20% of spontaneous pregnancies. Although many women with bleeding have normal term pregnancies, profuse bleeding, especially accompanied by pain, carries an increased risk of miscarriage. Our knowledge about early bleeding in pregnancy after hormone replacement therapy (HRT)...