Discussing life expectancy: incorporating evidence-based professional training and guidelines into clinical practice
Commentary on: Bjork E, Thompson W, Ryg J, et al. Patient preferences for discussing the life expectancy: a systematic review. J Gen Intern Med 2021;36: 3136–47. doi:10.1007/s11606-021-06973-5 Implications for practice and research To provide quality patient-centred care, healthcare providers (HCPs) should involve patients in treatment decisions and consider patients’ preferences in discussing life expectancy. Innovative research should focus on developing tools to assist HCPs in predicting life expectancy and evidence-based professional training to prepare HCPs for evaluating and integrating life expectancy di...
Source: Evidence-Based Nursing - June 28, 2022 Category: Nursing Authors: Ghassemi, A. E. Tags: Adult nursing Commentary Source Type: research
Adoption of a biopsychosocial approach to musculoskeletal pain faces barriers at the micro, meso and macro levels
Commentary on: Ng W, Slater H, Starcevich C et al. Barriers and enablers influencing healthcare professionals’ adoption of a biopsychosocial approach to musculoskeletal pain: a systematic review and qualitative evidence synthesis. Pain 2021; 162:2154–85. doi: 10.1097/j.pain.0000000000002217 Implications for practice and research Training for healthcare professionals is needed to develop their competences. Research is needed to aim understanding of patient-related factors to enable a meaningful adoption of biopsychosocial approaches to pain management. Context The biopsychosocial model of care can be defined as ...
Source: Evidence-Based Nursing - June 28, 2022 Category: Nursing Authors: Jones, B., Ndosi, M. Tags: Adult nursing Commentary Source Type: research
Impact of virtual simulation on nursing students learning outcomes: a systematic review
Background and purpose This is a summary of Foronda C, Fernandez-Burgos M, Nadeau C, et al. Virtual simulation in nursing education: a systematic review spanning 1996 to 2018. Simulation in Healthcare. 2020;15(1):46. Despite its growing use, there is limited synthesised knowledge on the effectiveness of virtual simulation (VS) as a pedagogical approach in nursing education. Measuring the effectiveness of VS as a nursing pedagogy may contribute to the development of best practices for its use and enhance student learning. This systematic review was undertaken to examine, appraise and synthesise research on the effectiveness...
Source: Evidence-Based Nursing - June 28, 2022 Category: Nursing Authors: Kean, T. Tags: Evidence for nurse education Source Type: research
What is Q methodology?
Introduction Mixed methods research is becoming increasingly popular given the benefit of combining quantitative and qualitative data to explore phenomena.1 Q methodology combines qualitative and quantitative techniques to study subjectivity. Despite its recent popularity, Q methodology was originally developed in the 1930s by William Stephenson, a physicist and psychologist. Stephenson worked with psychologist and statistician Charles Spearman (of Spearman correlation coefficient and factor analysis fame); Stephenson saw the need to explore the subjective opinion, combining it with the rigour of statistical factor analysi...
Source: Evidence-Based Nursing - June 28, 2022 Category: Nursing Authors: Duncan Millar, J., Mason, H., Kidd, L. Tags: Editor's choice, Research made simple Source Type: research
Inclusivity in nurse education
Introduction We operate in a world whose core has been shaken by the effects of the COVID-19 pandemic: demonstrations, protest, strike actions and campaigns that seeks to administer social justice. Challenges exist for nursing education to be truly inclusive in approaching how current and future nurses are taught, educated and prepared to work in a world that is socially injust. Social justice in nursing relates to the equity and redistribution of resources for better health outcomes. It focuses on the elimination of social and political barriers that negatively impact on the health of individual or groups in society. In n...
Source: Evidence-Based Nursing - June 28, 2022 Category: Nursing Authors: Moorley, C., West, R. Tags: Editor's choice Editorials Source Type: research
Evidence-based nursing in times of uncertainty
The age of exclusive professional knowledge, passed down through professional apprenticeships, was challenged throughout the 20th century by the rise of empirical research. In particular, the advent of the randomised controlled trial (RCT) in the 1950s led David Sackett and other epidemiologists to urge all clinical professionals to continuously appraise research evidence when making decisions in practice.1 The term ‘evidence-based medicine’ was coined2 and rapidly became the benchmark of good clinical practice. From the 1990s onward, research evidence took primacy over professional expertise (praxis) and morph...
Source: Evidence-Based Nursing - June 28, 2022 Category: Nursing Authors: Maxwell, E. Tags: Nursing issues Editorials Source Type: research
Intimate partner violence educational programmes may improve healthcare professionals knowledge of and readiness to respond to womens experiences of violence
Commentary on: Kalra N, Hooker L, Reisenhofer S, et al. Training healthcare providers to respond to intimate partner violence against women. Cochrane Database Syst Rev 2021;5:CD012423. doi: 10.1002/14651858.CD012423.PUB2 Implications for practice and research Intimate partner violence (IPV) education programmes for healthcare providers should be regular and augmented by the implementation of system (or institution)-wide resources, pathways and policies to support individuals in successfully addressing women’s experiences of violence. Future evaluations of training programmes should include assessments that measure ac...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Seymour, R. J., Jack, S. M. Tags: Women's Health and Midwifery Commentary Source Type: research
Psychological trauma in postpartum women who experienced maternity care during the stringent COVID-19 pandemic restrictions
Commentary on: Sanders J and Blaylock R. "Anxious and traumatized": Users’ experiences of maternity care in the UK during the COVID-19 pandemic. Midwifery 2021;102. doi: 10.1016/j.midw.2021.103069. Implications for practice and research Clinicians can use these findings to prioritise the return to visitor’s access in organisation of maternity services in the ‘new normal’ post pandemic. Evidence-based research are needed to discover the findings of short-term and long-term impact from visitor restrictions on families. Context There is a growing body of evidence supporting the emotional, psychological...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Alcindor, M. L. Tags: COVID-19 Commentary Source Type: research
Context-specific technology-based solutions may reduce the risk of preventable medication harm across healthcare settings
Commentary on: Hodkinson A, Tyler N, Ashcroft DM, et al. Preventable medication harm across health care settings: a systematic review and meta-analysis. BMC Med. 2020; 18:313 Implications for practice and research Accessible centralised digital platforms should be employed to real-time prescribing, dispensing, administrating and monitoring medications as well as reporting of actual and near missed errors. Healthcare researchers should study local healthcare settings to develop context-specific comprehensive understanding about the patterns of preventable medication errors, resulting harms and workable solutions. Context Pr...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Acheson, L., Kapoor, S. Tags: Nursing issues Commentary Source Type: research
Patient-facing healthcare workers and their families have a higher risk of hospital admission with COVID-19 than the general population
Commentary on: Shah ASV, Wood R, Gribben C, et al. Risk of hospital admission with coronavirus disease 2019 in healthcare workers and their households: nationwide linkage cohort study. BMJ. 2020;371:m3582. Published 2020 Oct 28. doi:10.1136/bmj.m3582 Implications for practice and research Organisations should develop policies such as redeployment and equitable work distribution for healthcare workers (HCW) based on risk exposure to COVID-19. Future research should focus on defining the risk for HCW based on degree of exposure. Context The COVID-19 pandemic has brought to the fore the importance of identifying the risk of i...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Karri, K., Yarra, P. Tags: Editor's choice, Nursing issues, COVID-19 Commentary Source Type: research
Targeting personalised leadership factors based on the organisational needs of nurses may cultivate and improve their nursing leadership
Commentary on: Cummings GG, Lee S, Tate K, et al. The essentials of nursing leadership: a systematic review of factors and educational interventions influencing nursing leadership. Int J Nurs Stud 2020;115:103842. Implications for both practice and research Implementation programmes to improve nursing leadership should attend to the needs of nursing leaders in their specific organisational contexts. Innovative theoretical frameworks of nursing leadership should be developed to guide interventions and their implementation in a wide range of healthcare settings. Context Nursing leadership transpires clinical, administrative ...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Singh, S., Kapoor, S. Tags: Nursing issues Commentary Source Type: research
Non-infectious complications of peripheral venous catheters are common
Commentary on: Marsh N, Webster J, Ullman AJ, et al. Peripheral intravenous catheter non-infectious complications in adults: A systematic review and meta-analysis. J Adv Nurs 2020 Dec;76(12):3346–3362. DOI: 10.1111/jan.14565 Implications for practice and research Peripheral venous catheters are associated with non-infectious complications such as phlebitis and infiltration/extravasation. Future research and guidelines should focus on identifying evidence-based interventions to reduce the incidence of these complications Context Peripheral intravenous catheters (PIVCs) are the most commonly used vascular access device...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Vyasabattu, M., Yarra, P. Tags: Nursing issues Commentary Source Type: research
Specialist services for people with young-onset dementia (YOD) are associated with better postdiagnostic care quality and satisfaction
Commentary on: Stamou V, La Fontaine J, Gage H, et al. Services for people with young onset dementia: the ‘Angela’ project national UK survey of service use and satisfaction. Int J Geriatr Psychiatry. 2020;1–12. Implications for practice and research Results highlight improved performance on quality indicators of specialist services for people with young- onset dementia (YOD) over generic dementia services and neurology, indicating commissioners should configure future dementia services to include YOD specialist teams. Reasons for reported regional variation in UK service provision is needed in future res...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Booth, J. Tags: Mental health Commentary Source Type: research
Depression and age groups in the UK population: implications for public health preventive strategies
Commentary on: Arias de la Torre J, Vilagut G, Ronaldson A, et al. Prevalence and age patterns of depression in the United Kingdom. A population-based study. J Affect Disord 2021;279:164–72 Implications for practice and research Findings indicated a higher prevalence of depression in middle-aged adults which suggests that targeted strategies can be valuable to improve the monitoring and prevention of depression. Future research should include a wider range of socioeconomic variables which is essential to understand the factors which may contribute to depressive symptoms. Context Depression is a worldwide public healt...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Twining, F. Tags: Mental health Commentary Source Type: research
Evidenced-based and targeted interventions are required to enhance compliance with COVID-19 public health measures
Commentary on: Nivette, A, Ribeaud, D, Murray, A, et al. Non-compliance with COVID-19 related public health measures among young adults in Switzerland: Insight from longitudinal cohort study. Soc Sci Med 2020; https://doi.org/10.1016/j.socscimed.2020.113370. Implications for practice and research Developing targeted, evidence-based public health measures is necessary to increase compliance with COVID-19 public health measures Future research should focus on analysis of targeted interventions on mitigating non-compliance attitudes in high-risk populations. Context Compliance with public health guidelines has become increase...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Ghassemi, A. E., Azadeh Ranjbar, P. Tags: Editor's choice, COVID-19 Commentary Source Type: research
