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Commentary on: Boxall C, Fenlon D, May C, Nuttall J, Hunter MS. Implementing a nurse-delivered cognitive behavioural therapy intervention to reduce the impact of hot flushes/night sweats in women with breast cancer: a qualitative process evaluation of the MENOS4 trial. BMC Nurs. 2023 Sep 15;22(1):317. doi: 10.1186/s12912-023-01441-3.
Implications for practice and research Collaboration between nurses, primary care and healthcare managers, healthcare partners in breast care will facilitate the role of the breast care nurse in patient care. More research is needed on breast cancer survivors with diverse population at multiple sites, thereby improving the quality of research on cognitive–behavioural therapy.
There is a growing body of evidence that 85% of women experience hot flashes and night sweats after breast cancer treatment
Commentary on: Feo R, Young JA, Urry K, Lawless M, Hunter SC, Kitson A, Conroy T. ‘I wasn’t made to feel like a nut case after all’: A qualitative story completion study exploring healthcare recipient and carer perceptions of good professional caregiving relationships. Health Expect. 2023 Oct 19;27(1):e13871. doi: 10.1111/hex.13871. Epub ahead of print.
Healthcare providers can foster effective patient–provider relationships by addressing concerns early on and adopting key behaviours, such as showing interest in understanding the patient’s issues, validating their concerns and respecting their choices. Future research should focus on identifying strategies to help healthcare providers develop effective patient–provider relationships. This requires a thorough understanding of these relationships from the perspectives of all involved parties, including healthcare providers, patients and their informal caregivers.
The patient–provider relationship is at the core of effective disease management.
Commentary on: Ley C, Heath F, Hastie T, et al. Defining Usual Oral Temperature Ranges in Outpatients Using an Unsupervised Learning Algorithm. JAMA Intern Med. 2023 Oct 1;183(10):1128-1135. doi: 10.1001/jamainternmed.2023.4291.
This study suggests that clinicians should consider age, sex, height, weight and time of day when assessing a patient’s oral temperature. Consider moving away from a one-size-fits-all approach to fever diagnosis.
Future research should focus on how these individualised temperature norms can be integrated into clinical decision-making processes. Develop new diagnostic criteria for fever.
Traditionally, the ‘normal’ oral temperature of 37°C has been a long-standing benchmark in health assessments. However, this standard fails to consider individual variability influenced by age, sex and metabolism. Ley et al
Commentary on: Wu CY, Iskander C, Wang C, et al. Association of sulfonylureas with the risk of dementia: A population-based cohort study. J Am Geriatr Soc. 2023; 71:3059–70.
Unless contraindicated, dipeptidyl peptidase 4 inhibitors (DPP-4i) should be used as first-line choice in older adults with type 2 diabetes in preference to sulfonylurea due to increased risk of dementia. Prospective studies are needed to ascertain if the use of sulfonylurea by older adult patients causes higher risk of developing dementia.
Diabetes is already known as a risk factor for developing dementia. Multiple factors contribute to this association: presence of microvascular and macrovascular complications, chronic inflammation, hyperglycaemia, hypoglycaemia and hyperinsulinemia.
Older adult patients often present with multimorbidities, polypharmacy, malnutrition, sarcopenia, longer duration of diabetes and renal and hepatic dysfunction. Furthermore, low education level, high blood pressure, dyslipidemia, obstructive...
Commentary on: Harmon CS, Adams SA, Davis JE, Gephart SM, Donevant SB. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. 2023 Oct;73:151724. doi: 10.1016/j.apnr.2023.151724. Epub 2023 Aug 5.
The organisation should provide training and support for electronic health record (EHR) use; however, if usability problems do not resolve themselves, system development work is needed. Multimethod research is needed to determine the nurses’ cognitive load (CL) in the work environment where EHR is used.
Unintended consequences (UCs) of the EHR and the CL have been on the discussion in USA. In nursing has been recognised UC of the EHR related to the adverse effects on patient care outcomes, patient safety, nursing workflow and nursing workload.
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