Conectar
Commentary on: Kaldal, MH, Voldbjerg, SL, Gronkjaer, M, et al. Newly graduated nurses' commitment to the nursing profession and their workplace during their first year of employment: A focused ethnography. J Adv Nurs 2023:00:1-14.
Implications for practice and research Hospitals should have a structured support system for newly registered nurses (NRNs) to facilitate a positive and successful transition into professional practising nursing careers. A further qualitative research study exploring the nature of support NRNs require to facilitate a successful and committed nursing career.
The commitment of newly registered nurses (NRNs) mostly depends on their work environment and the support they receive from their first employment.
Commentary on: Wu CY, Iskander C, Wang C, et al. Association of sulfonylureas with the risk of dementia: A population-based cohort study. J Am Geriatr Soc. 2023; 71:3059–70.
Unless contraindicated, dipeptidyl peptidase 4 inhibitors (DPP-4i) should be used as first-line choice in older adults with type 2 diabetes in preference to sulfonylurea due to increased risk of dementia. Prospective studies are needed to ascertain if the use of sulfonylurea by older adult patients causes higher risk of developing dementia.
Diabetes is already known as a risk factor for developing dementia. Multiple factors contribute to this association: presence of microvascular and macrovascular complications, chronic inflammation, hyperglycaemia, hypoglycaemia and hyperinsulinemia.
Older adult patients often present with multimorbidities, polypharmacy, malnutrition, sarcopenia, longer duration of diabetes and renal and hepatic dysfunction. Furthermore, low education level, high blood pressure, dyslipidemia, obstructive...
Commentary on: Gilbert R, Lillekroken D. Caring to the end: an empirical application of Swanson’s caring theory to end-of-life care. ANS Adv Nurs Sci. 2023 Oct 13. doi: 10.1097/ANS.0000000000000515. Epub ahead of print.
Implications for practice and research Nursing theories, like Swanson’s caring theory, can bring visibility to the knowledge and skill harnessed by nurses when caring for dying patients and their families. Further research should explore how nurses’ relational practice is influenced by sociopolitical as well as interpersonal contexts.
‘Caring’ is a critical concept in nursing discourse and many theories about care in nursing have been developed and applied to a variety of settings. One example is Swanson’s caring theory, an empirically derived middle-range nursing theory that situates caring as a relational way of attending to others to whom we have a sense of commitment and responsibility, through the five specific...
Commentary on: Feeling like I’m failing a test, parents’ and adolescents’ opinions of diabetes clinic appointments.
Implications for practice and research Developing communication skills is essential for healthcare professionals to enhance practice and avoid alienating adolescent patients. Further research should be completed with patients who disengage from the clinic to understand how to best improve services and health outcomes.
Diabetes is a long-term health condition that requires continuous high-intensity self-management to prevent complications. This can be challenging for teenagers striving for independence and developing a sense of self. Maintaining engagement with adolescents with diabetes has favourable outcomes. Coyne et al
Commentary on: Pomeroy ML, Cudjoe TKM, Cuellar AE, et al. Association of social isolation with hospitalization and nursing home entry among community-dwelling older adults. JAMA Int Med. 2023; 183(9): 955–62. https://doi.org/10.1001/jamainternmed.2023.3064
Social isolation is a significant risk factor for nursing home placement for older adults, and public health interventions to improve social connections are urgently needed. Future research should address interventions across the lifespan and for those more vulnerable to isolation and loneliness, testing practical ways to improve social connectiveness.
The quality of our lives is the quality of our relationships. As we approach a challenging time of the year for loneliness and isolation, what do we know about social isolation and healthcare utilisation in older adults? Almost a quarter of community-dwelling older adults experience social isolation.
FreshRSS