Guiding family carers on medication management when a person with dementia is discharged from hospital
Commentary on: Sawan MJ, Wennekers D, Sakiris M, Gnjidic D. Interventions at hospital discharge to guide caregivers in medication management for people living with dementia: a systematic review. J Gen Intern Med 2021;36,1371–1379. doi:10.1007/s11606-020-06442-5 Implications for practice and research Guidance to family carers on medications can reduce hospital readmissions of the person with dementia. Medication management should be provided as part of a case-management approach. More research is needed on the impact and outcomes of medication management interventions for both patients and family carers. Context Peopl...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Harrison-Dening, K. Tags: Mental health Commentary Source Type: research
PTSD increases suicide risk in the community especially for young women from deprived communities
Commentary on: Fox V, Dalman C, Dal H, Hollander AC, Kirkbride JB, Pitman A. Suicide risk in people with post-traumatic stress disorder: A cohort study of 3.1 million people in Sweden. J Affect Disord 2021;279:609-16. Implications for practice and research Previous suicide attempts as well as multiple traumas may play a role as precursors of suicides among people with post-traumatic stress disorder (PTSD) and this needs additional research attention. Timely diagnosis and treatment of PTSD is needed to prevent up to half of suicides in people with PTSD. Health and care professionals should regularly assess suicide risk and ...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Angelakis, I., Panagioti, M. Tags: Mental health Commentary Source Type: research
Student mental health crisis and the question of responsibility: Should universities invest more resources in prevention than intervention?
Commentary on: Barnett P, Arundell LL, Saunders R, et al. The efficacy of psychological interventions for the prevention and treatment of mental health disorders in university students: A systematic review and meta-analysis. J Affect Disord. 2021;280(Pt A):381–406. doi: 10.1016 /j.jad.2020.10.060. Epub 2020 Nov 2. Implications for practice and research Mental health problems are prevalent in university students; but common disorders, such as depression and anxiety, respond to treatment The question remains of who is responsible for delivering interventions, and how best to deliver these Universities should consider p...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Vogt, K. S., Johnson, J. Tags: Mental health Commentary Source Type: research
Pre-existing health inequalities in vaccine uptake were exacerbated among ethnic communities during COVID-19 pandemic
Commentary on: Watkinson RE, Williams R, Gillibrand S, Sanders C, Sutton M. Ethnic inequalities in COVID-19 vaccine uptake and comparison to seasonal influenza vaccine uptake in Greater Manchester, UK: A cohort study. PLoS medicine. 2022;19(3):e1003932. doi: 10.1371/journal.pmed.1003932 Implications for practice and research Pre-existing inequalities in health for the ethnic minorities become more pronounced during a public health crisis, such as the ongoing COVID-19 pandemic. The healthcare system needs to account for these phenomena in addition to continuous improvement in healthcare access for these vulnerable communiti...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Chowdhury, N., Turin, T. C. Tags: Health promotion and public health, COVID-19 Commentary Source Type: research
All genders need comprehensive, accessible and quality routine medical care
Commentary on: Lee JL, Huffman M, Rattray NA, Carnahan JL, Fortenberry JD, Fogel JM, Weiner M, Matthias MS. "I Don't Want to Spend the Rest of my Life Only Going to a Gender Wellness Clinic": Healthcare Experiences of Patients of a Comprehensive Transgender Clinic. J Gen Intern Med. 2022;2:1–8. doi: 10.1007 /s11606-022-07408-5. Epub ahead of print. Implications for practice and research Future research investigating the healthcare disparities impacting transgender individuals and potential interventions is needed. Knowledge of the experiences of transgender patients can inspire providers to seek the necessary trainin...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Alcindor, M. A. Tags: Health promotion and public health Commentary Source Type: research
Guidelines for diagnosing 'long Covid in patients living with postacute sequelae of COVID-19 (PASC)
Commentary on: Kingery JR, Safford MM, Martin P, et al. Health status, persistent symptoms, and effort intolerance one year after acute COVID-19 infection. J Gen Intern Med 2022;37(5):1218–25. doi: 10.1007/s11606-021-07379-z. Implications for practice and research Educating practitioners about the sequelae of COVID-19 (PASC) and the guidelines for diagnosing ‘long Covid’ is essential to the best practice. Research should continue to conduct studies that explore the challenges experienced by patients diagnosed with the known sequelae, as well as investigate to find new or unreported sequelae of individuals...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Alcindor, M. L. Tags: Health promotion and public health, COVID-19 Commentary Source Type: research
Advocacy for the dependent children of parents with a life-limiting condition
Commentary on: Marshall S, Fearnley R, Bristowe K, et al. ‘It’s not just all about the fancy words and the adults’: recommendations for practice from a qualitative interview study with children and young people with a parent with a life-limiting illness. Palliat Med 2022:2692163221105564. doi: 10.1177/02692163221105564. Implications for practice and research Health professionals can play a key role in helping parents with life-limiting illnesses understand the needs of, and provide support for their dependent children. Future research seeking to engage with children should avoid making assumptions about a...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Booth, A. Tags: Editor's choice, Child health Commentary Source Type: research
Peer-to-peer support in the neonatal intensive care unit may improve parents experiences with their hospitalised infant
Commentary on: Dahan S, Bourque CJ, Reichherzer M, Prince J, Mantha G, Savaria M, Janvier A. Community, hope, and resilience: parental perspectives on peer support in neonatology. J Pediatr 2022;243:85–90.e2. Implications for practice and research Having an infant in the neonatal intensive care unit (NICU) is frequently associated with negative impact on parents’ feelings and emotions. Peer-to-peer support may positively influence parents in the NICU. Further investigation is required in relation to the impact of peer-to-peer support parents on clinical care and health outcomes in the NICU, for both infants and...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Bueno, M. Tags: Child health Commentary Source Type: research
Personal protective equipment can affect the timing of the neonatal resuscitation interventions
Commentary on: Cavallin F, Lupi F, Bua B, et al. Impact of personal protective equipment on neonatal resuscitation procedures: a randomised, cross-over, simulation study. Arch Dis Child Fetal Neonatal Ed. 2022;107:211–5. Implications for practice and research The use of personal protective equipment (PPE) affects the timing of the neonatal resuscitation interventions. In this way, health service managers should encourage training using personal protective equipment during neonatal resuscitation procedures aiming at the quality of the clinical outcome of these patients. The creation of training strategies for neonatal...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Dos Santos, W. Tags: Child health Commentary Source Type: research
Faltering growth is an important finding in infants and children with congenital heart disease
Commentary on: Diao J, Chen L, Wei J, et al. Prevalence of malnutrition in children with congenital heart disease: a systematic review and meta-analysis. J Pediatr. 2022 Mar;242:39-47.e4. doi: 10.1016/j.jpeds.2021.10.065. Implications for practice and research Faltering growth is a phenomenon associated with congenital heart disease (CHD). Associated adverse physiological and developmental outcomes require further investigation Context CHD is the most common birth defect affecting approximately 0.8% of live births, with many requiring surgical intervention early in infancy.1 Despite medical advances faltering growth remain...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Hill, R. Tags: Child health Commentary Source Type: research
Depression in young adulthood is strongly linked to childhood and adolescent social environment
Commentary on: Kehusmaa J, Ruotsalainen H, Mannikko N, et al. The association between the social environment of childhood and adolescence and depression in young adulthood – A prospective cohort study. J Affect Disord. 305. 37–46. doi: 10.1016/j.jad.2022.02.067. Epub 2022 Feb 26. Implications for practice and research Nurses must practice at an individual, family and policy level to protect children and adolescents from harassment and bullying. Further research is required to establish the warning signs and symptom precursors for depression in young adults. Context Depression is a common mental health disorder ...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Mills, A. Tags: Child health Commentary Source Type: research
Importance of family counselling for anticipatory grief in cancer care
Commentary on: Hsiao CC, Hsieh SI, Kao CY, Chu TP. Factors affecting nurses' willingness and competency to provide anticipatory grief counseling for family caregivers of patients with terminal cancer. J Clin Nurs. 2022 Apr 18. doi: 10.1111/jocn.16335. Implications for practice and research A greater understanding of the physical and psychological consequences of anticipatory grief is needed. Provision of support for grieving families and carers, including skills in counselling, should be acknowledged as an important part of the nursing role. Context Cancer is a major cause of death worldwide accounting for almost one in si...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Dunham, M. Tags: Adult nursing Commentary Source Type: research
Staff training and the use of rapid, accurate and user-friendly tools for delirium screening could improve the diagnosis of delirium in the elderly referred to the emergency department
Commentary on: Eagles D, Cheung WJ, Avlijas T, et al. Barriers and facilitators to nursing delirium screening in older emergency patients: a qualitative study using the theoretical domains framework. Age Ageing. 2022;51:afab256. doi: 10.1093/ageing/afab256. Implications for practice and research Non-screening and treatment of delirium reflects missed nursing care and exposes the patient to a higher mortality risk. Future research should investigate the effects of staffing levels on missed nursing care in relation to delirium screening and treatment. Context A total of 7%–17% of older adults who present to the emergen...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Mazzola, P., Spedale, V. Tags: Adult nursing Commentary Source Type: research
Virtual visiting supports both the patient-family connection and infectious disease measures during restricted inpatient visiting
Commentary on: Bloomer M, Walshe C. Smiles behind the masks: A systematic review and narrative synthesis exploring how family members of seriously ill or dying patients are supported during infectious disease outbreaks. Palliative Medicine. 2021;35(8):1452–1467. Implications for practice and research When infectious prevention policies require restricted visiting, a clear and manageable, consistent communication and information sharing plan should be agreed between the patient, family and healthcare team. Additional research is required to translate how this plan could be practically incorporated into daily practice ...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: McCullagh, C. Tags: Adult nursing Commentary Source Type: research
Two decades of trends in nursing students pain management knowledge and attitude
Background and purpose This is a summary of Cousins et al.1 Pain is an expensive and debilitating health issue that affects one-third of people worldwide. Nurses are at the forefront of pain assessment and management. This review aimed to explore if nursing students’ pain management knowledge and attitudes have improved over the past 20 years. Methods Results and areas for future research A total of 6 studies (1454 participants) were included in the final synthesis. Students articulated accurate knowledge of pharmacological intervention for chronic pain management but over half the students reported a deficit in rec...
Source: Evidence-Based Nursing - December 23, 2022 Category: Nursing Authors: Kapoor, S., Singh, S. Tags: Evidence for Nurse Education Source Type: research
