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Commentary on: Casteels P, Nekkebroeck J, Tournaye H. Perspectives on sperm donor anonymity: insights from donor-conceived adults in Belgium. Hum Reprod. 2024;39(9):2021–2031.
Implications for practice and research Early disclosure of donor conception is advantageous, while delayed disclosure poses disadvantages such as psychological difficulties faced by donor-conceived individuals. Future studies should explore the sustainability and ethics of current donation policies, while looking toward developing more equitable policies for both donors and donor-conceived individuals.
The debate between sperm donor rights to anonymity and donor-conceived individual rights to full identity has been a topic of contention during the last few decades.
Commentary on: María P’erez-S‘anchez, Palmira Immordino, Gaetano Romano, et al. Access of migrant women to sexual and reproductive health services: A systematic review. Midwifery. 2024; 139: 104167.
Implications for practice and research Ensuring optimal access to sexual and reproductive health services for migrant women requires the elimination of structural and systemic issues, as well as personal challenges that hinder equitable access. More focused research is needed to understand the upstream challenges related to the implementation of relevant integrated policies and resources for culturally relevant care models.
Equitable access to healthcare is a critical determinant of health that significantly impacts individual health and wellness. Beyond addressing immediate medical needs, it enables preventive care, closes critical service gaps and enhances patient autonomy, ultimately reducing health disparities faced by disadvantaged groups. Migrants encounter numerous challenges in accessing healthcare in their adopted countries, and these challenges...
Commentary on: Reason M, Acton K, Foulds D. Working it out together: Lessons and insights into inclusive research in an arts context. British Journal of Learning Disabilities 2024:1–11.
Implications for practice and research Inclusive research places a strong emphasis on the active empowered participation, particularly in decision-making and agenda-setting, of marginalised/disadvantaged community members in every step of the research process. Implementation research needs to focus on how research methodologies can be democratised through a continuous commitment to allyship with marginalised/disadvantaged populations towards empowered involvement.
Research in the field of learning disabilities has been influenced by ableist practices, often excluding individuals with learning disabilities and autism from the research process. This exclusionary tradition, which also has been observed in research with other marginalised/disadvantaged groups, has diminished their capacity to drive change within their communities.
Commentary on: Chee, JMP, Rusli KDB, Tan ZYA, Tan AJQ, Ang SGM, Lau ST, Seah B, Liaw SY. Perceptions of community care among nursing students: A cross-sectional study with implications to the nursing workforce. Nurse Education Today. 2024; 137:106162. 10.1016/j.nedt.2024.106162
Implications for education and research With the shift towards delivering healthcare services in homes, communities and primary healthcare settings, nursing curricula should integrate community nursing early in the program and provide diverse placements with mentorship opportunities to highlight career paths in this specialty. Future research should explore effective implementation strategies to enhance student perceptions of community care and address workforce challenges in this field.
The increasing demand for postacute and home-based care programmes creates an urgent need to expand the community nursing workforce.
Commentary on: Feo R, Young JA, Urry K, Lawless M, Hunter SC, Kitson A, Conroy T. ‘I wasn’t made to feel like a nut case after all’: A qualitative story completion study exploring healthcare recipient and carer perceptions of good professional caregiving relationships. Health Expect. 2023 Oct 19;27(1):e13871. doi: 10.1111/hex.13871. Epub ahead of print.
Healthcare providers can foster effective patient–provider relationships by addressing concerns early on and adopting key behaviours, such as showing interest in understanding the patient’s issues, validating their concerns and respecting their choices. Future research should focus on identifying strategies to help healthcare providers develop effective patient–provider relationships. This requires a thorough understanding of these relationships from the perspectives of all involved parties, including healthcare providers, patients and their informal caregivers.
The patient–provider relationship is at the core of effective disease management.
Commentary on: Kristiansen D, Boyle EH, Svec J. The impact of local supply of popular contraceptives on women’s use of family planning: findings from performance-monitoring-for-action in seven sub-Saharan African countries. Reprod Health. 2023 Nov 21;20(1):171.
Implications for practice and research The concept of ‘demand’ and ‘supply’, from the perspective of individual preferences shaped by cultural and societal norms, can be incorporated by health practitioners and policymakers when addressing the root causes of unmet health needs. Understanding women’s empowerment and agency in family planning requires a rights-based community-engaged research approach. Community-level data can illuminate the underlying mechanisms of healthcare utilisation preferences.
The issue of unmet contraceptive needs remains a gap in global healthcare, despite various contraceptive options available now more than ever.
Commentary on: Lo Faro V, Johansson T, Johansson Å. The risk of venous thromboembolism in oral contraceptive users: the role of genetic factors—a prospective cohort study of 2 40 000 women in the UK Biobank. Am J Obstet Gynecol. 2024;230:360.e1-13
Implications for practice and research Currently, venous thromboembolism (VTE) risk assessment for contraceptive counselling is based on clinical characteristics and family history. Incorporating genetic risk assessment into current practice can significantly enhance the screening of oral contraceptive users at high risk for VTE. Further research is needed to develop a comprehensive model, explore the cost-effectiveness and implementation of genetic risk assessment in contraceptive counselling, address challenges in communicating genetic information and evaluate its applicability across diverse populations.
Venous thromboembolism (VTE) is a complex disorder influenced by both acquired and inherited factors. Oral contraceptive use, an acquired factor, has been linked to an increased risk of...
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