Conectar
Commentary on: Yamamoto K, Nasu K, Nakayoshi Y, et al. Sustaining the nursing workforce - exploring enabling and motivating factors for the retention of returning nurses: a qualitative descriptive design. BMC Nurs 2024;23:248.
Implications for practice and research The returning nurse workforce provides a valuable pool of experience, knowledge and skills. Large-scale research is required into approaches that encourage nurses to return to the workforce and enable them to stay.
Shortages in the nursing workforce impact on the quality of patient care and pose a complex challenge for governments and healthcare organisations across the globe. There are estimated to be approximately 29 million nurses worldwide as of 2020, with a shortage of approximately 7 million against required levels. Despite growth in the workforce over the coming years, the nursing shortage is still projected to be 4.5M by 2030.
One approach to addressing...
Commentary: Luque-Alcaraz OM, Aparico-Martinez P, Gomera A, Vaquero-Abellan. The environmental awareness of nurse as environmentally sustainable healthcare leaders: a mixed method analysis. BMC Nursing 2024;23:229.
Implications for practice and research Healthcare emissions contribute to climate change and threaten human health; therefore, nurses have a professional obligation to become environmentally informed, take action to reduce healthcare emissions and support green solutions. Future research must understand and modify workplace barriers to promote environmentally sustainable staff behaviour and facilitate the green transformation of healthcare systems.
Climate change is increasingly harming human health. Extreme weather events cause devastation, low crop yields and failure, contributing to food insecurity, economic hardship and resource shortages. Rising temperatures also increase the spread of infectious diseases and epidemics. Globally, countries are using healthcare services as an initial method of addressing these challenges.
For many decades, nurses have been expected to base their practice on up-to-date, research-derived evidence, melded with knowledge from nursing theory, experience—our own and others—and innovating in practice. This composite, complex evidence base is passed on through generations of nurses both formally, through educational opportunities and our own readings, and informally through the stories we tell of our practice. These nursing narratives encompass and connect the multiple levels at which nurses work—alongside a person and their families and carers, within the structures of healthcare and social-care organisations and in policymaking settings. Essentially, narratives enable compelling and memorable links to be drawn between research, theory and experience, creating the certainty and confidence we need to work effectively within our very different practice environments. Any turbulence in practice, deficiency in the evidence base or challenge to our ability to pass on our narratives is likely to cause ambiguity and anxiety and...
Commentary on: Vanzella LM, Cotie LM, Flores-Hukom M, Marzolini S, Konidis R, Ghisi GLM. Patients' Perceptions of Hybrid and Virtual-Only Care Models During the Cardiac Rehabilitation Patient Journey: A Qualitative Study. J Cardiovasc Nurs. Published online January 5, 2024.
Implications for practice and research The use of theoretical models integrating well-recognised techniques (eg, goal setting, action planning, telemonitoring, individual assessment/tailoring) to guide virtual cardiac rehabilitation (CR) is essential. Apart from teleconferencing, using advanced wearable devices, analytics and artificial intelligence techniques may improve personalised exercise and educational content capacity of future virtual CR studies.
Cardiac rehabilitation (CR) is a recommended treatment for patients with cardiovascular disease (CVDs), given the rising number of cardiac incidents due to ageing population and modern lifestyles.
Commentary on: Le Lagadec MD, et al 2024, ‘Nurse by numbers: The impact of early warning systems on nurses’ higher-order thinking, a quantitative study.’ Journal of Advanced Nursing.
Implications for practice and research It is essential to ensure that early warning systems (EWS) are used in a balanced manner, enhancing clinical judgement without undermining the use and development of nurses’ critical thinking abilities. Research into the long-term effects of EWS on cognitive skills and the varying impacts across different levels of nursing experience could yield valuable insights for optimising their use in healthcare.
In modern healthcare, the use of tools such as early warning systems (EWS), has become integral to patient safety, particularly for detecting early signs of patient deterioration.
Commentary on: Aspinall C, Slark J, Parr J, et al. The role of healthcare leaders in implementing equitable clinical academic pathways for nurses: An integrative review. J Adv Nurs. 2024: 1-15. doi: 10.1111/jan.16043
Implications for practice and research All levels of leadership need to engage with and support ‘clinical-academic positions’ to realise the potential these positions offer clinical practice improvement. It is imperative that clinical-academic nurses develop leadership skills to engage with policy and influence executive decisions relevant to advancing clinical practice.
Clinical-academic positions have been developed to advance the nursing profession. The intent of these positions is to lead the continuous generation and adoption of strong evidence into clinical practice that improves healthcare provision; and thereby, strengthening professional credibility. These positions bridge the clinical academic space through drawing on their expertise, research and understanding of implementation science to foster partnership and...
Commentary on: Farghaly Abdelaliem et al The influence of supportive work environment on work-related stress and conflict management style among emergency care nurses: A descriptive correlational study. Worldviews on Evidence-based Nursing. 2024;21(1).
Implications for practice and research Organisations should foster supportive work environments for nurses to enable conflict management, mitigate burnout and turnover, ultimately improving patient outcomes. Future research should implement strategies to reduce work-related stress, addressing stressors and their impact on nurse well-being and patient outcomes.
Nurses and midwives, constituting over 50% of the global healthcare workforce, are crucial for high-quality care.
Commentary on: Hatukay et al. The relationship between quick return shift schedules and burnout among nurses: A prospective repeated measures multi-source study. Int J Nurs Stud 2024;151:1-7
Implications for practice and research Nurse managers should develop motivational methods to buffer the effects of shorter sleep durations on burnout and be cognisant of the impact of quick return shifts on nurses. Sleep studies are often cross-sectional based on self-report measures; using more objective measures of sleep over a longer period is encouraged.
Acute care nurses often work consecutive shifts to meet workplace demands and that allows for longer day off periods. Quick return is defined in the literature as less than 11 hours of rest between two consecutive shifts.
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...
Commentary on: Yu Y, Cheng S, Huang H, et al. Joint association of sedentary behaviour and vitamin D status with mortality among cancer survivors. BMC Med 2023;21:411.
Implications for practice and research Results support National Institute for Health and Care Excellence recommendations Biological mediators linking sedentary behaviours, vitamin D and health outcomes should be investigated to understand the underlying causal link.
Many observational studies showed that sedentary behaviours
Commentary on: Karlsson K, Olsson C, Erlandsson A, et al. Exploring symptom clusters and their measurements in patients with lung cancer: a scoping review for practice and research. Oncol Nurs Forum 2023;50(6):783–815.
Implications for practice and research Detailed symptom assessments considering intensity, timing and distress levels should be conducted to create patient-specific treatment plans and enhance personalised care. Further research is needed to evaluate the effectiveness of psychological and social support interventions and the cultural adaptation of symptom assessment tools to improve patients’ psychosocial well-being.
Lung cancer stands as the foremost contributor to global cancer mortality, impacting individuals of all genders.
FreshRSS 