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AnteayerEvidence-Based Nursing

Nurse education in two fields: improving the care of individuals with a secondary diagnosis of mental illness in medical and surgical settings

Por: Mallison · B. · Mapungwana · E.

Commentary on: Pasere E, O’Hara D, Ballard E, Kilgour C, and Holland L, A narrative review of medical and surgical nurses’ attitudes and perceptions when caring for patients with a secondary diagnosis of mental illness, Nurse Education Today 2025; 151:106 684

Implications for nursing education

  • The study highlights the importance of education reform in preregistration nurse education to optimise the health outcomes for individuals with a secondary diagnosis of mental illness (SDMI).

    •  Context

    Individuals with mental illness experience higher rates of physical health issues compared with those without.1 These people tend to have poorer surgical outcomes and report fewer positive experiences of care during hospital admissions for medical or surgical procedures.1 Unpreparedness, negative attitudes and perceptions, along with a reported lack of knowledge and skills, contribute to nurses working in medical and surgical environments feeling unable to deliver effective holistic care to...

    Remission of type 2 diabetes is achievable in primary care with intensive lifestyle intervention

    Por: Zoungas · S. · Sumithran · P.

    Commentary on: Hocking SL et al. Intensive Lifestyle Intervention for Remission of Early Type 2 Diabetes in Primary Care in Australia: DiRECT-Aus. Diabetes Care 2024;47:66–70.

    Implications for practice and research

  • Intensive lifestyle intervention in primary care can safely achieve type 2 diabetes (T2D) remission at 12 months in around half of selected participants with short-duration, well-controlled T2D.

  • Research on the effectiveness and acceptability of strategies to improve durability of remission is needed.

    • Context

    Although previously thought to be inevitably progressive, evidence is growing that type 2 diabetes (T2D) can be brought into remission with weight loss.

    This study by Hocking et al1 was a single-arm replication of the Diabetes Remission Clinical Trial (DiRECT) randomised controlled trial2 in an Australian setting. It confirms that with an intensive lifestyle intervention including total diet replacement (TDR), around half of adults with recently...
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