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☐ ☆ ✇ Evidence-Based Nursing

Step your way to a longer life: examining the relation between step counts, morbidity and mortality

Por: Blond · K. · Grontved · A. — Diciembre 15th 2023 at 10:25

Commentary on: del Pozo Cruz B, Ahmadi MN, Lee IM, Stamatakis E. Prospective Associations of Daily Step Counts and Intensity With Cancer and Cardiovascular Disease Incidence and Mortality and All-Cause Mortality. JAMA Intern Med. 2022 Nov 1;182(11):1139-1148. doi: 10.1001/jamainternmed.2022.4000.

Implications for practice and research

  • Encouraging daily steps and increasing the daily time with high cadence steps may be important means to prevent morbidity and prolong lifespan.

  • Assessment of daily steps over a longer period may further elucidate the shape of the dose–response relationship and better quantify the benefits of increasing daily step counts.

  • Context

    Physical activity is widely recommended due to the extensive evidence supporting its numerous health benefits, including lower risks of morbidity and mortality. While current physical activity guidelines quantify their recommendations in terms of minutes of physical activity, step count has emerged as another popular metric for quantifying physical activity. However,...

    ☐ ☆ ✇ Evidence-Based Nursing

    Nurse identity: the misrepresentation of nursing in the media

    Por: Garcia · R. · Qureshi · I. — Diciembre 15th 2023 at 10:25

    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...

    ☐ ☆ ✇ Evidence-Based Nursing

    Induction, deduction and abduction

    Por: Barrett · D. · Younas · A. — Diciembre 15th 2023 at 10:25

    Researchers often refer to the type of ‘reasoning’ that they have used to support their analysis and reach conclusions within their study. For example, Krick and colleagues completed a study that supported the development of an outcome framework for measuring the effectiveness of digital nursing technologies.1 They reported completing the analysis through combining ‘an inductive and deductive approach’ (p1), but what do these terms mean? How can these methods of reasoning support nursing practice, and guide the development and appraisal of research evidence?

    This article will explore inductive and deductive reasoning and their place in nursing research. We will also explore a third approach to reasoning—abductive reasoning—which is arguably less well-known than induction and deduction, but just as prevalent and important in nursing practice and nursing research.

    Inductive reasoning

    Induction, or inductive reasoning, involves the identification of cues and the collection of data to develop general...

    ☐ ☆ ✇ Evidence-Based Nursing

    NHS England long-term workforce plan: Can this deliver the workforce transformation so urgently needed or is it just more rhetoric?

    Por: Twycross · A. · Wray · J. — Septiembre 26th 2023 at 16:14

    The long-awaited NHS England workforce plan1 (the plan) was launched in June 2023 by the Prime Minister (Rishi Sunak) and NHS England CEO (Amanda Pritchard) and heralded as:

    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.1

    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 requires2:

  • Data analysis of the current workforce and...

  • ☐ ☆ ✇ Evidence-Based Nursing

    Phenomenography: an alternative to the usual qualitative method

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

    Phenomenography is a method of exploring the phenomenon of interest by examining how a group of individuals experience said phenomenon, uncovering the similarities and differences of this shared experience. The purpose of this paper is to outline the case for phenomenography as a research method ideally suited to explore the complex problems encountered by nurses and midwives within their everyday practice.

    Research paradigm

    Phenomenography emerged in the mid-1970s from the landmark study by Marton and Saljo1 2 where they endeavoured to explain why students at the same university and course arrived at different solutions for the same problems. Phenomenography is a second-order perspective because it focuses on participants and is concerned with understanding the collective view rather than understanding an experience through multiple individual experiences. A key assumption is that individual experiences are ‘logically related’ when phenomena they experience are the...

    ☐ ☆ ✇ Evidence-Based Nursing

    How misinformation exposure influences vaccine status

    Por: Fox · S. — Septiembre 26th 2023 at 16:14

    Commentary on: Neely SR, Eldredge C, Ersing R, Remington C. Vaccine Hesitancy and Exposure to Misinformation: a Survey Analysis. J Gen Intern Med. 2022 Jan;371,:179-187. doi: 10.1007/s11606-021-07171-z. Epub 2021 Oct 20.

    Implications for practice and research

  • Implementing strategic trustworthy communication that targets misinformation themes counters negative information about vaccines and helps achieve community support for vaccination programmes.

  • Amplifying the presence of health professionals on social media and collaborating with political thought leaders may help to anticipate, identify and offset health-related misinformation.

  • Context

    Since the emergence of the SARS-CoV-2 in late 2019, there has been an unprecedented global change. Each country took actions to respond to the outbreak including guidance development, surveillance and epidemiology, testing, providing emergency supplies and rapid vaccine development. During this time, governments struggled to keep up with misinformation, conspiracy theories, social media rumours and uncertainty.1 This resulted in misinformation...

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