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AnteayerEvidence-Based Nursing

Ending nuclear weapons, before they end us

This May, the World Health Assembly (WHA) will vote on re-establishing a mandate for the WHO to address the health consequences of nuclear weapons and war.1 Health professionals and their associations should urge their governments to support such a mandate and support the new United Nations (UN) comprehensive study on the effects of nuclear war.

The first atomic bomb exploded in the New Mexico desert 80 years ago, in July 1945. Three weeks later, two relatively small (by today’s standards), tactical-size nuclear weapons unleashed a cataclysm of radioactive incineration on Hiroshima and Nagasaki. By the end of 1945, about 213 000 people were dead.2 Tens of thousands more have died from late effects of the bombings.

Last December, Nihon Hidankyo, a movement that brings together atomic bomb survivors, was awarded the Nobel Peace Prize for its ‘efforts to achieve a world free of nuclear weapons...

Examining the role of self-efficacy, emotional intelligence and conflict management styles as protective resources against stress among student nurses

Commentary on: Michinov E, Robin G, Hémon B, Béranger R, Boissart M. Protective resources against stress among student nurses: influences of self-efficacy, emotional intelligence and conflict management styles. Nurse Educ Pract. 2024 Jan;74:103849. doi: 10.1016/j.nepr.2023.103849. Epub 2023 Nov 22.

Implications for practice and research

  • Educational programmes should include simulations and role playing to enhance student nurses’ self-efficacy and reduce stress.

  • Integrating emotional intelligence training into nursing education aids students in managing emotional demands.

  • Future research should focus on longitudinal studies to uncover causal relationships among factors.

  • Context

    Clinical practice training introduces stress to student nurses due to potential conflicts with patients, families and supervisors.1 Grounded in work stress models, the study recognises the significance of contextual (social supports) and personal resources (eg, optimism, resilience, self-efficacy and emotional intelligence (EI)) for stress reduction among student nurses in adapting to work demands.

    Realist research in nursing: an introduction to seeing beyond 'what works

    Por: Howe · J. · Harrison · M. · Fitzgerald · I. · Clibbens · N.
    Introduction

    This article is the first in a series exploring realist research, a methodological approach well suited to the complexity of nursing practice. Unlike traditional approaches such as randomised controlled trials (RCTs) and systematic reviews, which focus on whether interventions work, realist research examines how and why interventions work when implemented in specific groups; reflecting the individualised care nurses provide. By introducing the key concepts of realist research, this article highlights its relevance to nursing and lays the groundwork for using realist research to drive meaningful improvements in healthcare.

    The importance of realist research within nursing

    Realist research offers a unique lens to examine the complexity of healthcare delivery. While traditional research methods often seek to determine if interventions work or not in controlled environments, realist research seeks to explain how, why, for whom and under what circumstances interventions succeed—or fail—in real-world settings.1 This makes...

    Role of cultural sensitivity in developing trusting relationships with mothers of hospitalised children

    Por: Chapman · S. M.

    Commentary on: Kim MR, Chae SM. Experiences of trust in mothers of hospitalized children toward pediatric nurses. J Child Health Care. 2023 Oct 17:13674935231206214. doi: 10.1177/13674935231206214. Epub ahead of print.

    Implications for practice and research

  • The ability to develop a trusting relationship with families and carers of hospitalised children is an important skill for paediatric nurses as it can facilitate emotional support and parental empowerment

  • Future research in this area requires the development of tools which can objectively measure trust; these must be culturally sensitive and acknowledge the culturally diverse experiences of parents, caregivers and healthcare professionals

  • Context

    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...

    Importance of motivation in reducing the effects of shorter sleep on nurse burnout

    Por: de Cordova · P. B. · Thomas-Hawkins · C.

    Commentary on: Hatukay et al. The relationship between quick return shift schedules and burnout among nurses: A prospective repeated measures multi-source study. Int J Nurs Stud 2024;151:1-7

    Implications for practice and research

  • Nurse managers should develop motivational methods to buffer the effects of shorter sleep durations on burnout and be cognisant of the impact of quick return shifts on nurses.

  • Sleep studies are often cross-sectional based on self-report measures; using more objective measures of sleep over a longer period is encouraged.

  • Context

    Acute care nurses often work consecutive shifts to meet workplace demands and that allows for longer day off periods. Quick return is defined in the literature as less than 11 hours of rest between two consecutive shifts.1 When nurses work consecutive quick return shifts, they require sufficient intershift recovery that is necessary for adequate sleep and the delivery of...

    Cross-sectional survey to assess public awareness of childhood cancer symptoms

    Por: Noakes · A. · Lipshaw · M.

    Commentary on: Liu JF, Shanmugavadivel D, Ball-Gamble A, Stewart A, Walker D. Public awareness of childhood, teenager and young adult cancer signs and symptoms in Great Britain: a cross-sectional survey. BMJ 2023; 108: 987–93.

    Implications for practice and research

  • Clinical staff should have good awareness of childhood cancer symptoms to assist in raising public awareness.

  • Further research is required with adolescents to assess their awareness and knowledge-seeking behaviour.

  • Context

    Childhood cancer is the leading cause of death in children over 1 year and a major cause of acquired disability.1 The wide range of clinical symptoms connected with childhood cancers can mean several differential diagnoses to consider. In child health, practitioners ordinarily adopt an approach of waiting for symptom progression, aiming to avoid investigatory procedures that could impact their ongoing health.2

    Ordinarily, clinicians will piece together ‘red flag’ symptoms within...

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