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AnteayerEvidence-Based Nursing

Mental healthcare and peer support may improve the experience of diabetes self-management during pregnancy

Por: Kozlowska · O. · Moore · C.

Commentary on: Sushko K, Strachan P, Butt M, Nerenberg K, Sherifali D. Supporting self-management in women with pre-existing diabetes in pregnancy: a mixed-methods sequential comparative case study. BMC nursing. 2024 Jan 2;23(1):1.

Implications for practice and research

  • Policies are required to support self-management of diabetes during labour and delivery in practice.

  • Future research should focus on developing and implementing interventions to support self-management of diabetes during labour and delivery.

    • Context

    Sushko et al1 highlight the increasing prevalence of pre-existing diabetes in pregnancy, which represents a risk to maternal and child health. Diabetes in pregnancy is associated with an increased risk of adverse perinatal and postnatal outcomes for pregnant people and infants. Thus, maintaining optimal glycaemic control during preconception and pregnancy is associated with a lower risk of complications. Many interventions and activities aim to improve glycaemic control in pregnancy, which are...

    Effects of age, frailty and multimorbidity on responses to interventions in critically ill patients

    Por: Kishimoto · M. · Kojima · G.

    Commentary on: Perrella A, Geen, O, Ahuja, M, et al. Exploring the Impact of Age, Frailty, and Multimorbidity on the Effect of ICU Interventions: A Systematic Review of Randomized Controlled Trials. Critical Care Med. 2024 September. doi: 10.1097/CCM.0000000000006315

    Implications for practice and research

  • More information on how age, frailty, and multimorbidity affect responses to interventions in critically ill older adults would be important and beneficial for shared decision-making.

  • Future studies should focus more on these understudied populations of older patients with frailty or multimorbidity and examine how they respond to intensive care unit interventions.

    • Context

    Recent data show that there has been an increase in the older populations admitted to intensive care unit (ICU).1 Critically ill older adults are a unique population due to age-related physiological changes, and their responses to ICU interventions may be different from younger populations.2...

    Dealing with cognitive load related to electronic health record in demanding work environment

    Por: Vehko · T.

    Commentary on: Harmon CS, Adams SA, Davis JE, Gephart SM, Donevant SB. Unintended consequences of the electronic health record and cognitive load in emergency department nurses. Appl Nurs Res. 2023 Oct;73:151724. doi: 10.1016/j.apnr.2023.151724. Epub 2023 Aug 5.

    Implications for practice and research

  • The organisation should provide training and support for electronic health record (EHR) use; however, if usability problems do not resolve themselves, system development work is needed.

  • Multimethod research is needed to determine the nurses’ cognitive load (CL) in the work environment where EHR is used.

    •  Context

    Unintended consequences (UCs) of the EHR and the CL have been on the discussion in USA. In nursing has been recognised UC of the EHR related to the adverse effects on patient care outcomes, patient safety, nursing workflow and nursing workload.1 CL is related to the performance of human working memory and its limited...
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