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Implications for practice and research This study underscores the importance of building baby-friendly communities in improving breastfeeding knowledge and breastfeeding self-efficacy. The authors highlight the need for research on how communities can better support breastfeeding outcomes.
Commentary on: Lok K. Y. W., Fan H. S. L., Ip H. L., et al. Building a baby-friendly community: Development, strategy, implementation and evaluation of a BFCI program. Journal of Advanced Nursing.2024;1–12. https://doi.org/10.1111/jan.16267
It is recommended that breastfeeding is initiated within the first hour after birth and continued exclusively for 6 months of life.
Commentary on: Dumitru C. Exploring the transformative power of dance: a scoping review of dance interventions for adults with intellectual disabilities. J Intellect Disabil 2023;2023:17446295231218781.
Implications for practice and research Dance is a simple, safe and cost-effective intervention that improves the physical and mental health of individuals with intellectual disability (ID). Further research should be conducted into specific dance programmes/activities and enhancements such as music and incorporated into the treatment plan for individuals with ID.
Intellectual disability (ID) is a relatively common neurodevelopmental disorder affecting 2–3% of the general adult population.
Commentary on - Lindekilde CR, Pedersen ML, Birkeland SF, Hvidhjelm J, Baker J, Gildberg FA. Mental health patients' preferences regarding restrictive interventions: an integrative review. J Psychiatr Ment Health Nurs. 2024 May 2. doi: 10.1111/jpm.13057.
Implications for practice and research Mental health patients perceive observation as the least restrictive intervention. Mental health professionals should consider environment, communication and duration that could influence patient preferences for restrictive interventions. More research is needed on developing a global definition for restrictive interventions and also to understand patient preferences and views regarding various restrictive interventions.
Philippe Pinel has been honoured in history for his ‘humane treatment’ and ‘unchaining the mentally ill’.
Commentary on: Ward-Stockham, Daniel C, Bujalka H, et al. Implementation and use of the Safewards model in healthcare services: A scoping review. Int J Ment Health Nurs. 2024;00:1–30.
Implications for practice and research Effective implementation of Safewards interventions could significantly reduce conflict and containment in healthcare services, resulting in a safer environment for patients and professionals. Research is needed on the sustainability and generalisability of Safewards interventions, particularly in non-mental health settings as the model expands to other healthcare contexts.
Conflict behaviours, such as aggression, along with containment practices like seclusion, adversely affect both patients’ well-being and staff safety.
Commentary on: Price O, Armitage CJ, Bee P, et al. De-escalating aggression in acute inpatient mental health settings: a behaviour change theory-informed, secondary qualitative analysis of staff and patient perspectives. BMC Psychiatry. 2024 Aug 6;24(1):548. doi: 10.1186/s12888-024-05920-y.
Implications for practice and research Successful de-escalation of agitation requires being mindful of the content of verbal and non-verbal interactions and is a skill that may not come naturally. Training will require changing caregiver perceptions and local culture; leadership is essential.
Agitation is an acute behavioural emergency requiring immediate intervention in order to avoid further escalation to aggression/violence. Verbal de-escalation involves engaging the patient and helping him or her become an active partner in their evaluation and treatment in tandem with nonverbal approaches, such as voluntary medication and environment planning.
Commentary on: Tahir, M., & Cobigo, V. (2024). "They helped me stand on my own two feet": Canadian parents with intellectual disabilities in child protection. Journal of Intellectual Disabilities, 17446295241296215.
Implications for practice and research Child protection agencies should enhance training on intellectual disabilities to reduce bias, ensure cognitive accessibility and promote tailored supports, fostering trusting relationships that improve parental outcomes. Future research should explore the intersection of intellectual disabilities with other identities, such as Indigeneity, to address systemic barriers and promote equitable child protection practices.
Parents with intellectual disabilities encounter substantial stigmatisation, marginalisation and systemic challenges, particularly within child protection systems. Empirical evidence indicates that they are disproportionately represented in child protection cases and exhibit a higher likelihood of losing custody of their children than parents without intellectual disabilities. Prejudicial attitudes often originate from preconceptions regarding parenting capacity, and systemic barriers,...
Commentary on: Robidoux, H.O. and Lauerer, J. (2025). 'Integrating an Interdisciplinary Psychotherapy Training Program Across a PMHNP Curriculum’, Journal of Psychosocial Nursing and Mental Health Services, Apr, 1+, available:http://dx.doi.org.eux.idm.oclc.org/10.3928/02793695-20250403-01
Implications for nursing education Embedding training in psychotherapeutic modalities in advanced practice curricula for mental health nurses enhances students’ self-reported competence. There are significant regulatory and service barriers to be considered prior to implementation.
There is growing concern that curricula for advanced practice roles in psychiatric care are too generic and lack the depth and specificity required for the complex demands of mental healthcare.
Commentary on: Spiga, F., Davies, A. L., Tomlinson, E., et al(2024). Interventions to prevent obesity in children aged 5 to 11 years old. The Cochrane database of systematic reviews, 5(5), CD015328. https://doi.org/10.1002/14651858.CD015328.pub2
Implications for practice and research Those with low income and minoritised groups in high-income countries have the highest risk for childhood obesity but publications rarely report results of interventions for these subgroups. Researchers need to report subanalyses for groups most at risk in order to better inform childhood obesity policy and other upstream interventions.
Childhood obesity is increasing around the world, so a Cochrane systematic review and meta-analysis of randomised controlled trials (RCTs) was conducted. Studies published prior to February 2023 examining nutrition, physical activity or both interventions for those age 5–11 years were included.
The purpose of the study was to ‘assess...
Commentary on: Roomaney et al. A scoping review of the psychosocial aspects of infertility in African countries.
Implications for practice and research Incorporate affordable, culturally and religiously sensitive psychosocial support and interventions, including assessment, education and abuse management, into infertility treatments in African contexts. Expand research on infertility across African countries, focusing on psychosocial interventional studies and the development of culturally appropriate assessment tools.
Infertility impacts approximately one in six people globally,
Roomaney et...
Commentary on: Tong, F., Wang, Y., Gao, Q., Zhao, Y., Zhang, X., Li, B., & Wang, X. (2024). The epidemiology of pregnancy loss: global burden, variable risk factors, and predictions. Human Reproduction, 39(4), 834-848.
Implications for practice and research Development of preventive measures for pregnancy loss from policy makers in countriesof concern. Investigation of minority women across underrepresented countries to determine causesand trends of pregnancy loss.
Pregnancy loss carries significant healthcare challenges to individuals, certain regions and the world at large. Pregnancy loss is defined as the spontaneous end of a pregnancy before the fetus has reached viability and encompasses all losses from conception until 20–24 weeks Dimitriadis E,
Commentary on: Community Nurses’ Experiences Assessing Early-Stage Pressure Injuries in People With Dark Skin Tones: A Qualitative Descriptive Analysis-Neesha et al.
Implications for practice and research Stakeholders must address racial bias in pressure injury assessment through mandatory training on diverse skin tones and updated clinical guidelines for equitable care. Research should explore person-centred experiences and barriers to inclusive care, investigating how individual factors and educational bias impact safe and equitable practice across diverse settings and populations.
Pressure injuries (PIs) pose a substantial global healthcare challenge, with their prevalence ranging from 0% to 72.5% across settings.
Commentary on:
Implications for practice and research Nursing practice should implement targeted caregiver education and consistent followup to reduce anxiety, prevent burnout, and improve outcomes Future research should investigate the effectiveness of educational interventions and innovative care models in supporting caregivers and preventing burnout.
Huang et al explore knowledge and attitudes of pneumonia and antibiotic use among caregivers of paediatric patients with community-acquired pneumonia (CAP).
Commentary on: Ramnarayan P, Wood D, Draper E, et al. Transport of critically ill children to paediatric intensive care units in the UK and Ireland: 2013-2022. Arch Dis Child. 2024 Aug 29:archdischild-2024-327088. doi: 10.1136/archdischild-2024-327088
Implications for practice and research Although in the past, parents were not permitted to travel with their child during specialist paediatric intensive care transport, this is now encouraged in quality standards and this audit shows that the majority of parents opt to accompany their child in the retrieval ambulance, when given the opportunity. Adverse incidents during transfer to paediatric intensive care units are rare (2–5%) but future research into their root causes could facilitate further quality improvement in these services.
Centralisation of paediatric intensive care has required that greater numbers of critically ill children are transferred from local hospitals to the nearest paediatric intensive care unit (PICU). The...
Commentary on: Bradford, H.M., Puhl, R.M., Phillippi, J.C., et al. Implicit and Explicit Weight Bias among Midwives: Variations Across Demographic Characteristics. J Midwifery Womens Health 2024;0:1: doi:10.1111/jmwh.13616.
Implications for practice and research This study has implications for raising awareness on weight bias in practice highlighting a need for further inquiry exploring undergraduate education and continuing professional development. This study has the potential to prompt further qualitative research focusing on the experiences and perspectives of health care professionals and weight bias.
An online survey was used to measure weight bias of midwives. The survey included demographic questions about age, years since certification, body mass index (BMI), race and ethnicity and state of residence. Participants completed measures of implicit and explicit weight bias including the Implicit Association Test, the Anti-Fat Attitudes questionnaire, the Fat Phobia Scale-Short Form and the Preference for Thin People. Data...
Commentary on: Shen K, McGarry BE, Gandhi AD. Health care staff turnover and quality of care at nursing homes. JAMA internal medicine. 2023 Nov 1;183(11):1247–54.
Implications for practice and research Reducing staff turnover in nursing homes can lead to significant improvements in the quality of care. Future research should focus on the factors influencing staff retention and the mechanisms through which turnover affects care quality.
This study investigates the association between healthcare staff turnover and quality of care in nursing homes.
Commentary on: Firman N, Homer K, Harper G, et al. Are children living with obesity more likely to experience musculoskeletal symptoms during childhood? A linked longitudinal cohort study using primary care records. Arch Dis Child. 2024 Apr 18;109(5):414-421.
Implications for practice and research Obesity, disability and musculoskeletal conditions are interrelated, so interventions should adopt a ‘One Health’ approach to addresses these problems in children. Future research should explore interaction of disability, physical activity and the cumulative impact of obesity over time to gain better understanding of appropriate interventions.
Previous studies have suggested an association between childhood obesity and musculoskeletal problems,
Commentary on: Yang J, Chen Y, Tian Y, Li X, Yu Q, Huang C, Chen Z, Ning M, Li S, He J, Du J, Huang B, and Li Y (2024). Risk factors and consequences of mental health problems in nurses: A scoping review of cohort studies. International Journal of Mental Health Nursing. Advance online publication. https://doi.org/10.1111/inm.13337
Implications for practice and research Implement interventions to reduce workplace bullying, violence and job demands while promoting healthy lifestyles and social support for nurses. Future research should investigate nurses’ mental health in low-income and middle-income countries, explore gender differences and evaluate the effectiveness of mental health interventions.
Mental health issues among nurses are widespread and jeopardise healthcare systems and patient care.
Commentary on: Kuehn L, Jones A, Helmkamp L et al Socioemotional Development of Infants and Toddlers During the COVID-19 Pandemic. JAMA Paediatr 2023;178(2):151–159
Implications for practice and research All practitioners involved in the care of children should consider the negative impact that the pandemic has had on socioemotional development as these children move through their lives, recognising that their understanding of nursing care may be different. Considering the already widespread usage of questionnaires to measure development, there is scope to explore the long-term impact of this known delay on their childhood, adolescence and adult life.
There is a known anecdotal link between the COVID-19 pandemic and poor socioemotional development among children exposed to the dramatic and often frightening restrictions and risks associated with it. Nurses have recognised the difficulties that infants and children have presented within aspects of their development, such as...
Commentary on: Taylor J, Hall R, Heathcote C, et al (2024). Clinical guidelines for children and adolescents experiencing gender dysphoria or incongruence: a systematic review of guideline quality (part 1)Archives of Disease in Childhood Published Online First: 09 April 2024. doi: 10.1136/archdischild-2023–3 26 499
Implications for practice and research Clinicians should exercise caution when following clinical guidelines for managing gender dysphoria in youth due to concerns about methodological issues and evidence quality. Research on long-term outcomes of interventions is urgently needed to inform robust and transparent guidelines, incorporating input from gender diverse youth and families.
The visibility and acceptance of transgender identities have increased, leading to more young individuals questioning their gender or identifying as transgender.
Commentary on: Kata A, Dillon EC, Christina Keny RN, et al.‘There’s So Much That They're Enduring’: Experiences of Older Adults Undergoing Major Elective Surgery. Ann Surg. Published online April 9, 2024. doi:10.1097/SLA.0000000000006293
Implications for practice and research Routine psychosocial assessments for older adults may be implemented throughout the perioperative continuum to proactively identify emotional challenges and offer tailored support. The effectiveness of integrated mental health and social support in improving surgical outcomes should be investigated in this vulnerable population, including longitudinal studies on mental health interventions.
Elderly patients, defined as adults aged 65 years and above, represent a growing segment of the surgical population.
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