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Commentary on: Langdon, P.E., Apanasionok, M.M., Scripps, E., Barrowcliff, A., Biswas, A., Bunning, K., Burbidge, C., Byron-Daniel, K., Cookson, A., Croom, S. and Filipczuk, M.2024. Behavioural interventions to treat anxiety in adults with autism and moderate to severe intellectual disabilities: The BEAMS-ID feasibility study. Journal of Applied Research in Intellectual Disabilities, 375, p.e13282.
Implications for practice and research The BEAMS-ID study demonstrates that behavioural interventions, when properly adapted, are both feasible and acceptable for adults with autism and moderate-to-severe intellectual disabilities. A larger randomised controlled trial is warranted to evaluate the efficacy of these adapted interventions in reducing anxiety in this population.
People with autism, particularly those experiencing moderate-to-severe intellectual impairments, face an increased likelihood of developing anxiety disorders.
Commentary on: Alkhawaldeh JFM, Khawaldeh MA, Mrayyan MT, et al. The efficacy of mindfulness-based programs in reducing anxiety among nurses in hospital settings: a systematic review. Worldviews Ev Based Nurs 2024. doi.org/10.1111/wvn.12722
Implications for practice and research Implementing mindfulness-based programmes in healthcare settings can significantly reduce anxiety among nurses. Further longitudinal and well-designed randomised controlled trials are necessary to establish the long-term efficacy and optimal programme characteristics.
Anxiety is a prevalent issue among healthcare professionals, particularly nurses, owing to the highly stressful nature of their work environments.
Commentary on: Delaney, A. E., Fu, M. R., Conway, C., Marshall, A. C., Lindberg, J., Thiagarajan, R. R., Glazer, S.2024. Financial Stressors for Parents of Children and Emerging Adults with Congenital Heart Disease: A Qualitative Study. Journal of Pediatric Health Care.
Implications for practice and research Enhanced financial counselling and support services, coupled with strong advocacy for policy reforms, are essential to alleviate the financial burden on families of children with congenital heart disease. Future research should explore long-term financial impacts and effective interventions to alleviate economic stress.
Congenital heart disease (CHD) is the most prevalent birth defect that significantly affects infant and child mortality and morbidity.
Sleep disturbances and delirium are prevalent problems in the intensive care unit. Evidence suggests that these conditions negatively impact patient outcomes by increasing the length of hospital stays, delaying recovery, and raising healthcare costs.
This study aimed to investigate the effect of implementing a sleep care bundle on sleep quality and delirium among critically ill patients.
A quasi-experimental research design was used. A purposive sample of 66 patients was divided equally into two groups: a bundle group that received a sleep care bundle and a control group that received routine unit care in the chest intensive care units at Mansoura University in Egypt. Data were collected using the critically ill patients' outcome evaluation tool based on the Richards-Campbell Sleep Questionnaire Scale and the Intensive Care Delirium Screening Checklist.
Compared to the control group, the bundle group demonstrated statistically significant improvements across all sleep quality domains measured by the Richards-Campbell Sleep Questionnaire by Day 3. Specifically, sleep depth improved from 1.24 ± 0.44 to 1.82 ± 0.39 (effect size = 0.600), ability to fall asleep from 1.21 ± 0.42 to 1.91 ± 0.29 (effect size = 0.703), number of awakenings from 1.27 ± 0.45 to 1.79 ± 0.42 (effect size = 0.483), sleep efficiency from 1.24 ± 0.44 to 1.76 ± 0.44 (effect size = 0.600), and overall sleep quality from 1.24 ± 0.44 to 1.85 ± 0.36 (effect size = 0.600). In addition, the occurrence of delirium on Day 3 was significantly lower in the bundle group (0.0%) compared with the control group (15.2%) (χ 2 = 7.471, p = 0.023). Subsyndromal delirium was observed in 6.1% of the bundle group and 15.2% of the control group. The overall percentage of patients without delirium was significantly higher in the bundle group (93.9%) compared to the control group (69.7%).
Implementing a sleep care bundle enhances sleep quality and reduces the occurrence of delirium in critically ill patients. Therefore, it can be integrated as an adjunctive intervention alongside routine care for these patients. To strengthen future applications, incorporating fidelity monitoring is recommended to ensure consistent implementation of the sleep care bundle and to optimize its effectiveness in clinical practice.
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