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Specialty: Nursing
Source: Evidence-Based Nursing
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Total 43 results found since Jan 2013.
Family systems nursing conversations (FSNCs) have the potential to improve family functioning and well-being
Commentary on: Pusa S, Saveman B-I, Sundin K. Family systems nursing conversations: influences on families with stroke. BMC Nursing 2022 May 6;21(1):108. https://doi.org/10.1186/s12912-022-00873-7 Implications for practice and research Family systems nursing conversations (FSNCs) have the potential to improve patient and family outcomes, including family functioning and well-being. Research is needed on the effectiveness of family-centred interventions, for example, FSNCs, on specific health-related outcomes for stroke survivors and their families. Context Stroke and its after-effects can impact the entire family. Families...
Source: Evidence-Based Nursing - March 21, 2023 Category: Nursing Authors: Lutz, B., Camicia, M. Tags: Adult nursing Commentary Source Type: research
Meta-analysis examining interventions aimed at reducing sedentary lifestyle in poststroke patients
Commentary on: Saunders DH, Mead GE, Fitzsimons C, et al. Interventions for reducing sedentary behaviour in people with stroke (Review). Cochrane Database Syst Rev 2021, 6: 1–19. Implications for practice and research The impact of stroke may lead to sedentary lifestyle among affected patients. The level of physical activity may act as a buffer to a better quality of life, however, sedentary behaviour is not associated with reduced or increased mortality in people affected with stroke. Further studies are required to bridge clinical and research gaps in this area. Context Sedentary behaviour is associated with health...
Source: Evidence-Based Nursing - September 21, 2022 Category: Nursing Authors: Lawal, M. Tags: Adult nursing Commentary Source Type: research
Meta-analysis exploring poststroke aphasia profiles and language recovery
Commentary on: REhabilitation and recovery of peopLE with Aphasia after StrokE (RELEASE) Collaborators. Predictors of poststroke aphasia recovery: a systematic review-informed individual participant data meta-analysis. Stroke 2021;52:1778–87. Implications for practice and research Poststroke aphasia may symbolise a temporary or a significant life-changing communication problem. The severity of aphasia on stroke patients has implications for functional capacity, discharge destination and potential to return to employment. The sooner a person receives treatment for apoststroke aphasia, the lesser the impact and the bet...
Source: Evidence-Based Nursing - March 22, 2022 Category: Nursing Authors: Lawal, M. Tags: Care of the older person Commentary Source Type: research
Task-based weight management programme delivered in primary care promotes better long-term weight loss among women from lower socioeconomic groups than usual practice
Commentary on: McRobbie H, Hajek P, Peerbux S, et al.. Tackling obesity in areas of high social deprivation: clinical effectiveness and cost-effectiveness of a task-based weight management group programme—a randomised controlled trial and economic evaluation. Health Technol Assess 2016;20:1–150. Implications for practice and research The study is important in demonstrating that a task-based weight management programme can potentially be effective in reducing obesity among lower socioeconomic groups. The role of nurses in delivering such weight loss interventions should be evaluated. Context Obesity is recognise...
Source: Evidence-Based Nursing - March 22, 2017 Category: Nursing Authors: Bambra, C. Tags: Health promotion and public health Source Type: research
Patients who self-monitor or self-manage can improve the quality of their oral anticoagulation therapy
Commentary on: Heneghan CJ, Garcia-Alamino JM, Spencer EA, et al.. Self-monitoring and self-management of oral anticoagulation. Cochrane Database Syst Rev 2016;7:CD003839. Implications for practice and research For suitable patients self-monitoring or self-managing enhances the quality of oral anticoagulation therapy. Self-monitoring and self-managing patients experience greater time in therapeutic range with the associated decrease in thromboembolic events. Future research should focus on establishing the factors affecting the uptake of self-monitoring and self-managing of oral anticoagulation. Context There are 950 ...
Source: Evidence-Based Nursing - December 13, 2016 Category: Nursing Authors: Kennedy, M. Tags: Immunology (including allergy), Drugs: cardiovascular system, Stroke, Internet, Diabetes, Arrhythmias, Metabolic disorders Community and primary care nursing Source Type: research
Subclavian site should be preferred for central venous access
Commentary on: Parienti JJ, Mongardon N, Mégarbane B, et al.., 3SITES Study Group. Intravascular Complications of Central Venous Catheterization by Insertion Site. N Engl J Med 2015;373:1220–9. Implications for practice and research Subclavian site should be preferred for central venous access (CVA) with a low risk of pneumothorax. Excluding patients before randomisation represents a selection bias. Post hoc sensitivity analysis may reduce the bias without fully balancing it. An adjudication committee, unaware of study-group assignments, may compensate for the absence of feasible blindness. Context Infection, ...
Source: Evidence-Based Nursing - September 21, 2016 Category: Nursing Authors: Mourvillier, B., Radjou, A., Timsit, J.-F. Tags: Health policy, Nursing issues, Drugs: infectious diseases, Drugs: cardiovascular system, Stroke, Ophthalmology, Venous thromboembolism, Health service research Source Type: research
Hypovitaminosis D predicts more rapid and severe cognitive deterioration in ethnically diverse older adults with and without dementia
Commentary on: Miller JW, Harvey DJ, Beckett LA, et al.. Vitamin D status and rates of cognitive decline in a multiethnic cohort of older adults. JAMA Neurol 2015;72:1295–303. Implications for practice and research Hypovitaminosis D precedes and predicts incident declines in episodic memory and executive function in older adults with and without baseline dementia. This finding encourages testing the efficacy of vitamin D supplementation to slow down, prevent or even improve cognitive decline. These findings should encourage clinicians to correct hypovitaminosis D in elderly patients. Context Hypovitaminosis D is a ru...
Source: Evidence-Based Nursing - September 21, 2016 Category: Nursing Authors: Noublanche, F., Annweiler, C. Tags: Care of the older person, Dementia, Stroke, Malnutrition, Memory disorders (psychiatry), Drugs: musculoskeletal and joint diseases Source Type: research
Intermittent pneumatic compression is effective in reducing proximal DVT
Commentary on: Dennis M, Sandercock P, Graham C, et al.. The Clots in Legs Or sTockings after Stroke (CLOTS) 3 trial: a randomised controlled trial to determine whether or not intermittent pneumatic compression reduces the risk of post-stroke deep vein thrombosis and to estimate its cost-effectiveness. Health Technol Assess 2015;19:1–90. Implications for practice and research Intermittent pneumatic compression (IPC) is effective in reducing proximal deep vein thrombosis and should be used for all immobile patients with stroke, unless cost is a major concern. The cost-effectiveness of IPC in different types of medical...
Source: Evidence-Based Nursing - March 18, 2016 Category: Nursing Authors: Ho, K. M., Harahsheh, Y. Tags: Adult nursing, Stroke, Venous thromboembolism, Clinical diagnostic tests Source Type: research
Optimising palliative and end-of-life care within care home settings
Background The World Health Organization (WHO) has defined palliative care as an approach that improves the quality of life of patients and their families facing the problems associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial and spiritual.1 Globally, it is estimated that every year over 20 million people will require palliative care at the end of life. Of these 69% are adults over 60 years. These older population, who make up the vast majority of residents w...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Mitchell, G., Twycross, A. Tags: End of life decisions (geriatric medicine), Drugs: cardiovascular system, Dementia, Pain (neurology), EBN Opinion, Stroke, End of life decisions (palliative care), Hospice, Memory disorders (psychiatry), End of life decisions (ethics) Source Type: research
In people with atrial fibrillation receiving antithrombotics, short-term non-steroidal anti-inflammatory drug exposure increases risk of serious bleeding
Commentary on: Lamberts M, Lip GYH, Hansen ML, et al. Relation of non-steroidal anti-inflammatory drugs to serious bleeding and thromboembolism risk in patients with atrial fibrillation receiving antithrombotic therapy Ann Intern Med 2014;161:690–8. Implications for practice and research Short courses of non-steroidal anti-inflammatory drugs (NSAIDs) should be used with caution in patients with atrial fibrillation (AF) already taking antithrombotic therapy for stroke prevention since there is an increased risk of serious bleeding and clot formation. Research needs to be carried out on whether combined NSAID and non-v...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Myat, A. Tags: GI bleeding, Adult nursing, Drugs: cardiovascular system, Pain (neurology), Stroke, Ischaemic heart disease, Pain (palliative care), Pain (anaesthesia), Drugs: musculoskeletal and joint diseases, Arrhythmias Source Type: research
Male victims of physical partner violence have poorer physical and mental health than men of the general population
Commentary on: Hines DA, Douglas EM. Health problems of partner violence victims: comparing help-seeking men to a population-based sample. Am J Prev Med 2015;48:136–44. Implications for practice and research High blood pressure, asthma, sexually transmitted diseases (STDs), depression and post-traumatic stress disorder (PTSD) are health indicators of female-to-male partner violence (PV). Nurses and other healthcare providers should consider assessing for PV victimisation among men with these physical and mental health problems. Future research should look at health outcomes between those with and without PV victimisa...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Singh, V. Tags: Nursing issues, Immunology (including allergy), Drugs: infectious diseases, Stroke, Hypertension, Domestic violence, Child abuse, Child and adolescent psychiatry (paedatrics), Child health, Anxiety disorders (including OCD and PTSD), Child and adolescent Source Type: research
Community palliative care use by dementia sufferers may reduce emergency department use at end of life
Commentary on: Rosenwax L, Spilsbury K, Arendts G, et al. Community-based palliative care is associated with reduced emergency department use by people with dementia in their last year of life: a retrospective cohort study. Palliat Med 2015;29:727–36. Implications for practice and research We need to better understand how community palliative care should be organised and delivered to optimise well-being for the dementia population. Research is needed to explore and explain the nature of the relationship between community palliative care and emergency department (ED) use. More work is needed to examine which palliativ...
Source: Evidence-Based Nursing - December 15, 2015 Category: Nursing Authors: Wright, D. K., Vandyk, A. D. Tags: End of life decisions (geriatric medicine), Care of the older person, Dementia, Pain (neurology), Stroke, End of life decisions (palliative care), Hospice, Memory disorders (psychiatry), End of life decisions (ethics) Source Type: research
Ateplase for ischaemic stroke: increased risk of intracranial haemorrhage is balanced by improved stroke outcomes, particularly if treated within 3-4.5 h of onset
Commentary on: Emberson J, Lees KR, Lyden P, et al., Stroke Thrombolysis Trialists’ Collaborative Group. Effect of treatment delay, age, and stroke severity on the effects of intravenous thrombolysis with alteplase for acute ischaemic stroke: a meta-analysis of individual patient data from randomised trials. Lancet 2014;384:1929–35. Implications for practice and research Thrombolysis given to appropriate patients within 4.5 h of the onset of stroke symptoms increases the chance of a good outcome. The earlier it is given, the more likely it is to be effective. Thrombolysis increases the risk of early death,...
Source: Evidence-Based Nursing - September 21, 2015 Category: Nursing Authors: Rudd, A. Tags: Drugs: cardiovascular system, Stroke, Ischaemic heart disease, Clinical diagnostic tests Adult nursing Source Type: research
Self-monitoring and self-titration of antihypertensive medication reduces systolic blood pressure compared with usual care
This study represents a significant advance in hypertension self-management in high-risk patient groups, but the intervention's potential for wide implementation remains unclear. Context Hypertension is a major risk factor for cardiovascular disease, stroke, heart failure and chronic kidney disease.1 Effective treatment reduces risk for these devastating complications, but BP remains insufficiently controlled in up to half of adults.2 Because hypertension generates tremendous morbidity and costs, novel strategies for enhancing BP control are urgently needed. Interventions that enhance...
Source: Evidence-Based Nursing - June 22, 2015 Category: Nursing Authors: Bosworth, H. B., Crowley, M. J. Tags: General practice / family medicine, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease, Memory disorders (psychiatry) Primary healthcare Source Type: research
Higher antihypertensive dose increases risk of falls in older people
Commentary on: Callisaya ML, Sharman JE, Close J, et al. Greater daily defined dose of antihypertensive medication increases the risk of falls in older people—a population-based study. J Am Geriatr Soc 2014;62:1527–33. Implications for practice and research Clinicians should be aware of the increased risk of falls with high-dose antihypertensives. More clinical trials are needed to understand appropriate dose selection of antihypertensives in older patients. Context The recent Eighth Joint National Committee (JNC-8) guidelines have relaxed the systolic blood pressure goal for adults over 60 years to <15...
Source: Evidence-Based Nursing - June 22, 2015 Category: Nursing Authors: Lee, D. S. H., Goeres, L. M. Tags: Long term care, Drugs: cardiovascular system, Stroke, Hypertension, Ischaemic heart disease Care of older people Source Type: research
