Conectar
Commentary on: Taylor SP, Kowalkowski MA, Skewes S, Chou SH. Real-world implications of updated surviving sepsis campaign antibiotic timing recommendations. Crit Care Med. 2024 doi: 10.1097/CCM.0000000000006240.
Implications for practice and research Antibiotic delivery in suspected sepsis must be prioritised within the clinical context emphasising the need to individualise antibiotic timing according to patient profiles. In the absence of shock, a more lenient approach to antibiotic timing could support the rational use of antibiotics.
Sepsis is a life-threatening response to infection and remains a critical challenge with high morbidity and mortality rates. The Surviving Sepsis Campaign (SSC) guidelines serve as a cornerstone for sepsis management and are pivotal in standardising care. Taylor et al’s article
Commentary on: Velthuijs ELM, Jacod BC, Videler-Sinke L, et al. Outcome of induction of labour at 41 weeks with Foley catheter in midwifery-led care. Midwifery 2024 Aug;135:104026. doi: 10.1016/j.midw.2024.104026. Epub 9 May 2024. PMID: 38781793.
Implications for practice and research Performing induction of labour with a Foley catheter and subsequent amniotomy in midwife-led care is associated with worse neonatal outcomes and equivalent maternal outcomes compared with consultant-led care. Future research should further explore the cost-effectiveness, feasibility and neonatal outcomes associated with midwife-led care in different patient populations.
Although care for low-risk births in the Netherlands is primarily conducted by midwives, the use of consultant-led care has been increasing for a variety of indications, leading to a high patient burden for consultants. The induction of labour (IOL) of late-term pregnancies has historically been an indication for consultant-led care. This study by Velthuijs et...
Commentary on: Hunt K, Davies A, Fraser A, Burden C, Howell A, Buckley K, Harding S, Bakhbakhi D. Exposure to microplastics and human reproductive outcomes: A systematic review. BJOG. 2024 Apr;131(5):675-683. doi: 10.1111/1471-0528.17756. Epub 2024 Jan 29. PMID: 38287142.
Implications for practice and research Plastic exposure may be associated with increased deposition of microplastics in reproductive tissues, and the quantity of microplastics in these tissues may lead to adverse clinical outcomes. Future research should aim to provide high-quality, generalisable evidence to further demonstrate the impact of plastic exposure and microplastics on reproductive outcomes in humans.
As a result of the mass scale of production of plastics since the 1950s, microplastics, defined as particles 1 Microplastics have been linked to reproductive toxicity in both cell culture...
Commentary on: Kosola S, Mproa S, Holoapaine E. Smartphone use and well-being of adolescent girls: a population-based study. Arch Dis Child, 2024; 109: 576–581
Implications for practice and research Smartphone addiction may contribute to the increase in anxiety disorders in adolescent girls; peer engagement activities and tech-free zones may help reduce smartphone use. Providing support and advice relating to smartphone use for young people is everyone’s responsibility; solely relying on mental health services to address smartphone addiction is not realistic.
The prevalence of anxiety disorders, particularly in adolescent girls, is increasing; smartphone addiction is a potential causal factor. Kosola et al
This population-based study recruited over a thousand adolescent girls from 21 socially diverse schools who completed online...
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: 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...
Commentary on: Borer H, Dubovi I. Fostering childbirth education on upright positions and mobility during labour in nulliparous women. BMC Pregnancy Childbirth 2023;23:870. doi: 10.1186/s12884-023-06166-4.
Childbirth education can be delivered in interactive and constructive formats to more effectively promote evidence-based interventions that improve maternal satisfaction. Future research can explore the implementation and effectiveness of the ICAP framework in childbirth education in more diverse settings and environments.
Recent literature has demonstrated benefits of the upright position and mobility during labour, including a reduction in caesarean birth incidence and the promotion of positive childbirth experiences. However, mobilisation during labour is still not a common practice worldwide. This study by Borer and Dubovi investigates the use of interactive-constructive forms of childbirth instruction to improve maternal education of the benefits of mobility and foster positive attitudes towards this style of labouring. Chi...
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.
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.
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...
Commentary on: Miller LG, McKinnell JA, Singh RD et al. Decolonization in Nursing Homes to Prevent Infection and Hospitalization. N Engl J Med. 2023 Nov 9;389(19):1766-1777.
Universal decolonisation of nursing home residents can reduce infection-related hospitalisations and overall hospitalisations. This may translate in the long term into potential reduction in healthcare costs of residents in nursing homes.
Nursing homes have a big role in healthcare delivery in the USA, thanks to the dramatic increase in population of older persons. Social interactions, indwelling devices, comorbidities and long stays predispose these residents to infections, particularly from multidrug-resistant organisms (MDRO), which in turn increase hospital admissions and deaths.
This cluster randomised trial
Commentary on: Purba AK, Thomson RM, Henery PM, et al. Social media use and health risk behaviours in young people: systematic review and meta-analysis. BMJ 2023;383:e073552.
Implications for practice and research Social media is part of young peoples’ (YP) everyday life including interacting with peers and sourcing information. Multimodal methods such as online health literacy education and promoting positive health behaviours could contribute to safe social media use in YP.
Worldwide, young people (YP) have a notable online presence with the majority of Instagram and X (formerly Twitter) users 1 Although YP have a noticeable online presence, the impact on health behaviours remains unclear. The systematic review by Purba et al
Commentary on: Wyss C, Inauen J, Cignacco E, Raio L, Aubry EM. Mediating processes underlying the associations between maternal obesity and the likelihood of cesarean birth. Birth. 2024 Mar;51(1):52-62. doi: 10.1111/birt.12751. Epub 2023 Aug 24.
It is important for future clinical practice to understand the risks of Caesarean Section (CS) to properly counsel pregnant patients, even if the patient is obese. It would be crucial to have CS delivery indications that are accepted at national and international levels, even in in obese women.
According to the literature, it appears that obese pregnant women are more likely to undergo a caesarean section than non-obese women. However, the mechanisms underlying these data have not yet been clarified.
The aim of the study of Wyss et al
Commentary on: Chistell, F., Stängle, S., & Fringer, A. (2023). ‘Loneliness is a monotonous thing’: descriptive qualitative research on the loneliness of caring relatives. BMC Nurs 22, 161 doi: 10.1186/s12912-023-01327-4.
The study describes the social, emotional and existential aspects of loneliness in family caregivers of adults with chronic illnesses who are housebound, raising awareness of a prevalent and significant issue. More research is needed to understand the experience of loneliness across the trajectories of various illnesses and to develop a fuller understanding of existential loneliness.
Loneliness is a universal, subjective experience that arises from a perceived lack of meaningful social relationships or connectedness with those around us.
Artificial intelligence (AI), defined as the simulation of human intelligence in machines designed to replicate human cognitive processes, is becoming increasingly prevalent in nursing practice and research. Recent reviews have examined the application of AI across various nursing domains, highlighting its role in clinical decision support, administrative efficiency and educational advancements.
AI techniques, including machine learning and natural language processing, are being employed to address a range of clinical, managerial and educational challenges in nursing.
Machine learning, a core component of AI, is instrumental in various nursing applications. It enables pattern recognition and predictive analysis through the examination of...
FreshRSS 