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Commentary on: Eglseer D. Development and evaluation of a Massive Open Online Course (MOOC) for healthcare professionals on malnutrition in older adults. Nurse Educ Today. 2023 Apr;123:105741. doi: 10.1016/j.nedt.2023.105741. Epub 2023 Feb 4.
Massive open online course (MOOCs) can improve health professionals (HPs)’ knowledge and nutritional care skills for malnutrition in older adults efficiently. Implementation science studies are necessary to effectively change HPs’ behaviours and attitudes towards malnutrition by considering organisational, cultural and self-efficacy aspects. Future research should focus on identifying effective strategies for implementing evidence-based nutritional care for older adults, emphasising HPs’ attitudes and self-efficacy.
Malnutrition is a prevalent condition among older adults in acute hospital settings that can result in adverse clinical outcomes such as increased pressure ulcer development, reduced wound healing, increased infections and higher mortality rates.
We aimed to identify all available studies describing measures or indicators used to monitor 41 intrapartum care practices described in the 2018 WHO intrapartum care recommendations, with a view to informing development of standardised measurement of implementing these recommendations.
Systematic scoping review.
We conducted a scoping review to identify studies reporting measures of intrapartum care published between 1 January 2000 and 28 June 2021. Primary and secondary outcome measures included study characteristics (publication year, journal, country and World Bank classification) and intrapartum care measure characteristics (definition, numerator, denominator, measurement level and measurement approach). We searched MEDLINE, EMBASE, CINAHL, Cochrane Library, the Maternity and Infant Care Database, Global Index Medicus and grey literature using structured search terms related to included recommendations, focusing on respectful and supportive care, and clinical practices performed throughout labour and birth. The measures identified were classified by the WHO recommendation and their characteristics reported.
We identified 150 studies which described 1331 intrapartum care measures. These measures corresponded to 35 of the 41 included WHO recommendations, and represented all domains of the WHO recommendations (care throughout labour and birth, first stage of labour, second stage of labour, third stage of labour). A total of 40.1% (534 of 1331 measures) of measures were related to respectful maternity care. Most studies used a questionnaire or survey measurement approach (522 of 1331 measures, 39.2%).
This scoping review presents a database of existing intrapartum care measures used to monitor the quality of intrapartum care globally. There is no clear consensus on a core set of measures for evaluating the practice of the WHO’s intrapartum care recommendations. This review provides a foundation to support the development of a core set of internationally standardised intrapartum care measures for the WHO intrapartum care recommendations, highlighting key areas requiring consensus and validation, and measure development.
Objetivo: El objetivo del estudio fue identificar algunos posibles factores causantes de mastitis en mujeres lactantes. Metodología: Estudio de casos y controles; 55 casos (mujeres lactantes con dolor en el pecho, y/o sintomatología de mastitis y cultivo positivo) y 54 controles (mujeres lactantes sin dolor ni sintomatología de mastitis). Se recopiló información retrospectiva sobre diversos factores de riesgo. Se realizó análisis multivariante de las variables significativas. Resultados principales: factores asociados significativamente con mastitis: tratamiento materno con antibióticos en el período perinatal (ORa = 3,935 IC =1,15 – 6,13) suplementos de hierro (ORa = 0,241; IC= 0,092 - 0,631) y anestesia epidural (ORa = 0,196; IC= 0,066 – 0,693). Conclusión principal: La antibioterapia durante el periodo perinatal podría estar relacionada con el desarrollo de mastitis durante la lactancia. En cambio los suplementos de hierro suponían un factor de protección. Es importante seguir investigando para prevenir posibles mastitis en madres lactantes que hayan recibido antibiótico y que valoren el significado de los suplementos de hierro.
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