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AnteayerEvidence-Based Nursing

Impact of the COVID-19 pandemic on eating disorder-related hospital and programme admissions in youth

Por: Devoe · D. J. · Holland · K. M. G.

Commentary on: Hartman-Munick SM, Lin JA, Milliren CE, et al. Association of the COVID-19 pandemic with adolescent and young adult eating disorder care volume. JAMA Pediatr. 2022 Dec 1;176(12):1225-1232. doi: 10.1001/jamapediatrics.2022.4346.

Implications for practice and research

  • The current research demonstrates the need to increase staffing and programme capacity for those working with patients with eating disorders (EDs) to ensure adequate care.

  • Future research into how the relationship between ED-related hospitalisations and individual external factors, such as social isolation are needed.

  • Context

    Research has shown that the pandemic greatly impacted worldwide mental health1 and disproportionality impacted those with EDs.2 Those with EDs such as anorexia nervosa, bulimia nervosa and binge ED have seen an increase in hospital admissions and programmes due to the COVID-19 pandemic.2 3 However, there is a lack of nationwide research investigating the increase...

    Diffusion of paediatric long-term ventilation as a reflection of changing clinical scenarios and practice

    Por: Meggiolaro · L. · Trevisanuto · D.

    Commentary on: Barker N, Sinha A, Jesson C, Doctor T, Narayan O, Elphick HE. Changes in UK paediatric long-term ventilation practice over 10 years. Arch Dis Child. 2023 Mar;108(3):218-224. doi: 10.1136/archdischild-2021-323562. Epub 2022 Nov 29.

    Implications for practice and research

  • Up-to-date information on the use of long-term ventilation (LTV) in the UK paediatric population helps LTV centres to plan services and support healthcare needs.

  • The future development of a national LTV children database could advise clinical guidelines and assist resource allocation planning.

  • Context

    LTV consists in the delivery of respiratory support provided on a daily basis for a minimum period of 3 months through various mechanical interventions.1 LTV, particularly long-term non-invasive ventilation (NIV), is an increasing practice in children as there has been evidence of improving survival and quality of life in several clinical scenarios characterised by respiratory failure. Moreover, it is...

    Extreme temperatures are associated with increased cardiovascular mortality

    Por: Barrett · D.

    Commentary on: Alahmad B, Khraishah H, Royé D, Vicedo-Cabrera AM, Guo Y, Papatheodorou SI, Achilleos S, Acquaotta F, Armstrong B, Bell ML, Pan SC, de Sousa Zanotti Stagliorio Coelho M, Colistro V, Dang TN, Van Dung D, De' Donato FK, Entezari A, Guo YL, Hashizume M, Honda Y, Indermitte E, Íñiguez C, Jaakkola JJK, Kim H, Lavigne E, Lee W, Li S, Madureira J, Mayvaneh F, Orru H, Overcenco A, Ragettli MS, Ryti NRI, Saldiva PHN, Scovronick N, Seposo X, Sera F, Silva SP, Stafoggia M, Tobias A, Garshick E, Bernstein AS, Zanobetti A, Schwartz J, Gasparrini A, Koutrakis P. Associations Between Extreme Temperatures and Cardiovascular Cause-Specific Mortality: Results From 27 Countries. Circulation. 2023 Jan 3;147(1):35-46. doi: 10.1161/CIRCULATIONAHA.122.061832. Epub 2022 Dec 12.

    Implications for practice and research

  • Nurses need to be aware that extreme temperatures—whether hot or cold—increase the likelihood of death from cardiovascular causes.

  • More...

  • Induction, deduction and abduction

    Por: Barrett · D. · Younas · A.

    Researchers often refer to the type of ‘reasoning’ that they have used to support their analysis and reach conclusions within their study. For example, Krick and colleagues completed a study that supported the development of an outcome framework for measuring the effectiveness of digital nursing technologies.1 They reported completing the analysis through combining ‘an inductive and deductive approach’ (p1), but what do these terms mean? How can these methods of reasoning support nursing practice, and guide the development and appraisal of research evidence?

    This article will explore inductive and deductive reasoning and their place in nursing research. We will also explore a third approach to reasoning—abductive reasoning—which is arguably less well-known than induction and deduction, but just as prevalent and important in nursing practice and nursing research.

    Inductive reasoning

    Induction, or inductive reasoning, involves the identification of cues and the collection of data to develop general...

    Vigorous exercise in pragmatic settings leads to antidepressive, metabolic and cardiovascular health benefits in adult outpatients with major depression or anxiety disorders

    Por: Morres · I. D. · Metsios · G. S.

    Commentary on: Verhoeven JE, Han LKM, Lever-van Milligen BA, et al. Antidepressants or running therapy: comparing effects on mental and physical health in patients with depression and anxiety disorders. J Affect Disord 2023;329:19–29. doi: 10.1016/j.jad.2023.02.064.

    Implications for practice and research

  • Supervised outdoor running at vigorous intensity leads to antidepressant and physical health benefits in outpatients with major depression or anxiety disorders.

  • More pragmatic exercise trials for mental health outpatients with heterogeneous symptomatology are needed.

  • Context

    Exercise is associated with antidepressant effects in clinical settings but relevant research in pragmatic (real-life) settings is scarce.1–3 Hence, Verhoeven et al4 in their pragmatic trial compared the mental and physical health benefits of running therapy versus antidepressant medication.

    Methods

    Participants were physically inactive adult outpatients with a current major depression or an anxiety disorder and were treated with...

    Cardiomyopathy and pregnancy: a high-risk combination

    Por: Ntiloudi · D. · Giannakoulas · G.

    Commentary on: Eggleton EJ, McMurrugh KJ, Aiken CE. Maternal pregnancy outcomes in women with cardiomyopathy: a systematic review and meta-analysis. Am J Obstet Gynecol. 2022 Oct;227(4):582–592. doi: 10.1016/j.ajog.2022.05.039. Epub 2022 May 2021

    Implications for practice and research

  • Pregnant patients with cardiomyopathy have a risk of complications and should be advised accordingly.

  • Prospective data focusing on pregnancy outcomes in patients with various subtypes of cardiomyopathies are warranted to ensure proper counselling of these patients.

  • Context

    Haemodynamic changes, especially blood volume, heart rate and cardiac output augmentation, during pregnancy can exacerbate symptoms in patients with cardiomyopathy or unmask a preexisting asymptomatic condition.1 Peripartum cardiomyopathy, which also belongs in the cardiomyopathy group, presents with left ventricular (LV) dysfunction towards the end of pregnancy and in the postpartum period, when no other cause of heart failure is evident.1 All these patients are at high...

    Improving consensus-based evidence from Delphi studies with coproduced qualitative research

    Por: Ding · D. · Nguyen · B.

    Commentary on: Monforte J, Davis C, Saleem S, Smith B. Moving on From the Delphi Study: The Development of a Physical Activity Training Programme Prototype Through Co-produced Qualitative Research. Qual Health Res. 2022 Nov;32(13):1952–1964. doi: 10.1177/10497323221126535. Epub 2022 Sep 14.

    Implications for practice and research

  • Dialogical inquiry, which aims to facilitate people hearing themselves and others in collaborative and non-hierarchical settings, is compatible with the practice of coproduction.

  • A Delphi study alone may be insufficient for informing the design of educational programmes, curriculum or policy agenda. Additional follow-up qualitative interviews should be conducted to rectify, improve and expand on consensus-based knowledge.

  • Context

    Regular physical activity is critical to the health and well-being of people living with disabilities (PLWD).1 PLWD are often unable to be as active as they want due to various obstacles, such as a lack of safe and suitable environments,...

    People affected by dementia had mixed experiences of using technology during COVID-19

    Por: Pessoa Lima · D. · Rosa · I. D.

    Commentary on: Chirico I, Giebel C, Lion K, Mackowiak M, Chattat R, Cations M, Gabbay M, Moyle W, Pappadà A, Rymaszewska J, Senczyszyn A, Szczesniak D, Tetlow H, Trypka E, Valente M, Ottoboni G. Use of technology by people with dementia and informal carers during COVID-19: A cross-country comparison. Int J Geriatr Psychiatry. 2022 Sep;37(9). doi: 10.1002/gps.5801.

    Implications for practice and research

  • Consider patient and caregiver preferences for using technology.

  • Offer training on the use of technology.

  • Provide the most suitable schedule for caregivers.

  • More multicentre randomised controlled trials are needed to assess the feasibility of telehealth in different stages of dementia.

  • Context

    The COVID-19 pandemic brought to light the need to adopt technology in healthcare systems worldwide due to the need for physical distancing and isolation measures, especially in the older adult group.1 2 Several studies have...

    Early mobilisation in the intensive care unit randomised controlled trial: a need to look beyond the surface

    Por: Anekwe · D. · Spahija · J.

    Commentary on: TEAM Study Investigators and the ANZICS Clinical Trials Group; Hodgson CL, Bailey M, Bellomo R, Brickell K, Broadley T, Buhr H, Gabbe BJ, Gould DW, Harrold M, Higgins AM, Hurford S, Iwashyna TJ, Serpa Neto A, Nichol AD, Presneill JJ, Schaller SJ, Sivasuthan J, Tipping CJ, Webb S, Young PJ. Early active mobilization during mechanical ventilation in the ICU. N Engl J Med 2022;387(19):1747–58. doi:10.1056/NEJMoa2209083. Epub 26 Oct 2022.

    Implications for practice and research

  • Early mobilisation may improve patient outcomes; however, starting with a higher dosage at the early stage of critical illness may not provide any added benefit.

  • Future research should explore the intensity, timing, duration and level of activity required to optimise physical rehabilitation of critically ill patients.

  • Context

    Early mobilisation (EM) refers to the practice of initiating physical activity that is of sufficient intensity to elicit acute physiological effects...

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