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Commentary on: Understanding community-dwelling older adults' preferences for homeand community-based services: A conjoint analysis. - Chen, S et al.
Implications for practice and research Older adults prioritise caregivers’ attitudes in the delivery of service at home or in the community. Health systems should consider the cost of home/community service to ensure that this care is feasible for all older adults. Explore cultural influences on preferences for home and community services. Examine the impact of preferences on service outcomes.
The study explored the preference for home-based and community-based services among older adults in China. As populations age globally, understanding these preferences becomes crucial for developing effective care models. The research focuses on identifying the preference structure of Chinese community-dwelling older adults for these services, with the aim of optimising the provision of services. Given the increasing scarcity of resources and the...
Commentary on: Douglas C, Alexeev S, Middleton S, Gardner G, Kelly P, McInnes E, et al. Transforming nursing assessment in acute hospitals: A cluster randomised controlled trial of an evidence-based nursing core assessment (the ENCORE trial). International Journal of Nursing Studies. 2024. 2024;151:104690.
Implications for practice and research Introducing training to enhance manual nursing assessment and surveillance has the potential to improve outcomes for hospitalised patients with multimorbidity. Further research is needed to establish which aspects of nursing assessment and surveillance are essential to improving recognition and response to clinical deterioration.
Failure to identify and respond to deteriorating patients is a significant and complex clinical safety issue. There is a growing body of international research evidence which has identified the importance of system and human factors in ‘failure to rescue’ events.
Commentary on: Aspinall C, Slark J, Parr J, et al. The role of healthcare leaders in implementing equitable clinical academic pathways for nurses: An integrative review. J Adv Nurs. 2024: 1-15. doi: 10.1111/jan.16043
Implications for practice and research All levels of leadership need to engage with and support ‘clinical-academic positions’ to realise the potential these positions offer clinical practice improvement. It is imperative that clinical-academic nurses develop leadership skills to engage with policy and influence executive decisions relevant to advancing clinical practice.
Clinical-academic positions have been developed to advance the nursing profession. The intent of these positions is to lead the continuous generation and adoption of strong evidence into clinical practice that improves healthcare provision; and thereby, strengthening professional credibility. These positions bridge the clinical academic space through drawing on their expertise, research and understanding of implementation science to foster partnership and...
In the last edition (July, Vol. 28-3) of Evidence-Based Nursing (EBN), Alison Twycross bid farewell to the journal after 15 years of service as the editor-in-chief.
With Alison stepping down as the Editor-in-Chief of EBN, the journal begins a...
Commentary on: Freedman B, Li WW, Liang Z, Hartin P, Biedermann N. The prevalence of incivility in hospitals and the effects of incivility on patient safety culture and outcomes: A systematic review and meta-analysis. J Adv Nurs. Published online March 21, 2024. doi:10.1111/jan.16111
Practice: Implement anti-incivility programmes, including training and policies, to improve teamwork, communication and management support, thereby enhancing patient safety culture (PSC). Research: Investigate mediating factors such as conflict handling, psychological resilience and self-efficacy to understand their impact on the relationship between incivility and patient safety, guiding effective intervention development.
Workplace incivility, characterised by low-intensity deviant behaviour, undermines mutual respect,
Commentary on:Archambault et al (2024) The current state of knowledge on care for co-occurring chronic pain and opioid use disorders: a scoping review.
IMPLICATIONS FOR PRACTICE AND RESEARCH Research is needed to explore the impact of combined management of opioid use disorder (OUD) and chronic non-cancer pain. There is a need to support healthcare professionals when caring for those with OUD and chronic non-cancer pain to ensure they have adequate knowledge and awareness of treatment options.
Over the last decade, there has been a growing focus on the use of opioids in the management of pain across clinical practice and media outlets. The incidence of chronic non-cancer pain is estimated between 35% and 51%.
Commentary on: Fraser LK, Bedendo A, O'Neill M, et al. Safety, resource use and nutritional content of home-blended diets in children who are gastrostomy fed: findings from ‘YourTube’ – a prospective cohort study. Arch Dis Child. 2023:archdischild-2023–3 26 393. Online ahead of print.
Home-blended diets are safe alternatives to commercial formulas, provided there is no specific clinical contraindication. High-quality randomised controlled studies are required to examine any differences in long-term outcomes in children who are fed home-blended gastrostomy-delivered diets versus those on commercial formulas.
Gastrostomy tube feeding is a well-established safe and relatively common way of delivering nutrients to the gastrointestinal tract in individual who cannot use the oral route. In children, there are several indications for using chronic gastrostomy tube feeding, including neurodevelopmental conditions, cardiac problems, metabolic conditions, gastrointestinal diseases and malignancy.
Commentary on: Chua M, Lau XK, Ignacio J. Facilitators and barriers to implementation of telemedicine in nursing homes: A qualitative systematic review and meta-aggregation. Worldviews Evid Based Nurs. 2024 Feb 10.
Implications for practice and research Telemedicine seems to hold a lot of promise, especially in nursing homes where patients are in desperate need of prompt medical attention. Lack of experience among healthcare professionals, as well as a lack of knowledge about process flows and organisational readiness, may be barriers to the introduction of telemedicine into nursing homes. Further research that examines the work system from the perspective of nursing homes will be necessary to improve the effectiveness and efficiency of telemedicine connections in these settings.
One of the biggest issues facing society is the growing number of elderly people who require care, which in turn is driving up demand for...
Commentary on: Sabetsarvestani R, Geckil E. A meta-synthesis of the experience of paediatric nurses in communication with children. J Adv Nurs 2024;00:1-16. doi: 10.1111/jan.16072
Paediatric nurses stressed the need for a multimodal approach to communication with children and young people, supplementing verbal interaction with appropriate facial expressions, gestures, tone and use of play. Nurses identified the need to balance communication involving a child and their parents (triadic) and communicating with the child without parents (dyadic) in order to ascertain the child’s understanding and concerns directly rather than solely relying on parental reporting. Parents were described as both aiding nurse communication with children and, in some cases, hindering it. Further communication training for nurses has the potential to improve the quality of care and job satisfaction.
The importance of good communication with patients and their families is...
Commentary on: Farfán-Zúñiga, X abd Jaman-Mewes, P. Reflections of nursing students on the care of the person’s dignity at the end of life: a qualitative study. Nurse Education Today 2024; 133: 106067.
Implications for practice and research Dignity is one of the main values at the end of life. Reflection of dignity and the meaning of such should be an obligatory part of nursing education, particularly when caring for people at the final stage of life, where vulnerability is more palpable. Research on nursing students’ reflections regarding meeting the dignity needs of dying people is essential to improve the quality of end-of-life care.
Dignity is a cornerstone in healthcare and nursing research, not least it is an important concept when caring for people and their relatives at the end of life. Yet, there is a lack of research about nursing education, reflective...
Commentary on: Hall L. A service evaluation exploring clients’ experiences of being on a waiting list for individual psychological therapy with a community learning disability team. Br J Learn Disabil 2023;1–8. doi.org/10.1111/bld.12564
Implementing waiting-list interventions, offering regular updates on queue position and estimated wait times, and providing information about support services can alleviate the uncertainty of prolonged waits and mitigate dropouts among individuals with learning disabilities and comorbid mental conditions. Further research should pinpoint specific combinations of learning disabilities and comorbid mental health conditions that pose a heightened risk of mental health decline during therapy wait times, necessitating tailored interventions.
Prolonged wait times for accessing UK mental health services persist, flouting the National Health Service mandate of an 18-week maximum wait period for referred patients.
Commentary on: Roden R C, Billman M, Francesco A, Mullin R, Tassi C, Wozolek B, Heppard B, Essayli J, & Stuckey-Peyrot H (2024). Treatment goals of adolescents and young adults for gender dysphoria. Pediatrics, 153(1), e2023062202. https://doi.org/10.1542/peds.2023-062202.
Implications for practice and research Clinicians should individualise gender-affirming care for transgender and non-binary adolescents, respecting their specific medical and surgical treatment goals as presented at initial healthcare appointments. Future research should separately analyse the distinct treatment aspirations of gender-diverse (‘eclectic’) adolescents to refine clinical guidelines and inform public policy.
An increasing number of adolescents and young adults seek medical care for gender affirmation.
Commentary on: Sushko K, Strachan P, Butt M, Nerenberg K, Sherifali D. Supporting self-management in women with pre-existing diabetes in pregnancy: a mixed-methods sequential comparative case study. BMC nursing. 2024 Jan 2;23(1):1.
Implications for practice and research Policies are required to support self-management of diabetes during labour and delivery in practice. Future research should focus on developing and implementing interventions to support self-management of diabetes during labour and delivery.
Sushko et al
Commentary on: Nerek, A, Wesołowska-Górniak, K, & Czarkowska-Paczek, B (2024). Enhancing feedback by health coaching: the effectiveness of mixed methods approach to long-term physical activity changes in nurses. An intervention study. BMC nursing, 23(1), 196. https://doi.org/10.1186/s12912-024-01815-1
Tailoring interventions for individual motivations and workplace challenges is crucial for promoting physical activity among nurses and improving their well-being. Future research should explore the long-term effectiveness and broader health outcomes of mixed-methods interventions, guiding evidence-based strategies in healthcare practice.
Despite the benefits of regular physical activity, many nurses have low activity levels, leading to higher risks of chronic diseases and absenteeism. Over 30% of nurses are overweight or obese, often due to stressful work conditions and night shifts, increasing the risk of metabolic disorders.
Artificial intelligence (AI) is now widely accessible and already being used by healthcare researchers throughout various stages in the research process, such as assisting with systematic reviews, supporting data collection, facilitating data analysis and drafting manuscripts for publication.
There are several...
Commentary on: Maassel NL, Graetz E, Schneider EB, et al. Hospital Admissions for abusive head trauma before and during the COVID-19 pandemic. JAMA Pediatr 2023;177(12):1342-47
Implications for practice and research The COVID-19 pandemic was associated with reductions in abusive head trauma (AHT) among children. Improved assessment of parental roles and earlier detection of family violence and coercive control present opportunities to prevent AHT. Strengthening social supports by mitigating effects of financial strain on families may also reduce AHT.
Child abuse or neglect is estimated to occur in 10–30 per 100 000 infants in developed countries but is likely under-reported.
Commentary on: Ekezie W, Maxwell A, Byron M, Czyznikowska B, Osman I, Moylan K, Gong S, Pareek M. Health communication and inequalities in primary care access during COVID-19 pandemic among ethnic minorities in the United Kingdom: lived experiences and recommendations. Int J Environ Res Public Health. 2022;19:15166. doi.org/10.3390/ijerph192215166.
Implications for practice and research To improve primary health access, reduce social inequalities and disinformation, and overcome challenges to accessibility, it is crucial to develop evidence-based and community-oriented healthcare initiatives to inform the public and provide health access, especially for ethnic minorities. Future research should focus on developing clear, consistent, effective and global health communication strategies to address primary care access during pandemics, especially for ethnic minority communities.
The COVID-19 pandemic has had a tremendous impact on daily lives globally, healthcare access and healthcare utilisation, especially for individuals who are traditionally underserved by the...
In the 10 years since this paper was originally published in EBN’s Research Made Simple series,
Assessing the quality of research is crucial to ensure findings can be effectively applied to clinical practice and are based on...
Commentary on: Lyon, M. E., Fraser, J. L., Thompkins, J. D., et al (2024). Advance Care Planning for Children With Rare Diseases: A Pilot RCT. Pediatrics, 153(6), e2023064557. https://doi.org/10.1542/peds.2023-064557.
Implications for research and practice Having access to advance care planning, despite social and financial constraints is imperative. It is evident that in the population included in this study, advance care planning was invaluable for those below the 2021 financial poverty line. Further research is required to determine if the current medical model in the USA is meeting the requirements of caregivers and children with rare diseases.
Rare diseases in babies, children and young people (children) are often life-shortening, and children can require constant caregiving. Bösch et al
Commentary on: Elfors FB, Widarsson M, Velandia M. Midwives' experiences of postpartum haemorrhage: A web-based survey in Sweden. Midwifery. 2024 Feb;129:103902. doi: 10.1016/j.midw.2023.103902. Epub 2023 Dec 3. PMID: 38064780
Implications for practice and research To ensure safe woman-centred care during a postpartum haemorrhage (PPH) emergency, a multimodal approach is required, incorporating simulation-based training, effective communication styles and management of short staffing. Phenomenological study designs may provide an in-depth understanding of midwives’ lived experiences of PPH, and their perceptions of interventions of PPH management strategies.
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 al
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